RT Journal Article T1 Beractant and poractant alfa in premature neonates with respiratory distress syndrome: a systematic review of real-world evidence studies and randomized controlled trials A1 Sánchez Luna, Manuel A1 Sánchez Luna, Manuel Ramón A1 Bacher, Peter A1 Unnebrink, Kristina A1 Martinez Tristani, Marisol A1 Ramos Navarro, Cristina AB Findings from previous meta-analyses of randomized clinical trials (RCTs) in premature infants with respiratory distress syndrome (RDS) varied as to whether clinical outcomes differed by type of animal-derived pulmonary surfactant; real-world evidence (RWE) was excluded. We extracted study characteristics and outcomes from full-text articles from a systematic search for studies that compared beractant with poractant alfa for RDS in preterm infants. RWE data were tabulated; RCT data were subjected to meta-analyses. Designs, patient characteristics, and follow-up durations varied widely among studies (4 RWE, 15 RCT). RWE studies with adjusted odds ratios (ORs) found no statistically significant between-treatment differences in outcomes. In RCT meta-analyses, no statistically significant between-treatment differences were observed for death (OR [95% confidence interval], 1.35 [0.98-1.86]), bronchopulmonary dysplasia (1.25 [0.96-1.62]), pneumothorax (1.21 [0.72-2.05]), and air leak syndrome (2.28 [0.82-6.39]). Collectively, outcomes were similar with beractant and poractant alfa in RWE studies and pooled RCTs. PB Springer Nature SN 0743-8346 SN 1476-5543 YR 2020 FD 2020-02-12 LK https://hdl.handle.net/20.500.14352/99359 UL https://hdl.handle.net/20.500.14352/99359 LA eng NO Sánchez Luna M, Bacher P, Unnebrink K, Martinez-Tristani M, Ramos Navarro C. Beractant and poractant alfa in premature neonates with respiratory distress syndrome: a systematic review of real-world evidence studies and randomized controlled trials. J Perinatol. 2020 Aug;40(8):1121-1134. doi: 10.1038/s41372-020-0603-7. Epub 2020 Feb 12. PMID: 32051542; PMCID: PMC7375954. NO AbbVie DS Docta Complutense RD 24 ago 2024