Appropriate Oxygen Levels for Extremely Preterm Infants: a Prospective Meta-analysis

NCT ID: NCT01124331

Last Updated: 2019-03-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

4965 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-03-31

Study Completion Date

2014-08-31

Brief Summary

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The primary question to be addressed by this study is: compared with a functional oxygen saturation level (SpO2) of 91-95%, does targeting SpO2 85-89% in extremely preterm infants from birth or soon after, result in a difference in mortality or major disability in survivors by 2 years corrected age (defined as gestational age plus chronological age)?

Detailed Description

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Oxygen has been used in the care of small and sick newborn babies for over 60 years. However, to date there has been no reliable evidence to guide clinicians regarding what is the best level to target oxygen saturation in preterm infants to balance the four competing risks of mortality, lung disease, eye damage and developmental disability.

Five high quality randomised controlled trials are now underway assessing two different levels of oxygen saturation targeting (USA - SUPPORT; Australia - BOOST II; New Zealand - BOOST NZ; UK - BOOST II UK; Canada - COT). The value of these gold-standard trials can be further enhanced when, with careful planning, they are synthesised into a prospective meta-analysis (PMA). A PMA is one where trials are identified for inclusion in the analysis before any of the individual results are known.

We have established the Neonatal Oxygenation Prospective Meta-analysis (NeOProM) Collaboration, comprising the investigators of these five trials and a methodology team. The trials are sufficiently similar with respect to design, participants and intervention and, with planning, will have enough common outcome measures to enable their results to be prospectively meta-analysed. Together they have a combined sample size of almost 5000 enrolled infants.

Conditions

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Infant, Premature, Diseases Bronchopulmonary Dysplasia Retinopathy of Prematurity Infant, Newborn, Diseases Infant, Very Low Birth Weight

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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High Oxygen saturation

Higher (SpO2 91-95%) functional oxygen saturation target range from birth, or soon thereafter, for durations as specified in each trial protocol.

Group Type EXPERIMENTAL

Higher oxygen saturation target range (91%-95%)

Intervention Type PROCEDURE

higher (SpO2 91-95%) functional oxygen saturation target range from birth, or soon thereafter

Lower oxygen saturation

Lower (SpO2 85-89%) functional oxygen saturation target range from birth, or soon thereafter, for durations as specified in each trial protocol.

Group Type ACTIVE_COMPARATOR

Lower oxygen saturation (85%-89%)

Intervention Type PROCEDURE

Lower (SpO2 85%-89%)functional oxygen saturation target range from birth, or soon thereafter

Interventions

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Higher oxygen saturation target range (91%-95%)

higher (SpO2 91-95%) functional oxygen saturation target range from birth, or soon thereafter

Intervention Type PROCEDURE

Lower oxygen saturation (85%-89%)

Lower (SpO2 85%-89%)functional oxygen saturation target range from birth, or soon thereafter

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Infants \< 28wks gestation

Exclusion Criteria

* Infants \> 28wks gestation
Maximum Eligible Age

24 Hours

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Otago

OTHER

Sponsor Role collaborator

University of Oxford

OTHER

Sponsor Role collaborator

University of Pennsylvania

OTHER

Sponsor Role collaborator

University of California, San Diego

OTHER

Sponsor Role collaborator

University of Sydney

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lisa Askie

Role: PRINCIPAL_INVESTIGATOR

National Health and Medical Research Council, Australia

Locations

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Canberra Hospital

Canberra, Australian Capital Territory, Australia

Site Status

Royal Prince Alfred Hospital Women and Babies

Camperdown, New South Wales, Australia

Site Status

Liverpool Hospital

Liverpool, New South Wales, Australia

Site Status

John Hunter Hospital

New Lambton, New South Wales, Australia

Site Status

Royal North Shore Hospital, NSW

St Leonards, New South Wales, Australia

Site Status

Westmead Hospital,

Westmead, New South Wales, Australia

Site Status

Royal Brisbane Women's Hospital

Brisbane, Queensland, Australia

Site Status

Royal Women's Hospital

Melbourne, Victoria, Australia

Site Status

Monash Medical Centre

Melbourne, Victoria, Australia

Site Status

Countries

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Australia

References

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Askie LM, Brocklehurst P, Darlow BA, Finer N, Schmidt B, Tarnow-Mordi W; NeOProM Collaborative Group. NeOProM: Neonatal Oxygenation Prospective Meta-analysis Collaboration study protocol. BMC Pediatr. 2011 Jan 17;11:6. doi: 10.1186/1471-2431-11-6.

Reference Type BACKGROUND
PMID: 21235822 (View on PubMed)

Askie LM, Darlow BA, Finer N, Schmidt B, Stenson B, Tarnow-Mordi W, Davis PG, Carlo WA, Brocklehurst P, Davies LC, Das A, Rich W, Gantz MG, Roberts RS, Whyte RK, Costantini L, Poets C, Asztalos E, Battin M, Halliday HL, Marlow N, Tin W, King A, Juszczak E, Morley CJ, Doyle LW, Gebski V, Hunter KE, Simes RJ; Neonatal Oxygenation Prospective Meta-analysis (NeOProM) Collaboration. Association Between Oxygen Saturation Targeting and Death or Disability in Extremely Preterm Infants in the Neonatal Oxygenation Prospective Meta-analysis Collaboration. JAMA. 2018 Jun 5;319(21):2190-2201. doi: 10.1001/jama.2018.5725.

Reference Type RESULT
PMID: 29872859 (View on PubMed)

Other Identifiers

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NeOProM

Identifier Type: -

Identifier Source: org_study_id

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