Little Lungs Study: Calfactant and Budesonide for Preterm Infants

This study, called the "Little Lungs Study," is looking at the safety and effectiveness of giving two medications, Calfactant and Budesonide, to extremely premature infants who are 7 to 14 days old. These infants need help breathing with a machine (invasive mechanical ventilation) and have severe breathing problems (respiratory distress syndrome). The study will give these medications directly into the windpipe. Researchers will watch closely for any immediate problems within 60 minutes after treatment, and for a collapsed lung (pneumothorax) up to 48 hours later. The study aims to enroll 24 infants. The current status of the study is unclear.

Study design
This is an interventional study, meaning participants will receive a specific treatment. It plans to enroll 24 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The study will follow participants for up to 48 hours after the study intervention is completed to check for certain outcomes.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT06855043

Little Lungs Study

Not Yet Recruiting
PHASE1Ages 7–14InterventionalTreatment
University of Wisconsin, Madison
~24 participants
Updated 2026-01-27 on ClinicalTrials.gov
What's tested:CalfactantBudesonide

At a glance

Recruiting sites
0 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Presence or absence of acute clinical deterioration up to 60 minutes after study intervention
Measured over up to 60 minutes after study intervention (intervention received within 14 days of life (DOL))
+3 more outcomes measured
Invasive Mechanical Ventilation
Severe Respiratory Distress Syndrome

NCT06855043

Where you'd take part

This study runs at 2 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • American Family Children's Hospital

    Madison, Wisconsinstudy coordinator listed

  • Meriter Hospital

    Madison, Wisconsinstudy coordinator listed

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Dinushan Kaluarachchi, MBBS · PRINCIPAL_INVESTIGATOR · University of Wisconsin, Madison

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Eligibility criteria

Inclusion

Gestational age 22 0/7 to 28 6/7 weeks at birth
Age 7-14 days
Need invasive mechanical ventilatory support and a Fraction of Inspired Oxygen (FiO2) greater than or equal to 0.3
Have a baby who meets neonate eligibility criteria and enrolls in the study.

Exclusion

Major congenital anomalies including congenital lung malformations and congenital diaphragmatic hernia and/or genetic disorders
Alternative, acute clinical etiology of respiratory deterioration or increased ventilatory requirements (e.g., sepsis, pneumonia, etc.)
History of pulmonary hemorrhage
Antibiotic use within 48 hours
Indomethacin or Ibuprofen use within 72 hours
Prior treatment with corticosteroids for prevention of lung disease
Not expected to survive for greater than 7 days at enrollment
Determined to be unstable by the clinical team
Enrolled in a conflicting clinical trial
Have a birth parent aged less than 18 years
Parent/guardian is unable to provide parental permission in English or Spanish
  • Presence or absence of acute clinical deterioration up to 60 minutes after study interventionup to 60 minutes after study intervention (intervention received within 14 days of life (DOL))

    Presence or absence of acute clinical deterioration - defined as desaturation less than 80 percent and/or bradycardia less than 100 beats per minute (bpm) - during the study intervention and up to 60 minutes after study intervention.

  • Presence or absence of severe acute clinical deterioration up to 60 minutes after study interventionup to 60 minutes after study intervention (intervention received within 14 DOL)

    Presence or absence of severe acute clinical deterioration - defined as desaturation less than 60 percent and/or bradycardia less than 80 bpm - during the study intervention and up to 60 minutes after study intervention.

  • Occurrence of pneumothorax needing evacuation up to 48 hours after completion of study interventionbaseline to 48 hours after completion of study intervention (intervention received within 14 DOL)

    A yes or no question of whether there was pneumothorax (air in the pleural cavity) detected via chest x-ray, needing evacuation from baseline to 48 hours after completion of study intervention

  • Occurrence of pulmonary hemorrhages up to 48 hours after completion of study interventionbaseline to 48 hours after completion of study intervention (intervention received within 14 DOL)

    A yes or no question of whether pulmonary hemorrhage (bleeding in lungs) was observed in the endotracheal tube from baseline to 48 hours after completion of study intervention.