Trial record 4 of 19 for:    bronchopulmonary dysplasia OR neonatal chronic lung disease | Open Studies | NIH, U.S. Fed

Trial of Late Surfactant for Prevention of Bronchopulmonary Dysplasia (TOLSURF)

This study is currently recruiting participants.
Verified May 2013 by University of California, San Francisco
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Roberta Ballard, University of California, San Francisco
ClinicalTrials.gov Identifier:
NCT01022580
First received: November 19, 2009
Last updated: May 22, 2013
Last verified: May 2013
  Purpose

The purpose of this study is to determine if late doses of Infasurf surfactant given when patients are receiving inhaled nitric oxide will interact to improve surfactant function and increase survival without BPD in treated infants.


Condition Intervention Phase
Bronchopulmonary Dysplasia
Drug: Infasurf surfactant (ONY, Inc.)
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Trial of Late Surfactant for Prevention of Bronchopulmonary Dysplasia: A Study in Ventilated Preterm Infants Receiving Inhaled Nitric Oxide

Resource links provided by NLM:


Further study details as provided by University of California, San Francisco:

Primary Outcome Measures:
  • Survival without BPD at 36 weeks post menstrual age. [ Time Frame: 36 weeks post menstrual age +/- 1 week ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • a) discharge home or off respiratory support at 40 weeks post menstrual age b) measures of BPD severity c) pulmonary outcome after discharge d) pulmonary and neurodevelopmental outcomes through 2 years of age [ Time Frame: 22 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 524
Study Start Date: January 2010
Estimated Study Completion Date: July 2014
Estimated Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Infasurf surfactant (ONY, Inc.)
Infants already receiving inhaled nitric oxide will receive scheduled doses of late surfactant (Infasurf) on study days 0, 2, 4, 6 and 8.
Drug: Infasurf surfactant (ONY, Inc.)
Late doses of Infasurf 3ml/kg will be given to infants on study days 0, 2, 4, 6 and 8.
Sham Comparator: sham
Infants already receiving inhaled nitric oxide will not receive additional doses of late surfactant (Infasurf).
Drug: Infasurf surfactant (ONY, Inc.)
Late doses of Infasurf 3ml/kg will be given to infants on study days 0, 2, 4, 6 and 8.

Detailed Description:

This is a multi-center, blinded, randomized controlled clinical trial to evaluate the effects of booster doses of exogenous surfactant (Infasurf®, calfactant) in addition to inhaled nitric oxide (iNO) on the outcome of survival without bronchopulmonary dysplasia (BPD, or chronic lung disease of prematurity, characterized by chronic lung dysfunction) at 36 weeks' post-menstrual age (PMA) in extremely low gestational age (ELGAN) infants that are at high risk of the development of BPD. This multi-center trial, with a planned enrollment of 524 infants, will also enable us to evaluate for any adverse effects of late surfactant treatment on short- and long-term outcomes, as we will be collecting data on effects of dosing of late surfactant, co-morbidities of prematurity and neurodevelopmental and pulmonary outcome at 1 year and 20 months corrected age. In addition, we will collect biological specimens for evaluation of the effects of late surfactant replacement therapy (administered as described in this trial) on surfactant function and inflammatory markers.

  Eligibility

Ages Eligible for Study:   up to 14 Days
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • <=28 0/7 weeks gestational age
  • Day of life 7-14
  • Intubated and mechanically ventilated
  • Plan to treat with inhaled nitric oxide

Exclusion Criteria:

  • Serious congenital malformations or chromosomal abnormalities
  • Life expectancy <7 days from enrollment
  • Clinically unstable
  • Less tha 48 hours since last dose surfactant
  • Ability to obtain 36 week primary outcome information is unlikely
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01022580

