AzTrials
AzTrials

Respiratory Distress Syndrome, NewbornPhase 2NCT02452476

A Double Blind, Randomized, Controlled Study to Evaluate CHF 5633 (Synthetic Surfactant) and Poractant Alfa in Neonates With Respiratory Distress Syndrome (RDS) (POC)

A Phase 2 study testing CHF5633 and Poractant alfa in people with Respiratory Distress Syndrome, Newborn, run by Chiesi Farmaceutici S.p.A. at 23 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A multicenter, double blind, randomized, single dose, active-controlled study to investigate the efficacy and safety of synthetic surfactant (CHF 5633) in comparison to porcine surfactant (Poractant alfa, Curosurf ®) in the treatment of preterm neonates with respiratory distress syndrome. Read more about this study

Who is it for?
Ages 1 hour to 24 hours
Conditions the study is for
Respiratory Distress Syndrome, Newborn
What is being tested?
CHF5633 and Poractant alfa
Could I receive a placebo?
No, everyone receives an active treatment
How many people
123 participants
Where
23 sitesUnited States
Study dates
21 Jan 2016to 24 May 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 hour to 24 hours
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Written informed consent obtained by parents/legal representative (according to local regulation) prior to any study-related procedures
  • Inborn preterm neonates of either sex with a gestational age of 24+0 weeks up to 29+6 weeks
  • Clinical course consistent with RDS
  • Requirement of endotracheal surfactant administration within 24 hours from birth
  • Fraction of inspired oxygen (FiO2) ≥0.30 for babies 24+0 to 26+6 weeks and FiO2 ≥0.35 for babies 27+0 to 29+6 weeks to maintain SpO2 between 88-95%

Who cannot join

  • Use of surfactant prior to study entry and need for intratracheal administration of any other treatment (e.g. nitric oxide)
  • Known genetic or chromosomal disorders, major congenital anomalies (cardiac malformations, myelomeningocele etc)
  • Maternal drug abuse (heroin, methadone, methamphetamine, or cocaine) or significant alcohol consumption during pregnancy
  • Mothers with prolonged rupture of the membranes (>21 days duration)
  • Strong suspicion of congenital pneumonia/infection, sepsis
  • Presence of air leaks prior to study entry
Show all 10Show fewer
  • Evidence of severe birth asphyxia
  • Neonatal seizures prior to study entry
  • Any condition that, in the opinion of the Investigator, would place the neonate at undue risk
  • Participation in another clinical trial of any placebo, drug or biological substance conducted under the provisions of a protocol.

Trial locations and contacts

23 sites in 1 country.

23 sites in 1 country

United States23 sites
  • Jatinder Bhatia

    Augusta, Georgia

  • Floating Hospital for Children at Tufts Medical Center

    Boston, Massachusetts, 02111

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio

  • Case Western Reserve University

    Cleveland, Ohio

  • Texas Tech University Health Sciences Center

    El Paso, Texas

  • Martha Naylor

    Greenville, North Carolina

  • Connecticut Children's Medical Center

    Hartford, Connecticut

  • Indiana University School of Medicine

    Indianapolis, Indiana

  • LAC + USC Medical Center, Keck School of Medicine

    Los Angeles, California

  • University of Louisville Research Foundation, Inc.

    Louisville, Kentucky

  • Winthrop University Hospital

    Mineola, New York

  • University of South Alabama - USA Children's and Women's Hospital

    Mobile, Alabama

  • West Virginia University

    Morgantown, West Virginia

  • Kings County Hospital Center

    New York, New York

  • Krishnamurthy Sekar

    Oklahoma City, Oklahoma

  • UC Irvine Medical Center

    Orange, California

  • Hahnemann University Hospital

    Philadelphia, Pennsylvania

  • Plantation General Hospital (Sheridan Clinical Research, Inc.)

    Plantation, Florida

  • Sharp Mary Birch Hospital

    San Diego, California

  • Memorial Hospital of South Bend

    South Bend, Indiana

  • Baystate Children's Hospital / Baystate Medical Center

    Springfield, Massachusetts

  • MultiCare Institute for Research & Innovation

    Tacoma, Washington

  • Sergio G. Golombek

    Valhalla, New York

Other trials in United States

About this study

Official title: A DOUBLE BLIND, RANDOMIZED, CONTROLLED STUDY TO INVESTIGATE THE EFFICACY AND SAFETY OF SYNTHETIC SURFACTANT (CHF 5633) IN COMPARISON TO PORCINE SURFACTANT (PORACTANT ALFA, CUROSURF®) IN THE TREATMENT OF PRETERM NEONATES WITH RESPIRATORY DISTRESS SYNDROME

A multicenter, double blind, randomized, single dose, active-controlled study to investigate the efficacy and safety of synthetic surfactant (CHF 5633) in comparison to porcine surfactant (Poractant alfa, Curosurf ®) in the treatment of preterm neonates with respiratory distress syndrome. Main objectives of this study are to investigate the short term efficacy profile of CHF 5633 vs. porcine surfactant (Poractant Alfa, Curosurf®) in terms of reduced oxygen requirement and ventilatory support and to evaluate the mid-term efficacy profile in terms of reduced incidence of bronchopulmonary dysplasia (BPD) and mortality/BPD rate at 36 weeks post menstrual age (PMA), mortality rate at 28 days and 36 weeks PMA, RDS-associated mortality through 14 days of age and other major co-morbidities of prematurity.

