Trial To Assess The Safety And Tolerability Of Lucinactant For Inhalation In Preterm Neonates 26 to 28 Weeks PMA

Sponsor
Windtree Therapeutics (Industry)
Overall Status
Terminated
CT.gov ID
NCT02528318
Collaborator
(none)
48
20
5
24.3
2.4
0.1

Study Details

Study Description

Brief Summary

This study is to evaluate the safety and tolerability of lucinactant for inhalation, administered as an aerosol in up to four escalating doses to preterm neonates 26 to 28 weeks gestational age who are receiving nCPAP for RDS compared to neonates receiving nCPAP alone.

Condition or Disease Intervention/Treatment Phase
  • Combination Product: Lucinactant for inhalation
  • Device: nCPAP alone
Phase 2

Detailed Description

This study was a multicenter, randomized, controlled, open-label, dose-escalation study, conducted to evaluate the safety and tolerability of lucinactant for inhalation in conjunction with nasal continuous positive airway pressure (nCPAP) in comparison with nCPAP alone. The study was to evaluate the safety and tolerability of lucinactant for inhalation, administered as an aerosol in 4 escalating doses.

For this study, lucinactant for inhalation refers to the active investigational agent, lyophilized lucinactant, in combination with the prototype investigational delivery device. Reconstituted lyophilized lucinactant was aerosolized by the investigational device and introduced into the nCPAP circuit. Those randomized to the control arm continued to receive nCPAP alone. Dose assignments were unblinded, as the primary objective of this study was safety and tolerability.

Preterm neonates with respiratory distress syndrome (RDS) between 26 and 28 completed weeks PMA who were within the first 20 hours after birth and who had successful implementation of controlled nCPAP within 90 minutes of birth were considered to be potential subjects. Before study enrollment, legal guardians were provided a written informed consent form (ICF) for each potential subject.

Study Design

Study Type:
Interventional
Actual Enrollment :
48 participants
Allocation:
Randomized
Intervention Model:
Sequential Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Open-label, Controlled Trial To Assess The Safety And Tolerability Of Lucinactant For Inhalation In Preterm Neonates 26 to 28 Weeks PMA
Actual Study Start Date :
Aug 1, 2015
Actual Primary Completion Date :
May 31, 2017
Actual Study Completion Date :
Aug 11, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: 50 mg/kg

Lucinactant for inhalation 50 mg total phospholipids (TPL)/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met.

Combination Product: Lucinactant for inhalation
Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product)
Other Names:
  • AEROSURF®
  • Experimental: 75 mg/kg

    Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met.

    Combination Product: Lucinactant for inhalation
    Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product)
    Other Names:
  • AEROSURF®
  • Experimental: 100 mg/kg

    Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met.

    Combination Product: Lucinactant for inhalation
    Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product)
    Other Names:
  • AEROSURF®
  • Experimental: 150 mg/kg

    Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met.

    Combination Product: Lucinactant for inhalation
    Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product)
    Other Names:
  • AEROSURF®
  • Active Comparator: nCPAP alone

    nCPAP therapy alone

    Device: nCPAP alone
    nCPAP therapy
    Other Names:
  • nasal continuous positive airway pressure
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With Peri-Dosing Adverse Events - Initial Dose [Randomization to 24 Hours Post Randomization]

      Number of Participants with adverse events that were experienced during the initial study treatment

    2. Number of Participants With Air Leak [7 days]

      Number of participants with air leak (includes pneumothorax, pulmonary interstitial emphysema (PIE), pneumomediastinum, pneumopericardium, subcutaneous emphysema)

    Secondary Outcome Measures

    1. Number of Participants With Worsening of Respiratory Status Criteria [Randomization to 72 Hours Post Randomization]

      Number of participants with worsening in one of 12 respiratory status criteria through 72 hours post randomization (need for additional surfactant therapy, desaturation < 80%, heart rate < 100 bpm, sustained fraction of inspired oxygen (FiO2) > 0.50, arterial carbon dioxide (PCO2) > 65 mmHg, sustained apnea, persistent arterial pH < 7.2, intubation for any reason, nCPAP > 7 cmH2O, initiation of intermittent positive pressure ventilation, death, principal investigator determination of worsening status)

    2. Bronchopulmonary Dysplasia [Randomization to 36 weeks PMA]

      Number of participants with bronchopulmonary dysplasia (BPD) and number of participants alive and without BPD at 36 weeks post-menstrual age (PMA)

    3. Number of Participants With Nasal Continuous Positive Airway Pressure (nCPAP) Failure [Randomization to 72 Hours Post Randomization]

      Participants who required intubation for mechanical ventilation or surfactant administration were defined as having failed nCPAP

    4. Death [Randomization to 36 weeks PMA]

      Number of participants who died during the study

    5. FiO2 [Randomization to 72 hours post randomization]

      Observed and change from baseline measurements for fraction of inspired oxygen (FiO2). Values represent the amount (fraction) of oxygen in the air the participant inspires; the values themselves do not have units. The normal amount of oxygen in air ("room air") is 21%, or 0.21.

