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CompletedNCT04391478ESMPPHTNUpdated May 18, 2020

Efficacy and Safety of Milrinone Versus Sildenafil in the Treatment of Neonates With Persistent Pulmonary Hypertension

A Phase 1 interventional study of Milrinone and Sildenafil in Persistent Pulmonary Hypertension, sponsored by Rania Ali El-Farrash. Completed. Open to participants aged 1 Hour to 10 Days. Per ClinicalTrials.gov, last updated 2020-05-18.

Sponsored by Rania Ali El-Farrash · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
1 Hour to 10 Days
Sex
All
01

Study summary

Compare the effect of milrinone versus sildenafil in treatment of neonates with persistent pulmonary hypertension.

Read the detailed description

40 neonates with PPHN, met inclusion criteria, randomly assigned to 2 groups, each includes 20, first group received intravenous milrinone and second group received nasogastric sildenafil. both groups receive other supportive care.

02

Conditions studied

  • Persistent Pulmonary Hypertension
03

In context

Hypertension, Pulmonary

1,092 studies on the registry are indexed under Hypertension, Pulmonary; 244 are open to participants now.

This study's enrollment of 40 is above the median of 35 across 649 interventional studies indexed under Hypertension, Pulmonary.

Browse Hypertension, Pulmonary studies →

Lead sponsor

Rania Ali El-Farrash is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Hour to 10 Days
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • gestational age >34 weeks
  • postnatal age \<10 days

Exclusion criteria

Exclusion Criteria:

  • neonates with congenital heart disease
  • neonates with congenital diaphragmatic hernia
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
40 participants (actual)

Study arms

  • Active comparator
    milrinone

    Milrinone is a phosphodiesterase inhibitor typ3 used in treatment of PPHN. used in dose (0.25 to 0.75 mg/kg/min) intravenous infusion compared with nasogastric sildenafil.

    Drug: Milrinone

  • Active comparator
    sildenafil

    Sildenafil is a phosphodiesterase inhibitor typ 5 used in treatment of PPHN. used in dose (0.2 to 0.5 mg/kg/6h) by nasogastric tube compared with intravenous milrinone infusion.

    Drug: Sildenafil

Interventions

  • milrinone lactate, 1mg/ml, for intra venous use only

    Also known as: primacor

  • 50mg sildenafil citrate/tablet, crushed in water taken by nasogastric tube

    Also known as: Viagra

06

What researchers measure

Primary outcomes

  1. efficacy of milrinone versus sildenafil in treatment of PPHN

    effect on oxygenation index

    Time frame: 6 - 12 months

Secondary outcomes

  1. final outcome

    Mortality

    Time frame: 6 - 12 months

  2. Bleeding

    Bleeding (e.g pulmonary hemorrhage) that is believed to be attributed to medication

    Time frame: 6-12 months

  3. Ventilation

    total duration of mechanical ventilation

    Time frame: 6-12 months

  4. Ventilatory settings

    highest ventilator settings

    Time frame: 6-12 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Imam SS, El-Farrash RA, Taha AS, Saleh GA. Milrinone Versus Sildenafil in Treatment of Neonatal Persistent Pulmonary Hypertension: A Randomized Control Trial. J Cardiovasc Pharmacol. 2022 Nov 1;80(5):746-752. doi: 10.1097/FJC.0000000000001332. PubMed 35881893 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2015, a primary completion of Apr 2015 and a completion of Sep 2015. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 1, 2015
First posted
May 18, 2020
Start
Jan 2015
Primary completionActual
Apr 2015
CompletionActual
Sep 2015
Last update
May 18, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 18, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04391478
Lead sponsor
Rania Ali El-Farrash
Responsible party
Rania Ali El-Farrash (assistant professor, Ain Shams University) — Sponsor-investigator
First posted
May 18, 2020
Start date
Jan 2015
Primary completion
Apr 2015
Completion
Sep 2015
Last update
May 18, 2020

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Milrinone · Sildenafil

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