Inclusion criteria are: Written parental informed consent, inborn preterm neonates of either sex with a gestational age of 24+0 weeks up to 29+6 weeks, clinical course consistent with RDS, requirement of endotracheal surfactant administration within 24 hours from birth, fraction of inspired oxygen (FiO2) ≥0.30 for babies 24+0 to 26+6 weeks and FiO2 ≥0.35 for babies 27+0 to 29+6 weeks to maintain arterial oxygen saturation by pulse oximetry (SpO2) between 88-95%.

Being tested
CHF5633, Poractant alfa
Keywords
neonates, pulmonary surfactant
Medical subject headings
Respiratory Distress Syndrome, Newborn

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CHF5633Drug

    Rescue treatment (if needed)

  • Poractant alfaDrug

    Rescue treatment (if needed)

Study groups in NCT02452476
Study groupRoleWhat they receive
CHF5633ExperimentalSingle dose within 24 hours from birth
Receives: Drug: CHF5633
Poractant alfaActive comparatorSingle dose within 24 hours from birth
Receives: Drug: Poractant alfa

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Oxygen Requirement and Ventilatory Support -- SpO2/FiO2 Ratio

    SpO2/FiO2 ratio

    The oxygen requirement and ventilatory support were assessed through arterial oxygen saturation, measured by pulse oximetry (SpO2 [%]) and ventilator settings, by measuring fraction of inspired oxygen (FiO2[%]) and SpO2/FiO2. Results are shown as change from baseline, summarized at post-treatment timepoints.

    Definitions:

    SpO2=Arterial Oxygen saturation by pulse oximetry; FiO2=Fraction of inspired oxygen; Baseline=The last pre-dose measurement taken on Day -1.

    Measured: Post-treatment Day 1: 30 min, at 1h, 3h, 6h, 12h, 18h, 24 h; Day 2, 3, 5, and 7

  2. Fraction of Inspired Oxygen (FiO2) (Percent) During the First 24 h and up to Day 7

    Fraction of inspired oxygen (FiO2) (percent) during the first 24 h and up to Day 7.

    Fraction of inspired oxygen (FiO2 [percent]). Results are shown as change from baseline, summarized at post-treatment time points.

    Definitions:

    FiO2=Fraction of inspired oxygen (percent); Baseline=The last pre-dose measurement taken on Day -1;

    Measured: Post-treatment Day 1: 30 min, at 1h, 3h, 6h, 12h, 18h, 24 h; Day 2, 3, 5, and 7

  3. Number of Patients With Bronchopulmonary Dysplasia and Mortality

    Bronchopulmonary dysplasia and mortality.

    Results summarize the following items:

    Number of patients who died and the number of patients who had bronchopulmonary dysplasia (BPD) were assessed by treatment, at 36 weeks post menstrual age (PMA).

    Number of patients who died by Day 28 post-natal age (PNA).

    Number of patients with respiratory distress syndrome (RDS)-associated mortality by Day 14 post-natal age (PNA).

    Definitions:

    BPD=Bronchopulmonary dysplasia; Mortality/BPD incidence=The incidence of neonates dead within 36-week PMA or alive at 36-week PMA with a diagnosis of BPD; PMA=Post menstrual age; PNA=Post-natal age; RDS=Respiratory distress syndrome;

    Measured: 36 weeks post menstrual age, Day 14 Post-Natal Age, Day 28 Post-Natal Age

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 May 2015 (estimated)
  2. Study start21 Jan 2016
  3. Primary completion24 May 2018
  4. Study completion24 May 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
123 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02452476
Sponsor's protocol ID
CCD-05633AA1-02
Status last verified
Jul 2021
First submitted
20 May 2015
Last updated
13 Aug 2021
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ramanathan R, Biniwale M, Sekar K, Hanna N, Golombek S, Bhatia J, Naylor M, Fabbri L, Varoli G, Santoro D, Del Buono D, Piccinno A, Dammann CE. Synthetic Surfactant CHF5633 Compared with Poractant Alfa in the Treatment of Neonatal Respiratory Distress Syndrome: A Multicenter, Double-Blind, Randomized, Controlled Clinical Trial. J Pediatr. 2020 Oct;225:90-96.e1. doi: 10.1016/j.jpeds.2020.06.024. Epub 2020 Jun 14.

    PubMed 32553868

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CHF5633 and Poractant alfa in people with Respiratory Distress Syndrome, Newborn, run by Chiesi Farmaceutici S.p.A. at 23 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Jun 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Oxygen Requirement and Ventilatory Support -- SpO2/FiO2 Ratio (time frame: Post-treatment Day 1: 30 min, at 1h, 3h, 6h, 12h, 18h, 24 h; Day 2, 3, 5, and 7). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02452476, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Aug 2021.

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