    6. Number of Participants With Complications of Prematurity [Randomization to 36 weeks PMA]

      Number of participants with pre-specified common complications of prematurity.

    Other Outcome Measures

    1. nCPAP Failure Without Treatment Interruptions [Randomization to 72 Hours Post Randomization]

      Number of subjects requiring mechanical ventilation or surfactant administration (nCPAP failure) but did not have a treatment interruption

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    26 Weeks to 28 Weeks
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. Informed consent from a legally authorized representative.

    2. Gestational age 26 to 28 completed weeks post menstrual age (PMA).

    3. Successful implementation of controlled nCPAP within 90 minutes after birth.

    4. Spontaneous breathing.

    5. Chest radiograph consistent with RDS.

    6. Within the first 20 hours after birth, have an nCPAP of 5 to 6 cm H2O to maintain oxygen saturation measured by pulse oximetry (SpO2) of 88% to 95% with a fraction of inspired oxygen (FiO2) of 0.25 to 0.50 that is clinically indicated for at least 30 minutes. Transient (<10 minutes) FiO2 excursions below 0.25 or above 0.50 did not reset the 30 minute requirement.

    Exclusion Criteria:
    1. Heart rate that cannot be stabilized above 100 beats/minute within 5 minutes of birth.

    2. Recurrent episodes of apnea occurring after the initial newborn resuscitation period (ie, 10 minutes after birth) requiring intermittent positive pressure breaths using inflating pressures above the set CPAP pressure administered manually or mechanically through any patient interface.

    3. A 5 minute Apgar score < 5.

    4. Major congenital malformation(s) and cranial/facial abnormalities that preclude nCPAP, diagnosed antenatally or immediately after birth.

    5. Other diseases or conditions potentially interfering with cardiopulmonary function (eg, hydrops fetalis or congenital infection such as TORCH).

    6. Known or suspected chromosomal abnormality or syndrome.

    7. Premature rupture of membranes (PROM) > 2 weeks.

    8. Evidence of hemodynamic instability requiring vasopressors or steroids for hemodynamic support and/or presumed clinical sepsis.

    9. Need for endotracheal intubation and mechanical ventilation.

    10. Has been administered: another investigational agent or investigational medical device, any other surfactant agent, steroid treatment after birth.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Loma Linda University Medical Center Loma Linda California United States 92354
    2 Sharp Mary Birch Hospital for Women and Newborns San Diego California United States 92123
    3 Christiana Care Health System Newark Delaware United States 19713
    4 University of Miami Miami Florida United States 33136
    5 University of Louisville Louisville Kentucky United States 40202
    6 University of Nebraska Medical Center Omaha Nebraska United States 68105
    7 Columbia University College of Physicians and Surgeons, New York Presbyterian Hospital - Morgan Stanley Children's Hospital New York New York United States 10032
    8 New Hanover Regional Medical Center Wilmington North Carolina United States 28401
    9 Providence St. Vincent Medical Center Portland Oregon United States 97225
    10 Women and Infants Hospital Providence Rhode Island United States 02905
    11 Foothills Medical Centre Calgary Alberta Canada T2N 2T9
    12 Royal Alexandria Hospital Edmonton Alberta Canada T5H 3V9
    13 Sunnybrook Health Sciences Centre Toronto Ontario Canada M4N 3M5
    14 Montreal Children's Hospital Montreal Quebec Canada H4A 3J1
    15 Hospital Dr Sotero Del Rio Santiago Chile 8207257
    16 Hospital San Juan de Dios Santiago Chile 8350488
    17 S.U. nr2im. Dr. Jana Biziela Oddzial Kliniczny N. W. Z. Intensywna Terapia Noworodka wraz z Wgjazdowy m Zespolem N Bydgoszcz Kujawsko-pomorksie Poland 85-168
    18 Instytut Centrum Zdrowja Matki Polki Klinika Neonatologii Lodz Lodzkie Poland 93-338
    19 Szpital Kliniczny im. Ks, Anny Mazowieckiej Klinika Neonatologii Warsaw Mazowieckie Poland 00-315
    20 Ginekologiczno-Polozniczy Szpital Klinicznym UM im. Karola Marcinkowskiego w Poznan i u Katedra Neonatologii Poznan Wielkopolskie Poland 60-535

