A Clinical Efficacy and Safety Study of OHB-607 in Preventing Chronic Lung Disease in Extremely Premature Infants
Primary Purpose
Bronchopulmonary Dysplasia, Chronic Lung Disease of Prematurity, Intraventricular Hemorrhage
Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
OHB-607
Sponsored by
About this trial
This is an interventional prevention trial for Bronchopulmonary Dysplasia
Eligibility Criteria
Inclusion Criteria:
- Written informed consents and/or assents must be signed and dated by the participant's parent(s) prior to any study related procedures. The informed consent and any assents for underage parents must be approved by the institutional review board (IRB)/independent ethics committee (IEC).
- Written informed consents and/or assents must be signed and dated by the participant's birth mother prior to providing study-related information related to birth mother medical history, pregnancy and the birth of the participant. The informed consent and any assents for underage birth mothers must be approved by the IRB/IEC.
- Initially, participants must be between gestational age (GA) of 26 weeks +0 days and 27 weeks +6 days, inclusive. After approximately 75 participants (approximately 25 participants in each treatment group) have completed the postmenstrual age (PMA) 40 weeks visit, an independent data monitoring committee (DMC) will assess safety data and may authorize enrollment of participants of GA between 23 weeks +0 days and 27 weeks +6 days, inclusive.
Exclusion Criteria:
- Detectable major (or severe) congenital malformation identified before randomization.
- Known or suspected chromosomal abnormality, genetic disorder, or syndrome, identified before randomization, according to the investigator's opinion.
- Hypoglycemia at Baseline (blood glucose less than (<) 45 milligrams per deciliter [mg/dL] or 2.5 milli moles per liter [mmol/L]) which persists in spite of glucose supplementation, to exclude severe congenital abnormalities of glucose metabolism.
- Clinically significant neurological disease identified before randomization according to cranial ultrasound (hemorrhages confined to the germinal matrix are allowed) and investigator's opinion.
- Any other condition or therapy that, in the investigator's opinion, may pose a risk to the participant or interfere with the participant's potential compliance with this protocol or interfere with interpretation of results.
- Current or planned participation in a clinical study of another investigational study drug, device, or procedure (participation in observational studies is permitted on a case-by-case basis).
- The participant or participant's parent(s) is/are unable to comply with the protocol or is unlikely to be available for long-term follow-up as determined by the investigator.
Sites / Locations
- University of South Alabama Children's and Women's Hospital
- Arkansas Children's Hospital
- University of Arkansas for Medical Sciences
- LAC USC Medical Center
- Tampa General Hospital
- University of Illinois at Chicago
- Memorial Hospital of South Bend
- Ochsner Baptist Medical Center
- Floating Hospital for Children
- Boston Children's Hospital
- University of Mississippi Medical Center
- University of Oklahoma Health Sciences Center
- Medical University of South Carolina Children Hospital
- Virginia Commonwealth University - Children's Hospital of Richmond at VCU
- Sainte Justine Hospital
- Mount Sinai Hospital
- Oulun Yliopistollinen Sairaala
- Hôpital Antoine Béclère
- Groupe Hospitalier Necker Enfants Malades
- Universitätsklinikum Freiburg
- Universitatsklinikum Leipzig
- Klinikum Nürnberg
- Cork University Maternity Hospital
- Fondazione Policlinico Universitario A Gemelli
- Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
- Azienda Ospedaliera Di Padova
- Azienda Ospedaliero-Universitaria Careggi SOD Neonatologia e Terapia Intensiva Neonatale
- Istituto Giannina Gaslini-Istituto Pediatrico di Ricovero e
- Presidio Ospedaliero Di Treviso Ca' Foncello
- Kagoshima City Hospital
- Nagano Children's Hospital
- Kurashiki Central Hospital
- Saitama Medical Center
- Osaka Women's and Children's Hospital
- Maastricht University Medical Center
- Academisch Medisch Centrum Amsterdam
- Wilhelmina Children Hospital-University Medical Center Utrecht
- Hospital Garcia de Orta
- Maternidade Alfredo da Costa
- Centro Hospitalar Lisboa
- Centro Materno Infantil do Norte - Centro Hospital Universitario do Porto, E.P.E.
- Hospital General Universitario Dr. Balmis
- Skanes Universitetssjukhus
- Karolinska Solna
- Norfolk and Norwich University Hospital
- Ashford and St. Peter's Hospitals NHS Trust - St. Peter's Hospital
- University of Cambridge
- University College London
- Chelsea and Westminster NHS Trust
- St. Mary's Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
OHB-607
Standard Neonatal Care
Arm Description
Participants will receive continuous IV infusion of OHB-607 through from birth up to PMA 29 weeks +6 days.
