Clinical trial Recruiting at 1 site Interventional Ages Any age to 2 Days

Comparing two methods for surfactant administration in preterm infants

Official title: Surfactant Administration by Insure or Thin Catheter

Run by Karolinska Institutet · NCT04445571 · Data updated 2026-11-12

This study is testing a new way to give surfactant to preterm infants with breathing problems to see if it helps them breathe better and feel less pain compared to the usual method.

Quick facts

Study typeInterventional
AgesAny age to 2 Days
SexAll
Enrollment160 (estimated)
SponsorKarolinska Institutet
Academic / other
Locations1 site (Stockholm)
StatusRecruiting
StartedMay 21, 2021
Main results expectedDecember 31, 2025
Study endsDecember 31, 2026
Registry record updatedJuly 1, 2025
Trial IDNCT04445571 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are infants born before 32 completed weeks of gestation who are on CPAP and show clinical signs of RDS requiring surfactant treatment.

Probably not a fit

Patients who may not benefit from this study include those requiring surfactant as part of delivery room resuscitation or those with congenital abnormalities affecting breathing.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This trial evaluates the efficacy and safety of surfactant administration using a thin catheter technique combined with analgesic premedication, compared to the established INSURE strategy. It focuses on preterm infants born before 32 weeks of gestation who are on CPAP and require surfactant treatment for respiratory distress syndrome (RDS). The study aims to assess outcomes such as oxygenation improvement, reduction in respiratory failure, and the need for mechanical ventilation within 48 hours post-procedure. Additionally, it will investigate safety aspects, including stress and pain levels during the administration process.

Why it matters

Potential benefit: If successful, this study could enhance lung protective treatment strategies for preterm infants, potentially improving their oxygenation and reducing the need for invasive ventilation.

How similar studies have gone: Other studies have shown promising results with similar approaches, indicating potential for success in this trial.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Infants born before 32 completed weeks of gestation on CPAP, with clinical and radiological signs of RDS and need for surfactant treatment.

Exclusion Criteria:

* Infants requiring surfactant as part of delivery room resuscitation are not eligible.

Infants will be excluded from the final analysis if they have a congenital abnormality or condition that might have an adverse effect on breathing or ventilation, including: congenital diaphragmatic hernia; tracheo-oesophageal fistula or cyanotic heart disease.

Where it's running

  • Karolinska University Hospital
    Stockholm, Sweden
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.