- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02027688
Feeding Progression in Preterm Infants
Study Overview
Status
Intervention / Treatment
Detailed Description
Preterm infants are at high risk for feeding issues. Feeding difficulties lead to prolonged hospitalization, increase medical complications and raise parental anxiety. The transition from tube feeding to oral feeding is an especially important step in a preterm infant's early life. Currently, there is limited evidence to guide this transition. There are two commonly used schedules for transitioning preterm infants to oral feeding: an every 6 hour schedule and an every 3 hour schedule. However, there is currently no evidence to guide providers in their choice of oral feeding schedule.
The primary objective of this study is to explore whether an every 6 (q6) hour oral feeding schedule will improve time to full oral feedings as compared to an every 3 (q3) hour oral feeding schedule. The secondary objectives are to test whether every 6 hour feeding allows for improved medical stability and oral-motor coordination as compared to the other commonly used q3 hour schedule. Each infant will be randomly assigned to a q6 hour or q3 hour oral feeding schedule. Data on oral feeding progression, respiratory status and oral motor proficiency will be collected and compared. The study will collect data on how long it takes each infant to get to full oral feeds, respiratory status throughout their time of oral feeding, whether there were any episodes of medical complications, measures of oral motor feeding skills, and the time to discharge from the hospital. This study is a crucial first step towards determining which feeding schedule is optimal for preterm infants to ensure timely attainment of full oral feeds and hospital discharge without compromising medical stability.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Hospital of the University of Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- Pennsylvania Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Gestational age between 23 0/7-33 0/7 weeks
- Eligible for oral (PO) feeding as determined by the attending Neonatologist
Exclusion Criteria:
- Infants with major congenital malformations
- Infants with chromosomal defects
- Diagnosis of Neonatal Abstinence Syndrome or opiate withdrawal
- Grade 3 or 4 Intraventricular Hemorrhage
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: Every 6 hour Feeding Schedule
Infants in this arm will be offered oral feedings every 6 hours if they are safe and ready to feed by mouth.
|
The intervention is the schedule under which stable infants are offered oral feeding attempts: every 6 hours.
|
ACTIVE_COMPARATOR: Every 3 Hour Oral Feeding
Infants in this arm will be offered oral feedings every 3 hours if they are safe and ready to feed by mouth.
|
The intervention is the schedule under which stable infants are offered oral feeding attempts: every 3 hours.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to full oral feeds
Time Frame: 38 weeks gestation on average
|
Assess the relationship between feeding schedule and time to reach full oral feeds in preterm infants.
|
38 weeks gestation on average
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to discharge
Time Frame: 40 weeks gestation on average
|
Assess the relationship between feeding schedule and overall length of hospitalization.
|
40 weeks gestation on average
|
Medical Complications
Time Frame: 38 weeks gestation on average
|
Explore the relationship between feeding schedule and medical complications including apnea of prematurity, bronchopulmonary dysplasia, episodes of suspected sepsis, feeding intolerance and physiologic instability during the time of oral feeds.
|
38 weeks gestation on average
|
Growth
Time Frame: 40 weeks gestation on average
|
Assess the growth during the period of time from initiation of oral feeds to reaching complete oral feeds.
|
40 weeks gestation on average
|
Feeding skills
Time Frame: 40 weeks gestation on average
|
Assess feeding competence and sucking skills from initiation of feeds through discharge on full oral feeds.
|
40 weeks gestation on average
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Sara B DeMauro, MD, MSCE, Children's Hospital of Philadelphia
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 (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 819247
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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