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Trial · NCT04447989

Safety of Sildenafil in Premature Infants With Severe Bronchopulmonary Dysplasia

NCT04447989, Phase 2, Completed, Christoph Hornik; results first posted 2026-01-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety of Sildenafil in Premature Infants With Severe Bronchopulmonary Dysplasia. Trials, record NCT04447989. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04447989

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Safety of Sildenafil in Premature Infants With Severe Bronchopulmonary Dysplasia
NCT number
NCT04447989
Status
Completed
Phases
Phase 2
Enrollment
125 participants, actual
Lead sponsor
Christoph Hornik
Conditions
Bronchopulmonary Dysplasia of Newborn
Interventions
Sildenafil, Placebo
First posted
2020-06-25
Last updated
2026-01-26
Results first posted
2026-01-26

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimarySafety Based Upon Number of Participants With Hypotension28 days post last dose of study drug, up to 9 weeks
Safety as determined by incidence of hypotension experienced by the participants through 28 days post last dose of study drug. Hypotension will be defined as any clinically significant low blood pressure event deemed by the treating physician to require intervention with a fluid bolus or the initiation or escalation of inotropic, vasopressor, or systemic steroid therapy with the specific intent to raise blood pressure.
SecondaryCentral Volume of Distribution (Vc) Population Pharmacokinetics (popPK)Following the completion of 7 days (168 hours) of study drug administration
SecondaryPeripheral Volume of Distribution (Vp) Population Pharmacokinetics (popPK)Following the completion of 7 days (168 hours) of study drug administration
SecondaryClearance Population Pharmacokinetics (popPK)Following the completion of 7 days (168 hours) of study drug administration
SecondaryHalf-life Population Pharmacokinetics (popPK)Following the completion of 7 days (168 hours) of study drug administration
SecondaryPeak Plasma Concentration Population Pharmacokinetics (popPK)Following the completion of 7 days (168 hours) of study drug administration
OtherNumber of Participants at Each Global Rank28 days post last dose of study drug, up to 9 weeksGlobal rank is defined as clinically significant events ranked in order of decreasing perceived severity. Rank descriptions are presented from most to least severe.

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYSafety Based Upon Number of Participants With Hypotension28 days post last dose of study drug, up to 9 weeksSafety populationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCentral Volume of Distribution (Vc) Population Pharmacokinetics (popPK)Following the completion of 7 days (168 hours) of study drug administrationPopulation Pharmacokinetics (popPK) analysis does not involve separating PK parameters by dose group. All samples across all dose groups are analyzed together.LMEDIAN
SECONDARYPeripheral Volume of Distribution (Vp) Population Pharmacokinetics (popPK)Following the completion of 7 days (168 hours) of study drug administrationPopulation Pharmacokinetics (popPK) analysis does not involve separating PK parameters by dose group. All samples across all dose groups are analyzed together.LMEDIAN
SECONDARYClearance Population Pharmacokinetics (popPK)Following the completion of 7 days (168 hours) of study drug administrationPopulation Pharmacokinetics (popPK) analysis does not involve separating PK parameters by dose group. All samples across all dose groups are analyzed together.L/hMEDIAN
SECONDARYHalf-life Population Pharmacokinetics (popPK)Following the completion of 7 days (168 hours) of study drug administrationPopulation Pharmacokinetics (popPK) analysis does not involve separating PK parameters by dose group. All samples across all dose groups are analyzed together.hoursMEDIAN
SECONDARYPeak Plasma Concentration Population Pharmacokinetics (popPK)Following the completion of 7 days (168 hours) of study drug administrationPopulation Pharmacokinetics (popPK) analysis does not involve separating PK parameters by dose group. All samples across all dose groups are analyzed together.ng/mLMEDIAN
OTHER_PRE_SPECIFIEDNumber of Participants at Each Global Rank28 days post last dose of study drug, up to 9 weeksIntent to treat (ITT) population with a global rank available.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group85

