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Preterm Paediatric Inhaled Corticosteroid Intervention (PICSI)

Inhaled corticosteroids for treating active lung disease in survivors of preterm birth

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12618000781246
Acronym
PICSI
Enrollment
214
Registered
2018-05-09
Start date
2018-10-23
Completion date
2022-02-04
Last updated
2023-01-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

More than 15 million babies are born preterm each year. Life-long pulmonary consequences, including recurrent respiratory symptoms, airway obstruction, airway hyper-reactivity and declining lung function are especially evident in those born very preterm (<32 weeks gestation). However, there are no evidence-based interventions available or recommended to halt or reverse chronic lung disease in survivors of preterm birth after they leave the neonatal intensive care unit. This project aims to assess the effect of a 12-week treatment with inhaled corticosteroids (fluticasone propionate) on the lung function of children born very prematurely and identify the clinical features of those with a positive response to inhaled corticosteroid therapy.

Interventions

Fluticasone propionate 125 mcg twice daily for 12 weeks Inhaled actuation. Parent-assisted, at-home administration. Adherance will be recorded by participants and return of the product at the end of trial will allow for dose counting for each participant.

Sponsors

Telethon Kids Institute
Lead SponsorOther Collaborative groups

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
6 Years to 12 Years
Healthy volunteers
Yes

Inclusion criteria

Preterm-born participants: Children aged 6-12 years who were born at less than or equal to 32 weeks gestation, Healthy volunteers: Children aged 6-12 years who were born >37 weeks gestation who have no recurrent respiratory symptoms.

Exclusion criteria

• Severe congenital abnormalities • Severe cardiopulmonary defects • Severe neurodevelopmental impairment • Glucocorticoid use within the past 3 months

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026