Inhaled Beta-2 Agonist Versus Epinephrine For Treatment of Transient Tachypnea of Newborn (TTN)

NCT05006235 — Phase 1, Completed, 135 participants, Ahmed Noaman

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Inhaled Beta-2 Agonist Versus Epinephrine For Treatment of Transient Tachypnea of Newborn

RegistryNCT05006235
StatusCompleted
PhasePhase 1
Study typeInterventional; randomized, parallel, masking: triple, supportive care
Enrollment135 (Actual)
SponsorAhmed Noaman (Other)
ConditionsTransient Tachypnea of the Newborn
InterventionsEpinephrine Inhalation Solution, Salbutamol, Saline Inhalants (Drug)
Datesstart 2014-02-01, primary completion 2015-12-31, completion 2015-12-31, first posted 2021-08-16, last updated 2021-08-16

Related Papers Related Patents Related Grants Related Experts
All trials for Transient Tachypnea of the Newborn All trials of Epinephrine Inhalation Solution All trials of Salbutamol

-Summary

Inhaled Beta-2 Agonist Versus Epinephrine For Treatment of Transient Tachypnea of Newborn: Randomized controlled trial to assess:

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+Detailed description

This is a randomized double-blind randomized controlled trial. It had been conducted at the Neonatal Intensive Care Unit (NICU) of Mansoura University Children's Hospital, Egypt Written informed consent had been taken from all parents whose infants were recruited in the study. The ethics committee of the faculty of medicine has approved the study.

+Arms and interventions

ArmTypeInterventionsDescription
Salbutamol GroupActive comparatorDrug: Salbutamolincluded babies who had received nebulized B2 agonist salbutamol (0.15 mg/kg) + 4ml normal saline
Epinephrine GroupActive comparatorDrug: Epinephrine Inhalation Solutionincluded babies who had received nebulized epinephrine (0, 05 ml/Kg) + 4ml normal saline
Saline GroupPlacebo comparatorDrug: Saline Inhalantsinclude babies who had received nebulized 0.9% saline
  • Epinephrine Inhalation Solution (Drug)
  • Salbutamol (Drug)
  • Saline Inhalants (Drug)

+Outcome measures

Primary outcomes

  • Duration of oxygen support & O2 concentration until Downes' score less than 4 [through study completion, about 1 year]

Secondary outcomes

  • Length of hospital stay until Downes' score less than 4 [through study completion, about 1 year]
  • Type of respiratory support (oxygen delivery and oxygen concentration) [within 12 hours after intervention]
  • Effect of intervention on blood sugar (mg/dl) [within 12 hours after intervention]

+Eligibility

Sex: All, ages: 1 Hour to 6 Hours

Inclusion Criteria:

* babies with 35 weeks of gestation or more in the first 6 hours of life diagnosed with TTN according to the criteria of which are:

  * Tachypnea (respiratory rate exceeding 60 breaths/ min) within 6 hours after birth
  * Persistence of tachypnea for at least 12 hours
  * Mild cyanosis, nasal flaring, or retractions.
  * Chest radiograph indicating at least one of the following:
* Prominent central vascular markings
* Widened interlobar fissures
* Symmetrical perihilar congestion
* Hyperaeration is evidenced by flattening and depression of the diaphragmatic domes.

Exclusion Criteria:

* Newborn infants with gestational age < 35 weeks
* Meconium aspiration
* Respiratory distress syndrome
* Pneumonia
* Congenital heart diseases including persistent pulmonary hypertension of the neworn (PPHN)
* Sepsis or suspected sepsis
* Polycythemia
* Newborn infants with congenital malformations and chromosomal anomalies
* Newborn infants with ventilatory support.
* Newborn infants with arrhythmia

+Publications

  • Bertrand P, Aranibar H, Castro E, Sanchez I. Efficacy of nebulized epinephrine versus salbutamol in hospitalized infants with bronchiolitis. Pediatr Pulmonol. 2001 Apr;31(4):284-8. doi: 10.1002/ppul.1040. PMID 11288210
  • Clark RH. The epidemiology of respiratory failure in neonates born at an estimated gestational age of 34 weeks or more. J Perinatol. 2005 Apr;25(4):251-7. doi: 10.1038/sj.jp.7211242. PMID 15605071
  • Rawlings JS, Smith FR. Transient tachypnea of the newborn. An analysis of neonatal and obstetric risk factors. Am J Dis Child. 1984 Sep;138(9):869-71. doi: 10.1001/archpedi.1984.02140470067022. PMID 6540983
  • Sweet DG, Carnielli V, Greisen G, Hallman M, Ozek E, Plavka R, Saugstad OD, Simeoni U, Speer CP, Vento M, Halliday HL; European Association of Perinatal Medicine. European consensus guidelines on the management of neonatal respiratory distress syndrome in preterm infants--2013 update. Neonatology. 2013;103(4):353-68. doi: 10.1159/000349928. Epub 2013 May 31. PMID 23736015
  • Vollsaeter M, Roksund OD, Eide GE, Markestad T, Halvorsen T. Lung function after preterm birth: development from mid-childhood to adulthood. Thorax. 2013 Aug;68(8):767-76. doi: 10.1136/thoraxjnl-2012-202980. Epub 2013 Jun 7. PMID 23749815
  • Yurdakok M. Transient tachypnea of the newborn: what is new? J Matern Fetal Neonatal Med. 2010 Oct;23 Suppl 3:24-6. doi: 10.3109/14767058.2010.507971. PMID 20807157