UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021785
Receipt number R000025069
Scientific Title Effectiveness of MIST (minimally invasive surfactant therapy) under bronchoscopy in treating neonatal respiratory distress syndrome
Date of disclosure of the study information 2016/04/05
Last modified on 2023/10/11 11:23:15

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Basic information

Public title

Effectiveness of MIST (minimally invasive surfactant therapy) under bronchoscopy in treating neonatal respiratory distress syndrome

Acronym

Minimally invasive surfactant therapy under bronchoscopy in treating neonatal respiratory distress syndrome

Scientific Title

Effectiveness of MIST (minimally invasive surfactant therapy) under bronchoscopy in treating neonatal respiratory distress syndrome

Scientific Title:Acronym

Minimally invasive surfactant therapy under bronchoscopy in treating neonatal respiratory distress syndrome

Region

Japan


Condition

Condition

Neonatal respiratory distress syndrome

Classification by specialty

Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We have designed a mode of minimally invasive surfactant therapy using a thin bronchoscope. A thin bronchoscope is inserted into the trachea, and surfactant is administered through the working channel under direct observation. The objective of this study is to assess the effectiveness of this mode which has no need for endotracheal intubation or the use of a laryngoscope.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Short term prognosis of respiration in patients treated with bronchoscopic MIST.
Short term prognosis of respiration includes the following
1. Days under mechanical ventilation
2. Days under supplemental oxygen
3. Incidence of airway diseases
4. Need for endotracheal intubation or additional surfactant

Key secondary outcomes

1. Morbidity of diseases often seen in premature infants(intraventricular hemorrhage, pneumothorax, patent ductus arteriosus, bronchopulmonary dysplasia, sepsis, necrotizing enterocolitis)
2. Length of hospitalization, mortality rate


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Place the infant inside the incubator and start nasal continuous positive airway pressure. Displace one of the prongs, and insert the bronchoscope from the open nostril. Place the tip of the bronchoscope inside the trachea. Slowly inject artificial lung surfactant (120mg per 1kg dissolved in normal saline) through the working channel. Push the surfactant inside the working channel with air. Remove the bronchoscope after confirming opening of the trachea. Place the prong back into the nostril.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients fulfilling all of the following criteria will be included
1. Patients born at Tokyo Women's Medical University Medical Center East, and admitted to the NICU
2. Patients diagnosed with respiratory distress syndrome
3. Informed consent obtained from parents
4. Patients thought to be appropriate for the study by the attending physician

Key exclusion criteria

Patients fulfilling any of the following criteria will be excluded
1. Patients with severe birth asphyxia
2. Patients with multiple malformation syndrome, or other suspected underlying diseases
3. Patients needing vasoactive drugs
4. Patients with tendency to bleed
5. Patients with congenital infections
6. Patients thought to be inappropriate for the study by the supervising physician

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Hisaya
Middle name
Last name Hasegawa

Organization

Tokyo Women's Medical University Adachi Medical Center

Division name

Neonatology

Zip code

123-8558

Address

4-33-1 Kohoku, Adachiku, Tokyo

TEL

03-3857-0111

Email

hisayani@dnh.twmu.ac.jp


Public contact

Name of contact person

1st name Masanori
Middle name
Last name Wasa

Organization

Tokyo Women's Medical University Adachi Medical Center

Division name

Neonatology

Zip code

123-8558

Address

4-33-1 Kohoku, Adachiku, Tokyo

TEL

03-3857-0111

Homepage URL


Email

wasa.masanori@twmu.ac.jp


Sponsor or person

Institute

Tokyo Women's Medical University Adachi Medical Center

Institute

Department

Personal name



Funding Source

Organization

Tokyo Women's Medical University Adachi Medical Center

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokyo Women's Medical University Ethics Committee

Address

8-1, Kawadacho, Shinjukuku, Tokyo

Tel

03-3353-8111

Email

Krinri.bm@twmu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2016 Year 04 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 01 Month 19 Day

Date of IRB

2016 Year 04 Month 05 Day

Anticipated trial start date

2016 Year 01 Month 19 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 04 Month 05 Day

Last modified on

2023 Year 10 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025069


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name