Study to Evaluate the Incidence of Hospitalizations and Respiratory Tract Infections in Premature Infants

NCT ID: NCT00384462

Last Updated: 2009-02-04

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

COMPLETED

Total Enrollment

346 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-10-31

Study Completion Date

2008-01-31

Brief Summary

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The purpose of this study is to describe respiratory syncytial virus (RSV) hospitalization rates and to begin to address the utilization of outpatient resources for RSV medically-attended lower respiratory tract infections (MALRI) in 32-35 week gestational age (GA) premature infants who are less than 6 months of age and do not receive treatment.

Detailed Description

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The goals of this study are:

* To estimate the incidence of hospitalization attributable to RSV within 150 days from enrollment in premature infants who are:

* 32-35 weeks GA
* less than 6 months of age at the start of the RSV season
* not receiving palivizumab prophylaxis and not recommended to receive palivizumab according to the AAP guidelines
* To estimate the incidence rate of hospitalization attributable to RSV in the other relevant study populations and time periods (e.g., Cohort 2, Cohorts 1 and 2 combined, and subgroups based on chronological age at the start of the RSV season, GA, etc. within 150 days from enrollment and other time periods based on RSV activity, etc.)
* To estimate the incidence of RSV-associated MALRI in the study populations
* To characterize the incidence and type of clinical interventions for MALRI in the study populations

Conditions

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Respiratory Syncytial Virus Infections

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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1

Premature Infants (32-35 wks. GA) who are less than six months of age at start of RSV season and followed until May of the following year.

No interventions assigned to this group

2

Premature newborns (32-35 wks. GA) who are born during the current RSV season and discharged from the hospital after 01 Dec and followed until May of the next year.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Parent/legal guardian able to understand and provide written informed consent
* Male or female infants born at 32-35 weeks GA. GA will be determined according to available medical records.
* Clinically stable, in the opinion of the investigator
* Ability and willingness of the subject's parent/legal guardian to complete all protocol mandated follow-up telephone calls, visits and procedures
* Not more than one of the following American Academy of Pediatrics (AAP)-defined risk factors:

1. Childcare attendance
2. School-aged siblings in the home
3. Exposure to environmental air pollutants (not including passive exposure to tobacco smoke)
4. Congenital abnormalities of the airways
5. Severe neuromuscular disease, as determined by the investigator
* Subject must meet the criteria listed below for either Cohort 1 or Cohort 2:

Cohort 1

* Date of enrollment between 01/Oct and 15/Dec
* Chronological age of \< 6 months (i.e., has not yet reached 6-month birthday) at the traditional start of the local RSV season (as used to determine eligibility for RSV prophylaxis)

Cohort 2

* Date of enrollment between 16/Dec and 15/Feb
* Born during the current RSV season and discharged from the hospital nursery after 01/Dec

* Participation in trials of investigational RSV prophylaxis or therapeutic agents
* Confirmed prior or current RSV infection (a child with current signs/symptoms of respiratory infection must have negative RSV testing)
* Diagnosis of chronic lung disease (CLD) of prematurity (formerly referred to as bronchopulmonary dysplasia \[BPD\])
* Diagnosis of hemodynamically significant congenital heart disease (CHD), defined as requiring medication or supplemental oxygen for their CHD
* Known immunodeficiency
* Life expectancy of \< 6 months

Exclusion Criteria

* Previous (within 90 days of enrollment) or concurrent treatment with palivizumab or RSV-IGIV or IVIG
* Hospitalization at the time of enrollment (unless discharge is anticipated within 10 days)
Minimum Eligible Age

1 Month

Maximum Eligible Age

6 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MedImmune LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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MedImmune Inc.

Principal Investigators

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Frank Malinoski, M.D., PhD

Role: STUDY_DIRECTOR

MedImmune LLC

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Central Arkansas Pediatric Clinic, P.A.

Benton, Arkansas, United States

Site Status

The Children's Clinic of Jonesboro, P.A.