    Sponsors and Collaborators

    • Windtree Therapeutics

    Investigators

    • Study Director: Steve Simonson, MD, Windtree Therapeutics

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Windtree Therapeutics
    ClinicalTrials.gov Identifier:
    NCT02528318
    Other Study ID Numbers:
    • 03-CL-1401
    First Posted:
    Aug 19, 2015
    Last Update Posted:
    Jul 23, 2019
    Last Verified:
    Jul 1, 2019
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Arm/Group Description Lucinactant for inhalation 50 mg total phospholipids (TPL)/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy
    Period Title: Overall Study
    STARTED 8 8 8 0 24
    COMPLETED 8 8 8 0 24
    NOT COMPLETED 0 0 0 0 0

    Baseline Characteristics

    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone Total
    Arm/Group Description Lucinactant for inhalation 50 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy Total of all reporting groups
    Overall Participants 8 8 8 0 24 48
    Age (Count of Participants)
    <=18 years
    8
    100%
    8
    100%
    8
    100%
    0
    NaN
    24
    100%
    48
    100%
    Between 18 and 65 years
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    0
    0%
    0
    0%
    >=65 years
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    0
    0%
    0
    0%
    Age, Customized (weeks) [Mean (Standard Deviation) ]
    Gestational Age
    27.6
    (0.61)
    27.2
    (1.06)
    27.2
    (0.84)
    27.5
    (0.76)
    27.4
    (0.84)
    Sex: Female, Male (Count of Participants)
    Female
    3
    37.5%
    5
    62.5%
    5
    62.5%
    8
    Infinity
    21
    87.5%
    Male
    5
    62.5%
    3
    37.5%
    3
    37.5%
    16
    Infinity
    27
    112.5%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    3
    37.5%
    1
    12.5%
    2
    25%
    7
    Infinity
    13
    54.2%
    Not Hispanic or Latino
    5
    62.5%
    7
    87.5%
    6
    75%
    17
    Infinity
    35
    145.8%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    0
    0%
    Asian
    2
    25%
    0
    0%
    1
    12.5%
    1
    Infinity
    4
    16.7%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    0
    0%
    Black or African American
    1
    12.5%
    1
    12.5%
    2
    25%
    1
    Infinity
    5
    20.8%
    White
    3
    37.5%
    5
    62.5%
    4
    50%
    20
    Infinity
    32
    133.3%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    0
    0%
    Unknown or Not Reported
    2
    25%
    2
    25%
    1
    12.5%
    2
    Infinity
    7
    29.2%
    Region of Enrollment (participants) [Number]
    Canada
    1
    12.5%
    3
    37.5%
    4
    50%
    8
    Infinity
    16
    66.7%
    United States
    7
    87.5%
    3
    37.5%
    4
    50%
    12
    Infinity
    26
    108.3%
    Poland
    0
    0%
    2
    25%
    0
    0%
    3
    Infinity
    5
    20.8%
    Chile
    0
    0%
    0
    0%
    0
    0%
    1
    Infinity
    1
    4.2%
    Birth Weight (g) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [g]
    1052
    (174.7)
    855
    (84.6)
    839
    (224.9)
    1005
    (238.8)
    960
    (209.4)
    Apgar Score at One Minute (Scores on a scale) [Mean (Full Range) ]
    Mean (Full Range) [Scores on a scale]
    5.4
    5.5
    6.4
    5.8
    5.8
    Apgar Score at Five Minutes (Scores on a scale) [Mean (Full Range) ]
    Mean (Full Range) [Scores on a scale]
    7.8
    6.4
    8.1
    7.9
    7.7

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants With Peri-Dosing Adverse Events - Initial Dose
    Description Number of Participants with adverse events that were experienced during the initial study treatment
    Time Frame Randomization to 24 Hours Post Randomization

    Outcome Measure Data

    Analysis Population Description
    Safety Population. Peri-dosing events are events that occur during study treatment. Since this was an open-label study, no peri-dosing events were recorded for nCPAP alone. Any adverse events that occurred during the corresponding time for nCPAP alone were recorded as adverse events but not peri-dosing events.
    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Arm/Group Description Lucinactant for inhalation 50 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy
    Measure Participants 8 8 8 0 0
    Bradycardia
    0
    0%
    2
    25%
    1
    12.5%
    Desaturation
    1
    12.5%
    2
    25%
    3
    37.5%
    Gagging/regurgitation
    0
    0%
    0
    0%
    0
    0%
    Apnea
    1
    12.5%
    1
    12.5%
    1
    12.5%
    Pallor
    0
    0%
    0
    0%
    0
    0%
    2. Primary Outcome
    Title Number of Participants With Air Leak
    Description Number of participants with air leak (includes pneumothorax, pulmonary interstitial emphysema (PIE), pneumomediastinum, pneumopericardium, subcutaneous emphysema)
    Time Frame 7 days

