NCT01852916

Brief Summary

The purpose of the study is to assess whether nasal high frequency ventilation (NHFV) is superior to nasal continuous positive pressure (nCPAP) to prevent tracheal intubation and mechanical ventilation in preterm infants less than 28 weeks gestation following first attempt at extubation and removal from mechanical ventilation

Trial Health

33
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Trial recruitment is currently suspended
Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Sep 2013

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
suspended

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 17, 2013

Completed
27 days until next milestone

First Posted

Study publicly available on registry

May 14, 2013

Completed
4 months until next milestone

Study Start

First participant enrolled

September 1, 2013

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2015

Completed
Last Updated

August 5, 2015

Status Verified

August 1, 2015

Enrollment Period

2.2 years

First QC Date

April 17, 2013

Last Update Submit

August 3, 2015

Conditions

Keywords

RDS

Outcome Measures

Primary Outcomes (1)

  • Extubation failure

    Newborns in both groups will be re-intubated within the study period if they have respiratory failure defined as arterial or capillary gas with pH \< 7.20 or PCO2 \> 60, oxygen requirement ≥ 35%, or recurrent or severe apnea (12 documented apneas within 24 hours or single apnea requiring positive pressure ventilation).

    within 7 days post-extubation

Secondary Outcomes (4)

  • Changes in capillary pCO2 after extubation

    Within 7 days post-extubation

  • pneumothorax

    duration of use of positive pressure or reintubation which ever is shorter

  • intraventricular hemorrage (IVH)

    first 2 weeks of life

  • feeding tolerance

    3 weeks

Study Arms (2)

Nasal CPAP

ACTIVE COMPARATOR

Nasal CPAP using Infant flow

Device: CPAP

NHFOV

EXPERIMENTAL

Nasal High Frequency Oscillatory Ventilation using Dräger Babylog® VN500 ventilator machine

Device: NHFOV

Interventions

CPAPDEVICE

Nasal Continuous Positive Airway Pressure Ventilation using Infant Flow CPAP machine

Nasal CPAP
NHFOVDEVICE

Nasal High Frequency Oscillatory Ventilation

NHFOV

Eligibility Criteria

Age15 Minutes - 7 Days
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Newborn less than 28 weeks gestation at birth
  • Intubated and ventilated in the first 24 hours of life
  • Extubated in the first week of life
  • Parental consent

You may not qualify if:

  • Lack of parental consent
  • Major congenital malformation
  • Severe perinatal asphyxia
  • Airway abnormalities
  • Pneumothorax

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

St. Boniface General Hospital

Winnipeg, Manitoba, R2H 2A6, Canada

Location

Health Sciences Center, NICU

Winnipeg, Manitoba, R3A 1S1, Canada

Location

MeSH Terms

Conditions

Respiratory Distress Syndrome

Condition Hierarchy (Ancestors)

Lung DiseasesRespiratory Tract DiseasesRespiration Disorders

Study Officials

  • Ronald J Baier, M.D.

    HSC Neonatology

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Fellow, Neonatal-Perinatal Medicine

Study Record Dates

First Submitted

April 17, 2013

First Posted

May 14, 2013

Study Start

September 1, 2013

Primary Completion

December 1, 2015

Study Completion

December 1, 2015

Last Updated

August 5, 2015

Record last verified: 2015-08

Locations