Inhaled Nitric Oxide (INO) for the Prevention of Bronchopulmonary Dysplasia (BPD) in Preterm Infants

NCT ID: NCT00931632

Last Updated: 2017-12-04

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

451 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-11-30

Study Completion Date

2014-05-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This phase 3, multi-center, double blind, placebo-controlled, randomized clinical trial will attempt to demonstrate if preterm infants who require mechanical ventilation and/or positive pressure support at any point during days 5 to 14 after birth may benefit from treatment with iNO.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Multi-center, double blind, placebo-controlled, randomized clinical trial. Infants who meet all enrollment criteria at any point during days 5 to 14 after birth will be randomized to inhaled NO starting at 20 ppm, or matching placebo, by means of a blinded INOvent® delivery device. All infants will receive 24 days of therapy, following a dose reduction schedule. Infants who are extubated before 24 days will continue therapy via nasal continuous positive airway pressure (CPAP) or nasal cannula to complete 24 days' of therapy. The primary outcome measure will be survival without BPD at 36 weeks gestational age using a physiologic assessment of BPD.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Bronchopulmonary Dysplasia

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Bronchopulmonary Dysplasia, BPD

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Inhaled Nitric Oxide

Inhaled Nitric Oxide

Group Type EXPERIMENTAL

Inhaled Nitric Oxide

Intervention Type DRUG

Inhaled Nitric Oxide will be administered continuously starting at 20ppm into the inspiratory limb of the ventilator circuit in mechanically ventilated subject using an INOvent delivery system of by nasal cannula as needed for 24 days of therapy.

Placebo

Nitrogen Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Nitrogen gas will be administered in the same manner as the experimental drug.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Inhaled Nitric Oxide

Inhaled Nitric Oxide will be administered continuously starting at 20ppm into the inspiratory limb of the ventilator circuit in mechanically ventilated subject using an INOvent delivery system of by nasal cannula as needed for 24 days of therapy.

Intervention Type DRUG

Placebo

Nitrogen gas will be administered in the same manner as the experimental drug.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

INOmax Nitrogen gas

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Preterm infants who are:

1. 500 to 1250 grams at birth
2. \< 30 weeks gestational age
3. 5 to 14 days of age (inclusive) at the time of entry
4. Requiring mechanical ventilation or for those infants ≤ 800 grams, positive pressure support (including CPAP) for respiratory insufficiency on days 5 to 14 days of age (inclusive)

Exclusion Criteria

1. Preterm infants with life-threatening anomalies (cranial, cardiac, thoracic, chromosomal) or congenital diaphragmatic hernia with lung hypoplasia, or any subject who will not receive complete intensive care
2. Preterm infants with bilateral Grade 4 intraventricular hemorrhage (IVH)
3. Subjects who are dependent on right to left shunting to maintain the systemic circulation
4. Preterm infants who received prior iNO therapy
5. Use of another investigational agent
Minimum Eligible Age

5 Days

Maximum Eligible Age

14 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Mallinckrodt

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

James Baldassarre, MD

Role: STUDY_DIRECTOR

Mallinckrodt

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Phoenix Children's Hospital

Phoenix, Arizona, United States

Site Status

St. Joseph's Hospital and Medical Center

Phoenix, Arizona, United States

Site Status

Loma Linda University School of Medicine

Loma Linda, California, United States

Site Status

Children's Hospital of Orange County

Orange, California, United States

Site Status

Stanford University School of Medicine

Palo Alto, California, United States

Site Status

Rady Children's Hospital of San Diego

San Diego, California, United States

Site Status

Sharp Mary Birch Hospital for Women and Newborns

San Diego, California, United States

Site Status

Connecticut Children's Medical Center

Hartford, Connecticut, United States

Site Status

Winnie Palmer Hospital for Women and Babies

Orlando, Florida, United States

Site Status

University of So Florida College of Medicine

Tampa, Florida, United States

Site Status

Medical College of Georgia

Augusta, Georgia, United States

Site Status

Advocate Lutheran General Children's Hospital

Park Ridge, Illinois, United States

Site Status

Riley Hospital for Children

Indianapolis, Indiana, United States

Site Status

University of Louisville School of Medicine

Louisville, Kentucky, United States

Site Status

Hennepin County Medical Center

Minneapolis, Minnesota, United States

Site Status

Saint Barnabas Medical Center

Livingston, New Jersey, United States

Site Status

Jersey Shore University Medical Center

Neptune City, New Jersey, United States

Site Status

Robert Wood Johnson University Hospital

New Brunswick, New Jersey, United States

Site Status

Winthrop University Hospital

Mineola, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Maria Fareri Children's Hospital at Westchester Medical Center

Valhalla, New York, United States

Site Status

WakeMed Faculty Physicians, Neonatology

Raleigh, North Carolina, United States

Site Status

Mercy Children's Hospital

Toledo, Ohio, United States

Site Status

Saint Francis Children's Hospital

Tulsa, Oklahoma, United States

Site Status

Greenville Memorial Hospital

Greenville, South Carolina, United States

Site Status

Sanford Children's Hospital

Sioux Falls, South Dakota, United States

Site Status

Cook Children's Medical Center

Fort Worth, Texas, United States

Site Status

Primary Children's Medical Center

Salt Lake City, Utah, United States

Site Status

Virginia Commonwealth University

Richmond, Virginia, United States

Site Status

Wheaton Franciscan Healthcare

Milwaukee, Wisconsin, United States

Site Status

Children's Corporate Center, Division of Neonatology

Wauwatosa, Wisconsin, United States

Site Status

University of Calgary

Calgary, Alberta, Canada

Site Status

Centre Hospitalier Universitaire de Quebec

Québec, , Canada

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Canada

References

Explore related publications, articles, or registry entries linked to this study.

Hasan SU, Potenziano J, Konduri GG, Perez JA, Van Meurs KP, Walker MW, Yoder BA; Newborns Treated With Nitric Oxide (NEWNO) Trial Group. Effect of Inhaled Nitric Oxide on Survival Without Bronchopulmonary Dysplasia in Preterm Infants: A Randomized Clinical Trial. JAMA Pediatr. 2017 Nov 1;171(11):1081-1089. doi: 10.1001/jamapediatrics.2017.2618.

Reference Type RESULT
PMID: 28973344 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

IK-3001-BPD-301

Identifier Type: -

Identifier Source: org_study_id