Little Lungs Study

NCT ID: NCT06855043

Last Updated: 2026-01-27

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

NOT_YET_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-09-30

Study Completion Date

2029-03-31

Brief Summary

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This clinical trial is being done to evaluate the safety and clinical response of late surfactant treatment with budesonide in extremely preterm infants requiring mechanical ventilation at 7-14 days of age.

Detailed Description

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Primary Objective

• To evaluate safety of late surfactant therapy with budesonide in extremely preterm infants.

Secondary Objectives

* To evaluate the oxygenation response to late surfactant therapy with budesonide in extremely preterm infants at 48 hours and 7 days after completion of the study intervention
* To evaluate respiratory outcomes following administration of late surfactant therapy with budesonide

Conditions

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Invasive Mechanical Ventilation Severe Respiratory Distress Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a phase I/II pilot randomized controlled clinical trial to obtain preliminary data on safety and clinical response of multiple doses of late surfactant treatment with budesonide
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Premature babies: Study Intervention

Preterm infants born at gestational age less than 29 0/7 weeks requiring mechanical ventilation at 7-14 days of life (targeting N=12 participants completing study to 7 days post-intervention)

Group Type EXPERIMENTAL

Calfactant

Intervention Type DRUG

Participants will receive 2 daily doses of Calfactant (3 ml/kg) intratracheal administration

Budesonide

Intervention Type DRUG

Participants will receive 2 daily doses of Budesonide (0.25mg/kg) intratracheal administration.

Premature babies: Standard of Care

Preterm infants born at gestational age less than 29 0/7 weeks requiring mechanical ventilation at 7-14 days of life (targeting N=12 participants completing study to 10 days post-randomization)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Calfactant

Participants will receive 2 daily doses of Calfactant (3 ml/kg) intratracheal administration

Intervention Type DRUG

Budesonide

Participants will receive 2 daily doses of Budesonide (0.25mg/kg) intratracheal administration.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Gestational age 22 0/7 to 28 6/7 weeks at birth
* Age 7-14 days
* Need invasive mechanical ventilatory support and a Fraction of Inspired Oxygen (FiO2) greater than or equal to 0.3


* Have a baby who meets neonate eligibility criteria and enrolls in the study.

Exclusion Criteria

* Major congenital anomalies including congenital lung malformations and congenital diaphragmatic hernia and/or genetic disorders
* Alternative, acute clinical etiology of respiratory deterioration or increased ventilatory requirements (e.g., sepsis, pneumonia, etc.)
* History of pulmonary hemorrhage
* Antibiotic use within 48 hours
* Indomethacin or Ibuprofen use within 72 hours
* Prior treatment with corticosteroids for prevention of lung disease
* Not expected to survive for greater than 7 days at enrollment
* Determined to be unstable by the clinical team
* Enrolled in a conflicting clinical trial
* Have a birth parent aged less than 18 years
* Parent/guardian is unable to provide parental permission in English or Spanish
Minimum Eligible Age

7 Days

Maximum Eligible Age

14 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Meriter Foundation

OTHER

Sponsor Role collaborator

University of Wisconsin, Madison

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dinushan Kaluarachchi, MBBS

Role: PRINCIPAL_INVESTIGATOR

University of Wisconsin, Madison

Locations

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Meriter Hospital

Madison, Wisconsin, United States

Site Status

American Family Children's Hospital

Madison, Wisconsin, United States

Site Status

Countries

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United States

Central Contacts

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Dinushan Kaluarachchi, MBBS

Role: CONTACT

(608) 417-6849

Meg Baker

Role: CONTACT

Facility Contacts

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Dinushan Kaluarachchi

Role: primary

608-417-6849

Dinushan Kaluarachchi, MBBS

Role: primary

608-417-6849

Other Identifiers

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A536757

Identifier Type: OTHER

Identifier Source: secondary_id

SMPH\PEDIATRICS\NEONATO

Identifier Type: OTHER

Identifier Source: secondary_id

Protocol Version 10/09/25

Identifier Type: OTHER

Identifier Source: secondary_id

2024-1479

Identifier Type: -

Identifier Source: org_study_id

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