Registry to Evaluate INOmax in Newborn Babies With Pulmonary Hypertension

NCT ID: NCT03132428

Last Updated: 2020-06-18

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

Total Enrollment

140 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-07-27

Study Completion Date

2020-02-11

Brief Summary

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Pulmonary hypertension is high blood pressure in the arteries to the lungs. It is a serious condition. It causes the blood vessels that carry blood from the heart to the lungs to become hard and narrow. When this happens, the heart has to work harder to pump the blood through.

Some babies are born with pulmonary hypertension (PH). Doctors might use INOmax (a gas the baby breathes) to help newborn babies (neonates) with PH. This study will use information from the records of registered babies to see how effective and safe INOmax is for treating premature and other newborn babies for up to 11 days after they are born.

Detailed Description

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Conditions

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Pulmonary Hypertension of Newborn

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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P Neonates

Premature (P) neonates \[at least 27 weeks but less than 34 weeks of gestational age\]

INOmax

Intervention Type DRUG

Nitric oxide gas for inhalation provided via mechanical ventilation or non invasive ventilation

TNT Neonates

Term-Near-Term (TNT) neonates at least 34 weeks of gestational age

INOmax

Intervention Type DRUG

Nitric oxide gas for inhalation provided via mechanical ventilation or non invasive ventilation

Interventions

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INOmax

Nitric oxide gas for inhalation provided via mechanical ventilation or non invasive ventilation

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Was either a P neonate born at least 27 weeks to less than 34 weeks of gestational age (GA) or a TNT neonate born at least 34 weeks but no more than 40 weeks of GA.
2. Was administered INOmax therapy after birth to 7 days of age via any route (invasive or noninvasive ventilation) for a minimum treatment period of at least 24 hours up to 96 ± 12 hours. The participants may receive INOmax for a longer period.
3. Had PH, as confirmed by echocardiogram or a differential saturation gradient of at least 10%.
4. Received INOmax administration as part of routine clinical practice in a Level III or higher neonatal intensive care unit in the United States.
5. Has all variables required to calculate OI or SOI (a baseline sample prior to treatment and 4 samples obtained during treatment).

Exclusion Criteria

1. Was at risk of imminent death (death expected within 24 hours).
2. Received extracorporeal membrane oxygenation (ECMO).
3. Had a life-threatening abnormality (cranial, cardiac, thoracic), chromosomal abnormality, congenital diaphragmatic hernia, congenital heart defect (other than patent ductus arteriosus or small atrial septal defect).
4. Had been resuscitated requiring chest compressions within 6 hours of receiving INOmax.
5. Had Grade IV bilateral intraventricular hemorrhage or periventricular leukomalacia.
6. Had active uncontrolled bleeding.
7. Had disseminated intravascular coagulopathy.
8. Had active seizures while receiving anticonvulsants.
9. Experienced prolonged asphyxia with evidence of severe acidosis (pH \< 7.25).
10. Received concomitant pulmonary vasodilator therapy (eg, prostacyclin or sildenafil) except when sildenafil was used to wean the participant from INOmax therapy.
Minimum Eligible Age

27 Weeks

Maximum Eligible Age

40 Weeks

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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Clinical Team Leader

Role: STUDY_DIRECTOR

Mallinckrodt

Locations

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Banner Good Samaritan Medical Center

Phoenix, Arizona, United States

Site Status

Arkansas Children's Hospital Research Institute

Little Rock, Arkansas, United States

Site Status

Loma Linda University Health Care

Loma Linda, California, United States

Site Status

Miller Children's and Women's Hospital - Long Beach

Long Beach, California, United States

Site Status

Children's Hospital of Orange County

Orange, California, United States

Site Status

Sharp Mary Birch Hospital for Women and Newborns

San Diego, California, United States

Site Status

UCSF Benioff Children's Hospital

San Francisco, California, United States

Site Status

Yale New Haven Children's Hospital

New Haven, Connecticut, United States

Site Status

Florida Hospital for Children

Orlando, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

University of Chicago Comer Children's Hospital

Chicago, Illinois, United States

Site Status

University of Iowa Stead Family Children's Hospital

Iowa City, Iowa, United States

Site Status

University of Kentucky Chandler

Lexington, Kentucky, United States

Site Status

Norton Children's Hospital

Louisville, Kentucky, United States

Site Status

University of Minnesota Amplatz Children's Hospital

Minneapolis, Minnesota, United States

Site Status

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

Children's Mercy Hospital

Kansas City, Missouri, United States

Site Status

Saint Louis Children's Hospital

St Louis, Missouri, United States

Site Status

Children's Hospital of New Jersey at Newark Beth Israel Medical Center

Newark, New Jersey, 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

University Hospitals Rainbow Babies & Children's Hospital

Cleveland, Ohio, United States

Site Status

Nationwide Children's Hospital

Columbus, Ohio, United States

Site Status

The Children's Hospital at OU Medical Center

Oklahoma City, Oklahoma, United States

Site Status

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Women & Infants Hospital of Rhode Island

Providence, Rhode Island, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

Virginia Commonwealth University

Richmond, Virginia, United States

Site Status

Countries

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United States

References

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Nelin L, Kinsella JP, Courtney SE, Pallotto EK, Tarau E, Potenziano JL. Use of inhaled nitric oxide in preterm vs term/near-term neonates with pulmonary hypertension: results of the PaTTerN registry study. J Perinatol. 2022 Jan;42(1):14-18. doi: 10.1038/s41372-021-01252-x. Epub 2021 Oct 28.

Reference Type DERIVED
PMID: 34711938 (View on PubMed)

Other Identifiers

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MNK19050056

Identifier Type: -

Identifier Source: org_study_id

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