- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01748045
Study of Inhaled Nitric Oxide (iNO) and Respiratory Outcomes in Late Preterm Infants
June 20, 2017 updated by: Tufts Medical Center
The Use of Inhaled Nitric Oxide to Improve Respiratory Outcomes in Late Preterm Infants
The aim of this study is to determine if inhaled nitric oxide will improve short and long term respiratory outcomes in preterm infants.
Infants born at a gestational age of 30-36 weeks and who require breathing support with high flow nasal cannula, nasal continuous positive airway pressure, or nasal intermittent positive pressure will be randomized to receive either inhaled nitric oxide or placebo.
The dose will then be decreased per protocol until all respiratory support has been discontinued.
Infants will be followed to evaluate safety and efficacy of non-invasive iNO delivery, up to 12 months corrected gestational age.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
3
Phase
- Phase 2
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Massachusetts
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Boston, Massachusetts, United States, 02111
- Tufts Medical Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
6 months to 8 months (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- <48 hours of age,
- 30 - 36 weeks gestational age at birth based on best estimate using obstetrical sonography (first or second trimester), solid dating criteria, or Ballard examination,
- Birth weight of ≥ 1,000 g,
- 5 minute Apgar score ≥5,
- Requiring nasal cannula O2 > 1 liter per minute (LPM), continuous positive pressure (CPAP), or non invasive positive pressure ventilation (NIPPV) for treatment of respiratory failure,
- Requiring a fraction of inspired oxygen (FIO2) of at least 0.25 to maintain arterial oxygen saturation (SaO2) 88-94%,
- Parent or guardian has signed informed consent and agrees to all study- related procedures, including those required after hospital discharge.
Exclusion Criteria:
- Major congenital anomaly
- Intubation and surfactant in the delivery room or prior to enrollment in the Neonatal Intensive Care Unit (NICU). Excludes intubation for suctioning.
- Known congenital infection (bacterial, viral),
- Perinatal asphyxia (5 minute Apgar <5, umbilical artery pH < 7.0 or evidence of neonatal encephalopathy),
- Mother and/or infant is enrolled in another clinical trial (excluding observational) or has received an investigational drug,
- Has undergone or is anticipated to require a major surgical procedure within the first 48 h of life,
- Any condition which could preclude receiving study drug or performing any study-related procedures,
- Use of postnatal corticosteroids,
- Parent or guardian is unable or unwilling to complete study procedures after hospital discharge.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: inhaled Nitric Oxide
iNO to start at 20 parts per million (ppm) for the first three days of life.
The dose will then be decreased to 10 ppm for three days, 5 ppm for 3 days and then 2 ppm until all high flow respiratory support has been discontinued.
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Other Names:
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Placebo Comparator: Nitrogen Gas
Placebo gas will be adjusted the same as study gas: to start at 20ppm for the first three days of life.
The dose will then be decreased to 10 ppm for three days, 5 ppm for 3 days and then 2 ppm until all high flow respiratory support has been discontinued.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of Participants Who Were Alive Without the Need for Intubation or Mechanical Ventilation Within the First Week of Life
Time Frame: 7 days
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7 days
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants Who Had the Need for Exogenous Surfactant
Time Frame: 7 days
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7 days
|
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Total Length of Hospital Stay
Time Frame: From hospital admission through discharge
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participants who were followed for the duration of hospital stay
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From hospital admission through discharge
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Total Duration of Supplemental Oxygen
Time Frame: From Hospital Admission through discharge
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Participants were followed for the duration of hospital stay for use of supplemental oxygen
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From Hospital Admission through discharge
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Diagnosis of Bronchopulmonary Dysplasia (BPD)
Time Frame: At 36 weeks postmenstrual age or 1-2month of age
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Diagnosis of BPD by oxygen challenge test at 36 weeks post menstrual age (PMA) for infants born between 30 and 32 weeks gestational age (GA).
For those born 32 1/7 - 36 weeks, an oxygen challenge test was performed at 1-2 months of age.
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At 36 weeks postmenstrual age or 1-2month of age
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Evidence of Chronic Respiratory Morbidity at 12 Months Corrected Gestational Age (CGA)
Time Frame: 12 months corrected gestational age
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defined by a validated system of parental diaries and pulmonary questionnaires, as well as review of medical records (medical visits, respiratory medication use, emergency room visits, and hospital re-admissions)
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12 months corrected gestational age
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Total Duration of Respiratory Support
Time Frame: From hospital admission through discharge
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participants were followed for the duration of hospital stay for respiratory support
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From hospital admission through discharge
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Jennifer W Lee, MD, MS, Tufts Medical Center
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
March 1, 2013
Primary Completion (Actual)
July 1, 2014
Study Completion (Actual)
July 1, 2014
Study Registration Dates
First Submitted
November 20, 2012
First Submitted That Met QC Criteria
December 10, 2012
First Posted (Estimate)
December 12, 2012
Study Record Updates
Last Update Posted (Actual)
July 19, 2017
Last Update Submitted That Met QC Criteria
June 20, 2017
Last Verified
June 1, 2017
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Lung Diseases
- Infant, Newborn, Diseases
- Lung Injury
- Infant, Premature, Diseases
- Ventilator-Induced Lung Injury
- Bronchopulmonary Dysplasia
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Vasodilator Agents
- Autonomic Agents
- Peripheral Nervous System Agents
- Protective Agents
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Antioxidants
- Free Radical Scavengers
- Endothelium-Dependent Relaxing Factors
- Gasotransmitters
- Nitric Oxide
Other Study ID Numbers
- 10487 (Other Identifier: CTEP)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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