Early Bolus Surfactant Replacement Therapy Versus Standard Care in Term Neonates With Meconium Aspiration Syndrome

NCT ID: NCT06090981

Last Updated: 2024-07-09

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

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-12

Study Completion Date

2024-03-12

Brief Summary

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The objective of the study is to compare the total duration of respiratory support in term neonates (≥37weeks) with meconium aspiration syndrome, who are provided early(≤2hr) bolus surfactant therapy versus standard care.

Detailed Description

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Enrolled participants will be randomly assigned to one of two study groups: 1. early(≤2hr) bolus surfactant replacement therapy or 2. standard care

Intervention group: The neonates enrolled in this group will receive early bolus surfactant replacement therapy within 2hr of life.

Control group: The neonates enrolled in this group will receive standard care according to standard unit protocol

Conditions

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Meconium Aspiration Syndrome Surfactant Dysfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Early bolus surfactant replacement therapy

Neonates randomized to this group will receive early bolus surfactant replacement therapy within 2hr of life

Group Type EXPERIMENTAL

Bovine surfactant

Intervention Type DRUG

Dose of surfactant: 4ml/kg Type of surfactant: 4ml/kg

Standard care

Neonates randomized to this group will be managed as per standard protocol in the neonatal unit.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Bovine surfactant

Dose of surfactant: 4ml/kg Type of surfactant: 4ml/kg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Gestation age ≥ 37 week
* Cephalic presentation
* Singleton pregnancy
* Age \< 2 hours
* Baby delivered through meconium stained amniotic fluid
* Presence of respiratory distress (DOWNE's score ≥4)

Exclusion Criteria

* Major congenital malformation
* Antenatal diagnosed CHD
* Hydrops fetalis
* Air leaks before enrolment
Minimum Eligible Age

30 Minutes

Maximum Eligible Age

2 Hours

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lady Hardinge Medical College

OTHER_GOV

Sponsor Role lead

Responsible Party

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Sushma Nangia, M.D.

Dr. Sushma Nangia, Director Professor & Head, Neonatology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sushma Nangia, MD, DM (Neo)

Role: STUDY_CHAIR

Lady Hardinge Medical College, New Delhi, India

Locations

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Lady Hardinge Medical College

New Delhi, National Capital Territory of Delhi, India

Site Status

Countries

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India

Other Identifiers

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LHMC/IEC/2021/03/69

Identifier Type: -

Identifier Source: org_study_id

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