Dexmedetomidine for LISA Procedure in Preterm Infants

NCT ID: NCT04820101

Last Updated: 2021-04-29

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-15

Study Completion Date

2023-04-01

Brief Summary

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The investigators aim to evaluate: the effectiveness of dexmedetomidine for analgesia and sedation during LISA procedure, without compromising the respiratory drive; the safety of this drug on the preterm infant in a pilot study.

Detailed Description

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Information will be given to parents of preterm babies \<36 wGA upon their admission to the NICU (neonatal intensive care unit), and informed consent will be obtained as soon as possible. Eligible babies for LISA procedure (dyspneic and FiO2 \> 0.30 on CPAP pressure of at least 6 cmH2O) undergo sedation with dexmedetomidine 1 mcg/kg, administered slowly iv in 10 minutes, together with non pharmacological techniques. After the step of sedation LISA is performed. Before/during and after the procedure pain will be assessed by the NIPS scale and the quality of intubation will be evaluated; then other events related to the procedure will be strictly collected for the first 24 hours. Babies will then be managed in usual NICU way and clinical data will be unregistered on respiratory, neurological and hemodynamic outcomes during the hospital stay, and especially at discharge.

Conditions

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RDS

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Every preterm newborns 26+0 -36+6 wGA with RDS needing surfactant therapy

Every preterm newborns 26+0-36+6 wGA who undergoes LISA procedure will receive sedation with dexmedetomidine in order to evaluate its efficacy in achieving pain control and comfort.

Group Type EXPERIMENTAL

Dexmedetomidine

Intervention Type DRUG

administrating dexmedetomidine in order to evaluate the efficacy in achieving sedation for LISA procedure

Interventions

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Dexmedetomidine

administrating dexmedetomidine in order to evaluate the efficacy in achieving sedation for LISA procedure

Intervention Type DRUG

Other Intervention Names

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LISA procedure

Eligibility Criteria

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Inclusion Criteria

1. Preterm newborns between 26+0 and 36+6 weeks of gestation stratified in two groups: VLBWI 26-31+6and LBWI 32-36+6.
2. Respiratory distress syndrome requiring surfactant therapy

Exclusion Criteria

1. Need for emergency intubation in the delivery room
2. Major congenital malformations (such as cardiopathies)
3. Chromosomic abnormalities
4. Fetal Hydrops
5. Hypercapnia: CO2 \> 65 mmHg
6. Pneumothorax
7. Hemodynamic compromise
Minimum Eligible Age

26 Weeks

Maximum Eligible Age

36 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Padova

OTHER

Sponsor Role lead

Responsible Party

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Paola Lago

Head of Neonatal Intensive Care Unit, Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Paola Lago

Treviso, , Italy

Site Status

Countries

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Italy

Central Contacts

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Paola Lago, MD

Role: CONTACT

00390422322608

Beatrice Galeazzo, MD

Role: CONTACT

00390422322608

Facility Contacts

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Beatrice c Galeazzo, MD

Role: primary

00390422322608

References

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Other Identifiers

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DEXLISA 920/CE Marca

Identifier Type: -

Identifier Source: org_study_id

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