    Outcome Measure Data

    Analysis Population Description
    This dose-escalation study was terminated after completion of the 100 mg/kg group for administrative purposes. No participants were enrolled in the 150 mg/kg group or received 150 mg/kg.
    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Arm/Group Description Lucinactant for inhalation 50 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy
    Measure Participants 8 8 8 0 24
    Count of Participants [Participants]
    3
    37.5%
    0
    0%
    2
    25%
    4
    Infinity
    3. Secondary Outcome
    Title Number of Participants With Worsening of Respiratory Status Criteria
    Description Number of participants with worsening in one of 12 respiratory status criteria through 72 hours post randomization (need for additional surfactant therapy, desaturation < 80%, heart rate < 100 bpm, sustained fraction of inspired oxygen (FiO2) > 0.50, arterial carbon dioxide (PCO2) > 65 mmHg, sustained apnea, persistent arterial pH < 7.2, intubation for any reason, nCPAP > 7 cmH2O, initiation of intermittent positive pressure ventilation, death, principal investigator determination of worsening status)
    Time Frame Randomization to 72 Hours Post Randomization

    Outcome Measure Data

    Analysis Population Description
    Intent-to-Treat Population
    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Arm/Group Description Lucinactant for inhalation 50 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy
    Measure Participants 8 8 8 0 24
    Count of Participants [Participants]
    6
    75%
    7
    87.5%
    6
    75%
    18
    Infinity
    4. Secondary Outcome
    Title Bronchopulmonary Dysplasia
    Description Number of participants with bronchopulmonary dysplasia (BPD) and number of participants alive and without BPD at 36 weeks post-menstrual age (PMA)
    Time Frame Randomization to 36 weeks PMA

    Outcome Measure Data

    Analysis Population Description
    Intent-to-Treat Population
    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Arm/Group Description Lucinactant for inhalation 50 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy
    Measure Participants 8 8 8 0 24
    BPD
    0
    0%
    0
    0%
    0
    0%
    6
    Infinity
    Alive and Without BPD
    7
    87.5%
    7
    87.5%
    8
    100%
    18
    Infinity
    5. Secondary Outcome
    Title Number of Participants With Nasal Continuous Positive Airway Pressure (nCPAP) Failure
    Description Participants who required intubation for mechanical ventilation or surfactant administration were defined as having failed nCPAP
    Time Frame Randomization to 72 Hours Post Randomization

    Outcome Measure Data

    Analysis Population Description
    Intent-to-Treat Population
    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Arm/Group Description Lucinactant for inhalation 50 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy
    Measure Participants 8 8 8 0 24
    Count of Participants [Participants]
    5
    62.5%
    7
    87.5%
    5
    62.5%
    16
    Infinity
    6. Secondary Outcome
    Title Death
    Description Number of participants who died during the study
    Time Frame Randomization to 36 weeks PMA

    Outcome Measure Data

    Analysis Population Description
    Safety Population
    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Arm/Group Description Lucinactant for inhalation 50 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy
    Measure Participants 8 8 8 0 24
    Count of Participants [Participants]
    1
    12.5%
    1
    12.5%
    0
    0%
    0
    NaN
    0
    0%
    7. Secondary Outcome
    Title FiO2
    Description Observed and change from baseline measurements for fraction of inspired oxygen (FiO2). Values represent the amount (fraction) of oxygen in the air the participant inspires; the values themselves do not have units. The normal amount of oxygen in air ("room air") is 21%, or 0.21.
    Time Frame Randomization to 72 hours post randomization

