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Trial registered on ANZCTR
Registration number
ACTRN12611000145909
Ethics application status
Approved
Date submitted
7/02/2011
Date registered
8/02/2011
Date last updated
8/02/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Nebulised pentoxifylline for the prevention of chronic lung disease in extremely preterm infants
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Scientific title
Does treating extremely preterm infants with inhaled Pentoxifylline vs Saline placebo lead to a reduction in chronic lung disease?
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Secondary ID [1]
252829
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Nil
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Universal Trial Number (UTN)
U1111-1117-3748
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bronchopulmonary dysplasia
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Premature birth
261124
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Condition category
Condition code
Respiratory
258522
258522
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0
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Other respiratory disorders / diseases
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Reproductive Health and Childbirth
259277
259277
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0
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Complications of newborn
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Nebulised Pentoxifylline at 20 mg/kg (1ml/kg), 6 hourly for 10 days. If still ventilated or requiring>= 30% oxygen 5 days after completing course, baby will receive a repeat 10 day course.
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Intervention code [1]
257351
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Treatment: Drugs
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Intervention code [2]
257998
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Prevention
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Comparator / control treatment
Nebulised 0.9% sodium chloride at 1ml/kg in the same dosing regime as above.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Duration on supplemental oxygen (hours) at 40 week Post menstrual age.
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Assessment method [1]
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Timepoint [1]
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At 40 weeks post menstrual age.
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Secondary outcome [1]
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Bronchopulmonary dysplasia or death
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Assessment method [1]
265857
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Timepoint [1]
265857
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At 40 weeks post menstrual age
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Secondary outcome [2]
265858
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Mortality to hospital discharge
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Assessment method [2]
265858
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Timepoint [2]
265858
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At discharge
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Secondary outcome [3]
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Duration of hospital stay
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Assessment method [3]
265859
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Timepoint [3]
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At discharge
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Eligibility
Key inclusion criteria
Preterm infants < 28 w GA will be eligible for enrolment if they require mechanical ventilation greater than or equal to 30% supplemental oxygen at 72 – 168 h of life and if written informed parental consent is given.
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Minimum age
23
Weeks
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Maximum age
27
Weeks
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Congenital malformations of the thorax (e.g. congenital diaphragmatic hernia, congenital cystic adenomatoid malformation of the lung, esophageal atresia)
Major cardiac malformations. (Infants with persistent ductus arteriosus or hemodynamically non-significant atrial or ventricular septal defect may be included in the trial).
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Babies born between 23 weeks and 27 weeks plus 6 days will be enrolled following full informed parental consent. They will then be randomized to receive placebo or interventional drug. A randomisation list will be created by the coordinating trial pharmacist using a computer-based random number generator.Only the trial pharmacist will know contents of the trial drug. Everyone else will be blinded. The pharmacy will provde 1.5ml syringes of clear colourless undifferentiable liquid. These will then be nebulised in the standard way by the nursing staff as prescribed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random number generator program
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/03/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
90
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
257801
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Hospital
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Name [1]
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King Edward Memorial Hospital, NCCU
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Address [1]
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378 Bagot Road
Subiaco,
Perth
WA 6008
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
King Edward Memorial Hospital, NCCU
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Address
378 Bagot Road
Subiaco,
Perth
WA 6008
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Country
Australia
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Secondary sponsor category [1]
257005
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None
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Name [1]
257005
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Address [1]
257005
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Country [1]
257005
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259823
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King Edward Memorial Hospital Ethics Committee
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Ethics committee address [1]
259823
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378 Bagot Road Subiaco, Perth WA 6008
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
259823
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Approval date [1]
259823
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01/12/2009
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Ethics approval number [1]
259823
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1763/EW
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Ethics committee name [2]
260084
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WNHS Ethics Committee
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Ethics committee address [2]
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373 Bagot Road, Subiaco. Perth, WA6008.
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Ethics committee country [2]
260084
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Australia
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Date submitted for ethics approval [2]
260084
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Approval date [2]
260084
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01/12/2009
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Ethics approval number [2]
260084
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1763/EW
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Summary
Brief summary
Chronic Lung Disease (Bronchopulmonary dyplasia) is a common and serious complication in extremely preterm infants below 28 weeks. In 2008 in Western Australia, over 120 infants were born at less than 28 weeks. 28% of the survivors developed Chronic lung disease. With it’s immunomodulatory effects, Pentoxifylline is emerging as a promising treatment for conditions such as sepsis, NEC and Chronic Lung disease. Whilst trials are encouraging for Pentoxifylline’s effect on Chronic lung disease; well organized, properly blinded trials have not been published. This trial aims to address this and discover whether nebulized pentoxifylline might help prevent bronchopulmonary dysplasia in extremely preterm infants.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Simon Pirie
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Address
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Neonatal Clinical Care Unit,
King Edward Memorial Hospital,
378 Bagot Road,
Subiaco,
Perth,
WA 6008
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Country
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Australia
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Phone
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0061892408222
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Sanjay Patole
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Address
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Neonatal Clinical Care Unit,
King Edward Memorial Hospital,
378 Bagot Road,
Subiaco,
Perth,
WA 6008
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Country
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Australia
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Phone
5917
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0061892408222
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Fax
5917
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Nebulized pentoxifylline for reducing the duration of oxygen supplementation in extremely preterm neonates.
2015
https://dx.doi.org/10.1016/j.jpeds.2015.01.040
N.B. These documents automatically identified may not have been verified by the study sponsor.
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