A randomised controlled trial in preterm infants comparing prophylactic with selective “Less Invasive Surfactant Administration” (pro.LISA)

2024-516504-42-00 Protocol pro.LISA_01_21 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 5 Mar 2022 · Status Ongoing, recruiting · 1 EU/EEA countries · 26 sites · Protocol pro.LISA_01_21

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 578
Countries 1
Sites 26

Respiratory distress syndrome in preterm infants

The aim of the pro.LISA study is to clarify the question of whether prophylactic use of surfactant in premature infants with a gestational age of 25 weeks + 0 days to 30 weeks + 6 days leads to an improved forced expiratory volume within the first second (FEV1) at the age of 5 years. The aim of the pro.LISA study is to…

Key facts

Sponsor
Universitaetsklinikum Schleswig-Holstein AöR
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Respiratory Tract Diseases [C08]
Trial duration
5 Mar 2022 → ongoing
Decision date (initial)
2024-07-31
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Federal Ministry of Education and Research (BMBF)

External identifiers

EU CT number
2024-516504-42-00
EudraCT number
2021-005495-19
WHO UTN
U1111-1310-2028

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Prophylaxis

The aim of the pro.LISA study is to clarify the question of whether prophylactic use of surfactant in premature infants with a gestational age of 25 weeks + 0 days to 30 weeks + 6 days leads to an improved forced expiratory volume within the first second (FEV1) at the age of 5 years. The aim of the pro.LISA study is to clarify the question of whether prophylactic use of surfactant in preterm infants with a gestational age of 25 weeks + 0 days to 30 weeks + 6 days leads to an improved forced expiratory volume within the first second (FEV1) at the age of 5 years.

Secondary objectives 1

  1. Investigation of the influence of prophylactic LISA therapy on long-term lung function and complications of prematurity.

Conditions and MedDRA coding

Respiratory distress syndrome in preterm infants

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Preterm infants with a gestational age of 25+0 to 30+6 weeks of pregnancy
  2. Age <= 60 minutes
  3. Spontaneous breathing on CPAP
  4. Pulse oximetrically measured saturation >=90% with a FiO2 <= 30%
  5. Written informed consent of the legal guardian(s) (retrospectively if necessary)

Exclusion criteria 2

  1. Malformations or diseases with a probable lethal outcome
  2. Hypersensitivity to surfactant, sodium hydrogen carbonate or sodium chloride

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Forced expiratory volume within the first second (... Forced expiratory volume within the first secoForced expiratory volume within the first second (FEV1) at 5 years of age (Global Lung Function Initiative z-score).

Secondary endpoints 1

  1. At the age of 5 years: (1) FVC z-score, (2) FEV1/FVC z-score, (3) walking distance in the 3-minute walk test, (4) obstructive bronchitis treated with medication in the last 12 months, (5) cerebral palsy, defined as Gross Motor Function Classification System values > 1, (6) values in the Movement Assessment Battery for Children score, (7) intelligence quotient, determined with the WPPSI IV

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

ALVEOFACT® 45 mg/ml 54 mg, Pulver und Lösungsmittel zur Herstellung einer Suspension

PRD807373 · Product

Active substance
Phospholipid Fraction, Bovine Lung
Pharmaceutical form
ENDOTRACHEOPULMONARY INSTILLATION, SUSPENSION
Route of administration
ENDOTRACHEOPULMONARY USE
Max daily dose
200 mg/kg milligram(s)/kilogram
Max total dose
100 mg/kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
R07AA02 — NATURAL PHOSPHOLIPIDS
Marketing authorisation
19273.00.00
MA holder
LYOMARK PHARMA GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Curosurf® 120 mg Suspension zur endotracheopulmonalen Instillation

PRD322753 · Product

Active substance
Poractant Alfa
Pharmaceutical form
ENDOTRACHEOPULMONARY INSTILLATION, SUSPENSION
Route of administration
ENDOTRACHEOPULMONARY USE
Max daily dose
200 mg/kg milligram(s)/kilogram
Max total dose
100 mg/kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
R07AA02 — NATURAL PHOSPHOLIPIDS
Marketing authorisation
29016.00.00
MA holder
CHIESI GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Universitaetsklinikum Schleswig-Holstein AöR

Sponsor organisation
Universitaetsklinikum Schleswig-Holstein AöR
Address
Ratzeburger Allee 160
City
Luebeck
Postcode
23538
Country
Germany

Scientific contact point

Organisation
Universitaetsklinikum Schleswig-Holstein AöR
Contact name
Prof. Dr. Wolfgang Göpel

Public contact point

Organisation
Universitaetsklinikum Schleswig-Holstein AöR
Contact name
Prof. Dr. Wolfgang Göpel

