- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01223274
Delivery Room CPAP in Extremely Low Birth Weight Infants (DR-CPAP)
Delivery Room Continuous Positive Airway Pressure/Positive End Expiratory Pressure (CPAP/PEEP) in Extremely Low Birth Weight (ELBW) Infants
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Previous studies suggested that early continuous airway positive pressure (CPAP) may be beneficial in reducing ventilator dependence and subsequent bronchopulmonary dysplasia (BPD) in extremely low birth weight (ELBW) infants. These studies did not test for the optimal timing of CPAP initiation or compare CPAP/PEEP initiation in the delivery room against standard resuscitation methods. Current practice at the time was for the ELBW infant to be intubated early and administered prophylactic surfactant. The feasibility of initiating CPAP in the DR and continuing this therapy without intubation for surfactant had not been determined prospectively in a population of ELBW infants.
This pilot study was designed to determine the feasibility of randomizing extremely low birth weight (ELBW) infants <28 weeks' gestation who required resuscitation to one of two resuscitation methods, either: (a) 100% oxygen by facemask and continuous positive airway pressure (CPAP) or positive pressure ventilation (PPV) with positive end-expiratory pressure (PEEP), if the infant required PPV (the intervention group); or (b) 100% oxygen and no CPAP and no PEEP if the infant required PPV (the control group).
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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Alabama
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Birmingham, Alabama, United States, 35233
- University of Alabama at Birmingham
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California
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San Diego, California, United States, 92103-8774
- University of California at San Diego
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Florida
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Miami, Florida, United States, 33136
- University of Miami
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North Carolina
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Durham, North Carolina, United States, 27705
- RTI International
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Ohio
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Cincinnati, Ohio, United States, 45267
- Cincinnati Children's Medical Center
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Cleveland, Ohio, United States, 44106
- Case Western Reserve University, Rainbow Babies and Children's Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Infants delivered in a specially equipped resuscitation room(s)
- <28 weeks gestational age by best obstetric estimate before delivery
- Requiring resuscitation
Exclusion Criteria:
- No known major congenital anomalies
- Decision made not to provide full resuscitation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: CPAP/PEEP Intervention
Infants received 100% oxygen by facemask and continuous positive airway pressure (CPAP) or positive pressure ventilation (PPV) with positive end-expiratory pressure (PEEP), if the infant required PPV.
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Infants received 100% oxygen by facemask and continuous positive airway pressure (CPAP) or positive pressure ventilation (PPV) with positive end-expiratory pressure (PEEP), if the infant required PPV.
Other Names:
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Active Comparator: Control
Control infants were treated with 100% oxygen and no CPAP.
When a control infant required PPV, no PEEP was used.
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Control infants were treated with 100% oxygen and no CPAP.
When a control infant required PPV, no PEEP was used.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Compliance with the study protocol
Time Frame: 6 months
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6 months
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Extent of resuscitation needed
Time Frame: Until admission to NICU
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Until admission to NICU
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Five minute Apgar
Time Frame: 5 minutes after birth
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5 minutes after birth
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Total duration of mechanical ventilation
Time Frame: Until hospital discharge or 120 days of life
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Until hospital discharge or 120 days of life
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Proportion of infants requiring surfactant
Time Frame: 1 day of life
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1 day of life
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Bronchopulmonary dysplasia (BPD)
Time Frame: 36 weeks of life
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36 weeks of life
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Number and duration of intubation attempts
Time Frame: Until admission to the NICU
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Until admission to the NICU
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Infants who required positive pressure ventilation for resuscitation in the DR/resuscitation room
Time Frame: Until admission to the NICU
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Until admission to the NICU
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Neil N. Finer, MD, University of California, San Diego
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- NICHD-NRN-0028
- U10HD036790 (U.S. NIH Grant/Contract)
- U10HD021364 (U.S. NIH Grant/Contract)
- U10HD027853 (U.S. NIH Grant/Contract)
- U10HD034216 (U.S. NIH Grant/Contract)
- M01RR008084 (U.S. NIH Grant/Contract)
- U10HD021397 (U.S. NIH Grant/Contract)
- U10HD040461 (U.S. NIH Grant/Contract)
- M01RR000080 (U.S. NIH Grant/Contract)
- M01RR016587 (U.S. NIH Grant/Contract)
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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