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Prophylactic granulocyte-macrophage colony-stimulating factor (GM-CSF) to reduce sepsis in preterm neonates
ISRCTN ISRCTN42553489
DOI 10.1186/ISRCTN42553489
ClinicalTrials.gov identifier
EudraCT number
Public title Prophylactic granulocyte-macrophage colony-stimulating factor (GM-CSF) to reduce sepsis in preterm neonates
Scientific title Prophylactic granulocyte-macrophage colony-stimulating factor (GM-CSF) to reduce sepsis in preterm neonates: a randomised controlled trial
Acronym PROGRAMS
Serial number at source SP3558
Study hypothesis To estimate the economic efficiency of administering prophylactic granulocytic-macrophage colony stimulating factor to preterm neonates at high risk of sepsis.

Please note that as of 21/01/2009 this record was updated. All update details can be found under the relevant field with the above update date.
Lay summary
Ethics approval Added 21/01/2009: NHS Executive South East MREC gave approval on the 27th January 2000 (ref: 99/85)
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Sepsis
Participants - inclusion criteria Babies are eligible for PROGRAMS if they are less than or equal to 31 completed weeks gestational age and small for gestational age (i.e. below 10th centile for birthweight) and within 72 hours of birth.
Participants - exclusion criteria Added 21/01/2009:
1. Immediately life threatening congenital abnormality
2. Evidence of early onset sepsis (maternal pyrexia greater than 38.0°C on two consecutive occasions during labour)
Anticipated start date 01/09/2001
Anticipated end date 01/09/2005
Status of trial Completed
Patient information material Can be found at http://www.npeu.ox.ac.uk/downloads/programs/PROGRAMS-PIL-v7.pdf
Target number of participants Added 21/01/2009: 320 participants
Interventions 1. Once daily granulocyte-macrophage colony-stimulating factor (GM-CSF) 10 µg/kg by subcutaneous injection, commenced within 72 hours of birth and continued for 5 days
2. No GM-CSF therapy

Contact details for clinical queries (added 05/01/2010):
Professor Neena Modi
Professor of Neonatal Medicine
Imperial College London
4th Floor Chelsea & Westminster Hospital
369 Fulham Road
London, SW10 9NH
United Kingdom
T: +44 (0)20 8237 5102
E: n.modi@imperial.ac.uk
Primary outcome measure(s) 1. Sepsis-free survival at 14 days from trial entry
2. Economic evaluation outcome: incremental cost-effectiveness analysis
Secondary outcome measure(s) Added 21/01/2009:
1. Survival without moderate/severe disability at 2 years from term
2. Survival to discharge
3. Sepsis:
3.1. Culture positive systemic infection, to 14 days from trial entry
3.2. Culture negative systemic infection, to 14 days from trial entry
3.3. Probable (culture positive or negative) systemic infection, to 28 days from trial entry
4. Clinical morbidity:
4.1. Chronic lung disease (bronchopulmonary dysplasia)
4.2. Necrotising enterocolitis, periventricular haemorrhage
4.3. Periventricular leucomalacia and ventriculomegaly
5. Haematological:
5.1. Culture positive systemic infection associated with neutropenia, to 14 days from trial entry
5.2. Culture positive systemic infection associated with neutropenia, to 28 days from trial entry
Sources of funding 1. Action Medical Research (UK)
2. The Wellcome Trust (UK) (added 05/01/2010) (grant ref: 068499)
Trial website http://www.npeu.ox.ac.uk/programs
Publications 2009 results in http://www.ncbi.nlm.nih.gov/pubmed/19150703
Contact name Dr  Neena  Modi
  Address Senior Lecturer/Consultant in Neonatal Paediatrics
Department of Paediatrics
Hammersmith Hospital
Du Cane Road
  City/town London
  Zip/Postcode W12 0NN
  Country United Kingdom
  Tel +44 (0)20 8383 3275
  Email n.modi@ic.ac.uk
Sponsor Imperial College London (UK)
  Address Research Services, Medicine
Research Services Division
Faculty Building
South Kensington Campus
South Kensington
  City/town London
  Zip/Postcode SW7 2AZ
  Country United Kingdom
  Sponsor website: http://www3.imperial.ac.uk/
Date applied 01/03/2001
Last edited 12/01/2010
Date ISRCTN assigned 01/03/2001
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