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. 2012 Jul 13;6:44–53. doi: 10.2174/1874306401206010044

Table 1.

Trials Comparing Natural and Protein-Free Synthetic Surfactants

Year Authors Surfactants Used Participants Endpoints of Trial Results of Trial
1997 Hudak et al. [42]
  1. Calfactant

  2. Colfosceril

871
Neonates <29 weeks GA
  1. Incidence of RDS

  2. BPD

  3. Pneumothorax

  4. RDS-related mortality rate

  5. RDS-related mortality rate

Calfactant reduced the rate of RDS and RDS-related morality, but no difference in other endpoints
2001 Soll et al. [41]
(Meta analysis)
  1. Natural surfactant

  2. Synthetic protein-free surfactant

Premature neonates from
11 randomised control trials
  1. Ventilator support

  2. Pneumothorax

  3. Mortality

Natural surfactants associated with lower rate of all endpoints