- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03041740
Fluid Filled Lung Oxygenation Assistance Trial (FFLOAT)
October 19, 2022 updated by: William Fox, Children's Hospital of Philadelphia
A Pilot Study to Evaluate the Safety of Perflurooctylbromide (PFOB) Partial Liquid Ventilation (PLV) for Up to 10 Days in Neonates With Severe Bronchopulmonary Dysplasia (BPD)
The primary study objective is to assess the safety and feasibility of perfluorooctylbromide (PFOB) partial liquid ventilation (PLV) in infants with severe Bronchopulmonary Dysplasia (BPD).
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The primary study objective is to assess the safety and feasibility of perfluorooctylbromide (PFOB) partial liquid ventilation for up to ten days in infants with severe BPD as evaluated by: (1) no sustained oxygen desaturations (SpO2 ≤ 80%) for greater than ten minutes without response to increased oxygen therapy, (2) no persistent hypotension without response to volume expansion and/or inotropic therapy, (3) no major mucus plugging events (defined as events that are unresolved after two bronchoscopes), (4) no pneumothoraces or pleural effusion with PFOB, (5) and no evidence of increased carbon dioxide (CO2) retention, renal insufficiency, hyperkalemia, or metabolic acidosis.
Study Type
Interventional
Enrollment (Actual)
16
Phase
- Phase 1
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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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Children's Hospital of Philadelphia
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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
No older than 6 months (CHILD)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria
- Neonates with severe BPD as defined by 36 weeks post conception age and require positive pressure ventilation
- Infants born at less than 32 weeks post conception age
- Subjects may be up to 6 months corrected age
- On conventional mechanical ventilation for chronic lung disease for at least two days prior to enrollment
- On conventional mechanical ventilation at the time of enrollment and anticipated to continue for 14 days
- Off systemic steroids for lung disease for 72 hours (3 days) prior to T=0
- Hemoglobin value ≥8 g/dL: if less than 8 g/dL, transfusion is permitted. Clinical blood transfusion should be administered prior to enrollment.
- Parental/guardian permission (informed consent)
Exclusion Criteria
- Mechanical ventilation for acute disease, such as for infection or for post-operative complications
- Severe Pulmonary Hypertension (PAH) (pulmonary pressure greater than 2/3 systemic) as defined by either echocardiogram (ECHO), or cardiac catheterizations or a CT-Angiogram consistent with PAH within the last 3 weeks.
- Pneumothorax (active air leak) requiring chest tube within 72 hours of T=0
- Active pulmonary hemorrhage within 72 hours of T=0
- History of Grade III/IV interventricular hemorrhage without resolution or stability within 3 weeks of verifying eligibility
- Severe congenital heart disease compromising pulmonary circulation
- Other major congenital malformation (including but not limited to CDH) or known genetic syndromes at the discretion of the investigator
- Use of an investigational drug within 7 days prior to confirmation of eligibility.
- The clinical attending physician believes it is not in the subject's and/or parents/guardians best interest to participate in the trial.
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: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
NO_INTERVENTION: Usual Care (Control) Group
Control subjects will be treated as per standard of care for preterm infants with BPD.
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ACTIVE_COMPARATOR: Perfluorooctylbromide (PFOB) Group
Subjects in the PFOB group will be administered an initial PFOB treatment dose of 2.5 mL/kg and up to a total intra-pulmonary volume of 25 mL/kg for up to 10 days.
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Subjects in the PFOB group will receive PFOB partial liquid ventilation instilled via side port of endotracheal tube (2.5 mL/kg/day) across 10 treatment days.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Sustained oxygen desaturations for greater than ten minutes without response to increased oxygen therapy
Time Frame: Day 5, Day 10
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Incidence of sustained (greater than 10 minutes) oxygen desaturation events without response to increased oxygen therapy.
These incidences will be measured by a continuous non-invasive percutaneous oxygen saturation monitor.
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Day 5, Day 10
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Persistent hypotension without response to volume expansion and/or inotropic therapy
Time Frame: Day 5, Day 10
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Incidence of persistent hypotension without response to volume expansion and/or inotropic therapy.
Hypotension is a decrease in systolic blood pressure deemed significant by clinical staff.
Measurement will be performed with a standard intensive care unit blood pressure cuff.
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Day 5, Day 10
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Change in number of major mucus plugging events
Time Frame: Day 5, Day 10
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Incidence of airway obstruction of the endotracheal tube, as indicated by decreased chest movement during mechanical ventilation, need for increased ventilator pressure, and/or elevation of carbon dioxide levels in the blood.
Mucus plugs are confirmed by endotracheal suctioning.
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Day 5, Day 10
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Incidence of pneumothorax or pleural effusion with PFOB
Time Frame: Day 5, Day 10
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Incidence of pneumothorax in the child will be measured by transillumination of the chest and confirmed by chest x-ray.
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Day 5, Day 10
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Number of participants with sustained hypercapnia (elevated carbon dioxide in the blood, greater than 95 mmHg, for over four hours).
Time Frame: Day 5, Day 10
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Hypercapnia will be measured with blood tests and/or cutaneous carbon dioxide monitor.
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Day 5, Day 10
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in fraction of inspired oxygen (FiO2)
Time Frame: Day 5, Day 10
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Fraction of inspired oxygen is the percentage of oxygen that the patient is receiving for his or her lung disease.
An FiO2 of 0.21 is room air oxygen and 1.00 is 100% oxygen.
The higher the FiO2, the more severe the respiratory disease.
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Day 5, Day 10
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Change in ventilator mean airway pressure (MAP)
Time Frame: Day 5, Day 10
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Mean airway pressure (MAP) is the average amount of airway pressure supplied to the lungs throughout a breath.
Higher MAP indicates more severe disease.
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Day 5, Day 10
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Change in Respiratory Severity Score (MAP x FiO2)
Time Frame: Day 5, Day 10
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Respiratory Severity Score (RSS) is a scale computed as the Mean Airway Pressure (MAP) multiplied by the Fraction of Inspired Oxygen (FiO2).
Clinically, the scale range will often lie between 1 and 10, with higher numbers indicating more severe disease.
The RSS can theoretically reach a score as high as 30-35.
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Day 5, Day 10
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: William Fox, MD, Children's Hospital of Philadelphia
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 (ACTUAL)
June 27, 2017
Primary Completion (ACTUAL)
June 10, 2019
Study Completion (ACTUAL)
June 10, 2019
Study Registration Dates
First Submitted
January 30, 2017
First Submitted That Met QC Criteria
February 1, 2017
First Posted (ESTIMATE)
February 3, 2017
Study Record Updates
Last Update Posted (ACTUAL)
October 21, 2022
Last Update Submitted That Met QC Criteria
October 19, 2022
Last Verified
October 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 12-008686
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
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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