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Phase III Randomized Study of Lucinactant in Full Term Newborn Infants With Meconium Aspiration Syndrome
This study is currently recruiting patients.
Sponsored by: | FDA Office of Orphan Products Development Discovery Laboratories
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Information provided by: | FDA Office of Orphan Products Development |
Purpose
OBJECTIVES:
I. Determine the safety and efficacy of lucinactant in full term newborn infants with meconium aspiration syndrome.
Condition | Treatment or Intervention | Phase |
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Meconium Aspiration |
Drug: Lucinactant |
Phase III |
MedlinePlus related topics: High Risk Pregnancy; Infant and Toddler Health; Respiratory Diseases
Study Type: Interventional
Study Design: Treatment, Randomized, Active Control, Single Group Assignment, Safety/Efficacy Study
Expected Total Enrollment: 200
Study start: November 2000
PROTOCOL OUTLINE:
This is a randomized, multicenter study. Patients are randomized to one of two treatment arms.
Arm I: Patients receive lucinactant by bronchoalveolar lavage, into the right and left lung, followed by lung drainage. Treatment repeats when patient stabilizes or every 15 minutes for 2 courses.
Arm II: Patients receive standard treatment including oxygen, conventional mechanical ventilation, sedation, paralysis, vasopressors, and alkalinization.
Patients are followed for 12 months.
Eligibility
Ages Eligible for Study: up to 2 Days, Genders Eligible for Study: Both
Criteria
PROTOCOL ENTRY CRITERIA:
--Disease Characteristics--
Diagnosis of meconium aspiration syndrome with respiratory distress and meconium staining at birth, in airways, or in bronchial secretions, in which there is no other major cause for respiratory distress
Conventional intermittent mandatory ventilation
At least 37 weeks gestational age
--Patient Characteristics--
Renal: No oligohydramnios with renal dysgenesis
Cardiovascular: No congenital cyanotic heart disease
Pulmonary: No airway anomalies; No lung hypoplasia; No pulmonary hemorrhage; No pulmonary interstitial emphysema, uncontrollable air leaks, pneumothorax, pneumomediastinum, or pneumopericardium; Oxygenation index at least 5 and no greater than 30 on a single arterial blood gas reading within 60 minutes prior to study; No diaphragmatic hernia
Neurologic: No known grade III or IV intraventricular hemorrhage; No obvious CNS abnormalities or malformations
Other: No hydrops fetalis immune and nonimmune; No prolonged (at least 3 weeks) rupture of the fetal membranes
Location and Contact Information
More Information
U.S. National Library of Medicine, Contact NLM Customer Service | ||||||||||||||
National Institutes of Health, Department of Health & Human Services | ||||||||||||||
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