    Outcome Measure Data

    Analysis Population Description
    Safety Population
    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Arm/Group Description Lucinactant for inhalation 50 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy
    Measure Participants 8 8 8 0 24
    Baseline (Randomization)
    0.31
    (0.058)
    0.33
    (0.071)
    0.37
    (0.072)
    0.32
    (0.061)
    60 Minutes Post Randomization - Observed
    0.31
    (0.064)
    0.35
    (0.063)
    0.37
    (0.090)
    0.34
    (0.159)
    60 Minutes Post Randomizati - Change from Baseline
    0.01
    (0.010)
    0.02
    (0.024)
    0.01
    (0.044)
    0.01
    (0.162)
    3 Hours Post Randomization - Observed
    0.37
    (0.191)
    0.37
    (0.120)
    0.37
    (0.107)
    0.29
    (0.082)
    3 Hours Post Randomizaiton - Change from Baseline
    0.06
    (0.154)
    0.00
    (0.066)
    0.00
    (0.047)
    -0.03
    (0.082)
    12 Hours Post Randomization - Observed
    0.30
    (0.114)
    0.30
    (0.117)
    0.30
    (0.068)
    0.33
    (0.181)
    12 Hours Post Randomization - Change from Baseline
    -0.02
    (0.137)
    -0.07
    (0.074)
    -0.08
    (0.090)
    0.00
    (0.172)
    24 Hours Post Randomized - Observed
    0.28
    (0.093)
    0.25
    (0.044)
    0.28
    (0.077)
    0.29
    (0.143)
    24 Hours Post Randomized - Change from Baseline
    -0.03
    (0.072)
    -0.09
    (0.046)
    -0.08
    (0.105)
    -0.04
    (0.140)
    48 Hours Post Randomized - Observed
    0.28
    (0.058)
    0.24
    (0.038)
    0.29
    (0.071)
    0.31
    (0.188)
    48 Hours Post Randomized - Change from Baseline
    -0.03
    (0.083)
    -0.09
    (0.075)
    -0.09
    (0.091)
    -0.02
    (0.191)
    72 Hours Post Randomized - Observed
    0.30
    (0.105)
    0.23
    (0.023)
    0.25
    (0.050)
    0.27
    (0.119)
    72 Hours Post Randomized - Change from Baseline
    -0.02
    (0.133)
    -0.10
    (0.071)
    -0.12
    (0.066)
    -0.05
    (0.133)
    8. Secondary Outcome
    Title Number of Participants With Complications of Prematurity
    Description Number of participants with pre-specified common complications of prematurity.
    Time Frame Randomization to 36 weeks PMA

    Outcome Measure Data

    Analysis Population Description
    Safety Population
    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Arm/Group Description Lucinactant for inhalation 50 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy
    Measure Participants 8 8 8 0 24
    Subjects with Any Complication
    8
    100%
    7
    87.5%
    7
    87.5%
    22
    Infinity
    Acquired Sepsis
    2
    25%
    2
    25%
    2
    25%
    5
    Infinity
    Apnea
    8
    100%
    5
    62.5%
    6
    75%
    19
    Infinity
    Cystic Periventricular Leukomalcia
    0
    0%
    0
    0%
    0
    0%
    1
    Infinity
    Patent Ductus Arteriosus
    3
    37.5%
    3
    37.5%
    4
    50%
    10
    Infinity
    Pulmonary Hemorrhage
    1
    12.5%
    0
    0%
    1
    12.5%
    1
    Infinity
    Intraventicular Hemorrhage
    0
    0%
    1
    12.5%
    3
    37.5%
    4
    Infinity
    Necrotizing Enterocolitis
    1
    12.5%
    1
    12.5%
    1
    12.5%
    1
    Infinity
    Retinopathy of Prematurity
    2
    25%
    1
    12.5%
    1
    12.5%
    9
    Infinity
    9. Other Pre-specified Outcome
    Title nCPAP Failure Without Treatment Interruptions
    Description Number of subjects requiring mechanical ventilation or surfactant administration (nCPAP failure) but did not have a treatment interruption
    Time Frame Randomization to 72 Hours Post Randomization

    Outcome Measure Data

    Analysis Population Description
    Intent-to-Treat Without Treatment Interruption
    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Arm/Group Description Lucinactant for inhalation 50 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy
    Measure Participants 7 3 6 0 24
    Count of Participants [Participants]
    4
    50%
    3
    37.5%
    3
    37.5%
    16
    Infinity