Standard neonatal care alone will be provided.
Outcomes
Primary Outcome Measures
Reduction in the incidence of severe BPD at 36 weeks (±3 days) PMA, or death, whichever comes first as compared to the SNC group
Severe BPD is defined by the modified NICHD severity grading
Secondary Outcome Measures
Occurrence of severe (Grade 3 and 4) IVH at 36 weeks PMA, as assessed by cranial ultrasound as compared to the SNC group
Severe IVH as classified according to the Volpe criteria
Incidence and severity of BPD
BPD severity is defined by the modified NICHD severity grading
Incidence and severity of IVH
IVH grade as classified according to the Volpe criteria
Neurodevelopment outcomes
Neurodevelopmental impairment, Physical and cognitive development will be measured by standardised questionnaires
Incidence of Retinopathy of Prematurity (ROP)
ROP is classified according to the International Classification
Mortality from birth through to 24 months CA
Mortality rates from >12 hours after birth through 24 months CA
Exposure-response Pharmacokinetics/Pharmacodynamics relationships
Relationship between IGF-1 exposure and study endpoints
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03253263
Brief Title
A Clinical Efficacy and Safety Study of OHB-607 in Preventing Chronic Lung Disease in Extremely Premature Infants
Official Title
A Phase 2b, Multicenter, Randomized, Open-label, Two-Arm Study to Evaluate the Clinical Efficacy and Safety of OHB-607 in Preventing Chronic Lung Disease in Extremely Premature Infants Compared to Standard Neonatal Care
Study Type
Interventional
2. Study Status
Record Verification Date
December 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 9, 2019 (Actual)
Primary Completion Date
August 28, 2026 (Anticipated)
Study Completion Date
November 28, 2026 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
OHB Neonatology Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to determine if an investigational drug can reduce the burden of chronic lung disease in extremely premature infants, as compared to extremely premature infants receiving standard neonatal care alone.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bronchopulmonary Dysplasia, Chronic Lung Disease of Prematurity, Intraventricular Hemorrhage, Retinopathy of Prematurity (ROP)
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
338 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
OHB-607
Arm Type
Experimental
Arm Description
Participants will receive continuous IV infusion of OHB-607 through from birth up to PMA 29 weeks +6 days.
Arm Title
Standard Neonatal Care
Arm Type
No Intervention
Arm Description
Standard neonatal care alone will be provided.
Intervention Type
Drug
Intervention Name(s)
OHB-607
Other Intervention Name(s)
Mecasermin Rinfabate
Intervention Description
Participants will receive intravenous infusion of OHB-607 from birth up to PMA 29 weeks + 6 days.
Primary Outcome Measure Information:
Title
Reduction in the incidence of severe BPD at 36 weeks (±3 days) PMA, or death, whichever comes first as compared to the SNC group
Description
Severe BPD is defined by the modified NICHD severity grading
Time Frame
Baseline through 36 weeks postmenstrual age (PMA)
Secondary Outcome Measure Information:
Title
Occurrence of severe (Grade 3 and 4) IVH at 36 weeks PMA, as assessed by cranial ultrasound as compared to the SNC group
Description
Severe IVH as classified according to the Volpe criteria
Time Frame
Baseline through 36 weeks postmenstrual age (PMA)
Title
Incidence and severity of BPD
Description
BPD severity is defined by the modified NICHD severity grading
Time Frame
Baseline through 36 weeks postmenstrual age (PMA)
Title
Incidence and severity of IVH
Description
IVH grade as classified according to the Volpe criteria
Time Frame
Baseline through 36 weeks postmenstrual age (PMA)
Title
Neurodevelopment outcomes
Description
Neurodevelopmental impairment, Physical and cognitive development will be measured by standardised questionnaires
Time Frame
From 6 months CA through 24 months CA
Title
Incidence of Retinopathy of Prematurity (ROP)
Description
ROP is classified according to the International Classification
Time Frame
Baseline through 40 weeks PMA
Title
Mortality from birth through to 24 months CA
Description
Mortality rates from >12 hours after birth through 24 months CA
Time Frame
From birth through 24 months CA
Title
Exposure-response Pharmacokinetics/Pharmacodynamics relationships
Description
Relationship between IGF-1 exposure and study endpoints
Time Frame
Baseline through 40 weeks PMA
10. Eligibility
Sex
All
Minimum Age & Unit of Time
0 Hours
Maximum Age & Unit of Time
24 Hours
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Written informed consents and/or assents must be signed and dated by the participant's parent(s) prior to any study related procedures. The informed consent and any assents for underage parents must be approved by the IRB/IEC (in accordance with local regulations).