Locations
United States, Arkansas
University of Arkansas - Arkansas Childrens Hospital Recruiting
Little Rock, Arkansas, United States, 72202
Contact: Sherry Courtney, MD         SCourtney@uams.edu    
Principal Investigator: Sherry Courtney, MD            
United States, California
Alta Bates Medical Center Active, not recruiting
Berkeley, California, United States, 94705
Oakland Children's Hospital Active, not recruiting
Oakland, California, United States, 94609
University of California, San Francisco Recruiting
San Francisco, California, United States, 94143
Contact: Roberta Keller, MD     415-514-3192     kellerr@peds.ucsf.edu    
Contact: Roberta A Ballard, MD     415-476-1888     ballardr@peds.ucsf.edu    
Principal Investigator: Roberta Keller, MD            
United States, Florida
Wolfson Children's Hospital and Shands HospitaL Recruiting
Jacksonville, Florida, United States, 32207
Contact: Mark Hudak, MD     904-244-3508     mark.hudak@jax.ufl.edu    
Principal Investigator: Mark Hudak, MD            
Florida Hospital for Children Recruiting
Orlando, Florida, United States, 32803
Contact: Rajan Wadhawan, MD         rajan.wadhawan.MD@flhosp.org    
All Children's Hospital Recruiting
St Petersburg, Florida, United States, 33701
Contact: Victor McKay, MD         victor.mcKay@allkids.org    
Principal Investigator: Victor McKay, MD            
United States, Illinois
Children's Memorial Hospital Recruiting
Chicago, Illinois, United States, 60614
Contact: Nicolas Porta, MD         n-porta@northwestern.edu    
Principal Investigator: Robin Steinhorn, MD            
Northwestern Memorial Hospital Recruiting
Chicago, Illinois, United States, 60611
Contact: Nicolas Porta     312-227-5366     n-porta@northwestern.edu    
Principal Investigator: Robin Steinhorn, MD            
United States, Minnesota
University of Minnesota Medical School Recruiting
Minneapolis, Minnesota, United States, 55455
Contact: Catherine Bendel, MD     612-626-3250     bende001@umn.edu    
Principal Investigator: Catherine Bendel, MD            
Sub-Investigator: Michael Georgieff, MD            
Childrens Hospital and Clinics of Minnesota- Minneapolis Recruiting
Minneapolis, Minnesota, United States, 55404
Contact: Ellen Bendel-Stenzel, MD     612-813-6288     Ellen.Bendel-Stenzel@childrensmn.org    
Principal Investigator: Ellen Bendel-Stenzel, MD            
Children's Hospital and Clinics of Minnesota - St Paul Recruiting
St Paul, Minnesota, United States, 55102
Contact: Andrea Lampland, MD     651-220-5736     alljmrh@aol.com    
Principal Investigator: Mark Mammel, MD            
Sub-Investigator: Andrea Lampland, MD            
United States, Missouri
Children's Mercy Hospital Recruiting
Kansas City, Missouri, United States, 64108
Contact: William Truog, MD     816-234-3592     wtruog@cmh.edu    
Principal Investigator: William Truog, MD            
United States, New York
Women's and Children's Hospital of Buffalo Active, not recruiting
Buffalo, New York, United States, 14222
Stony Brook University Medical Center Active, not recruiting
Stony Brook, New York, United States, 11794
United States, North Carolina
Wake Forest University- Forsyth Hospital and Brenner Hospital Recruiting
Winston-Salem, North Carolina, United States, 27103
Contact: Jennifer Helderman, MD         jhelderm@wakehealth.edu    
Principal Investigator: Jennifer Helderman, MD            
Sub-Investigator: Michael O'Shea, MD            
United States, South Carolina
Medical University of South Carolina(MUSC) Recruiting
Charleston, South Carolina, United States, 29403
Contact: Frances R Koch, MD     843-792-8903     kochf@musc.edu    
Sub-Investigator: Carol Wagner, MD            
Principal Investigator: Frances R Koch, MD            
United States, Tennessee
UT Memphis- Memphis Medical Center Recruiting
Memphis, Tennessee, United States, 38103-2807
Contact: Reddy Dhanireddy, MD     901-448-4750     rdhanire@uthsc.edu    
Principal Investigator: Reddy Dhanireddy, MD            
United States, Texas
Texas Children's Hospital Suspended
Houston, Texas, United States, 77030
UT Houston Health Science Center Recruiting
Houston, Texas, United States, 77030-1503
Contact: Eric Eichenwald, MD     713-500-5209     Eric.C.Eichenwald@uth.tmc.edu    
Principal Investigator: Eric Eichenwald, MD            
United States, Washington
University of Washington, Seattle Recruiting
Seattle, Washington, United States, 98195-6320
Contact: Dennis Mayock, M.D.     206-543-5257     mayock@u.washington.edu    
Principal Investigator: Dennis Mayock, MD            
Sponsors and Collaborators
University of California, San Francisco
Investigators
Principal Investigator: Roberta A Ballard, MD University of California, San Francisco
  More Information

No publications provided

Responsible Party: Roberta Ballard, Professor of Pediatrics, University of California, San Francisco
ClinicalTrials.gov Identifier: NCT01022580     History of Changes
Other Study ID Numbers: H10842-33541-01A, U01HL094338
Study First Received: November 19, 2009
Last Updated: May 22, 2013
Health Authority: United States: Food and Drug Administration

Keywords provided by University of California, San Francisco:
bronchopulmonary dysplasia
neonates
pulmonary outcome
lung function
Bronchopulmonary Dysplasia
nitric oxide
surfactant
BPD
prematurity
iNO
neurodevelopmental outcome
Infasurf
Surfactant Dysfunction

Additional relevant MeSH terms:
Bronchopulmonary Dysplasia
Ventilator-Induced Lung Injury
Lung Injury
Lung Diseases
Respiratory Tract Diseases
Infant, Premature, Diseases
Infant, Newborn, Diseases
Pulmonary Surfactants
Hyperplasia
Pathologic Processes
Nitric Oxide
Calfactant
Bronchodilator Agents
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Pharmacologic Actions
Anti-Asthmatic Agents
Respiratory System Agents
Therapeutic Uses
Free Radical Scavengers
Antioxidants
Molecular Mechanisms of Pharmacological Action
Neurotransmitter Agents
Endothelium-Dependent Relaxing Factors
Vasodilator Agents
Cardiovascular Agents
Protective Agents

ClinicalTrials.gov processed this record on May 23, 2013