    Adverse Events

    Time Frame From randomization to 36 weeks PMA
    Adverse Event Reporting Description This dose-escalation study was terminated after completion of the 100 mg/kg group for administrative purposes. No participants were enrolled in the 150 mg/kg group or received 150 mg/kg.
    Arm/Group Title 50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Arm/Group Description Lucinactant for inhalation 50 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 75 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 100 mg TPL/kg with nCPAP 1 repeat dose allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) Lucinactant for inhalation 150 mg TPL/kg with nCPAP 1 repeat dose will be allowed if repeat dosing criteria are met. Lucinactant for inhalation: Lucinactant for inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product) nCPAP therapy alone nCPAP alone: nCPAP therapy
    All Cause Mortality
    50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/8 (12.5%) 1/8 (12.5%) 0/8 (0%) 0/0 (NaN) 0/24 (0%)
    Serious Adverse Events
    50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 4/8 (50%) 3/8 (37.5%) 2/8 (25%) 0/0 (NaN) 6/24 (25%)
    Blood and lymphatic system disorders
    Anaemia neonatal 0/8 (0%) 0/8 (0%) 0/8 (0%) 0/0 (NaN) 1/24 (4.2%) 1
    Cardiac disorders
    Cardiac arrest 0/8 (0%) 0/8 (0%) 0/8 (0%) 0/0 (NaN) 1/24 (4.2%) 1
    Cardio-respiratory arrest 0/8 (0%) 0/8 (0%) 0/8 (0%) 0/0 (NaN) 1/24 (4.2%) 1
    Gastrointestinal disorders
    Gastric perforation 0/8 (0%) 0/8 (0%) 0/8 (0%) 0/0 (NaN) 1/24 (4.2%) 1
    Intestinal perforation 1/8 (12.5%) 1 0/8 (0%) 1 0/8 (0%) 1 0/0 (NaN) 1 1/24 (4.2%) 1
    Pneumoperitoneum 0/8 (0%) 1/8 (12.5%) 1 0/8 (0%) 1 0/0 (NaN) 1 0/24 (0%) 1
    Infections and infestations
    Pneumonia 0/8 (0%) 1/8 (12.5%) 1 0/8 (0%) 1 0/0 (NaN) 1 1/24 (4.2%) 1
    Sepsis neonatal 1/8 (12.5%) 1 0/8 (0%) 1 0/8 (0%) 1 0/0 (NaN) 1 0/24 (0%) 1
    Injury, poisoning and procedural complications
    Hepatic haemorrhage 0/8 (0%) 0/8 (0%) 0/8 (0%) 0/0 (NaN) 1/24 (4.2%) 1
    Laryngeal injury 0/8 (0%) 0/8 (0%) 0/8 (0%) 0/0 (NaN) 1/24 (4.2%) 1
    Traumatic liver injury 0/8 (0%) 0/8 (0%) 0/8 (0%) 0/0 (NaN) 1/24 (4.2%) 1
    Pregnancy, puerperium and perinatal conditions
    Intraventricular haemorrhage neonatal 0/8 (0%) 0/8 (0%) 2/8 (25%) 2 0/0 (NaN) 2 1/24 (4.2%) 1
    Necrotising enterocolitis neonatal 1/8 (12.5%) 1 0/8 (0%) 1 0/8 (0%) 1 0/0 (NaN) 1 1/24 (4.2%) 1
    Neonatal respiratory distress syndrome 0/8 (0%) 2/8 (25%) 2 0/8 (0%) 2 0/0 (NaN) 2 1/24 (4.2%) 1
    Neonatal respiratory failure 0/8 (0%) 1/8 (12.5%) 1 0/8 (0%) 1 0/0 (NaN) 1 0/24 (0%) 1
    Respiratory, thoracic and mediastinal disorders
    Apnoea neonatal 0/8 (0%) 0/8 (0%) 0/8 (0%) 0/0 (NaN) 1/24 (4.2%) 1
    Neonatal respiratory failure 0/8 (0%) 0/8 (0%) 0/8 (0%) 0/0 (NaN) 1/24 (4.2%) 1
    Pneumothorax 1/8 (12.5%) 1 0/8 (0%) 1 1/8 (12.5%) 1 0/0 (NaN) 1 2/24 (8.3%) 2
    Vascular disorders
    Shock 0/8 (0%) 0/8 (0%) 0/8 (0%) 0/0 (NaN) 1/24 (4.2%) 1
    Other (Not Including Serious) Adverse Events
    50 mg/kg 75 mg/kg 100 mg/kg 150 mg/kg nCPAP Alone
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 8/8 (100%) 8/8 (100%) 8/8 (100%) 0/0 (NaN) 24/24 (100%)
    Blood and lymphatic system disorders
    Anaemia neonatal 6/8 (75%) 6 4/8 (50%) 6 2/8 (25%) 2 0/0 (NaN) 0 12/24 (50%) 16
    Bandaemia 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Coagulopathy 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Leukocytosis 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Leukopenia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 2
    Neutropenia 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Thrombocytopenia 2/8 (25%) 2 2/8 (25%) 2 0/8 (0%) 0 0/0 (NaN) 0 4/24 (16.7%) 4
    Thrombocytosis 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Cardiac disorders
    Arrhythmia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Tachycardia 0/8 (0%) 0 1/8 (12.5%) 1 1/8 (12.5%) 1 0/0 (NaN) 0 0/24 (0%) 0
    Congenital, familial and genetic disorders
    Atrial septal defect 0/8 (0%) 0 1/8 (12.5%) 1 1/8 (12.5%) 1 0/0 (NaN) 0 0/24 (0%) 0
    Cardiac septal defect 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Hydrocele 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Patent ductus arteriosus 3/8 (37.5%) 3 3/8 (37.5%) 3 4/8 (50%) 4 0/0 (NaN) 0 10/24 (41.7%) 10
    Endocrine disorders
    Adrenal insufficiency 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Gastrointestinal disorders
    Abdominal distension 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Abdominal pain 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Constipation 5/8 (62.5%) 13 0/8 (0%) 0 1/8 (12.5%) 1 0/0 (NaN) 0 2/24 (8.3%) 2
    Gastric haemorrhage 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Gastric hypomotility 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Gastrointestinal hypomotility 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Gastrooesophageal reflux disease 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Haematemesis 2/8 (25%) 2 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Inguinal hernia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 2
