Surfactant application during spontaneous breathing in premature infants <27 weeks

ISRCTN ISRCTN64011614
DOI https://doi.org/10.1186/ISRCTN64011614
ClinicalTrials.gov number NCT00751959
Secondary identifying numbers Uni-Koeln-439
Submission date
25/02/2008
Registration date
27/03/2008
Last edited
12/06/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Neonatal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Angela Kribs
Scientific

University of Cologne
Clinic for Paediatrics
Cologne
D-50937
Germany

Phone +49 (0)221 478 5998
Email angela.kribs@uk-koeln.de

Study information

Study designProspective randomised controlled multi-centre trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleSurfactant application during spontaneous breathing with continuous positive airway pressure (CPAP) or during mechanical ventilation in the therapy of infant respiratory distress syndrome (IRDS) in premature infants <27 weeks
Study acronymNINSAPP
Study hypothesisThis study investigates the efficacy of surfactant application during spontaneous breathing with CPAP in avoiding death and chronic lung disease (CLD) in very immature infants with a gestational age of less than 27 weeks.

On 27/03/2012, the following changes were made on the trial record:
1. The overall trial end date of trial was changed from 31/07/2011 to 31/12/2012.
2. The target number of participants has been amended from 180 to 210.

On 18/07/2012 the overall trial end date was changed from 31/12/2012 to 21/06/2012.
Ethics approval(s)Ethics Committee of the University of Cologne – submission pending
ConditionMortality and chronic lung disease in very immature infants
InterventionExperimental intervention: Surfactant application via a thin endotracheal catheter during spontaneous breathing with CPAP, followed by respiratory support with CPAP

Control intervention: Conventional therapy with intubation, initiation of mechanical ventilation and surfactant application
Intervention typeProcedure/Surgery
Primary outcome measureSurvival until term without CLD
Secondary outcome measuresThe following will be followed up until 36 weeks of gestational age:
1. Survival until term without CLD, intraventricular hemorrhage (IVH)> grade II, cystic periventricular leukomalacia (PVL), retinopathy of prematurity (ROP) with need for surgery
2. Air leak syndrome (pneumothorax, pneumopericardium, pulmonary interstitial emphysema)
3. Necrotizing enterocolitis (NEC) with need for surgery
4. IVH (all grades)
5. Cystic PVL
6. ROP with need for surgery
7. Persistent ductus arteriosus (PDA) with need for surgery
8. Intubation and any mechanical ventilation during the first 96 hours
9. Days on mechanical ventilation
10. Days on nasal CPAP (nCPAP)
11. Days on supplemental oxygen
12. Duration of hospital stay
13. Daily increase in body weight
Overall study start date01/08/2008
Overall study end date21/06/2012

Eligibility

Participant type(s)Patient
Age groupNeonate
SexBoth
Target number of participants210 (Due to a protocol amendment 30 more participants had to be recruited. Recruitment completed on 25/03/2012 with a total of 213 participants).
Participant inclusion criteria1. Gender: both
2. IRDS with Silverman-Score >= 5 and/or FiO2 >= 0.3
3. Postnatal age of more than 10 min and less than 2 hours
4. Gestational age >= 23+0 and <27+0 weeks
Participant exclusion criteria1. Primary cardio-pulmonary resuscitation
2. Prenatally diagnosed severe malformation
3. No parental consent
4. Participation in another interventional trial
Recruitment start date01/08/2008
Recruitment end date25/03/2012

Locations

Countries of recruitment

  • Germany

Study participating centre

University of Cologne
Cologne
D-50937
Germany

Sponsor information

University of Cologne (Germany)
University/education

c/o Prof. Dr. Bernhard Roth
Clinic for Paediatrics
Kerpener Str. 62
Cologne
D-50937
Germany

Phone +49 (0)221 478 5064
Email bernhard.roth@uk-koeln.de
Website http://www.uni-koeln.de
ROR logo "ROR" https://ror.org/00rcxh774

Funders

Funder type

Government

Bundesministerium für Bildung und Forschung
Government organisation / National government
Alternative name(s)
Federal Ministry of Education and Research, BMBF
Location
Germany

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 01/08/2015 Yes No