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Phase 2 N=106 Randomized Quadruple-blind Treatment

Safety of Sildenafil in Premature Infants

Bronchopulmonary Dysplasia

Enrolled (actual)
106
Serious AEs
14.7%
Results posted
Mar 2026
Primary outcome: Primary: Safety as Determined by Adverse Event Experienced by Participants — 71; 83; 53; 60 Events

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Sildenafil (Drug); Placebo (Other)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
University of North Carolina, Chapel Hill
Primary completion
Mar 2025

Outcome Measures

OutcomeResultp-value
PRIMARY
Safety as Determined by Adverse Event Experienced by Participants
71; 83; 53; 60
SECONDARY
Volume of Distribution
3.01; 3.67; 3.07
SECONDARY
Clearance
1.23; 1.54; 1.30
SECONDARY
Half-Life
7.89; 7.87; 7.46
SECONDARY
Area Under the Curve (AUC)
174.0; 610.50; 1196.78
SECONDARY
Peak Plasma Concentration
11.51; 39.72; 84.36
SECONDARY
Change in Moderate-severe BPD or Death
66.3; 68.4; 55.2; 70.9; 66.0; 60.2

Summary

Describe the safety of sildenafil in premature infants at risk of bronchopulmonary dysplasia and determine preliminary effectiveness and pharmacokinetics (PK) of sildenafil. Funding Source - FDA Office of Orphan Products Development (OOPD).

Eligibility Criteria

Inclusion Criteria

  • Receiving positive airway pressure (nasal continuous airway pressure, nasal intermittent positive pressure ventilation, or nasal cannula flow > 1LPM) or mechanical ventilation (high frequency or conventional)
  • 225 U/L 150 U/L < 72 hours prior to randomization
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03142568). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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