Study to Test if Zelpultide Alfa Helps Prevent Lung Disease in High-Risk Premature Babies

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What is this study about?

This clinical trial is focused on studying a condition known as bronchopulmonary dysplasia (BPD), which affects the lungs of very premature babies. The trial is investigating a treatment called zelpultide alfa, also known by its code name AT-100. This treatment is a type of protein that is similar to a natural substance found in the lungs, called recombinant human surfactant protein-D. The study aims to find out if adding zelpultide alfa to the usual care can help protect the lungs and prevent lung injury in these high-risk infants.

The purpose of the study is to compare the effectiveness of zelpultide alfa combined with the standard care against the standard care plus a placebo, which is a treatment that looks like the real one but has no active ingredients. The trial will involve very premature babies who are at high risk of developing BPD. These babies will receive either the new treatment or the placebo, in addition to the usual care they would normally receive. The study will monitor the babies to see if the new treatment helps reduce the occurrence of severe BPD or death by the time they reach 36 weeks of age, which is a common milestone for assessing lung health in premature infants.

Throughout the study, researchers will also look at other factors, such as the number of days the babies can breathe without the help of a ventilator and the overall survival rate by the 36-week mark. The trial is designed to provide valuable information on whether zelpultide alfa can offer additional protection for the lungs of these vulnerable infants, potentially leading to better outcomes and fewer complications related to BPD.

1 joining the study

The study involves very premature babies born between 23 weeks and 27 weeks and 6 days of gestation.

The baby must have received at least one dose of the usual treatment for lung support after birth.

The baby must be on a breathing machine as part of the usual care.

2 initial treatment

The baby will receive the first dose of zelpultide alfa or a placebo (a harmless substance) at least 15 minutes after the usual lung treatment but within 96 hours of birth and within 48 hours from starting the breathing machine.

If the baby was taken off the breathing machine and then put back on, they can still receive the treatment if they meet the criteria.

3 treatment administration

Zelpultide alfa is given through a method called endotracheopulmonary instillation, which means it is delivered directly into the lungs.

The treatment is a solution that is administered in room air.

4 monitoring and follow-up

The baby’s health will be monitored to see if they develop a lung condition called bronchopulmonary dysplasia (BPD) or if there are any other health concerns.

The main goal is to see if zelpultide alfa helps prevent BPD or reduces the risk of death by the time the baby reaches 36 weeks of corrected age.

5 study duration

The study is expected to continue until March 2027.

The recruitment of participants is estimated to start in October 2024.

Who Can Join the Study?

  • The baby must be born between 23 weeks and 27 weeks and 6 days of pregnancy.
  • The baby must have received at least one dose of a special treatment called pulmonary surfactant, which helps the lungs work better, after birth.
  • The baby must be using a breathing machine, known as invasive mechanical ventilation, as part of their standard care.
  • The baby must be able to receive the first dose of the study medication, zelpultide alfa, or a pretend treatment, called air-sham, at least 15 minutes after the surfactant treatment but within 96 hours of birth and within 48 hours from starting the breathing machine. If the baby was taken off the breathing machine and then put back on after receiving the surfactant, they can still participate if they meet all the criteria.
  • The baby’s parent(s) or legal guardian(s) must sign a form giving their permission for the baby to participate in the study and allowing the use of personal information.

Who Cannot Join the Study?

  • Neonates who are not born prematurely cannot participate.
  • Neonates who are not at high risk for developing bronchopulmonary dysplasia (BPD) cannot participate. BPD is a lung condition that can affect newborns, especially those born early.
  • Neonates who are not within the specified age range for the study cannot participate.
  • Neonates who do not meet the study’s health and safety requirements cannot participate.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Other Sites

