NCT00850993

Brief Summary

It is a normal process in the human body for red blood cells to die, which makes bilirubin. Bilirubin is cleared away through the liver. Some babies are born with livers that don't work well enough yet, or their red blood cells are dying too fast, so the baby looks yellow (jaundice). This means there is too much bilirubin in the body. It can be dangerous if a baby's bilirubin gets too high. Phototherapy is what they call the lights they shine on newborn babies to help the liver get rid of bilirubin. This study tests an experimental drug to see if it can reduce how much bilirubin is being made in the first place.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
58

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Aug 2008

Typical duration for phase_2

Geographic Reach
4 countries

23 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2008

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

February 24, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 25, 2009

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2011

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2012

Completed
2.3 years until next milestone

Results Posted

Study results publicly available

August 29, 2014

Completed
Last Updated

October 30, 2019

Status Verified

August 1, 2014

Enrollment Period

2.8 years

First QC Date

February 24, 2009

Results QC Date

December 6, 2013

Last Update Submit

October 25, 2019

Conditions

Keywords

Hemolysis

Outcome Measures

Primary Outcomes (2)

  • Change in Adjusted Total Serum Bilirubin (TSB) From Baseline to 48 Hours After Treatment.

    The adjusted TSB is a calculation of the percentage difference of the TSB level from the age-specific threshold for PT initiation per the American Academy of Pediatrics (AAP) Guidelines, ie, an indication of the distance below the PT threshold at the time \[(TSB - PT threshold/PT threshold) x 100%).

    Baseline, 48 hours

  • Change From Baseline in Total Serum Bilirubin (TSB) at 48 Hours (ITT Population

    Total bilirubin in blood serum was measured at baseline and at 48 hours after the shot. Change from baseline is calculated by subtracting the amount at baseline from the amount at 48 hours. Lower numbers are better.

    Baseline, 48 hrs

Study Arms (4)

Cohort 1: Stannsoporfin 1.5 mg/kg

EXPERIMENTAL

Participants receive a single dose of 1.5 mg/kg by intramuscular (IM) injection, along with PhotoTherapy (PT) if and when needed.

Drug: StannsoporfinOther: PhotoTherapy (as needed)

Cohort 2: Stannsoporfin 3.0 mg/kg

EXPERIMENTAL

Participants receive a single dose of 3.0 mg/kg by intramuscular (IM) injection, along with PT if and when needed.

Drug: StannsoporfinOther: PhotoTherapy (as needed)

Cohort 3: Stannsoporfin 4.5 mg/kg

EXPERIMENTAL

Participants receive a single dose of 4.5 mg/kg by intramuscular (IM) injection, along with PT if and when needed.

Drug: StannsoporfinOther: PhotoTherapy (as needed)

Cohort 4: Placebo

PLACEBO COMPARATOR

Participants receive a single dose of placebo (sterile saline solution) by IM injection, along with PT if and when needed.

Other: PlaceboOther: PhotoTherapy (as needed)

Interventions

Stannsoporfin administered as a single IM injection

Also known as: Experimental product
Cohort 1: Stannsoporfin 1.5 mg/kgCohort 2: Stannsoporfin 3.0 mg/kgCohort 3: Stannsoporfin 4.5 mg/kg
PlaceboOTHER

Placebo (sterile saline solution) administered as a single IM injection

Also known as: Saline
Cohort 4: Placebo

PT standard care administered as needed, based on bilirubin levels throughout the treatment period

Also known as: PT
Cohort 1: Stannsoporfin 1.5 mg/kgCohort 2: Stannsoporfin 3.0 mg/kgCohort 3: Stannsoporfin 4.5 mg/kgCohort 4: Placebo

Eligibility Criteria

Age1 Minute - 48 Hours
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Babies may only participate if they meet all the following criteria:
  • Is a term or late preterm baby
  • Is at risk for protocol-defined hemolytic disease
  • Weighs at least 2500 g (5.5 lbs)
  • Has total serum bilirubin (TSB) a specified amount lower than the phototherapy threshold for the age
  • Has parents/guardians who are willing to follow light precautions and sign informed consent

You may not qualify if:

