Reduction Of Oxygen After Cardiac Arrest: The EXACT Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,891,021.00
Summary
We aim to conduct a Phase 3 multi-centre, randomised, controlled trial to determine whether reducing oxygen administration to target a normal level as soon as possible following successful resuscitation from out-of-hospital cardiac arrest, compared to current practice of maintaining 100% oxygen, improves patient survival at hospital discharge.
Nasal Highflow For Paediatric Acute Hypoxic Respiratory Failure
Funder
National Health and Medical Research Council
Funding Amount
$2,627,819.00
Summary
The burden of respiratory disease in children requiring intensive care admission is increasing despite better quality care in hospitals. This study investigates a new method, called nasal high flow, to support the breathing of children, that can be provided in regular children's wards in regional and metropolitan hospitals. The study anticipates to demonstrate that early intervention with nasal high flow reduces the need for intensive care admission.
TORPIDO2- Targeted Oxygen For Resuscitation Of Preterm Infants Effects On Developmental Outcomes 2
Funder
National Health and Medical Research Council
Funding Amount
$2,293,459.00
Summary
Either too much or too little oxygen (O2) causes prolonged harm and death, even if this imbalance is for a few minutes, as at birth. Nowhere is this balance more critical than in the care of the extremely preterm infant (below 28 weeks gestation) with lung immaturity (requiring O2) and antioxidant deficiency. The Torpido 2 study will randomize 1350 infants below 28 weeks gestation to determine long-term neurodevelopmental outcomes and survival after resuscitation with either 21% O2 (room air) or
Low oxygen levels during exercise occur in over half of all people with lung fibrosis and this is associated with poor outcomes. Low oxygen levels are sometimes treated by breathing extra oxygen during physical activity, but a lack of evidence has given rise to wide variations in practice and policy. This study will examine the benefits and costs of ambulatory oxygen therapy for people with lung fibrosis in a multi-site randomised controlled trial.
Immediate Or Delayed Cord Clamping In The Preterm Birth Transition: Is There A Trade-off Between Circulatory Stability And Sympathoadrenal Activation?
Funder
National Health and Medical Research Council
Funding Amount
$824,582.00
Summary
Using an established experimental model of preterm birth, this project will determine if delayed clamping of the umbilical cord at birth leads to better stability of the circulation than immediate clamping, and if this improved stability comes at a cost of not activating the involuntary nervous system essential for enhancing metabolic and lung function after birth. The results of this study will provide fundamental new information for optimizing birth delivery strategies in preterm babies.
Antioxidant Enzymes Counter Reactive Oxygen Species From Steroidogenic Cytochrome P450 Enzymes In The Ovary To Limit Aneuploidy Of Embryos
Funder
National Health and Medical Research Council
Funding Amount
$536,978.00
Summary
Many birth defects are due to damage sustained by the eggs before ovulation. Aging allows more damage, hence the advice to have babies earlier in life. However, we believe we have identified a source of damage that happens during late development of the follicle in the weeks before ovulation. Proving this will enable us define when an egg is most at risk of damage and to devise strategies to lower the risk.
Investigating New Pathways In Acute Kidney Injury That Are Regulated By CD47
Funder
National Health and Medical Research Council
Funding Amount
$508,848.00
Summary
Acute kidney injury (AKI) is a widespread problem affecting both native and transplanted kidneys. Studies indicate that the incidence has increased more than 200-fold in the last decade, as has mortality. AKI also predisposes to the development of chronic kidney disease. There is no effective therapeutic for treatment or prevention of AKI. This project will investigate new cell signalling pathways regulating AKI with a view to developing these as novel clinical therapies.
Endosomal Reactive Oxygen Species In Tumour Angiogenesis
Funder
National Health and Medical Research Council
Funding Amount
$633,739.00
Summary
Cancer claims more lives worldwide than any other disease affecting millions of people annually. Tumours grow and spread in the body by acquiring their own blood vessels that provide them with nutrients and oxygen. We have identified a new protein called NADPH oxidase that promotes the development of these new blood vessels in tumours. We propose to test new drugs that block NADPH oxidase activity to stop the development of new blood vessels for the potential treatment of cancer
A New Strategy To Prevent Anthracycline-induced Cardiotoxicity While Improving Anti-cancer Activity
Funder
National Health and Medical Research Council
Funding Amount
$318,034.00
Summary
The anthracycline-based drugs such as doxorubicin currently used for cancer treatment have a major side effect in that they induce heart damage. We have shown that doxorubicin action can be modified to result in greater tumour cell kill, but also with reduced death of cardiac cells. We now aim to develop a molecular understanding of this process in order to allow better design of chemotherapy regimes that include the anthracyclines.
This proposal utilises forefront technologies to identify and characterise fundamental biological processes influenced by toxic free radicals that are triggered by viruses such as the flu and HIV. The approach is a synergistic collaboration between researchers with unique and complementary expertise across disciplines and across Australian and Irish universities to ultimately identify future drugs to treat viral disease.