NCT05364385

Brief Summary

Preterm infants are randomized to received either Intra-tracheal instillation of budesonide using surfactant as vehicle or a placebo. Intra-tracheal instillation of budesonide using surfactant as vehicle would facilitate its delivery to the periphery of the lung and would inhibit lung inflammation and mitigate acute lung injury.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
25

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Dec 2019

Longer than P75 for phase_4

Geographic Reach
1 country

1 active site

Status
unknown

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

December 2, 2019

Completed
2.4 years until next milestone

First Submitted

Initial submission to the registry

May 2, 2022

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 6, 2022

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2023

Completed
1.8 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2024

Completed
Last Updated

November 1, 2022

Status Verified

October 1, 2022

Enrollment Period

3.2 years

First QC Date

May 2, 2022

Last Update Submit

October 31, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change of combined inflammatory cytokines

    Change in inflammatory cytokines /chemokines (interleukin-6, 8, 10 and Tumor Necrosis Factor α (TNF-α) levels

    4 weeks

Secondary Outcomes (4)

  • chronic lung disease

    36 weeks corrected gestational age (CGA)

  • Mortality

    upto 40 weeks corrected gestational age (CGA)

  • Ventilator days

    Upto 40 weeks corrected gestational age (CGA)

  • Neuro-developmental outcome

    18 - 26 months corrected postnatal age

Study Arms (2)

S/B group- infants

EXPERIMENTAL

Infants randomized to the study group (S/B group) will receive surfactant and Budesonide - 0.5 mg -1mL

Drug: Infants in the study group (S/B group) will receive surfactant 2.5 mls/kg and Budesonide 0.5 mg (1mL)

S/P group- control / placebo comparator

PLACEBO COMPARATOR

Infants randomized to the control group (S/P group) will receive surfactant and placebo (Normal Saline -1mL)

Drug: Infants in the control group (S/P group) receive placebo (Normal saline 1mL)

Interventions

Infants in the study group (S/B group) will receive surfactant 2.5 mls/kg and Budesonide 0.5 mg (1mL)

Also known as: Pulmicort
S/B group- infants

Infants in the control group (S/P group) will receive surfactant 2.5 mls/kg and placebo (Normal saline 1mL)

S/P group- control / placebo comparator

Eligibility Criteria

AgeUp to 18 Hours
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Infants born at \< 30+0/7 weeks (23+0 - 29+6/7) gestational age (GA) OR with preterm infants with a birth weight (BW) which is \< 1500 gm AND if they have severe respiratory distress syndrome (RDS) (Clinical diagnosis based on the need for mechanical ventilation in preterm infant or if they have radiologic features of RDS along with need for positive distending airway pressure and fractional inspired oxygen (FiO2) \> 0.3)

You may not qualify if:

  • major congenital defects
  • chromosomal abnormality
  • pneumothorax
  • Known surgical disease
  • Known or suspected congenital heart disease
  • Infant not considered viable by physician
  • Severe sepsis / infections
  • Likely to be extubated within the next 24 hours

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Arizona

Tucson, Arizona, 85719, United States

RECRUITING

MeSH Terms

Conditions

Acute Lung InjuryBronchopulmonary Dysplasia

Interventions

BudesonideSaline Solution

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

PregnenedionesPregnenesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsCrystalloid SolutionsIsotonic SolutionsSolutionsPharmaceutical Preparations

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 2, 2022

First Posted

May 6, 2022

Study Start

December 2, 2019

Primary Completion

February 1, 2023

Study Completion

December 1, 2024

Last Updated

November 1, 2022

Record last verified: 2022-10

Locations