NCT03808402

Brief Summary

A prospective observational study using de-identified data from the Neonatal Network Research Database (NNRD) supplemented by additional information on dose, method of surfactant administration and dosing frequency to assess whether the dose and method of administration of surfactant given to preterm infants with respiratory distress syndrome (RDS) affects neonatal outcomes.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
2,973

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2018

Longer than P75 for all trials

Geographic Reach
1 country

29 active sites

Status
completed

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

October 26, 2018

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

January 14, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

January 17, 2019

Completed
5.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 30, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 30, 2024

Completed
Last Updated

May 31, 2025

Status Verified

May 1, 2025

Enrollment Period

5.4 years

First QC Date

January 14, 2019

Last Update Submit

May 30, 2025

Conditions

Keywords

SurfactantLess Invasive Surfactant AdministrationMechanical Ventilation

Outcome Measures

Primary Outcomes (1)

  • Need for mechanical ventilation

    Survival without mechanical ventilation (excluding days 1 and 2 of life)

    Day 3 to 4 of life

Secondary Outcomes (10)

  • Survival

    To study completion, an average of 2 years

  • Number of doses of surfactant

    To study completion, an average of 2 years

  • Total cumulative dose of surfactant (excluding the first dose)

    To study completion, an average of 2 years

  • Survival with no respiratory support

    On postnatal day 28

  • Survival with no respiratory support

    36 weeks gestation

  • +5 more secondary outcomes

Other Outcomes (2)

  • Effect of dose on need for mechanical ventilation on days 3 and 4 (excluding days 1 and 2)

    Day 3 to 4 of life

  • Effect of method of administration on need for mechanical ventilation on days 3 and 4 (excluding days 1 and 2)

    Day 3 to 4 of life

Study Arms (2)

High dose surfactant

Infants who receive a first dose of surfactant between 170 and 200 mg/kg

Low dose surfactant

Infants who receive a first dose of surfactant between 100 and 130 mg/kg

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Newborn infants born in neonatal units in the UK

You may qualify if:

  • \<37 weeks gestational age Requiring surfactant for Respiratory Distress Syndrome Record of birth weight available Born after study initiation

You may not qualify if:

  • weeks gestation age or above Parental opt-out

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (29)

William Harvey Hospital

Ashford, Kent, TN24 0LZ, United Kingdom

Location

Birmingham Women's Hospital

Birmingham, B15 2TG, United Kingdom

Location

Birmigham Heartlands Hospital

Birmingham, B9 5SS, United Kingdom

Location

Royal Bolton Hospital

Bolton, BL4 0JR, United Kingdom

Location

Bradford Royal Infirmary

Bradford, United Kingdom

Location

Burnley General Hospital

Burnley, BB10, United Kingdom

Location

The Rosie Hospital

Cambridge, CB2 0SW, United Kingdom

Location

St Peter's Hospital

Chertsey, KT16 0PZ, United Kingdom

Location

University Hospital Coventry

Coventry, CV2 2DX, United Kingdom

Location

Hull Royal Infirmary

Hull, HU3 2JZ, United Kingdom

Location

Leeds General Infirmary

Leeds, LS1 3EX, United Kingdom

Location

Leicester Royal Infirmary

Leicester, LE1 5WW, United Kingdom

Location

Liverpool Women's Hospital

Liverpool, L8 7SS, United Kingdom

Location

Homerton Hospital

London, E9 6SR, United Kingdom

Location

University College Hospital

London, NW1 2BU', United Kingdom

Location

Guy's and St Thomas' Hospital

London, SE1 7EH, United Kingdom

Location

Chelsea and Westminster Hospital

London, SW10 9NH, United Kingdom

Location

St Mary's Hospital

Manchester, M13 9WL, United Kingdom

Location

Wythenshawe Hospital

Manchester, M13, United Kingdom

Location

The James Cook Hospital

Middlesbrough, TS4 3BW, United Kingdom

Location

University Hospital of North Tees

Middlesbrough, United Kingdom

Location

Royal Victoria Infirmary

Newcastle, Ne1 4LP, United Kingdom

Location

Norfolk and Norwich University Hospital

Norwich, NR4 7UY, United Kingdom

Location

Queens Medical Centre

Nottingham, NG7 2UH, United Kingdom

Location

Royal Oldham Hospital

Oldham, OL1 2JH, United Kingdom

Location

John Radcliffe Hospital

Oxford, OX3 9DU, United Kingdom

Location

Queen Alexandra Hospital

Portsmouth, PO6 3LY, United Kingdom

Location

Jessop Wing

Sheffield, S10 2SF, United Kingdom

Location

Princess Anne Hospital

Southampton, SO16 6YD, United Kingdom

Location

Related Publications (1)

  • Goss KCW, Gale C, Malone R, Longford N, Ratcliffe K, Modi N. Effect of surfactant dose on outcomes in preterm infants with respiratory distress syndrome: the OPTI-SURF study protocol. BMJ Open. 2020 Dec 12;10(12):e038959. doi: 10.1136/bmjopen-2020-038959.

Related Links

MeSH Terms

Conditions

Respiratory Distress SyndromeBronchopulmonary Dysplasia

Condition Hierarchy (Ancestors)

Lung DiseasesRespiratory Tract DiseasesRespiration DisordersVentilator-Induced Lung InjuryLung InjuryInfant, Premature, DiseasesInfant, Newborn, DiseasesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Officials

  • Kevin Goss, MBBS

    Leeds Teaching Hospitals NHS Trust

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 14, 2019

First Posted

January 17, 2019

Study Start

October 26, 2018

Primary Completion

March 30, 2024

Study Completion

March 30, 2024

Last Updated

May 31, 2025

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will not share

No plan to share IPD

Locations