Written informed consents and/or assents must be signed and dated by the participant's birth mother prior to providing study-related information related to birth mother medical history, pregnancy and the birth of the participant. The informed consent and any assents for underage birth mothers must be approved by the IRB/IEC (in accordance with local regulations).
Subjects must be between 23 weeks +0 days and 27 weeks +6 days GA, inclusive.
Exclusion Criteria:
Detectable major (or severe) congenital malformation identified before randomization.
Known or suspected chromosomal abnormality, genetic disorder, or syndrome, identified before randomization, according to the investigator's opinion.
Hypoglycemia at Baseline (blood glucose less than (<) 45 milligrams per deciliter [mg/dL] or 2.5 milli moles per liter [mmol/L]) which persists in spite of glucose supplementation, to exclude severe congenital abnormalities of glucose metabolism.
Clinically significant neurological disease identified before randomization according to cranial ultrasound (hemorrhages confined to the germinal matrix are allowed) and investigator's opinion.
Any other condition or therapy that, in the investigator's opinion, may pose a risk to the participant or interfere with the participant's potential compliance with this protocol or interfere with interpretation of results.
Current or planned participation in a clinical study of another investigational study treatment, device, or procedure (participation in non-interventional studies is permitted on a case-by-case basis).
The participant or participant's parent(s) is/are unable to comply with the protocol or is unlikely to be available for long-term follow-up as determined by the investigator.
Birth mother with active COVID-19 infection at birth or a history of severe COVID-19 infection (requiring intensive care hospitalization) during pregnancy.
Facility Information:
Facility Name
University of South Alabama Children's and Women's Hospital
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36604
Country
United States
Facility Name
Arkansas Children's Hospital
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72202-3500
Country
United States
Facility Name
University of Arkansas for Medical Sciences
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72202-3500
Country
United States
Facility Name
LAC USC Medical Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
Tampa General Hospital
City
Tampa
State/Province
Florida
ZIP/Postal Code
33606
Country
United States
Facility Name
University of Illinois at Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Memorial Hospital of South Bend
City
South Bend
State/Province
Indiana
ZIP/Postal Code
46601
Country
United States
Facility Name
Ochsner Baptist Medical Center
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70115
Country
United States
Facility Name
Floating Hospital for Children
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02111
Country
United States
Facility Name
Boston Children's Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
University of Mississippi Medical Center
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39216
Country
United States
Facility Name
University of Oklahoma Health Sciences Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
Medical University of South Carolina Children Hospital
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
Virginia Commonwealth University - Children's Hospital of Richmond at VCU
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23219
Country
United States
Facility Name
Sainte Justine Hospital
City
Montreal
State/Province
Quebec
Country
Canada
Facility Name
Mount Sinai Hospital
City
Toronto
ZIP/Postal Code
M5G 1X5
Country
Canada
Facility Name
Oulun Yliopistollinen Sairaala
City
Oulu
ZIP/Postal Code
90220
Country
Finland
Facility Name
Hôpital Antoine Béclère
City
Clamart
State/Province
Hauts-de-Seine
ZIP/Postal Code
92140
Country
France
Facility Name
Groupe Hospitalier Necker Enfants Malades
City
Paris
ZIP/Postal Code
75015
Country
France
Facility Name
Universitätsklinikum Freiburg
City
Freiburg
State/Province
Baden-Württemberg
ZIP/Postal Code
79106
Country
Germany
Facility Name
Universitatsklinikum Leipzig
City
Leipzig
State/Province