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Safety Based Upon Number of Participants With HypotensionCohort 1, Sildenafil1Participants
Safety Based Upon Number of Participants With HypotensionCohort 2, Sildenafil0Participants
Safety Based Upon Number of Participants With HypotensionCohort 3, Sildenafil0Participants
Safety Based Upon Number of Participants With HypotensionPlacebo0Participants
Central Volume of Distribution (Vc) Population Pharmacokinetics (popPK)Pharmacokinetics (PK) Cohort3.8695% Confidence Interval 1.28 to 11.07L
Peripheral Volume of Distribution (Vp) Population Pharmacokinetics (popPK)Pharmacokinetics (PK) Cohort4.4995% Confidence Interval 2.87 to 6.66L
Clearance Population Pharmacokinetics (popPK)Pharmacokinetics (PK) Cohort2.6995% Confidence Interval 1.00 to 7.94L/h
Half-life Population Pharmacokinetics (popPK)Pharmacokinetics (PK) Cohort8.79Inter-Quartile Range 8.00 to 9.42hours
Peak Plasma Concentration Population Pharmacokinetics (popPK)Pharmacokinetics (PK) Cohort130.5Inter-Quartile Range 70.9 to 256.0ng/mL
Number of Participants at Each Global RankCohort 1, SildenafilMortality0Participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1, Sildenafil32
Overall StudySTARTEDCohort 2, Sildenafil30
Overall StudySTARTEDCohort 3, Sildenafil32
Overall StudySTARTEDPlacebo31
Overall StudyCOMPLETEDCohort 1, Sildenafil31
Overall StudyCOMPLETEDCohort 2, Sildenafil27
Overall StudyCOMPLETEDCohort 3, Sildenafil31
Overall StudyCOMPLETEDPlacebo26
Overall StudyNOT COMPLETEDCohort 1, Sildenafil1
Overall StudyNOT COMPLETEDCohort 2, Sildenafil3

Adverse events52

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousRetinopathy of prematurityEye disordersCohort 1, Sildenafil231
seriousRetinopathy of prematurityEye disordersCohort 2, Sildenafil029
seriousRetinopathy of prematurityEye disordersCohort 3, Sildenafil032
seriousRetinopathy of prematurityEye disordersPlacebo130
seriousPneumonia bacterialInfections and infestationsCohort 1, Sildenafil031
seriousPneumonia bacterialInfections and infestationsCohort 2, Sildenafil029
seriousPneumonia bacterialInfections and infestationsCohort 3, Sildenafil132
seriousPneumonia bacterialInfections and infestationsPlacebo030
seriousSepsisInfections and infestationsCohort 1, Sildenafil031
seriousSepsisInfections and infestationsCohort 2, Sildenafil029

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1, Sildenafil031
Total, all-cause mortalityCohort 2, Sildenafil229
Total, all-cause mortalityCohort 3, Sildenafil132
Total, all-cause mortalityPlacebo030
Total, other adverse eventsCohort 1, Sildenafil00
Total, other adverse eventsCohort 2, Sildenafil00
Total, other adverse eventsCohort 3, Sildenafil00
Total, other adverse eventsPlacebo00
Total, serious adverse eventsCohort 1, Sildenafil331
Total, serious adverse eventsCohort 2, Sildenafil029

Papers12

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
10379020BACKGROUNDPubMed
11401896BACKGROUNDPubMed
16707748BACKGROUNDPubMed
18055675BACKGROUNDPubMed
24825456BACKGROUNDPubMed
26348753BACKGROUNDPubMed
28383537BACKGROUNDPubMed
29363502BACKGROUNDPubMed
29880793BACKGROUNDPubMed
31475367BACKGROUNDPubMed

1 to 10 of 12

See all 12 papers

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
R61HL147833Safety of Sildenafil in Premature Infants with Severe Bronchopulmonary DysplasiaHORNIK, CHRISTOPH; LAUGHON, MATTHEWDUKE UNIVERSITYNATIONAL HEART, LUNG, AND BLOOD INSTITUTE2019 to 2020

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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