search
Back to results

Perfusion Index Variability in Respiratory Distress Syndrome

Primary Purpose

Poor Peripheral Perfusion

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Beractant
Poractant alfa
Sponsored by
Dr. Sami Ulus Children's Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Poor Peripheral Perfusion focused on measuring natural surfactants; perfusion index

Eligibility Criteria

1 Day - 3 Days (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • premature infants < 32 weeks of gestational age

Exclusion Criteria:

  • congenital malformation
  • Apgar scores <3 at 5 min

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    Beractant

    Poractant alfa

    Arm Description

    Beractant;bovine lung extract; both initial and subsequent dosing is 100 mg/kg (4 mL/kg), which may be given every 6 hours up to four total doses

    Poractant alfa; porcine lung extract; initial dosing is 200 mg/kg (2.5 mL/kg) and repeated dosing is given at 100 mg/kg (1.25 mL/kg) every 12 hours, up to maximum of two additional doses when indicated

    Outcomes

    Primary Outcome Measures

    perfusion index
    PI and oxygen saturation (SpO2) were measured by "Masimo Rainbow SET Radical-7 pulse oximeter" before and after surfactant. The effects of the two treatment regimens on PI, oxygenation and clinical outcome were compared.

    Secondary Outcome Measures

    Duration of mechanical ventilation
    The effects of the two treatment regimens on duration of mechanical ventilation were compared

    Full Information

    First Posted
    May 7, 2013
    Last Updated
    May 10, 2013
    Sponsor
    Dr. Sami Ulus Children's Hospital
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT01852461
    Brief Title
    Perfusion Index Variability in Respiratory Distress Syndrome
    Official Title
    Perfusion Index Variability in Preterm Infants Treated With Two Different Natural Surfactants for Respiratory Distress Syndrome
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2013
    Overall Recruitment Status
    Completed
    Study Start Date
    August 2011 (undefined)
    Primary Completion Date
    December 2012 (Actual)
    Study Completion Date
    December 2012 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Dr. Sami Ulus Children's Hospital

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Perfusion index may vary according to type of surfactant during the treatment of respiratory distress syndrome.
    Detailed Description
    Peripheral tissues of preterm infants are very sensitive for hypoperfusion, but there are rare data in the literature for peripheral perfusion after surfactant treatment. In this study the investigators aimed to compare the perfusion index (PI) variability in premature infants with respiratory distress (RDS) following instillation of one of two different natural surfactant preparations.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Poor Peripheral Perfusion
    Keywords
    natural surfactants; perfusion index

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    92 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Beractant
    Arm Type
    Active Comparator
    Arm Description
    Beractant;bovine lung extract; both initial and subsequent dosing is 100 mg/kg (4 mL/kg), which may be given every 6 hours up to four total doses
    Arm Title
    Poractant alfa
    Arm Type
    Active Comparator
    Arm Description
    Poractant alfa; porcine lung extract; initial dosing is 200 mg/kg (2.5 mL/kg) and repeated dosing is given at 100 mg/kg (1.25 mL/kg) every 12 hours, up to maximum of two additional doses when indicated
    Intervention Type
    Drug
    Intervention Name(s)
    Beractant
    Other Intervention Name(s)
    Beractant (Survanta)
    Intervention Description
    Beractant;both initial and subsequent dosing is 100 mg/kg (4 mL/kg), which may be given every 6 hours up to four total doses
    Intervention Type
    Drug
    Intervention Name(s)
    Poractant alfa
    Other Intervention Name(s)
    Poractant alfa (curosurf)
    Intervention Description
    porcine lung extract, initial dosing is 200 mg/kg (2.5 mL/kg) and repeated dosing is given at 100 mg/kg (1.25 mL/kg) every 12 hours, up to maximum of two additional doses when indicated
    Primary Outcome Measure Information:
    Title
    perfusion index
    Description
    PI and oxygen saturation (SpO2) were measured by "Masimo Rainbow SET Radical-7 pulse oximeter" before and after surfactant. The effects of the two treatment regimens on PI, oxygenation and clinical outcome were compared.
    Time Frame
    1 week
    Secondary Outcome Measure Information:
    Title
    Duration of mechanical ventilation
    Description
    The effects of the two treatment regimens on duration of mechanical ventilation were compared
    Time Frame
    4 weeks
    Other Pre-specified Outcome Measures:
    Title
    Mortality
    Description
    The effects of the two treatment regimens on mortality were compared
    Time Frame
    4 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    1 Day
    Maximum Age & Unit of Time
    3 Days
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: premature infants < 32 weeks of gestational age Exclusion Criteria: congenital malformation Apgar scores <3 at 5 min
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Dilek Dilli, Assoc Prof
    Organizational Affiliation
    Sami Ulus CH
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Perfusion Index Variability in Respiratory Distress Syndrome

    We'll reach out to this number within 24 hrs