Sachsen
ZIP/Postal Code
04103
Country
Germany
Facility Name
Klinikum Nürnberg
City
Nürnberg
ZIP/Postal Code
90479
Country
Germany
Facility Name
Cork University Maternity Hospital
City
Cork
State/Province
Wilton
Country
Ireland
Facility Name
Fondazione Policlinico Universitario A Gemelli
City
Roma
State/Province
Lazio
ZIP/Postal Code
00168
Country
Italy
Facility Name
Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20122
Country
Italy
Facility Name
Azienda Ospedaliera Di Padova
City
Padova
State/Province
Veneto
ZIP/Postal Code
35128
Country
Italy
Facility Name
Azienda Ospedaliero-Universitaria Careggi SOD Neonatologia e Terapia Intensiva Neonatale
City
Firenze
ZIP/Postal Code
50134
Country
Italy
Facility Name
Istituto Giannina Gaslini-Istituto Pediatrico di Ricovero e
City
Genova
ZIP/Postal Code
16147
Country
Italy
Facility Name
Presidio Ospedaliero Di Treviso Ca' Foncello
City
Treviso
ZIP/Postal Code
31100
Country
Italy
Facility Name
Kagoshima City Hospital
City
Kagoshima-shi
State/Province
Kagosima
ZIP/Postal Code
890-0075
Country
Japan
Facility Name
Nagano Children's Hospital
City
Azumino
State/Province
Nagano
ZIP/Postal Code
399-8205
Country
Japan
Facility Name
Kurashiki Central Hospital
City
Kurashiki-shi
State/Province
Okayama
ZIP/Postal Code
710-0052
Country
Japan
Facility Name
Saitama Medical Center
City
Kawagoe-shi
State/Province
Saitama
ZIP/Postal Code
350-8550
Country
Japan
Facility Name
Osaka Women's and Children's Hospital
City
Izumi
State/Province
Ôsaka
ZIP/Postal Code
594-1101
Country
Japan
Facility Name
Maastricht University Medical Center
City
Maastricht
State/Province
Limburg
ZIP/Postal Code
6229 HX
Country
Netherlands
Facility Name
Academisch Medisch Centrum Amsterdam
City
Amsterdam-Zuidoost
State/Province
Noord-Holland
ZIP/Postal Code
1105 AZ
Country
Netherlands
Facility Name
Wilhelmina Children Hospital-University Medical Center Utrecht
City
Utrecht
ZIP/Postal Code
3584 EA
Country
Netherlands
Facility Name
Hospital Garcia de Orta
City
Almada
ZIP/Postal Code
2801-951
Country
Portugal
Facility Name
Maternidade Alfredo da Costa
City
Lisboa
ZIP/Postal Code
1069-089
Country
Portugal
Facility Name
Centro Hospitalar Lisboa
City
Lisboa
ZIP/Postal Code
1649-035
Country
Portugal
Facility Name
Centro Materno Infantil do Norte - Centro Hospital Universitario do Porto, E.P.E.
City
Porto
ZIP/Postal Code
4050-651
Country
Portugal
Facility Name
Hospital General Universitario Dr. Balmis
City
Alicante
ZIP/Postal Code
03010
Country
Spain
Facility Name
Skanes Universitetssjukhus
City
Lund
ZIP/Postal Code
SE-22185
Country
Sweden
Facility Name
Karolinska Solna
City
Stockholm
ZIP/Postal Code
171 76
Country
Sweden
Facility Name
Norfolk and Norwich University Hospital
City
Norwich
State/Province
Norfolk
ZIP/Postal Code
NR4 7UY
Country
United Kingdom
Facility Name
Ashford and St. Peter's Hospitals NHS Trust - St. Peter's Hospital
City
Chertsey
State/Province
Surrey
ZIP/Postal Code
KT16 0PZ
Country
United Kingdom
Facility Name
University of Cambridge
City
Cambridge
ZIP/Postal Code
CB2 0QQ
Country
United Kingdom
Facility Name
University College London
City
London
ZIP/Postal Code
NW1 2BU
Country
United Kingdom
Facility Name
Chelsea and Westminster NHS Trust
City
London
ZIP/Postal Code
SW3 6JJ
Country
United Kingdom
Facility Name
St. Mary's Hospital
City
Manchester
ZIP/Postal Code
M13 9WL
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
De-identified individual participant data from this particular study will not be shared in order to minimize the risk that individual patients could be re-identified, given that there are limited numbers of study participants at each study site per year.
Citations:
PubMed Identifier
35681088
Citation
Hellstrom W, Hortensius LM, Lofqvist C, Hellgren G, Tataranno ML, Ley D, Benders MJNL, Hellstrom A, Bjorkman-Burtscher IM, Heckemann RA, Savman K. Postnatal serum IGF-1 levels associate with brain volumes at term in extremely preterm infants. Pediatr Res. 2023 Feb;93(3):666-674. doi: 10.1038/s41390-022-02134-4. Epub 2022 Jun 9.
Results Reference
derived
Learn more about this trial
A Clinical Efficacy and Safety Study of OHB-607 in Preventing Chronic Lung Disease in Extremely Premature Infants
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