Site Name City Country Status
Klinikum Nuernberg Nürnberg Germany
ASST Fatebenefratelli Sacco Milan Italy
IRCCS Istituto Giannina Gaslini Genoa Italy
Hospital Sant Joan De Deu Barcelona Esplugues De Llobregat Spain
Centre Hospitalier Regional De La Citadelle Liege Belgium
Hospital General Universitario Gregorio Maranon Madrid Spain
Hospital Universitario Puerta Del Mar Cadiz Spain
Instytut Centrum Zdrowia Matki Polki Lodz Poland
Azienda Ospedaliera di Padova Padua Italy
Universitaetsklinikum Regensburg AöR Regensburg Germany
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico Milan Italy
Hospital Clinic De Barcelona Barcelona Spain
Hopital Antoine Beclere Clamart France
Hospital Universitario De Cruces Barakaldo Spain
Robert Debre University Hospital Paris France
Universidade De Santiago De Compostela Santiago De Compostela Spain
Hospital Universitari Arnau De Vilanova De La Gerencia Territorial De Lleida Lleida Spain
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki W Krakowie Cracow Poland
Gasthuiszusters Antwerpen Antwerp Belgium
Medical Center – University Of Freiburg Freiburg Im Breisgau Germany
CHC MontLegia Liege Belgium
Centre Hospitalier Universitaire De Nice Nice France
Hopital Beaujon Clichy France
Vrije Universiteit Brussel Jette Belgium
Centre Hospitalier Intercommunal De Poissy Saint Germain St Germain En Laye France
Bicetre Hospital Le Kremlin-Bicetre France
Centro Hospitalar Universitario De Santo Antonio E.P.E. Porto Portugal
CCAB Centro Clinico Academico Braga Associacao Braga Portugal
Cmkowomwo Uaguirozcicvbp Ssofqnhqx Woluwe-Saint-Lambert Belgium
Utycexfooh Mogxjtn Cqppdy Hvpmiqppaacufqksr Hamburg Germany
Gobfsixqsvfkol Pkcxlcbugy Sholopy Koqevmzxy Upwycaxscgsu Mtjwrxiere Ix Kxrxgo Mwwxdhwosbqjekh W Paaebzcq Poznan Poland
Uvuktkvgzjjjn Skudexw Kpmpdgcij Na 2 Pqj W Smmwxlxptj Szczecin Poland
Cnet Do Ntgdt Vandoeuvre Les Nancy France
Ugdohyhzgcnpzsjtfyero Wtnwwldgj Aws Wuerzburg Germany
Alpavya Utzzw Slxjwqvvj Ludjwi Dn Boapufc Bologna Italy
Ugfjzzqxkqumie Czrmgzl Kydewevfl Gdansk Poland
Htswijso Do Le Shfik Czap I Sbfc Pzh Barcelona Spain
Fawarexap Pyyx Lo Ibuijzgmncmrz Bhcrfjtwx Dqn Hzvayhge Uuezwewpzfspy Ld Pjw Madrid Spain

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Belgium Belgium
Not yet recruiting
01.10.2024
France France
Recruiting
01.10.2024
Germany Germany
Not yet recruiting
01.10.2024
Italy Italy
Recruiting
01.10.2024
Poland Poland
Recruiting
01.10.2024
Portugal Portugal
Not yet recruiting
01.10.2024
Spain Spain
Recruiting
01.10.2024

Trial locations

Zelpultide Alfa is a medication being studied to see if it can help prevent a lung condition called bronchopulmonary dysplasia (BPD) in premature babies who are at high risk. The trial is testing whether adding Zelpultide Alfa to the usual care that these babies receive can reduce the chances of developing severe forms of BPD or dying from the condition.

Investigated diseases:

Prematurity in Neonates – This condition occurs when a baby is born before the 37th week of pregnancy. Premature infants often have underdeveloped organs, which can lead to various health challenges. They may experience difficulties with breathing, feeding, and maintaining body temperature. The risk of infections and other complications is higher in these infants due to their immature immune systems. As they grow, they may face developmental delays and require specialized medical care. The progression of health issues in premature neonates can vary widely depending on the degree of prematurity and individual health factors.

Bronchopulmonary Dysplasia – This is a chronic lung condition that affects newborns, primarily those who are born prematurely and require oxygen therapy. It is characterized by inflammation and scarring in the lungs. The condition develops as a result of damage to the lungs caused by mechanical ventilation and long-term use of oxygen. Infants with bronchopulmonary dysplasia may experience difficulty breathing and require prolonged respiratory support. Over time, the condition can lead to long-term respiratory problems and may affect growth and development. The severity of the disease can range from mild to severe, impacting the infant’s overall health and quality of life.

Trial ID:
2024-513420-41-00
Protocol code:
ZEL-003
Trial Phase:
Therapeutic use (Phase IV)

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