Prophylactic granulocyte-macrophage colony-stimulating factor (GM-CSF) to reduce sepsis in preterm neonates

ISRCTN ISRCTN42553489
DOI https://doi.org/10.1186/ISRCTN42553489
Secondary identifying numbers SP3558
Submission date
01/03/2001
Registration date
01/03/2001
Last edited
30/04/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Dr Neena Modi
Scientific

Senior Lecturer/Consultant in Neonatal Paediatrics
Department of Paediatrics
Hammersmith Hospital
Du Cane Road
London
W12 0NN
United Kingdom

Phone +44 (0)20 8383 3275
Email n.modi@ic.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Can be found at http://www.npeu.ox.ac.uk/downloads/programs/PROGRAMS-PIL-v7.pdf
Scientific titleProphylactic granulocyte-macrophage colony-stimulating factor (GM-CSF) to reduce sepsis in preterm neonates: a randomised controlled trial
Study acronymPROGRAMS
Study objectivesTo estimate the economic efficiency of administering prophylactic granulocytic-macrophage colony stimulating factor to preterm neonates at high risk of sepsis.

Please note that as of 21/01/2009 this record was updated. All update details can be found under the relevant field with the above update date.
Ethics approval(s)NHS Executive South East MREC, 27/01/2000, ref: 99/85
Health condition(s) or problem(s) studiedSepsis
Intervention1. Once daily granulocyte-macrophage colony-stimulating factor (GM-CSF) 10 µg/kg by subcutaneous injection, commenced within 72 hours of birth and continued for 5 days
2. No GM-CSF therapy
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Granulocyte-macrophage colony-stimulating factor (GM-CSF)
Primary outcome measure1. Sepsis-free survival at 14 days from trial entry
2. Economic evaluation outcome: incremental cost-effectiveness analysis
Secondary outcome measuresAdded 21/01/2009:
1. Survival without moderate/severe disability at 2 years from term
2. Survival to discharge
3. Sepsis:
3.1. Culture positive systemic infection, to 14 days from trial entry
3.2. Culture negative systemic infection, to 14 days from trial entry
3.3. Probable (culture positive or negative) systemic infection, to 28 days from trial entry
4. Clinical morbidity:
4.1. Chronic lung disease (bronchopulmonary dysplasia)
4.2. Necrotising enterocolitis, periventricular haemorrhage
4.3. Periventricular leucomalacia and ventriculomegaly
5. Haematological:
5.1. Culture positive systemic infection associated with neutropenia, to 14 days from trial entry
5.2. Culture positive systemic infection associated with neutropenia, to 28 days from trial entry
Overall study start date01/09/2001
Completion date01/09/2005

Eligibility

Participant type(s)Patient
Age groupNeonate
SexBoth
Target number of participantsAdded 21/01/2009: 320 participants
Key inclusion criteriaBabies are eligible for PROGRAMS if they are less than or equal to 31 completed weeks gestational age and small for gestational age (i.e. below 10th centile for birthweight) and within 72 hours of birth.
Key exclusion criteriaAdded 21/01/2009:
1. Immediately life-threatening congenital abnormality
2. Evidence of early onset sepsis (maternal pyrexia greater than 38.0°C on two consecutive occasions during labour)
Date of first enrolment01/09/2001
Date of final enrolment01/09/2005

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Hammersmith Hospital
London
W12 0NN
United Kingdom

Sponsor information

Imperial College London (UK)
University/education

Research Services, Medicine
Research Services Division
Faculty Building
South Kensington Campus
South Kensington
London
SW7 2AZ
England
United Kingdom

Website http://www3.imperial.ac.uk/
ROR logo "ROR" https://ror.org/041kmwe10

Funders

Funder type

Charity

Action Medical Research (UK)
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
actionmedres, action medical research for children, AMR
Location
United Kingdom
The Wellcome Trust (UK) (added 05/01/2010) (grant ref: 068499)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 17/01/2009 Yes No
Results article results 01/07/2015 Yes No