Respiratory Distress Syndrome Clinical Trial
Official title:
Phase 3 Multicenter, Randomized, Open Label Trial of a New Low Cost Animal Extracted Surfactant to Treat Respiratory Distress Syndrome in Preterm Infants
The purpose of this study is to determine the efficacy and safety of the new pulmonary surfactant produced by Butantan Institute among premature infants with gestational age below 34 weeks with RDS, comparing to the pulmonary surfactants commercially available in Brazil.
Exogenous surfactant replacement therapy has been one of the major advances in the treatment
of premature infants with respiratory distress syndrome (RDS). It has decreased the
mortality among premature infants with RDS, determining changes in the children mortality
rates among the developed countries. High cost, however, has been a major handicap for its
wide use in developing and underdeveloped countries. Based on that, Butantan Institute (Sao
Paulo, Brazil) has developed a new porcine pulmonary surfactant preparation at lower
production cost. Initial animal studies showed similar improvement in lung mechanics and
histopathologic findings to those observed with commercially available preparations.
Comparison(s): The new surfactant developed and produced by Butantan Institute will be
compared to the commercially available pulmonary surfactants in Brazil, regarding to the
efficiency to maintain a good arterial oxygenation, low airway pressures after treatment,
similar mortality rates, and similar rates of complications like bronchopulmonary dysplasia
and pulmonary hemorrhage.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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