Novel Low Cost Bubble CPAP as an Alternative Respiratory Support in Low Resource Setting
1 other identifier
interventional
70
1 country
1
Brief Summary
This is a single-blind randomized controlled trial done in a Level III neonatal intensive care unit. Preterm newborns with RDS were randomized to receive oxygen therapy through bubble CPAP vs ventilator-derived CPAP. Differences in arterial blood gases, oxygen saturation, number of surfactant and CPAP failure rate between study groups were analyzed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Apr 2022
Shorter than P25 for phase_2
1 active site
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
Study Start
First participant enrolled
April 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 15, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2022
CompletedFirst Submitted
Initial submission to the registry
October 3, 2023
CompletedFirst Posted
Study publicly available on registry
October 13, 2023
CompletedOctober 13, 2023
October 1, 2023
8 months
October 3, 2023
October 7, 2023
Conditions
Outcome Measures
Primary Outcomes (3)
Partial pressure of arterial oxygen (pa02) using Arterial Blood Gas
Difference in the Partial pressure of arterial oxygen (pa02) using Arterial Blood Gas
8 months
Partial pressure of carbon dioxide (pC02) using Arterial Blood Gas
Difference in the Partial pressure of carbon dioxide (pC02) using Arterial Blood Gas
8 months
Oxygen Saturation
Difference in the oxygen saturation using pulse oximeter
8 months
Secondary Outcomes (2)
CPAP Failure
8 months
surfactant use
8 months
Study Arms (2)
Vayu CPAP Group
EXPERIMENTALThe patients will be hooked to VAYu bCPAP
Mechanical Ventilator Driven CPAP
ACTIVE COMPARATORPatients will be hooked to Mechanical Ventilator Driven CPAP
Interventions
The Vayu bCPAP uses a constant flow of dry oxygen from the source with an adjustable flow meter. Oxygen is blended by Venturi blender with ambient air to create a source of oxygen-enriched air of adjustable concentration.
Mechanical Ventilator Driven CPAP
Eligibility Criteria
You may qualify if:
- Included are preterm neonates less than 36 weeks (WHO definition)
- admitted at NICU
- APGAR scores of \> 7 in the 1st and 5th minute of life
- in respiratory distress at birth,
- radiologic findings of RDS
- Respiratory Severity Score (RSS) or Downe's score \> 4 at 10-15 minutes after hooking to CPAP
- requiring CPAP or more than 40% FiO2
You may not qualify if:
- Infants requiring neonatal resuscitation such as bag mask ventilation, chest compression or intubation at birth
- with comorbidities such as facial anomalies, tracheoesophageal fistulas, congenital heart disease, and other congenital anomalies which may interfere with the interface of both devices.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ilocos Training and Regional Medical Center
San Fernando City, La Union, 2500, Philippines
Related Publications (1)
Badin S, Roodaki N, Garcia DEC, Abila-Cariaga R, Burke TF. Evaluation of a novel reprocessed bCPAP system on sepsis rates among preterm neonates with respiratory distress: a randomized controlled trial. Front Pediatr. 2025 May 19;13:1569437. doi: 10.3389/fped.2025.1569437. eCollection 2025.
PMID: 40458453DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Navid Roodaki, MD
Ilocos Training and Regional Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- The study Blinded the investigator and outcome assesors
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr.
Study Record Dates
First Submitted
October 3, 2023
First Posted
October 13, 2023
Study Start
April 1, 2022
Primary Completion
November 15, 2022
Study Completion
December 1, 2022
Last Updated
October 13, 2023
Record last verified: 2023-10
Data Sharing
- IPD Sharing
- Will not share