Invasive Ventilation for Neonates With Acute Respiratory Distress Syndrome(ARDS)

July 3, 2025 updated by: Chen Long,MD, Daping Hospital and the Research Institute of Surgery of the Third Military Medical University

Selective High Frequency Oscillation Ventilation(HFOV) vs Conventional Mechanical Ventilation(CMV) for Neonates With Acute Respiratory Distress Syndrome(ARDS):an Multicenters Randomized Controlled Trial

Acute respiratory distress syndrome (ARDS) in neonates has been defined in 2017.The death rate is over 50%. HFOV and CMV are two main invasive ventilation strategies. However, which one is better needing to be further elucidated.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

Severe acute respiratory distress syndrome (ARDS) is one of the serious complications in critically ill neonates. It can result in severe hypoxemia refractory to mechanical ventilation. Usually, invasive ventilation with low parameters is enough for neonates with mild and moderate ARDS. And extracorporeal membrane oxygenation is used to neonates with severe ARDS. However, extracorporeal membrane oxygenation can also lead to high death rate and need more technique and conditions. Mechanical ventilation with higher parameters was a substitute for such situations, but the death rate, complications and injuries of higher parameters is unknown. The purpose of the present study was to compare HFOV with CMV as invasive respiratory support strategies on decrease the mortality and morbidities in neonate with ARDS.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
386

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • China
    • Chongqing
      • Chongqing, Chongqing, China, 400042
        • Children's Hospital of Chongqing Medical University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

1 minute to 12 hours (Child)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Gestational age (GA) between 25+0 and 34+0 weeks;
  • Assisted with CMV within 12 h after birth;
  • Diagnosis with ARDS;
  • Stabilization for 2 hours before randomization: FiO2 0.40, mean airway pressure (MAP) 10-14 cmH2O, ≤ 40 bpm of respiratory rate, 90%-94% of SpO2, pH > 7.20, PaCO2 60 mmHg and > 35% of hematocrit

Exclusion Criteria:

  • parents' decision not to participate;
  • Major congenital anomalies or chromosomal abnormalities;
  • Upper respiratory tract abnormalities;
  • need for surgery before randomization;
  • Grade Ⅲ-IV-intraventricular hemorrhage (IVH).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: HFOV
Ventilated infants were randomized to HFOV.
Device: HFOV
Ventilated infants were randomized to HFOV
Active Comparator: CMV
Ventilated infants were randomized to CMV.
Device: CMV
Ventilated infants were randomized to CMV.

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
the incidence of bronchopulmonary dysplasia (BPD)
Time Frame: 28 days after birth or 36 weeks'gestational age
the included neonate was diagnosed with BPD
28 days after birth or 36 weeks'gestational age
Death
Time Frame: 28 days after birth or 36 weeks'gestational age or before discharge
the included preterm infants were dead
28 days after birth or 36 weeks'gestational age or before discharge

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
the incidence of neonatal necrotizing enterocolitis(NEC)
Time Frame: 28 days after birth or 36 weeks'gestational age or before discharge
the included neonate was diagnosed with NEC
28 days after birth or 36 weeks'gestational age or before discharge
the incidence of retinopathy of prematurity(ROP)
Time Frame: 28 days after birth or 36 weeks'gestational age or before discharge
the included neonate was diagnosed with ROP
28 days after birth or 36 weeks'gestational age or before discharge
Intraventricular hemorrhage
Time Frame: 28 days after birth or 36 weeks'gestational age or before discharge
Intraventricular hemorrhage was diagnosed
28 days after birth or 36 weeks'gestational age or before discharge
composite mortality/BPD
Time Frame: 28 days after birth or 36 weeks'gestational age or before discharge
composite mortality/BPD was diagnosed
28 days after birth or 36 weeks'gestational age or before discharge
the incidence of airleak
Time Frame: 28 days after birth or 36 weeks'gestational age or before discharge
the included neonate was diagnosed with airleak
28 days after birth or 36 weeks'gestational age or before discharge

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Daping Hospital and the Research Institute of Surgery of the Third Military Medical University

Collaborators

Collaborators

An organization other than the sponsor that provides support for a clinical study. This support may include activities related to funding, design, implementation, data analysis, or reporting.
The First Affiliated Hospital of Anhui Medical University
LanZhou University
Beijing 302 Hospital
Peking University Third Hospital
The First Affiliated Hospital of Zhengzhou University
Children's Hospital of Fudan University
Shanghai Children's Medical Center
Zhujiang Hospital
The First Hospital of Jilin University
Women's Hospital School Of Medicine Zhejiang University
Wuhan Union Hospital, China
People's Hospital of Xinjiang Uygur Autonomous Region
The Second Hospital of Shandong University
Nanjing Medical University
Second Affiliated Hospital of Guangzhou Medical University
First Affiliated Hospital of Xinjiang Medical University
Bethune International Peace Hospital
Kunming Children's Hospital
First Affiliated Hospital of Chongqing Medical University
First Affiliated Hospital of Harbin Medical University
Hunan Children's Hospital
Guangdong Women and Children Hospital
Xiamen Maternity & Child Care Hospital
Inner Mongolia People's Hospital
The Affiliated Hospital Of Southwest Medical University
The Children's Hospital of Zhejiang University School of Medicine
Jiangxi Province Children's Hospital
Mianyang Central Hospital
Zhengzhou Children's Hospital, China
Quanzhou Children's Hospital
Children's Hospital of Chongqing Medical University
Tianjin Central Hospital of Gynecology Obstetrics
First Affiliated Hospital of Guangxi Medical University
The First People's Hospital of Yunnan
Shanxi Provincial Maternity and Children's Hospital
Yan'an Affiliated Hospital of Kunming Medical University
Children's Hospital of Nanjing Medical University
Third Affiliated Hospital of Zhengzhou University
Affiliated Hospital of Southwest Medical University
Chongqing Maternal and Child Health Hospital
First Hospital of Tsinghua University
The First People's Hospital of Zunyi
Chengdu Women and Children's Center Hospital
Lanzhou University Second Hospital
Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region
Ningbo Women & Children's Hospital
Xianyang Children's Hospital
Jiulongpo No.1 People's Hospital
Children's Hospital of The Capital Institute of Pediatrics
Women and Children's Hospital, Branch of Chongqing Sanxia Central Hospital
Guangdong Academy of Medical Science and General Hospital
Women and Children's Health Hospital of Yulin
Guiyang Maternal and Child Health Care Hospital
the Maternal and Child Health Hospital of Hainan Province
Maternal and Children's Healthcare Hospital of Taian
Shenzhen People's Hospital, The Second Medical College of Jinan University
Women and Children's Health Hospital of Qujing
The People's Hospital of Dehong Autonomous Prefecture
Women and Children Hospital of Qinghai Province
People's Liberation Army No.202 Hospital
Qinhuangdao Maternal and Child Health Care Hospital
Xuzhou Children Hospital
First Affiliated Hospital of Kunming Medical University
The First People's Hospital of Yinchuan
Gansu Provincial Maternal and Child Health Care Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
December 31, 2024

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
December 31, 2024

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
December 31, 2024

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
July 9, 2018

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
July 9, 2018

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
July 19, 2018

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
July 9, 2025

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
July 3, 2025

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
October 1, 2022

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • invasive ventilation for ARDS

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request

IPD Sharing Time Frame

after accepted

IPD Sharing Access Criteria

email to the corresponding author

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • ANALYTIC_CODE

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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