Comparison of Clinical Efficacy of Newfactan(R) versus Surfacten(R) for the Treatment of Respiratory Distress Syndrome in the Newborn Infants.
10.3346/jkms.2005.20.4.591
- Author:
Chang Won CHOI
1
;
Jong Hee HWANG
;
Eun Jung YOO
;
Kyung Ah KIM
;
Sun Young KOH
;
Yeon Kyung LEE
;
Jae Won SHIM
;
Eun Kyung LEE
;
Wook CHANG
;
Sung Shin KIM
;
Yun Sil CHANG
;
Won Soon PARK
;
Son Moon SHIN
Author Information
1. Department of Pediatrics, Samsung Seoul Hospital, Samsung Cheil Hospital, Korea. wspark@smc.samsung.co.kr
- Publication Type:Original Article ; Clinical Trial ; Comparative Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
- Keywords:
Newfactan(R);
Surfacten(R);
Pulmonary Surfactants;
Respiratory Distress Syndrome;
Newborn
- MeSH:
Comparative Study;
Female;
Humans;
Infant, Newborn;
Lung/drug effects/pathology/physiopathology;
Male;
Pulmonary Surfactants/*therapeutic use;
Research Support, Non-U.S. Gov't;
Respiratory Distress Syndrome, Newborn/*drug therapy/mortality;
Survival Rate;
Time Factors;
Treatment Outcome
- From:Journal of Korean Medical Science
2005;20(4):591-597
- CountryRepublic of Korea
- Language:English
-
Abstract:
Newfactan(R) is a domestically developed, bovine lung-derived, semi-synthetic surfactant. The aim of this study was to compare the clinical efficacy of Newfactan(R) with that of Surfacten(R) in the treatment of respiratory distress syndrome (RDS). Newfactan(R) or Surfacten(R) was randomly allocated to 492 newborn infants who were diagnosed as RDS and required surfactant instillation in four participating hospitals. The comparisons were made individually in two subsets of infants by birth weight (<1,500 g group [n=253] and >or=1,500 g group [n=239]). Short-term responses to surfactant and acute complications, such as the total doses of surfactant instilled, response type, extubation rate, ventilator settings, changes in respiratory parameters, air leak, patent ductus arteriosus, pulmonary hemorrhage, and intraventricular hemorrhage, and mortality during the 96 hr after surfactant instillation were measured. Long-term outcome and complications, such as total duration of intubation, bronchopulmonary dysplasia and periventricular leukomalacia, and ultimate mortality were measured. There were no significant differences in demographic and perinatal variables, shortterm responses to surfactant and acute complications, and long-term outcome and complications between Newfactan(R) and Surfacten(R) in both birth weight groups. We concluded that Newfactan(R) was comparable to Surfacten(R) in the clinical efficacy in the treatment of RDS in both birth weight groups.
