First In Human Study on Synthetic Surfactant CHF 5633 in Respiratory Distress Syndrome
A First in Human Clinical Study on the Safety and Tolerability of Two Escalating Single Doses of CHF 5633 (Synthetic Surfactant) in Preterm Neonates With Respiratory Distress Syndrome
1 other identifier
interventional
40
1 country
1
Brief Summary
The aim of this study is to investigate the safety and tolerability of intratracheal administration of two different single doses of CHF 5633 in preterm neonates with RDS in terms of adverse events, adverse drug reactions, hematology and biochemistry values, the incidence of major neonatal morbidities including bronchopulmonary dysplasia (BPD) and mortality.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Oct 2012
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 20, 2012
CompletedFirst Posted
Study publicly available on registry
July 27, 2012
CompletedStudy Start
First participant enrolled
October 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 23, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 23, 2015
CompletedJuly 31, 2020
July 1, 2020
2.3 years
April 20, 2012
July 30, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Monitoring of adverse events following CHF5633 administration
For duration of hospital stay (expected average of 9 weeks)
Secondary Outcomes (1)
CHF 5633 efficacy profile (oxygenation , ventilatory requirements and need for rescue surfactant treatment),systemic absorption and immunogenicity assesment
At min 30, at hrs 1, 3, 6, 12, 24, at days 2, 3, 7 and at days 10, 28, at 36 weeks pma post dosing for ventilatory requirements, at pre-dose and 3 hrs and 24 hrs post dosing for systemic absorption and at 8 wks after administration for immunogenicity
Study Arms (1)
Synthetic Surfactant
EXPERIMENTALCohort Design
Interventions
CHF5633 100 mg/kg; CHF5633 200 mg/kg synthetic surfactant sterile suspension in 3.0 ml glass vials with a total concentration of 80 mg/ml for intratracheal administration. Single administration
Eligibility Criteria
You may qualify if:
- Written informed consent obtained by parents/legal representative (according to local regulation) prior to any study-related procedures
- Inborn and outborn, preterm neonates of either sex with a gestational age of 27 weeks up to 33 weeks+6
- Clinical and radiological findings typical of RDS
- Age on admission to the study \< 24 hours from birth
- Requirement of endotracheal intubation for surfactant administration
- Fraction of inspired oxygen (FiO2) \> 0.35 to maintain SpO2 between 90-95 %
- Documentation of normal cranial ultrasound scan
You may not qualify if:
- Use of surfactant prior to study entry and need for intratracheal administration of any other treatment (e.g. nitric oxide)
- Known genetic or chromosomal disorders, major congenital anomalies (cardiac malformations, myelomeningocele etc)
- Maternal drug abuse (heroin, methadone, methamphetamine, or cocaine) or significant alcohol consumption during pregnancy
- Clinical chorioamnionitis (Appendix III)
- Strong suspicion of congenital pneumonia/infection, sepsis
- Evidence of severe birth asphyxia or a 5 minutes Apgar score less / equal 3
- Presence of air leaks prior to study entry
- Neonatal seizures prior to study entry
- Mothers with prolonged rupture of the membranes (\> 3 weeks duration)
- Any condition that, in the opinion of the Investigator, would place the neonate at undue risk
- Participation in another clinical trial of any placebo, drug or biological substance conducted under the provisions of a protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Liverpool Women's Hospital Neonatal Unit Liverpool Women's Hospital
Liverpool, United Kingdom
Related Publications (1)
Sweet DG, Turner MA, Stranak Z, Plavka R, Clarke P, Stenson BJ, Singer D, Goelz R, Fabbri L, Varoli G, Piccinno A, Santoro D, Speer CP. A first-in-human clinical study of a new SP-B and SP-C enriched synthetic surfactant (CHF5633) in preterm babies with respiratory distress syndrome. Arch Dis Child Fetal Neonatal Ed. 2017 Nov;102(6):F497-F503. doi: 10.1136/archdischild-2017-312722. Epub 2017 May 2.
PMID: 28465315RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Christian Speer, MD
Universitäts-Kinderklinik Würzburg (Germany)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 20, 2012
First Posted
July 27, 2012
Study Start
October 1, 2012
Primary Completion
January 23, 2015
Study Completion
January 23, 2015
Last Updated
July 31, 2020
Record last verified: 2020-07
Data Sharing
- IPD Sharing
- Will not share