Effects of Inhaled Nitric Oxide in the Treatment of Acute Hypoxemic Respiratory Failure (AHRF) in Pediatrics

NCT ID: NCT00041561

Last Updated: 2016-07-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-01-31

Study Completion Date

2004-12-31

Brief Summary

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The purpose of this study is to determine the effect of nitric oxide for inhalation on the duration of mechanical ventilation in pediatric patients with AHRF.

Detailed Description

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Patients will receive 5-ppm study gas (nitric oxide for inhalation or placebo) until Day 28 or extubation, whichever comes first. The following will be performed / recorded at specified times during the study: arterial blood gases, ventilator settings, methemoglobin, PRISM III score, and patient positioning. Selected centers will also be performing plasma cytokine assays, broncho-alveolar lavage fluid assays and a 6 month follow-up assessment.

Conditions

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Respiratory Insufficiency Anoxemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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2

Nitrogen gas

Group Type PLACEBO_COMPARATOR

Nitrogen gas

Intervention Type DRUG

Nitrogen gas will be given at 5ppm until Day 28 or extubation

1

Inhaled Nitric Oxide

Group Type EXPERIMENTAL

inhaled nitric oxide

Intervention Type DRUG

inhaled nitric oxide will be given at 5 ppm until day 28 or extubation

Interventions

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Nitrogen gas

Nitrogen gas will be given at 5ppm until Day 28 or extubation

Intervention Type DRUG

inhaled nitric oxide

inhaled nitric oxide will be given at 5 ppm until day 28 or extubation

Intervention Type DRUG

Other Intervention Names

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INOmax®

Eligibility Criteria

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Inclusion Criteria

* Admitted to pediatric intensive care unit and have the diagnosis of acute respiratory failure
* 44 weeks post conceptional age to 16 years of age
* Oxygenation Index (OI) \>=12 cm H2O/mmHg (as determined by two separate measurement taken 30 minutes to 4 hours apart)
* Recent chest x-ray (within 24 hours) showing at least unilateral infiltrations
* Mechanically ventilated \<= 7 days

Exclusion Criteria

* Immunocompromised
* Received a bone marrow transplant
* Active oncological condition
* Persistent right to left intracardiac shunt
* Cardiovascular surgery within the last 14 days
* Status asthmaticus
* Decision by primary care physician not to provide full support
* Received treatment with nitric oxide for inhalation or other investigational medications within 24 hours prior to study initiation, participating in surfactant trials
* Chronically ventilated
* Pregnant
Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mallinckrodt

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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James Baldassarre, MD

Role: STUDY_DIRECTOR

Mallinckrodt

Locations

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Chrildren's Hospital of Orange County

Orange, California, United States

Site Status

Stanford University Medical Center

Stanford, California, United States

Site Status

The Children's Hospital

Denver, Colorado, United States

Site Status

Nemours Children's Clinic

Orlando, Florida, United States

Site Status

Children's Healthcare of Atlanta at Egleston

Atlanta, Georgia, United States

Site Status

University of Chicago, Children's Hospital

Chicago, Illinois, United States

Site Status

Louisiana State University Health Sciences Center - Shreveport

Shreveport, Louisiana, United States

Site Status

The Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

New York Presbyterian Hospital

New York, New York, United States

Site Status

Children's Hospital at Montefiore

The Bronx, New York, United States

Site Status

Children's Hospital Medical Center of Akron

Akron, Ohio, United States

Site Status

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Children's Hospital

Columbus, Ohio, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

The Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

University of Virginia Pediatric Critical Care

Charlottesville, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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INOT-11

Identifier Type: -

Identifier Source: org_study_id

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