NCT03748472

Brief Summary

SpO2 instability is in the nature of premature infants. Hypoxic episodes occur spontaneously in many of these infants, especially after the first week of life. Different interventions have been shown to influence the incidence of hypoxemic episodes in premature infants. Premature infants are fed via an NG/OG tube. Feeding length might influence the oxygenation instability among premature infants therefore the aim of this study is to evaluate the changes in oxygenation among preterm infants receiving respiratory support when are fed over 30 min vs over 2 hours, as documented by SpO2 histograms.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
24

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started May 2019

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 19, 2018

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 20, 2018

Completed
6 months until next milestone

Study Start

First participant enrolled

May 29, 2019

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 13, 2020

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2022

Completed
Last Updated

April 28, 2022

Status Verified

April 1, 2022

Enrollment Period

1.5 years

First QC Date

November 19, 2018

Last Update Submit

April 27, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Oxygenation instability

    SPO2 histogram documents the oxygenation stability. we will record the histogram at the end of each period of time and compare it

    9 hours (3 feeds)

Study Arms (2)

Bolus feeding

EXPERIMENTAL
Procedure: Bolus feeding

continuous gavage feeding

EXPERIMENTAL
Procedure: Continuous gavage feeding

Interventions

Each subject will serve as his or her own control. In this arm infants will receive their feed over 2 hours and the next feed will be given over 30 min and then over 2 hours again.

continuous gavage feeding
Bolus feedingPROCEDURE

Each subject will serve as his or her own control. In this arm infants will receive their feed over 30 min and the next feed will be given over 2 hours and then over 30 minutes again.

Bolus feeding

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Premature Infants (GA\<37weeks) on non-invasive respiratory support (CPAP, NIPPV, HFNC) Feeding\>100 ml/kg/day

You may not qualify if:

  • Congenital anomalies e.g. gastroschesis, congenital diaphragmatic hernia, cyanotic heart disease.
  • Instability because of:
  • Acute lung pathology for example x-ray confirmed pneumonia, air leak Active culture proven sepsis Need for inotropic support for low blood pressure

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Rambam Medical Center

Haifa, Israel

Location

MeSH Terms

Conditions

Premature BirthRespiration Disorders

Condition Hierarchy (Ancestors)

Obstetric Labor, PrematureObstetric Labor ComplicationsPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesRespiratory Tract Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Neonatologist

Study Record Dates

First Submitted

November 19, 2018

First Posted

November 20, 2018

Study Start

May 29, 2019

Primary Completion

December 13, 2020

Study Completion

March 1, 2022

Last Updated

April 28, 2022

Record last verified: 2022-04

Locations