Locations

1 EU/EEA country · 26 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ongoing, recruiting 578 26
Rest of world 0

Investigational sites

Germany

26 sites · Ongoing, recruiting
Universitätsklinikum Freiburg
Center for Pediatric Clinical Studies, Mathildenstr. 1, 79106, Freiburg
Klinikum Itzehoe
Paediatric clinic, Robert-Koch-Straße 2, 25524, Itzehoe
Helios Klinikum Hildesheim GmbH
Paediatric clinic, Senator-Braun-Allee 33, Ost, Hildesheim
St. Vincenz-Krankenhaus
Paediatric clinic, Husener Str. 81, Frauen- und Kinderklinik, Paderborn
Klinik Hallerwiese-Cnopfsche Kinderklinik
Paediatric clinic, St.-Johannis-Mühlgasse 19, 90419, Nürnberg
Universität Witten/Herdecke - Vestische Kinder- und Jugendklinik Datteln
Paediatric clinic, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln
Universitätsmedizin Göttingen
Paediatric clinic, Robert-Koch-Str. 40, 37099, Göttingen
Klinikum Bremen-Mitte gGmbH
Paediatric clinic, Strasse-Juergen-Strasse 1, 28205, Bremen
Universitätsklinikum Tübingen
Center for Pediatric Clinical Studies, Calwerstr. 7, 72076, Tübingen
Universitätsmedizin Greifswald
Paediatric clinic, Ferdinand-Sauerbruchstraße, 17475, Greifswald
Evangelisches Klinikum Bethel gGmbH
Paediatric clinic, Burgsteig 13, 33617, Bielefeld
Universitätsklinikum Düsseldorf
Paediatric clinic, Moorenstr. 5, 40225, Düsseldorf
Vivantes Netzwerk fuer Gesundheit GmbH
Paediatric clinic, Landsberger Allee 49, Friedrichshain, Berlin
Universitaetsklinikum Magdeburg AöR
Paediatric clinic, Leipziger Strasse 44, 39120, Magdeburg
Klinikverbund Allgaeu gGmbH
Paediatric clinic, Robert Weixler Strasse 50, 87439, Kempten (Allgau)
Christophorus Kliniken Coesfeld
Paediatric clinic, Südring 41, 48653, Coesfeld
Universitaetsklinikum Schleswig-Holstein AöR
Paediatric clinic, Ratzeburger Allee 160, 23538, Luebeck
Universitäts­klinikum Würzburg
Paediatric clinic, Josef-Schneider-Str. 2, 97080, Würzburg
GFO Kliniken Bonn, Betriebsstätte St. Marien-Hospital
Paediatric clinic, Robert-Koch-Str. 1, 53115, Bonn
Universitätsklinikum Essen
Paediatric clinic, Hufelandstr. 55, 45122, Essen
Bürgerhospital Frankfurt am Main – Clementine Kinderhospital
Paediatric clinic, Nibelungenallee 37-41, 60318, Frankfurt am Main
Universitaetsklinikum Giessen und Marburg GmbH
Clinic for Paediatrics and Adolescent Medicine, Baldingerstrasse 1, 35043, Marburg
Vivantes Netzwerk fuer Gesundheit GmbH
Paediatric clinic, Rudower Strasse 48, Buckow, Berlin
Klinikum der Universität zu Köln
Paediatric clinic, Kerpener Str. 62, 50937, Köln
Asklepios Kliniken Hamburg GmbH
Paediatric clinic, Ruebenkamp 220, 22291, Hamburg
KJF Klinik Augsburg, Klinik für Kinder und Jugendliche
Paediatric clinic, Kapellenstraße 30, 86154, Augsburg

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2022-03-05 2024-07-31

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 22 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocol_2024-516504-42-00_for publication 5
Protocol (for publication) Protocol_SM1_2024-516504-42-00_for publication 6
Protocol (for publication) Statistical studyplan_SM2_2024-516504-42-00_for publication 5
Protocol (for publication) Statistical studyplan_SM2_RFI_2024-516504-42-00_for publication 5.1
Recruitment arrangements (for publication) Assessment CTD 1
Recruitment arrangements (for publication) Recruitment_arrangements 1
Subject information and informed consent form (for publication) ICF arabic (delayed consent)_for publication 4
Subject information and informed consent form (for publication) ICF arabic_for publication 4
Subject information and informed consent form (for publication) ICF english (delayed consent)_for publication 4
Subject information and informed consent form (for publication) ICF english_for publication 4
Subject information and informed consent form (for publication) ICF german (delayed consent)_for publication 4
Subject information and informed consent form (for publication) ICF german_delayed consent_SM2_for publication 5
Subject information and informed consent form (for publication) ICF german_for publication 4
Subject information and informed consent form (for publication) ICF german_SM2_for publication 5
Subject information and informed consent form (for publication) ICF turkish (delayed consent)_for publication 4
Subject information and informed consent form (for publication) ICF turkish_for publication 4
Subject information and informed consent form (for publication) ICF ukrainian (delayed consent)_for publication 4
Subject information and informed consent form (for publication) ICF ukrainian_for publication 4
Summary of Product Characteristics (SmPC) (for publication) IB_Alveofact 1
Summary of Product Characteristics (SmPC) (for publication) IB_Alveofact_SM2_10-2023 3
Summary of Product Characteristics (SmPC) (for publication) IB_Alveofact_SM2_10-2023_TC 3
Summary of Product Characteristics (SmPC) (for publication) IB_Curosurf 1

Application history

8 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-17 Germany Acceptable
2024-07-26
2024-07-31
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-11-06 Germany Acceptable
2024-07-26
2024-11-06
3 SUBSTANTIAL MODIFICATION SM-3 2025-05-28 Germany Acceptable
2025-06-27
2025-06-30
4 SUBSTANTIAL MODIFICATION SM-4 2025-07-09 Germany Acceptable
2025-08-14
2025-08-15
5 SUBSTANTIAL MODIFICATION SM-5 2025-09-25 Germany Acceptable 2025-10-02
6 SUBSTANTIAL MODIFICATION SM-6 2025-11-18 Germany Acceptable 2025-11-25
7 SUBSTANTIAL MODIFICATION SM-7 2026-01-22 Germany Acceptable 2026-01-28
8 SUBSTANTIAL MODIFICATION SM-8 2026-02-23 Germany Acceptable 2026-03-11