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RECRUITING
NCT07101640
PHASE1/PHASE2

PK, Safety and Preliminary Efficacy Study of Montelukast in Critically Ill Infants With Developing Bronchopulmonary Dysplasia

Sponsor: Duke University

View on ClinicalTrials.gov

Summary

The purpose of the study is to learn how safe montelukast may be in premature infants at significant risk for Bronchopulmonary Dysplasia (BPD) and to determine how much and how quickly montelukast moves from the stomach into the bloodstream, and how quickly it is removed from the bloodstream. Data supporting the prospect of montelukast benefit involved 6 previous studies involving 206 preterm infants. The dosing ranged from 0.5 to 2.5 mg/kg/day, which aligns with the proposed initial dose of 0.75 mg/kg/day. Though each previous study had a small population, collectively they reveal montelukast as a promising drug in populations of preterm infants developing BPD and for individual preterm infants who are "developing BPD." Thus, researchers expect clinical benefit for preterm infants in this study. Despite the benefit-to-risk ratio presented by these previous studies, the optimal dose remains to be determined; thus, this study design and PK analysis will start with the lowest dose that is likely to provide direct benefit to participants.

Official title: Pharmacokinetics, Safety and Preliminary Efficacy Study of Montelukast in Critically Ill Infants With Developing Bronchopulmonary Dysplasia

Key Details

Gender

All

Age Range

Any - 28 Weeks

Study Type

INTERVENTIONAL

Enrollment

28

Start Date

2026-02-23

Completion Date

2028-05-31

Last Updated

2026-03-06

Healthy Volunteers

No

Interventions

DRUG

montelukast 4 mg granule

Montelukast sodium (4 mg oral granules) dissolved into 5mL of breast milk/formula yielding a solution concentration of 0.8mg/mL. Dosed once daily by weight, montelukast (0.75 mg/kg/day) or placebo .

DRUG

Placebo

Plain breast milk or formula

Locations (4)

Arkansas Children's Hospital

Little Rock, Arkansas, United States

University Medical Center of Southern Nevada

Las Vegas, Nevada, United States

University of North Carolina (UNC)

Chapel Hill, North Carolina, United States

East Carolina University

Greenville, North Carolina, United States