- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00922532
Inhaled Nitric Oxide (INO) In Hypoxic Respiratory Failure
Inhaled Nitric Oxide For The Treatment Of Hypoxic Respiratory Failure With Pulmonary Hypertension In Preterm Infants
This Phase 3, Double-blind, Randomized, Placebo controlled, multicenter study is to confirm the efficacy of inhaled nitric oxide for the management of hypoxic respiratory failure associated with pulmonary hypertension in preterm infants.
Study subjects will be administered either inhaled nitric oxide or placebo to determine if there is a change in oxygenation.
Studieoversigt
Status
Intervention / Behandling
Detaljeret beskrivelse
This trial will be a multi-center, double blind, placebo-controlled, randomized clinical trial. All mothers identified with prolonged rupture of membranes and/or oligohydramnios, and all inborn infants < 30 weeks gestational age (GA) at birth will be screened for enrollment. Infants who meet all inclusion and exclusion criteria within the first 48 hours after birth will be randomized to either inhaled NO starting at 20 ppm, or matched placebo, delivered by means of a blinded INOvent® delivery device. Randomization will be stratified by center and treatment will be assigned using an interactive voice or web-based response system (IVRS). All infants will receive up to 14 days of therapy, following a dose reduction schedule. The primary outcome measure will be change in oxygenation at 1 hour after start of therapy. In order to determine the effects of iNO therapy on survival and need for mechanical ventilation, cross-over will not be allowed.
This clinical trial will attempt to demonstrate if pre-term infants may benefit from treatment with nitric oxide for inhalation. A multi-center study is necessary to recruit an appropriate number of subjects, and to reflect the variability of standard practice across the different participating centers. All treatment assignments are blinded in order to minimize the risk of bias in treatment and data collection. In addition, a concurrent placebo group has been chosen as the most appropriate control group since there may be temporal, institutional and national variations in average outcomes. Methemoglobin levels will be measured locally and will collected in a blinded manner.
Undersøgelsestype
Fase
- Fase 3
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
Preterm infants who:
- Are in-born at < 30 weeks gestational age
- Weigh 500-1250 grams
- Have hypoxic respiratory failure requiring mechanical ventilation with FiO2 > 0.8 to maintain SaO2 ≥ 85% in the first 48 hours after birth after use of exogenous surfactant
- Have minimal parenchymal lung disease by chest X ray
Exclusion Criteria:
Preterm infants who:
- Have ten minute Apgar score < 5
- Have life-threatening anomalies (cardiac, thoracic, chromosomal) or congenital diaphragmatic hernia with lung hypoplasia, or any child who will not receive complete intensive care
- Have bilateral Grade IV Intraventricular Hemorrhage (IVH)
- Are dependent on right to left shunting to maintain the systemic circulation
- Have received prior iNO therapy
- Have had treatment with investigational medications
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Enkelt gruppeopgave
- Maskning: Tredobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
---|---|
Eksperimentel: Inhaleret nitrogenoxid
|
Inhaled Nitric Oxide will be administered continuously starting at 20ppm through an INOvent delivery system for up to 14 days.
Andre navne:
|
Placebo komparator: Nitrogen
Nitrogen Placebo
|
Nitrogen gas will be administered in the same manor as the experimental drug
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
---|---|
Arterial Blood Gases
Tidsramme: Day 1 through Day 6
|
Day 1 through Day 6
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
---|---|
Uønskede hændelser
Tidsramme: Studievarighed
|
Studievarighed
|
Methemoglobin levels
Tidsramme: Treatment Duration
|
Treatment Duration
|
Vital Signs
Tidsramme: Study Duration
|
Study Duration
|
cGMP Levels
Tidsramme: Day 1 through 14
|
Day 1 through 14
|
Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Hjerte-kar-sygdomme
- Karsygdomme
- Luftvejssygdomme
- Respirationsforstyrrelser
- Lungesygdomme
- Tegn og symptomer, luftveje
- Forhøjet blodtryk
- Respiratorisk insufficiens
- Hypertension, lunge
- Hypoxi
- Lægemidlers fysiologiske virkninger
- Neurotransmittermidler
- Molekylære mekanismer for farmakologisk virkning
- Vasodilatorer
- Autonome agenter
- Agenter fra det perifere nervesystem
- Beskyttelsesagenter
- Bronkodilatatorer
- Anti-astmatiske midler
- Respiratoriske midler
- Antioxidanter
- Frie radikale scavengers
- Endotel-afhængige afslappende faktorer
- Gastransmittere
- Nitrogenoxid
Andre undersøgelses-id-numre
- IK-3001-HRF-301
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Inhaled Nitric Oxide
-
Traditional Alternative Medicine Research, IndiaAfsluttet
-
Traditional Alternative Medicine Research, IndiaAfsluttetHIV-infektionerIndien
-
University at BuffaloUniversity at Buffalo NeurosurgeryTrukket tilbageSubaraknoidal aneurisme blødningForenede Stater
-
I.M. Sechenov First Moscow State Medical UniversityRekrutteringAterosklerose i arterienDen Russiske Føderation
-
Sanotize Research and Development corp.Afsluttet
-
Sanotize Research and Development corp.RekrutteringCandidiasis, oralCanada
-
Stanford UniversityThe V Foundation for Cancer ResearchAfsluttetTilbagevendende hudkræft | Basalcellekarcinom i hudenForenede Stater
-
National Cancer Institute (NCI)AfsluttetTilbagevendende overgangscellekræft i nyrebækkenet og urinlederen | Overgangscellekarcinom i blæren | Ureterkræft | Tilbagevendende urinrørskræftForenede Stater
-
National Cancer Institute (NCI)AfsluttetAdenocarcinom i spiserøret | Stadium IV Spiserørskræft | Stadie III SpiserørskræftForenede Stater
-
Stanford UniversityNational Cancer Institute (NCI)Trukket tilbageTilbagevendende akut myeloid leukæmi hos voksne | Akut megakaryoblastisk leukæmi hos voksne (M7) | Voksen akut minimalt differentieret myeloid leukæmi (M0) | Akut monoblastisk leukæmi hos voksne (M5a) | Akut monocytisk leukæmi hos voksne (M5b) | Voksen akut myeloblastisk leukæmi med modning (M2) | Voksen akut myeloblastisk leukæmi uden modning (M1) og andre forhold