InfasurfAero™ Versus Sham Treatment in Preterm Newborns With RDS

NCT ID: NCT05960929

Last Updated: 2025-03-30

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-01

Study Completion Date

2026-04-01

Brief Summary

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The purpose of this clinical study is to determine the effectiveness and safety of Infasurf® administered through the InfasurfAero™, a novel oral airway delivery device specifically designed to give Infasurf in a less complicated way and without the need for a breathing tube or interrupting nasal respiratory support.

Detailed Description

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This single-dose, double-blind, random allocation, sham-control, clinical trial will recruit spontaneously breathing newborns with RDS stable on non-invasive nasal respiratory support. Enrolled clinical study subjects will be randomly allocated to receive respiratory air with Infasurf® (Intervention Arm) or respiratory air alone (Sham Control Arm) through the InfasurfAero™.

The objectives of this clinical study are to i) assess the effectiveness of a single dose of Infasurf administered through the InfasurfAero in preventing CPAP failure, and ii) assess the safety of Infasurf administered through the InfasurfAero.

Subjects will be enrolled at one of 10+ sites. 7 sites are currently recruited.

Conditions

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Respiratory Distress Syndrome (Neonatal) Intubation Complication Death; Neonatal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This single-dose, double-blind, random allocation, sham-control, clinical trial will recruit spontaneously breathing newborns with RDS stable on non-invasive nasal respiratory support. Enrolled clinical study subjects will be randomly allocated to receive respiratory air with Infasurf® (Intervention Arm) or respiratory air alone (Sham Control Arm) through the InfasurfAero™.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
All study procedures will be performed behind a portable screen or curtain, or in a separate procedure room so that non-study personnel (including the primary care team) will be unaware of the subject's assigned study arm. Study personnel involved in the study procedure will not be masked. All other study personnel including the investigator and the outcomes accessor will be masked throughout the duration of the study.

The subject's family will remain blinded to treatment assignment throughout.

Study Groups

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Treatment Arm

A single dose of Calfactant at 6ml/kg administered via the Infasurf Aero™ Nebulizer until completion.

Group Type EXPERIMENTAL

Infasurf Aero™

Intervention Type COMBINATION_PRODUCT

A single dose of Calfactant administered by pacifier interface by inhalation via the Infasurf Aero nebulizer at 6ml/kg.

Control Arm

Low flow respiratory air alone through the InfasurfAero™ Nebulizer until completion.

Group Type SHAM_COMPARATOR

Infasurf Aero™

Intervention Type COMBINATION_PRODUCT

A single dose of Calfactant administered by pacifier interface by inhalation via the Infasurf Aero nebulizer at 6ml/kg.

Interventions

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Infasurf Aero™

A single dose of Calfactant administered by pacifier interface by inhalation via the Infasurf Aero nebulizer at 6ml/kg.

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

1. Written informed consent obtained by parent or legal representative prior to or after birth
2. Gestational age at birth ≥ 29 0/7 AND ≤ 35 6/7 weeks
3. Birthweight ≥ 1,000 AND ≤ 3,500 grams
4. Age ≥ 1 hour AND ≤ 6 hours
5. Clinical diagnosis of surfactant-deficient RDS, with EITHER i. a Silverman-Anderson Retraction Score ≥ 5 (in Room Air), OR ii. signs of respiratory distress (tachypnea, retractions, grunting) AND radiographic confirmation
6. Require CPAP
7. Respiratory Severity Score (RSS) ≥ 1.25 AND ≤ 2.4
8. If subject is \>346/7 weeks' gestation a chest radiograph is required

Exclusion Criteria

1. Surfactant administration prior to randomization
2. Mechanical ventilation prior to randomization
3. Major congenital anomaly (suspected or confirmed)
4. Abnormality of the airway (suspected or confirmed)
5. Respiratory distress presumed secondary to an etiology other than RDS (e.g., suspected pulmonary hypoplasia, pneumothorax, meconium aspiration syndrome, pneumonia, septic or hypovolemia shock, hypoxic ischemic encephalopathy)
6. Apgar score \< 3 at 5 minutes of age
7. Umbilical cord gas pH \<7.0 or BD \> 10
8. Any condition that, in the opinion of the Investigator, would place the neonate at undue risk
Minimum Eligible Age

29 Weeks

Maximum Eligible Age

36 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Avania

INDUSTRY

Sponsor Role collaborator

ONY

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Scott Guthrie, MD

Role: STUDY_CHAIR

Vanderbilt Jackson-Madison, Jackson TN

Dinushan Kaluarachchi, MD

Role: STUDY_CHAIR

Unity Point Meriter, Madison WI

Jim Cummings, MD

Role: STUDY_DIRECTOR

Ony Biotech

Locations

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St. Josephs Hospital and Medical Center

Phoenix, Arizona, United States

Site Status RECRUITING

Phoenix Children's

Phoenix, Arizona, United States

Site Status RECRUITING

Sharp Mary Birch Hospital for Women & Newborns

San Diego, California, United States

Site Status RECRUITING

University of Florida -Jacksonville

Jacksonville, Florida, United States

Site Status RECRUITING

Kapi'olani Medical Center for Women & Children

Honolulu, Hawaii, United States

Site Status RECRUITING

Jersey Shore University Medical Center

Neptune City, New Jersey, United States

Site Status RECRUITING

Sisters of Charity Hospital

Buffalo, New York, United States

Site Status RECRUITING

Western TN- Jackson-Madison County General Hospital

Jackson, Tennessee, United States

Site Status RECRUITING

Utah Valley Hospital

Provo, Utah, United States

Site Status RECRUITING

Unity Point Meriter

Madison, Wisconsin, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Corey Commaroto, RRT

Role: CONTACT

7163614659

Dan Swartz, PhD

Role: CONTACT

716428-3132

Facility Contacts

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Serena Stewart

Role: primary

(602) 406-3000

Kathie Laitano

Role: primary

602-933-1000

Alona Diem

Role: primary

858-939-4301

Kimberly Barnett

Role: primary

(904) 244-0411

micah Tong

Role: primary

(808) 983-6000

Chris DeBari

Role: primary

1-732-775-5500

George Albert, MD

Role: primary

716-862-1000

Laura Choate, BSN

Role: primary

(731) 541-5000

Jennifer Elmont

Role: primary

801-507-7036

Shayla Schwingle Study Coordinator

Role: primary

(608) 417-6000

Other Identifiers

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AERO-05 Protocol

Identifier Type: -

Identifier Source: org_study_id

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