Pulmonary Hypertension in Extremely Preterm Infants

Study Purpose

Extremely preterm infants are at risk for developing bronchopulmonary dysplasia (BPD) and associated chronic pulmonary hypertension (PH), a consequence of altered pulmonary vasculature. This condition occurs in about 25% of babies with BPD, and the association grows with increasing BPD severity. Other risk factors have been described as well. Morbidity and mortality associated with prematurity and/or BPD increase significantly in the presence of PH. Thus, international guidelines encourage the use of standardized screening protocols for this condition. However, several questions regarding these recommendations are left unanswered, such as a clear definition for PH in this population. The research aim is to prospectively evaluate prevalence, risk factors and clinical course of PH in these children. The investigators aim to identify at-risk infants early on and ultimately improve survival making use of an early targeted intervention.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages N/A - 2 Weeks
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

Preterm infants with.
  • - Gestational age <28 0/7 weeks.
  • - Birth weight <1000 grams.

Exclusion Criteria:

  • - Major congenital malformations.
  • - Structural airway or lung disease.
  • - Congenital heart disease.
- Lack of parental consent

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05136235
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

N/A
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Universitair Ziekenhuis Brussel
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Barbara De Bisschop, MDFilip Cools, PhDDaniël De Wolf, PhD
Principal Investigator Affiliation Universitair Ziekenhuis BrusselUniversitair Ziekenhuis BrusselUniversitair Ziekenhuis Brussel
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Not yet recruiting
Countries
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Bronchopulmonary Dysplasia, Pulmonary Hypertension, Premature Birth
Arms & Interventions

Arms

Other: Extremely preterm newborns

All extremely preterm newborns in Flanders will be included, it is a single arm study

Interventions

Diagnostic Test: - Echocardiography

There will be screened for pulmonary hypertension by means of serial echocardiographies during the study period

Diagnostic Test: - NT-proBNP

At 36 weeks postmenstrual age there will be screened for pulmonary hypertension by means of an NT-proBNP measurement in a blood sample

Contact Information

This trial has no sites locations listed at this time. If you are interested in learning more, you can contact the trial's primary contact:

Barbara De Bisschop, MD

barbara.debisschop@gmail.com

0032 2 477 77 21

For additional contact information, you can also visit the trial on clinicaltrials.gov.

For more information, please contact PHA at Research@PHAssociation.org and refer to the terms of service below.

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