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PK, Safety and Preliminary Efficacy Study of Montelukast in Critically Ill Infants With Developing Bronchopulmonary Dysplasia
Sponsor: Duke University
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
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 .
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