Trial Outcomes & Findings for Inhaled Nitric Oxide for Pulmonary Hypertension and Bronchopulmonary Dysplasia (NCT NCT03576885)

NCT ID: NCT03576885

Last Updated: 2025-01-15

Results Overview

Incidence of death

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

32 participants

Primary outcome timeframe

36 weeks post menstrual age

Results posted on

2025-01-15

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment Group - Active
inhaled nitric oxide treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. inhaled nitric oxide: inhaled nitric oxide will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Treatment Group - Placebo
Placebo treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. Placebo: placebo will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Control Group
Enrolled infants with no evidence of pulmonary hypertension will serve as the control group for incidence of death or bronchopulmonary hypertension
Overall Study
STARTED
16
16
0
Overall Study
COMPLETED
16
16
0
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Inhaled Nitric Oxide for Pulmonary Hypertension and Bronchopulmonary Dysplasia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment Group - Active
n=16 Participants
inhaled nitric oxide treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. inhaled nitric oxide: inhaled nitric oxide will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Treatment Group - Placebo
n=16 Participants
Placebo treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. Placebo: placebo will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Control Group
Enrolled infants with no evidence of pulmonary hypertension will serve as the control group for incidence of death or bronchopulmonary hypertension
Total
n=32 Participants
Total of all reporting groups
Age, Categorical
<=18 years
16 Participants
n=5 Participants
16 Participants
n=7 Participants
0 Participants
n=5 Participants
32 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
3 days
STANDARD_DEVIATION 1 • n=5 Participants
3 days
STANDARD_DEVIATION 1 • n=7 Participants
3 days
STANDARD_DEVIATION 1 • n=4 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
5 Participants
n=7 Participants
0 Participants
n=5 Participants
10 Participants
n=4 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
11 Participants
n=7 Participants
0 Participants
n=5 Participants
22 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
7 Participants
n=7 Participants
0 Participants
n=5 Participants
14 Participants
n=4 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
8 Participants
n=7 Participants
0 Participants
n=5 Participants
15 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Region of Enrollment
United States
16 Participants
n=5 Participants
16 Participants
n=7 Participants
0 Participants
n=5 Participants
32 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 36 weeks post menstrual age

Incidence of death

Outcome measures

Outcome measures
Measure
Treatment Group - Active
n=16 Participants
inhaled nitric oxide treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. inhaled nitric oxide: inhaled nitric oxide will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Treatment Group - Placebo
n=16 Participants
Placebo treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. Placebo: placebo will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Death
1 Participants
1 Participants

PRIMARY outcome

Timeframe: 36 weeks post menstrual age

Incidence of bronchopulmonary dysplasia as determined by need for positive pressure ventilation or supplemental oxygen after room air challenge test

Outcome measures

Outcome measures
Measure
Treatment Group - Active
n=16 Participants
inhaled nitric oxide treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. inhaled nitric oxide: inhaled nitric oxide will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Treatment Group - Placebo
n=16 Participants
Placebo treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. Placebo: placebo will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Bronchopulmonary (BPD) Dysplasia (Yes/no)
10 Participants
9 Participants

SECONDARY outcome

Timeframe: Duration of treatment or up to Day 14

Pulmonary arterial pressure will be evaluated every 24-48 hours after enrollment.

Outcome measures

Outcome measures
Measure
Treatment Group - Active
n=16 Participants
inhaled nitric oxide treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. inhaled nitric oxide: inhaled nitric oxide will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Treatment Group - Placebo
n=16 Participants
Placebo treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. Placebo: placebo will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Pulmonary Hypertension
11 Participants
15 Participants

Adverse Events

Treatment Group - Active

Serious events: 2 serious events
Other events: 14 other events
Deaths: 1 deaths

Treatment Group - Placebo

Serious events: 5 serious events
Other events: 14 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Treatment Group - Active
n=16 participants at risk
inhaled nitric oxide treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. inhaled nitric oxide: inhaled nitric oxide will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Treatment Group - Placebo
n=16 participants at risk
Placebo treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. Placebo: placebo will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Nervous system disorders
IVH
12.5%
2/16 • Number of events 2 • Until 36 weeks post-menstrual age
12.5%
2/16 • Number of events 2 • Until 36 weeks post-menstrual age
Gastrointestinal disorders
NEC
0.00%
0/16 • Until 36 weeks post-menstrual age
18.8%
3/16 • Number of events 3 • Until 36 weeks post-menstrual age

Other adverse events

Other adverse events
Measure
Treatment Group - Active
n=16 participants at risk
inhaled nitric oxide treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. inhaled nitric oxide: inhaled nitric oxide will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Treatment Group - Placebo
n=16 participants at risk
Placebo treatment will start at 20 ppm and continue for 2 weeks or until resolution of pulmonary hypertension, whichever comes first. Placebo: placebo will be administered starting at 20 ppm. Treatment will continue for 14 days or until resolution of pulmonary hypertension
Blood and lymphatic system disorders
MetHb% >2
18.8%
3/16 • Number of events 3 • Until 36 weeks post-menstrual age
31.2%
5/16 • Number of events 5 • Until 36 weeks post-menstrual age
Infections and infestations
Culture positive sepsis
31.2%
5/16 • Number of events 5 • Until 36 weeks post-menstrual age
56.2%
9/16 • Number of events 9 • Until 36 weeks post-menstrual age
Cardiac disorders
PDA requiring treatment
18.8%
3/16 • Number of events 3 • Until 36 weeks post-menstrual age
25.0%
4/16 • Number of events 4 • Until 36 weeks post-menstrual age
Cardiac disorders
Left Ventricular Dysfunction
6.2%
1/16 • Number of events 1 • Until 36 weeks post-menstrual age
6.2%
1/16 • Number of events 1 • Until 36 weeks post-menstrual age
Hepatobiliary disorders
Hyperbilirubinemia
43.8%
7/16 • Number of events 7 • Until 36 weeks post-menstrual age
43.8%
7/16 • Number of events 7 • Until 36 weeks post-menstrual age
Blood and lymphatic system disorders
Thrombocytopenia
6.2%
1/16 • Number of events 1 • Until 36 weeks post-menstrual age
18.8%
3/16 • Number of events 3 • Until 36 weeks post-menstrual age

Additional Information

Hussnain Mirza MD

AdventHealth

Phone: 9736263952

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place