Pilot Study: The Effect of Inhaled Iloprost on Oxygenation in Term and Near Term Infants With Pulmonary Hypertension. Testing Two Doses.
Trial Snapshot
- Phase
- Phase 4
- Status
- Terminated
- Sponsor
- University of Chicago
- Enrollment
- 1
- Locations
- 4
- Primary Endpoint
- Oxygenation index and PaO2 after treatment with inhaled Iloprost.
Study Overview
Brief Summary
Inhaled Iloprost will be administered to near term infants with Persistent Pulmonary Hypertension of the Newborn in two different doses in order to test safety and efficacy in reducing pulmonary artery pressure.
Detailed Description
Infants eligible for the study will be divided into two arms according to oxygenation index: Infants in arm A (OI <20) will receive nebulized Iloprost in a lower dose (50 ng/kg/min) for one hour, and a higher dose (100 ng/kg/min) for another hour. Infants in arm B (OI>20) will receive NO, and in addition will receive nebulized Iloprost in a lower dose for one hour and a higher dose for another hour.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- — to 7 Days (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Near-term infants (>34 gestational age) with evidence of persistent pulmonary hypertension and severe hypoxia(PaO2<100 mmHg with mechanical ventilation with FiO2=100%).
Exclusion Criteria
- •Major congenital malformation
- •Congenital diaphragmatic hernia
- •Structural cardiac anomalies
- •Hydrops fetalis
- •Pulmonary hemorrhage
- •Severe perinatal depression
- •Patients on high frequency oscillation ventilator
Outcomes
Primary Outcomes
Oxygenation index and PaO2 after treatment with inhaled Iloprost.
Time Frame: three hours
Secondary Outcomes
No secondary outcomes reported
