Pharmacokinetics of Sildenafil in Premature Infants

NCT ID: NCT01670136

Last Updated: 2016-11-02

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

Clinical Phase

PHASE1

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-28

Study Completion Date

2016-07-31

Brief Summary

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The purpose of this study is to learn more about the safety and dosing of sildenafil in infants.

Detailed Description

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Pharmacokinetics and safety of sildenafil will be studied in preterm infants who are receiving sildenafil per standard of care or 1 dose prescribed for the study.

Conditions

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Persistent Pulmonary Hypertension of the Newborn

Keywords

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sildenafil preterm infants persistent pulmonary hypertension of the newborn

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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sildenafil, standard of care

Infants receiving sildenafil as standard of care

Group Type NO_INTERVENTION

No interventions assigned to this group

sildenafil administered for study

1 dose of sildenafil administered for study

Group Type OTHER

1 dose of sildenafil

Intervention Type DRUG

A single IV dose of sildenafil will be administered over 90 minutes with no greater than a 15-minute flush. Final dose to be determined based on at least the first 4 participants enrolled in Cohort 1; final dose expected to be a single dose between 0.25 and 0.5 mg/kg.

Interventions

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1 dose of sildenafil

A single IV dose of sildenafil will be administered over 90 minutes with no greater than a 15-minute flush. Final dose to be determined based on at least the first 4 participants enrolled in Cohort 1; final dose expected to be a single dose between 0.25 and 0.5 mg/kg.

Intervention Type DRUG

Other Intervention Names

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Revatio Viagra

Eligibility Criteria

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Inclusion Criteria

Cohort 1:

* Gestational age 28 weeks or less receiving sildenafil as standard of care \< 365 postnatal days

Cohort 2:

* Gestational age 28 weeks or less
* 7-28 postnatal days of age
* Mechanical ventilation or nasal continuous positive airway pressure (NCPAP) or high-flow nasal cannula
* Intravenous line in place

Exclusion Criteria

Cohort 1:

* Any condition that would make the participant, in the opinion of the investigator, unsuitable for the study

Cohort 2:

* Previous exposure to sildenafil within 7 days prior to enrollment
* Any condition that would make the participant, in the opinion of the investigator, unsuitable for the study
* History of allergic reactions to sildenafil
* AST \> ULN or ALT \> 3x ULN
* Currently on a vasopressor for hypotension
* Known sickle cell disease
Maximum Eligible Age

364 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Duke University

OTHER

Sponsor Role collaborator

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

The Emmes Company, LLC

INDUSTRY

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Matthew M Laughon, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of North Carolina

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Riley Hospital

Indianapolis, Indiana, United States

Site Status

Kosair Pediatric Research Unit

Louisville, Kentucky, United States

Site Status

Albany Medical Center

Albany, New York, United States

Site Status

Kings County Hospital Center/SUNY Downstate Medical Center

Brooklyn, New York, United States

Site Status

University of North Carolina

Chapel Hill, North Carolina, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Countries

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United States

References

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Jackson W, Gonzalez D, Smith PB, Ambalavanan N, Atz AM, Sokol GM, Hornik CD, Stewart D, Mundakel G, Poindexter BB, Ahlfeld SK, Mills M, Cohen-Wolkowiez M, Martz K, Hornik CP, Laughon MM; Best Pharmaceuticals for Children Act-Pediatric Trials Network Steering Committee. Safety of sildenafil in extremely premature infants: a phase I trial. J Perinatol. 2022 Jan;42(1):31-36. doi: 10.1038/s41372-021-01261-w. Epub 2021 Nov 5.

Reference Type DERIVED
PMID: 34741102 (View on PubMed)

Other Identifiers

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HHSN27500014

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

11-1646

Identifier Type: -

Identifier Source: org_study_id