Clinical trial • Phase III • Other

OXYGEN PH.EUR. for Prematurity | Very low birth weight

Phase III trial of OXYGEN PH.EUR. for Prematurity | Very low birth weight.

Overview

Trial Therapeutic Area
Other
Trial Disease
Prematurity | Very low birth weight
Trial Stage
Phase III
Drug Modality
Other
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
21-12-2023
First CTIS Authorization Date
03-05-2024

Trial design

30% oxygen initial concentration versus 60% oxygen initial concentration at birth/resuscitation (Medical Oxygen inhalation gas); concentration expressed as percent (one arm 30%, other arm 60%).-controlled Phase III trial across 1 site in Ireland.

Comparator
30% oxygen initial concentration versus 60% oxygen initial concentration at birth/resuscitation (Medical Oxygen inhalation gas); concentration expressed as percent (one arm 30%, other arm 60%).
Target Sample Size
1185
Trial Duration For Participant
730

Eligibility

Recruits 1185 paediatric patients.

Vulnerable Population
Vulnerable population: preterm infants (23-28 weeks’ gestation). Consent must be provided by parents/legal guardians; parental refusal excludes the infant ('Parents’ refusal to give consent to this study'). No assent possible/applicable for neonates. Subject information and informed consent form available (document: L1_HiLo ICF_IE).

Inclusion criteria

  • {"criterion_text":"- Infants with gestational age between 23 to 28 weeks based on best available obstetrical estimate\n- Infants designated to receive full resuscitation, i.e., no parental request or pre-determined decision to forego resuscitation\n- No known major congenital or chromosomal malformation."}

Exclusion criteria

  • {"criterion_text":"- Infant born outside of study centers and transported to center after delivery\n- Parents’ refusal to give consent to this study"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary outcome is a composite between 18 and 24 months corrected age of all-cause mortality or the presence of a major neurodevelopmental outcome defined as any one of: (i) non-ambulatory cerebral palsy; (ii) severe cognitive delay, (iii) hearing impairment (requiring a hearing aid or cochlear implants), and (iv) visual (cannot fixate/ legally blind, or corrected acuity <6/60 in both eyes).","definition_or_measurement_approach":"Composite measured between 18 and 24 months corrected age; components are defined in-text: non-ambulatory cerebral palsy; severe cognitive delay; hearing impairment requiring hearing aid or cochlear implants; visual impairment as cannot fixate/legally blind or corrected acuity <6/60 in both eyes. All-cause mortality included as part of composite."}

Secondary endpoints

  • {"endpoint_text":"- All-cause in-hospital mortality","definition_or_measurement_approach":"All-cause mortality occurring during initial hospitalisation (in-hospital)."}
  • {"endpoint_text":"- Severe brain injury, defined as Grade 3 and 4 IVH / intraparenchymal hemorrhage or echodense intraparenchymal lesions, periventricular leukomalacia, porencephalic cysts or ventriculomegaly on cranial ultrasound","definition_or_measurement_approach":"Severe brain injury defined by specified cranial ultrasound findings (Grade 3–4 IVH, intraparenchymal hemorrhage or echodense intraparenchymal lesions, PVL, porencephalic cysts, or ventriculomegaly)."}
  • {"endpoint_text":"- Bronchopulmonary dysplasia","definition_or_measurement_approach":"Bronchopulmonary dysplasia as recorded/diagnosed per trial/clinical criteria (definition not further specified in provided text)."}
  • {"endpoint_text":"- Severe retinopathy of prematurity (stage 3 or 4 or treated cases)","definition_or_measurement_approach":"Severe ROP defined as stage 3 or 4, or cases requiring treatment."}

Recruitment

Planned Sample Size
1185
Recruitment Window Months
46
Consent Approach
Informed consent obtained from parents/legal guardians prior to enrolment. Parental refusal excludes the infant ('Parents’ refusal to give consent to this study'). Subject information and informed consent form available (document: L1_HiLo ICF_IE). No assent applicable for neonates. Languages of consent documents not specified.

Geography

Total Number Of Sites
1
Total Number Of Participants
1185

Ireland

Latest Decision Or Authorization Date
20-04-2026
Number Of Sites
1
Number Of Participants
65

Sites

Site Name
Cork University Maternity Hospital
Department Name
Paediatrics and Child Health
Principal Investigator Name
Eugene Dempsey
Principal Investigator Email
G.Dempsey@ucc.ie
Contact Person Name
Eugene Dempsey
Contact Person Email
G.Dempsey@ucc.ie
Number Of Participants
65

Sponsor

Primary sponsor

Full Name
University College Cork
Organisation Type
Educational Institution
Country Of Registered Address
Ireland

Third parties

  • {"country":"Canada","full_name":"Canadian Institute of Health Research Foundation Grant (CIHR)","duties_or_roles":"Source of monetary support / grant funding","organisation_type":"Funding body"}

Investigational products

Investigational Product Name
Medical Oxygen
Active Substance
OXYGEN PH.EUR.
Modality
Other
Routes Of Administration
INHALATION GAS
Route
Inhalation (gas)
Authorisation Status
Authorised (marketing authorisation number PA 0208/003/001 in IE)
Starting Dose
One arm: initial oxygen concentration 30%; other arm: initial oxygen concentration 60% (at birth/resuscitation)
Dose Levels
30%, 60%
Frequency
Single initial concentration at birth/resuscitation (schedule not further specified)
Maximum Dose
100%

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