Jonesboro, Arkansas, United States

Site Status

Arkansas Children's Hospital Research Institute

Little Rock, Arkansas, United States

Site Status

Arkansas Pediatric Clinic

Little Rock, Arkansas, United States

Site Status

Little Rock Children's Clinic

Little Rock, Arkansas, United States

Site Status

Miller Children's Hospital

Long Beach, California, United States

Site Status

Children's Hospital of Oakland

Oakland, California, United States

Site Status

Children's Hospital of Orange County

Orange, California, United States

Site Status

Children's Hospital

Denver, Colorado, United States

Site Status

Pediatric Pulmonology, LLC

Stamford, Connecticut, United States

Site Status

Shands Hospital at the University of Florida

Gainesville, Florida, United States

Site Status

University of Miami Medical Center

Miami, Florida, United States

Site Status

University of South Florida Pediatrics Ambulatory Care Center

Tampa, Florida, United States

Site Status

Georgia Pediatric Pulmonology Associates

Atlanta, Georgia, United States

Site Status

Kapiolani Medical Center

Honolulu, Hawaii, United States

Site Status

University of Illinois at Chicago

Chicago, Illinois, United States

Site Status

Children's Memorial Hospital

Chicago, Illinois, United States

Site Status

Memorial Hospital of South Bend

South Bend, Indiana, United States

Site Status

University of Maryland, School of Medicine

Baltimore, Maryland, United States

Site Status

Tufts-New England Medical Center

Boston, Massachusetts, United States

Site Status

Boston Medical Center

Boston, Massachusetts, United States

Site Status

Children's Healthcare D.B.A. Hospitals & Clinics

Saint Paul, Minnesota, United States

Site Status

Pediatrix Medical Group, St. John's Mercy Medical Center

St Louis, Missouri, United States

Site Status

Midwest Children's Health Research Institute, LLC

Lincoln, Nebraska, United States

Site Status

Creighton University Medical Center

Omaha, Nebraska, United States

Site Status

Albany Medical Center

Albany, New York, United States

Site Status

Winthrop University Hospital

Mineola, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

University Hospital, State University of New York at Stony Brook

Stony Brook, New York, United States

Site Status

Crouse Hospital NICU

Syracuse, New York, United States

Site Status

Bronx-Lebanon Hospital Center

The Bronx, New York, United States

Site Status

Jacobi Medical Center

The Bronx, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Carolinas Medical Center

Charlotte, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Raleigh Pediatric Associates

Gardner, North Carolina, United States

Site Status

Raleigh Pediatric Associates

Raleigh, North Carolina, United States

Site Status

Children's Hospital Medical Center of Akron

Akron, Ohio, United States

Site Status

Beehly Medical Park Women's and Children's Pavilion

Boardman, Ohio, United States

Site Status

University of Cincinnati College of Medicine

Cincinnati, Ohio, United States

Site Status

Metro Health Medical Center

Cleveland, Ohio, United States

Site Status

Children's Medical Center

Dayton, Ohio, United States

Site Status

Pediatric Associates of Dayton, Inc.

Kettering, Ohio, United States

Site Status

St. Vincent Medical Center

Toledo, Ohio, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

St. Luke's Hospital

Bethlehem, Pennsylvania, United States

Site Status

Geisinger Medical Center - JW Children's Hospital

Danville, Pennsylvania, United States

Site Status

Pennsylvania Hospital

Philadelphia, Pennsylvania, United States

Site Status

Children's Hospital of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Driscoll Children's Hospital

Corpus Christi, Texas, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

University of Texas Houston Medical Center

Houston, Texas, United States

Site Status

VCU Medical Center, Children's Pavillion

Richmond, Virginia, United States

Site Status

University Physicians Internal Medicine

Huntington, West Virginia, United States

Site Status

West Virginia University

Morgantown, West Virginia, United States

Site Status

Children's Hospital Waukesha Memorial

Waukesha, Wisconsin, United States

Site Status

Children's Corporate Center

Wauwatosa, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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MI-MA140

Identifier Type: -

Identifier Source: org_study_id

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