    Salivary hypersection 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Umbilical hernia 0/8 (0%) 0 1/8 (12.5%) 1 1/8 (12.5%) 1 0/0 (NaN) 0 0/24 (0%) 0
    Vomiting 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    General disorders
    Endotracheal intubation complication 0/8 (0%) 0 0/8 (0%) 0 1/8 (12.5%) 1 0/0 (NaN) 0 1/24 (4.2%) 1
    Face oedema 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Hypothermia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 2
    Oedema 3/8 (37.5%) 3 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Pain 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Pyrexia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Hepatobiliary disorders
    Cholestasis 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 3/24 (12.5%) 3
    Gallbladder disorder 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Infections and infestations
    Bacteraemia 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Bacterial disease carrier 0/8 (0%) 0 0/8 (0%) 0 2/8 (25%) 2 0/0 (NaN) 0 0/24 (0%) 0
    Conjunctivitis 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Enterococcal sepsis 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Fungal skin infection 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Nosocomial infection 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Pneumonia 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 3/24 (12.5%) 3
    Pneumonia klebsiella 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Pneumonia staphylococcal 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Sepsis neonatal 1/8 (12.5%) 1 1/8 (12.5%) 1 1/8 (12.5%) 1 0/0 (NaN) 0 4/24 (16.7%) 4
    Septic shock 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Urinary tract infection 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 2
    Urinary tract infection enterococcal 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Urosepsis 0/8 (0%) 0 0/8 (0%) 0 1/8 (12.5%) 1 0/0 (NaN) 0 0/24 (0%) 0
    Injury, poisoning and procedural complications
    Blister 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Ear abrasion 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Infusion site extravasation 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Laceration 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Skin abrasion 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Tracheal injury 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Investigations
    Anticonvulsant drug level above therapeutic level 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Blood urea increased 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Cardiac murmur 2/8 (25%) 2 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Coagulation time prolonged 0/8 (0%) 0 0/8 (0%) 0 1/8 (12.5%) 1 0/0 (NaN) 0 0/24 (0%) 0
    Neutrophil count increased 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Oxygen saturation decreased 2/8 (25%) 3 4/8 (50%) 6 6/8 (75%) 11 0/0 (NaN) 0 9/24 (37.5%) 11
    PO2 increased 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Reticulocyte count increased 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Metabolism and nutrition disorders
    Dehydration 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Electrolyte imbalance 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Feeding intolerance 3/8 (37.5%) 3 1/8 (12.5%) 1 1/8 (12.5%) 1 0/0 (NaN) 0 1/24 (4.2%) 1
    Fluid retention 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Hypercalcaemia 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Hyperchloraemia 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 3/24 (12.5%) 3
    Hyperglycaemia 1/8 (12.5%) 1 2/8 (25%) 2 0/8 (0%) 0 0/0 (NaN) 0 3/24 (12.5%) 5
    Hyperkalaemia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 2
    Hypermagnesaemia 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Hypernatraemia 1/8 (12.5%) 1 2/8 (25%) 2 0/8 (0%) 0 0/0 (NaN) 0 4/24 (16.7%) 5
    Hypertriglyceridaemia 1/8 (12.5%) 1 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 3
    Hypoalbuminaemia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 3/24 (12.5%) 3
    Hypocalcaemia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 2
    Hypochloraemia 2/8 (25%) 2 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 3/24 (12.5%) 4
    Hypoglycaemia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 3/24 (12.5%) 3
    Hypokalaemia 0/8 (0%) 0 2/8 (25%) 2 0/8 (0%) 0 0/0 (NaN) 0 3/24 (12.5%) 4
    Hypomagnesaemia 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Hyponatraemia 3/8 (37.5%) 3 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 7/24 (29.2%) 7
    Hypophosphataemia 2/8 (25%) 2 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Hypovolaemia 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Metabolic acidosis 3/8 (37.5%) 3 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 5/24 (20.8%) 5
