Table 2.
Adverse events in a phase I study of sildenafil in premature infants.
| Cohort 1 (n = 25) Multiple doses | Cohort 2 (n = 9) Single IV dose | ||
|---|---|---|---|
| Dose group 0.25 mg/kg (n = 7) | Dose group 0.125 mg/kg (n = 2) | ||
| Number of adverse events, N | 13a | 8b | 2c |
| Participants with ≥ 1 adverse event, N (%) | 8 (32) | 5 (71) | 2 (100) |
| Participants with ≥ 1 serious adverse event, N (%) | 1 (4) | 3 (43) | 1 (50) |
| Cardiogenic shock | 1 (4) | 0 | 0 |
| Hypotension | 0 | 1 (14) | 0 |
| Pneumothorax | 0 | 1 (14) | 0 |
| Necrotizing enterocolitis | 0 | 0 | 1 (50) |
| Acute respiratory failure | 0 | 1 (14) | 0 |
| Participants with drug-related adverse events, N (%) | 0 | 1 (14)d | 0 |
| Participants with low blood pressuree, N (%) | N/A | 2 (29) | 0 |
| Participants with hypotensionf, N (%) | N/A | 0 | 0 |
IV intravenous, mg milligrams, kg kilograms, MAP mean arterial pressure, PMA postmenstrual age (gestational age + postnatal age).
aCardiogenic shock, laryngomalacia, pyrexia, otitis media, tracheitis, tracheobronchitis, hypokalemia, agitation (n = 2), polyuria, pneumothorax, rales, respiratory failure.
bBradycardia, decreased hematocrit, decreased free thyroxine, acute respiratory failure, apnea, pneumothorax, respiratory disorder, hypotension.
cNecrotizing enterocolitis, decreased oxygen saturation.
dHypotension.
eLow blood pressure was defined as MAP < GA in the 0.25 mg/kg dosing group, and MAP < PMA in the 0.125 mg/kg dosing group.
fHypotension was defined as 2 MAPs < GA in the 0.25 mg/kg dosing group, and 2 MAPs < PMA in the 0.125 mg/kg dosing group.