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Randomized Controlled Trial of Surfactant Administration by Laryngeal Mask Airway (LMA)

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ClinicalTrials.gov Identifier: NCT00599651
Recruitment Status : Terminated (Study was closed due to extremely low enrollment)
First Posted : January 24, 2008
Last Update Posted : May 7, 2010
Sponsor:
Collaborators:
LMA North America
ONY
Information provided by:
University of Virginia

Study Description
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Brief Summary:

In this protocol we will conduct a randomized controlled trial where babies with respiratory distress syndrome (RDS) who have not yet reached criteria for intubation, will be randomized to receive surfactant by LMA or to continue receiving standard therapy of nasal CPAP and supplemental oxygen. All babies will be given surfactant by endotracheal tube if they reach "failure" criteria, which is the standard criterion for surfactant administration (i.e., FiO2= 65% while receiving nasal CPAP).

The objective of this RCT is to determine if surfactant can be successfully administered by LMA, thus perhaps avoiding the need for endotracheal intubation. The hypothesis is that fewer babies in the LMA group would reach failure criteria.


Condition or disease Intervention/treatment Phase
Respiratory Distress Syndrome, Newborn Device: Surfactant administered via Laryngeal Mask Airway (LMA) Other: standard of care (nasal CPAP and supplemental oxygen) Not Applicable

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Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 380 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Randomized Controlled Trial of Surfactant Administration by Laryngeal Mask Airway (LMA)
Study Start Date : June 2005
Estimated Primary Completion Date : June 2009
Estimated Study Completion Date : December 2009

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Arms and Interventions
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Arm Intervention/treatment
Experimental: 1
Surfactant by LMA
 Device: Surfactant administered via Laryngeal Mask Airway (LMA)
Standard volume of Infasurf surfactant (3 mL/kg) will be injected in 2-4 aliquots into the proximal end of the LMA.
Other Names:
  • Infasurf
  • LMA
2
Standard of care
 Other: standard of care (nasal CPAP and supplemental oxygen)
Standard of care will be utilized which may mean surfactant is administered


Outcome Measures
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Primary Outcome Measures :
  1. The primary outcome measure is reaching or not reaching failure criterion (FiO2= 65% while receiving nasal CPAP). [ Time Frame: 96 Hours ]

Secondary Outcome Measures :
  1. Duration of intubation [ Time Frame: Birth to discharge ]
  2. Nasal CPAP and requirement for supplemental oxygen [ Time Frame: Birth to discharge ]
  3. Time to reach full enteral feedings [ Time Frame: Birth to discharge ]
  4. Incidence of laryngeal edema [ Time Frame: 96 hours ]
  5. Duration of hospitalization [ Time Frame: Birth to discharge ]

Eligibility Criteria
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Ages Eligible for Study:   up to 72 Hours   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Birthweight > 1200 grams
  • Chronologic age < 72 hours.
  • Diagnosis of RDS by clinical and radiographic criteria.
  • Treated with nasal CPAP and supplemental oxygen > 30% and not requiring > 60% FiO2 for longer than 30 minutes to maintain SaO2 88-95%.
  • Parental consent.

Exclusion Criteria:

  • Birthweight < 1200 gms.
  • Diagnosis other than RDS (e.g., meconium aspiration syndrome).
  • Babies who require or have already had endotracheal intubation.
  • Babies with congenital anomalies or conditions thought by the attending physician to contribute to respiratory symptoms and/or to restrict adequate spontaneous breathing (e.g., congenital heart disease, obtundation from maternal drugs, certain airway malformations, diaphragmatic hernia).
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00599651


Locations
United States, Virginia
University of Virginia
Charlottesville, Virginia, United States, 22908
Sponsors and Collaborators
University of Virginia
LMA North America
ONY
Investigators
Principal Investigator: John Kattwinkel, MD University of Virginia
More Information
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Responsible Party: John Kattwinkel, MD, University of Virginia
ClinicalTrials.gov Identifier: NCT00599651     History of Changes
Other Study ID Numbers: 11851
First Posted: January 24, 2008    Key Record Dates
Last Update Posted: May 7, 2010
Last Verified: May 2010

Keywords provided by University of Virginia:
Respiratory Distress Syndrome
Newborn RDS

Additional relevant MeSH terms:
Respiratory Distress Syndrome, Newborn
Respiratory Distress Syndrome, Adult
Lung Diseases
Respiratory Tract Diseases
Respiration Disorders
 Infant, Premature, Diseases
Infant, Newborn, Diseases
Pulmonary Surfactants
Calfactant
Respiratory System Agents