New drug could shield preemie lungs from deadly disease
NCT ID NCT06897839
First seen Jun 27, 2026 · Last updated Jul 16, 2026 · Updated 2 times
Summary
This study tests an investigational drug called zelpultide alfa to see if it can prevent bronchopulmonary dysplasia (BPD), a serious chronic lung disease, in extremely premature babies (born between 22 and 27 weeks). About 366 high-risk infants will receive either the drug or a placebo (air sham) alongside standard care. The goal is to reduce the number of babies who develop severe BPD or die.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 366 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2025
- Expected to finish
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Apr 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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0 minutes to 96 hours
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Born between gestational age (GA) 22 0/7 to 27 6/7 weeks, inclusive. 2. Received at least 1 dose of SOC-indicated animal-derived pulmonary surfactant treatment after birth. 3. Intubated and on invasive mechanical ventilation per SOC. 4. Able to receive the first dose of zelpultide alfa or air-sham at least 15 min after the surfactant administration but within 96 h of birth and within 48 h from the start of invasive mechanical ventilation. Subjects extubated and re-intubated after their pulmonary surfactant dose(s) are eligible as long as the inclusion criteria are met. 5. Informed consent and personal information authorization form signed by the subject's parent(s) or legal guardian(s). Exclusion Criteria: 1. Birth weight \< 400 g or \> 1,500 g. 2. Major apparent congenital abnormalities impacting cardio and pulmonary function identified before randomization, such as, but not limited to: * Clinically relevant Potter-like syndrome and any pulmonary congenital anomalies, * Clinically relevant congenital diaphragmatic hernia, * Omphalocele or gastroschisis, esophageal atresia, * Known or suspected cyanotic congenital heart disease (ie, tetralogy of fallot, transposition of the great arteries, etc). 3. Active do no resuscitate (DNR) order in place. 4. History of allergy or sensitivity to any surfactant or any component of zelpultide alfa. 5. Concurrent enrollment in any clinical study that utilizes treatments (investigational medical products or devices) outside of SOC or participation in studies within the last 30 days (or 5 half-lives of an IMP) prior to birth (for the mother) or up to week 36 PMA. 6. Any condition or situation that, in the Investigator's judgement, puts the neonate at significant risk, could confound the study results, or may interfere significantly with the neonate's participation in the study.
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Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
50 sites in 8 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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AP-HP CHU Robert-Debré - Hôpitaux de Paris
RECRUITINGParis, France
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AP-HP Paris Saclay University - Hôpitaux Antoine-Béclère
RECRUITINGParis, France
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AP-HP Paris Saclay University Bicêtre Hospital
RECRUITINGParis, France
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AP-HP University Hospital Cochin - Port Royal
RECRUITINGParis, France
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Azienda Ospedale Università di Padova
RECRUITINGPadova, Italy
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Bnai Zion Medical Center
RECRUITINGHaifa, Israel
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CHRU Nancy
RECRUITINGNancy, France
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CHU Lille - Hôpital Jeanne de Flandre
RECRUITINGLille, France
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CHU Nice
RECRUITINGNice, France
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CHU de Liege - Hospital de la Citadelle
RECRUITINGLiège, Belgium
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Clinique CHC MontLégia
RECRUITINGLiège, Belgium
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Cliniques Universitaires Saint-Luc
NOT_YET_RECRUITINGBrussels, Belgium
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Clínica y Maternidad Suizo Argentina
RECRUITINGBuenos Aires, Argentina
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Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
RECRUITINGMilan, Italy
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Gynecological Obstetric Clinical Hospital of Poznan University of Medical Sciences
RECRUITINGPoznan, Poland
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Haddasah medical center
RECRUITINGJerusalem, Israel
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Hospital Clínic de Barcelona
RECRUITINGBarcelona, Spain
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Hospital Clínico Universitario de Santiago
RECRUITINGSantiago de Compostela, Spain
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Hospital General Universitario Gregorio Marañón
RECRUITINGMadrid, Spain
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Hospital General Universitario de Alicante Dr. Balmis
RECRUITINGAlicante, Spain
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Hospital Italiano de Buenos Aires
RECRUITINGBuenos Aires, Argentina
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Hospital Regional Universitario de Málaga
RECRUITINGMálaga, Spain
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Hospital Sanatorio de la Trinidad San Isidro
RECRUITINGBuenos Aires, Argentina
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Hospital Sant Joan de Déu
RECRUITINGBarcelona, Spain
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Hospital Universitari Arnau de Vilanova de Lleida
RECRUITINGLleida, Spain
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Hospital Universitari i Politècnic La Fe
RECRUITINGValencia, Spain
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Hospital Universitario Austral
RECRUITINGBuenos Aires, Argentina
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Hospital Universitario Cruces - OSI Ezkerraldea-Enkarterri-Cruces
RECRUITINGBilbao, Spain
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Hospital Universitario La Paz
RECRUITINGMadrid, Spain
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Hospital Universitario Miguel Servet
RECRUITINGZaragoza, Spain
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Hospital Universitario Puerta del Mar
RECRUITINGCadiz, Spain
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Hospital de la Santa Creu i Sant Pau
RECRUITINGBarcelona, Spain
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Hôpital de Poissy Saint-Germain-en-Laye
RECRUITINGPoissy, France
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IRCCS Azienda Ospedaliero-Universitaria di Bologna - Policlinico di Sant'Orsola
RECRUITINGBologna, Italy
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Istituto Giannina Gaslini
RECRUITINGGenova, Italy
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Medical Faculty of TU Dresden
NOT_YET_RECRUITINGDresden, Germany
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Ospedale dei Bambini "V. Buzzi"
RECRUITINGMilan, Italy
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Polish Mother's Memorial Hospital - Research Institute in Lodz
RECRUITINGLodz, Poland
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Rambam Medical Center
RECRUITINGHaifa, Israel
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Shaare-Zedek Medical Center
RECRUITINGJerusalem, Israel
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UZ Leuven
RECRUITINGLeuven, Belgium
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University Children's Hospital Regensburg (KUNO)
RECRUITINGRegensburg, Germany
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University Clinical Hospital No. 2 PUM
NOT_YET_RECRUITINGSzczecin, Poland
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University Hospital Wroclaw
RECRUITINGWroclaw, Poland
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University Hospital in Krakow
NOT_YET_RECRUITINGKrakow, Poland
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Università degli Studi di Napoli Federico II
RECRUITINGNaples, Italy
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Universitätsklinikum Freiburg
NOT_YET_RECRUITINGFreiburg im Breisgau, Germany
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Uniwersyteckie Centrum Kliniczne
RECRUITINGGdansk, Poland
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ZAS Middelheim
RECRUITINGAntwerp, Belgium
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Ziv Medical Center
RECRUITINGSafed, Israel
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Other studies related to the condition(s) this trial covers.
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