Pulmonary Hypertension
Conditions
Keywords
Iloprost, PPHN, Newborn, Pulmonary Hypertension, Term, Persistent Pulmonary Hypertension of the Newborn
Brief summary
Inhaled Iloprost will be administered to near term infants with Persistent Pulmonary Hypertension of the Newborn in two different doses in order to test safety and efficacy in reducing pulmonary artery pressure.
Detailed description
Infants eligible for the study will be divided into two arms according to oxygenation index: Infants in arm A (OI \<20) will receive nebulized Iloprost in a lower dose (50 ng/kg/min) for one hour, and a higher dose (100 ng/kg/min) for another hour. Infants in arm B (OI\>20) will receive NO, and in addition will receive nebulized Iloprost in a lower dose for one hour and a higher dose for another hour.
Interventions
50 micrograms for one hour followed by 100 micrograms for one hour
Sponsors
Study design
Eligibility
Inclusion criteria
* Near-term infants (\>34 gestational age) with evidence of persistent pulmonary hypertension and severe hypoxia(PaO2\<100 mmHg with mechanical ventilation with FiO2=100%).
Exclusion criteria
* Major congenital malformation * Congenital diaphragmatic hernia * Structural cardiac anomalies * Hydrops fetalis * Pulmonary hemorrhage * Severe perinatal depression * Patients on high frequency oscillation ventilator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oxygenation index and PaO2 after treatment with inhaled Iloprost. | three hours |
Countries
Israel, United States