  • The following criteria will make a baby not eligible to participate:
  • Needs medications that may prolong the QT interval
  • Has family history or risk factors for Long QT Syndrome, Sudden Infant Death Syndrome, or Porphyrias
  • Has an Apgar score of 6 or below at age 5 minutes
  • Has abnormalities or infections (in mother or child) that per protocol or in the opinion of the investigator may compromise the safety and well-being of the baby or analysis of study results

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (23)

Arrowhead Regional Med Center

Colton, California, 92324, United States

Location

UCSD Medical Center

San Diego, California, 92103, United States

Location

Kapi'olani Medical Center for Women and Children

Honolulu, Hawaii, 96826, United States

Location

University of Louisville

Louisville, Kentucky, 40202, United States

Location

Westchester Medical Center

Valhalla, New York, 10595, United States

Location

ECU Brody School of Medicine

Greenville, North Carolina, 27834, United States

Location

St. Vincent Mercy Children's Hospital

Toledo, Ohio, 43608, United States

Location

Drexel University College of Medicine, Clinical Research Group

Philadelphia, Pennsylvania, 19102, United States

Location

Albert Einstein Medical Center

Philadelphia, Pennsylvania, 19141, United States

Location

Jan Bizel University Hospital No. 2; Department of Neonatal, Preemies and Neonatal Intensive Care

Bydgoszcz, 85-168, Poland

Location

Research Institute of Polish Mother's Health Center

Lodz, 93-338, Poland

Location

Neonatal Department Warsaw Medical University

Warsaw, 00-315, Poland

Location

Complejo Hospitalario Universitario A Coruña

A Coruña, 15006, Spain

Location

Hospital Vall D´Hebrón

Barcelona, 08035, Spain

Location

Hospital Clinic i Provincial

Barcelona, E-08036, Spain

Location

Hospital Doce de Octubre

Madrid, 28041, Spain

Location

Hospital La Paz

Madrid, 28046, Spain

Location

University Hospital Santiago de Compostela-L Coruna

Santiago de Compostela, 15706, Spain

Location

Municipal Medical Institution "Regional pediatric clinical hospital #1", Department of pathology of the newborns; Bukovynian State Medical University, Department of Pediatrics and Children's Infectious Diseases

Chernivtsi, 58023, Ukraine

Location

National Pediatric Specialized Hospital "OHMATDYT".

Kiev, 1135, Ukraine

Location

State Institution "Institute of Pediatrics, Obstetrics and Gynecology of the Academy of Medical Science of the Ukraine", Neonatology Department

Kiev, 4050, Ukraine

Location

Municipal Institution "Odessa regional clinical hospital", Department of pathology of the newborns and premature infants; Odessa State Medical University; Chair of Pediatrics #1 and Neonatology

Odesa, 65031, Ukraine

Location

Vinnytsia regional pediatric hospital, Department of pathology of the newborns, Vinnytsia National Medical University named after M.I.Pirogov, Chair of Pediatrics #1

Vinnitsa, 21029, Ukraine

Location

MeSH Terms

Conditions

Hyperbilirubinemia, NeonatalHemolysis

Interventions

tin mesoporphyrinSodium ChloridePhototherapy

Condition Hierarchy (Ancestors)

Infant, Newborn, DiseasesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesHyperbilirubinemiaPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

ChloridesHydrochloric AcidChlorine CompoundsInorganic ChemicalsSodium CompoundsTherapeutics

Limitations and Caveats

It should be noted that the study was discontinued before enrollment of the full 4.5 mg/kg cohort,and therefore, the stannsoporfin 4.5 mg/kg treatment group included 8 patients and the placebo group included 15 patients.

Results Point of Contact

Title
Medical Information Call Center
Organization
Mallinckrodt Pharmaceuticals

Study Officials

  • Clinical Team Leader

    Mallinckrodt

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Clinical personnel at the site (including investigator, study coordinator and central cardiologist) were blinded to treatment group. The research pharmacy and the health care provider responsible for giving the injection to patients knew what the treatment was (they were not blinded).
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Sequential experimental cohorts are run in parallel with placebo controls.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 24, 2009

First Posted

February 25, 2009

Study Start

August 1, 2008

Primary Completion

June 1, 2011

Study Completion

May 1, 2012

Last Updated

October 30, 2019

Results First Posted

August 29, 2014

Record last verified: 2014-08

Data Sharing

IPD Sharing
Will not share

Locations