    Metabolic alkalosis 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Osteopenia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 2
    Vitamin D deficiency 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Nervous system disorders
    Hypotonia 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Lethargy 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Periventricular leukomalacia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Seizure 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 2
    Pregnancy, puerperium and perinatal conditions
    Agitation neonatal 0/8 (0%) 0 0/8 (0%) 0 1/8 (12.5%) 1 0/0 (NaN) 0 0/24 (0%) 0
    Bradycardia neonatal 0/8 (0%) 0 5/8 (62.5%) 7 3/8 (37.5%) 5 0/0 (NaN) 0 9/24 (37.5%) 9
    Fixed bowel loop 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Intraventricular haemorrhage neonatal 0/8 (0%) 0 1/8 (12.5%) 1 1/8 (12.5%) 1 0/0 (NaN) 0 2/24 (8.3%) 2
    Jaundice neonatal 5/8 (62.5%) 5 3/8 (37.5%) 3 1/8 (12.5%) 1 0/0 (NaN) 0 11/24 (45.8%) 12
    Necrotising enterocolitis neonatal 0/8 (0%) 0 1/8 (12.5%) 1 1/8 (12.5%) 1 0/0 (NaN) 0 1/24 (4.2%) 1
    Neonatal respiratory distress syndrome 1/8 (12.5%) 1 2/8 (25%) 2 2/8 (25%) 3 0/0 (NaN) 0 9/24 (37.5%) 12
    Periventricular haemorrhage neonatal 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Retinopathy of prematurity 2/8 (25%) 2 1/8 (12.5%) 1 1/8 (12.5%) 1 0/0 (NaN) 0 9/24 (37.5%) 9
    Small for dates baby 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Renal and urinary disorders
    Azotaemia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Haematuria 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Oliguria 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 2
    Renal failure 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 3
    Respiratory, thoracic and mediastinal disorders
    Apnoea neonatal 7/8 (87.5%) 7 4/8 (50%) 5 6/8 (75%) 9 0/0 (NaN) 0 19/24 (79.2%) 21
    Bronchopulmonary dysplasia 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 7/24 (29.2%) 8
    Chronic respiratory failure 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Hypercapnia 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 4
    Nasal discomfort 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Nasal inflammation 2/8 (25%) 3 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 2
    Nasal mucosal ulcer 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 0/24 (0%) 0
    Neonatal respiratory failure 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Neonatal tachypnoea 1/8 (12.5%) 1 0/8 (0%) 0 1/8 (12.5%) 1 0/0 (NaN) 0 2/24 (8.3%) 3
    Pneumothorax 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Pulmonary haemorrhage 0/8 (0%) 0 0/8 (0%) 0 1/8 (12.5%) 1 0/0 (NaN) 0 1/24 (4.2%) 1
    Pulmonary hypertension 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Pulmonary interstitial emphysema syndrome 3/8 (37.5%) 3 0/8 (0%) 0 1/8 (12.5%) 1 0/0 (NaN) 0 3/24 (12.5%) 3
    Pulmonary oedema neonatal 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 2
    Respiratory acidosis 2/8 (25%) 2 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 2
    Respiratory alkalosis 1/8 (12.5%) 1 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 2
    Respiratory tract haemorrhage 0/8 (0%) 0 0/8 (0%) 0 1/8 (12.5%) 1 0/0 (NaN) 0 0/24 (0%) 0
    Skin and subcutaneous tissue disorders
    Dermatitis diaper 4/8 (50%) 5 2/8 (25%) 2 1/8 (12.5%) 1 0/0 (NaN) 0 1/24 (4.2%) 1
    Rash 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 2/24 (8.3%) 2
    Vascular disorders
    Haemangioma 0/8 (0%) 0 1/8 (12.5%) 1 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Hypertension 0/8 (0%) 0 0/8 (0%) 0 0/8 (0%) 0 0/0 (NaN) 0 1/24 (4.2%) 1
    Hypotension 1/8 (12.5%) 1 2/8 (25%) 2 0/8 (0%) 0 0/0 (NaN) 0 4/24 (16.7%) 7

    Limitations/Caveats

    The study was terminated prior to subject enrollment for the 150 mg TPL/kg dose by the sponsor for administrative reasons. The overall results may have been impacted by treatment interruptions caused by clogging of study drug.

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The preparation and submittal for publication of a manuscript containing the study results shall be in accordance with a process determined by a mutual written agreement among Windtree Therapeutics, Inc. and participating institutions. The publication or presentation of any study results shall comply with all applicable privacy laws, including, but not limited to, HIPAA.

    Results Point of Contact

    Name/Title Robert Segal, MD, FACP
    Organization Windtree Therapeutics, Inc.
    Phone 215-488-9300 ext 9450
    Email rsegal@windtreetx.com
    Responsible Party:
    Windtree Therapeutics
    ClinicalTrials.gov Identifier:
    NCT02528318
    Other Study ID Numbers:
    • 03-CL-1401
    First Posted:
    Aug 19, 2015
    Last Update Posted:
    Jul 23, 2019
    Last Verified:
    Jul 1, 2019