Study of Sildenafil to Treat Newborns With Persistent Pulmonary Hypertension
Stopped early · Phase 2 · Has a placebo group
Conditions studied: Persistent Pulmonary Hypertension, Respiratory Failure
In brief
The purpose of this study is to determine whether intravenous sildenafil reduces pulmonary artery pressure and improves oxygenation in near-term and term infants with persistent pulmonary hypertension.
Key facts
- Study ID
- NCT01409031
- Run by
- University of Colorado, Denver
- People needed
- 3
- Starts
- 2011-07-01
- Expected to finish
- 2013-10-01
- Last updated by the study team
- 2019-02-01
Who can join
Age: any, up to 0. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Signed informed consent from legally acceptable guardian
- PPHN or hypoxemic respiratory failure associated with:
- Idiopathic PPHN
- Meconium aspiration syndrome
- Respiratory distress syndrome
- Sepsis
- Pneumonia
- Greater than or equal to 35 weeks gestation
- Age at enrollment less than 72 hours
- Moderate hypoxemic respiratory failure, with 12<OI<35 (oxygenation index, calculated as FiO2 * mean airway pressure * 100 / postductal PaO2)
- Absence of structural heart disease (except patent ductus arteriosus, atrial septal defect <1cm, or muscular ventricular septal defect < 2mm)
- Absence of lethal congenital anomaly
- Not participating in another concurrent experimental study
You may not qualify if…
- Prior or immediate need for iNO or ECMO
- Profound hypoxemia: qualifying PaO2 <30 mmHg, from a blood gas drawn within 30 minutes of starting study drug infusion.
- Hypotension: Mean arterial pressure <35 mmHg
- Congenital heart disease, except patent ductus arteriosus, atrial septal defect <1cm, or muscular ventricular septal defect <2mm
- Congenital diaphragmatic hernia or lung hypoplasia syndromes, diagnosed on the basis of prolonged oligohydramnios
- Active seizures
- Apgar score of <3 at 5 minutes
- Bleeding diathesis
- Receipt of any other experimental drug or device
- Receipt of any prohibited concurrent medication:
- Potent cytochrome P450 3A4 inhibitors (e.g., erythromycin, ketoconazole, itraconazole and protease inhibitors)
- Endothelin antagonists (e.g. Tracleer/bosentan)
- Intravenous nitrates or nitric oxide donors
- Known hereditary degenerative retinal disorders such as retinitis pigmentosa.
- In the opinion of the investigator, a subject who is not likely to complete the study or would be considered inappropriate for the study, for any reason.
Where it is running
- University of Colorado Health Sciences Center — Aurora, Colorado, United States
- Northwestern Memorial Hospital — Chicago, Illinois, United States
- Anne and Robert H Lurie Children's Hospital of Chicago — Chicago, Illinois, United States
- Women's & Children's Hospital of Buffalo SUNY — Buffalo, New York, United States
- Vanderbilt University — Nashville, Tennessee, United States
- Primary Children's Medical Center, Utah — Salt Lake City, Utah, United States
- University of Utah — Salt Lake City, Utah, United States
Full record on ClinicalTrials.gov
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