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 type | Interventional |
|---|---|
| Ages | Any age to 2 Days |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | Karolinska Institutet Academic / other |
| Locations | 1 site (Stockholm) |
| Status | Recruiting |
| Started | May 21, 2021 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2026 |
| Registry record updated | July 1, 2025 |
| Trial ID | NCT04445571 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
- Study coordinator: Kajsa Bohlin, MD
- Email: kajsa.bohlin@ki.se
- Phone: +46858580000
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.