Incubator Weaning of Moderately Preterm Infants

NCT ID: NCT02160002

Last Updated: 2019-03-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

366 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2017-06-30

Brief Summary

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The objective of this proposal is to evaluate whether weaning from an incubator to a crib at lower versus higher weight, 1600g or 1800g will result in shorter length of hospital stay among moderately preterm infants.

The hypothesis of this study is that length of hospital stay (from birth to discharge) will be decreased among moderate preterm infants weaned from an incubator to an open crib at a lower versus higher weight, 1600g vs. 1800g.

Detailed Description

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Conditions

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Infant, Newborn Infant, Moderate Preterm

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Lower Weight (1600 grams)

Weaning from an incubator at a lower weight (1600 grams)

Group Type ACTIVE_COMPARATOR

Weaning from an incubator at a lower weight (1600 grams)

Intervention Type PROCEDURE

Infants will be weaned from an incubator at a lower weight (1600 grams)

Higher Weight (1800 grams)

Weaning from an incubator at a higher weight (1800 grams)

Group Type ACTIVE_COMPARATOR

Weaning from an incubator at a higher weight (1800 grams)

Intervention Type PROCEDURE

Infants will be weaned from an incubator at a higher weight (1800 grams)

Interventions

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Weaning from an incubator at a lower weight (1600 grams)

Infants will be weaned from an incubator at a lower weight (1600 grams)

Intervention Type PROCEDURE

Weaning from an incubator at a higher weight (1800 grams)

Infants will be weaned from an incubator at a higher weight (1800 grams)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Gestational age 29 0/7 to 33 6/7 weeks at birth
* Birth weight less than 1600 grams
* Greater than 48 hours of age
* Current weight less than 1540 grams
* In an incubator

Exclusion Criteria

* Receiving phototherapy
* Receiving respiratory support (including CPAP, ventilation, HFNC \> 2 LPM)
* Receiving blood pressure support
* Designated for transfer to referral hospital while in incubator
* Known major congenital or chromosomal anomaly
Minimum Eligible Age

29 Weeks

Maximum Eligible Age

34 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

NICHD Neonatal Research Network

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michele C Walsh, MD

Role: PRINCIPAL_INVESTIGATOR

Case Western Reserve University, Rainbow Babies and Children's Hospital

Myra Wyckoff, MD

Role: PRINCIPAL_INVESTIGATOR

University of Texas, Southwestern Medical Center at Dallas

Seetha Shankaran, MD

Role: STUDY_CHAIR

Wayne State University

David Carlton, MD

Role: PRINCIPAL_INVESTIGATOR

Emory University

Kurt Schibler, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital Medical Center, Cincinnati

Brenda B Poindexter, MD

Role: PRINCIPAL_INVESTIGATOR

Indiana University

Abbot Laptook, MD

Role: PRINCIPAL_INVESTIGATOR

Brown University, Women & Infants Hosptial of Rhode Island

Krisa P Van Meurs, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Waldemar Carlo, MD

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birmingham

Kathleen A Kennedy, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Mike Cotten, MD

Role: PRINCIPAL_INVESTIGATOR

Duke University

Edward F Bell, MD

Role: PRINCIPAL_INVESTIGATOR

University of Iowa

Kristi Watterberg, MD

Role: PRINCIPAL_INVESTIGATOR

University of New Mexico

Barbara Schmidt, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Carl T D'Angio, MD

Role: PRINCIPAL_INVESTIGATOR

University of Rochester

Uday Devaskar, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, Los Angeles

Pablo Sanchez, MD

Role: PRINCIPAL_INVESTIGATOR

Research Institute at Nationwide Children's Hospital

William Truog, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Mercy Hospital Kansas City

Abhik Das, PhD

Role: PRINCIPAL_INVESTIGATOR

RTI International

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

University of California - Los Angeles

Los Angeles, California, United States

Site Status

Stanford University

Palo Alto, California, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Indiana University

Indianapolis, Indiana, United States

Site Status

University of Iowa

Iowa City, Iowa, United States

Site Status

Wayne State University

Detroit, Michigan, United States

Site Status

Children's Mercy Hospital

Kansas City, Missouri, United States

Site Status

University of New Mexico

Albuquerque, New Mexico, United States

Site Status

University of Rochester

Rochester, New York, United States

Site Status

RTI International

Durham, North Carolina, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Cincinnati Children's Medical Center

Cincinnati, Ohio, United States

Site Status

Case Western Reserve University

Cleveland, Ohio, United States

Site Status

Research Institute at Nationwide Children's Hospital

Columbus, Ohio, United States

Site Status

Univeristy of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Brown University, Women & Infants Hospital of Rhode Island

Providence, Rhode Island, United States

Site Status

University of Texas Southwestern Medical Center at Dallas

Dallas, Texas, United States

Site Status

Countries

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United States

References

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Chowdhary V, Shukla A. Weaning of moderately preterm infants from the incubator to the crib: a randomized clinical trial. Acta Paediatr. 2019 Jul;108(7):1364. doi: 10.1111/apa.14774. Epub 2019 Apr 29. No abstract available.

Reference Type DERIVED
PMID: 31033050 (View on PubMed)

Shankaran S, Bell EF, Laptook AR, Saha S, Newman NS, Kazzi SNJ, Barks J, Stoll BJ, Bara R, Gabrio J, Childs K, Das A, Higgins RD, Carlo WA, Sanchez PJ, Carlton DP, Pavageau L, Malcolm WF, D'Angio CT, Ohls RK, Poindexter BB, Sokol GM, Van Meurs KP, Colaizy TT, Khmour A, Puopolo KM, Garg M, Walsh MC; Eunice Kennedy Shriver National Institute of Child Health, and Human Development Neonatal Research Network. Weaning of Moderately Preterm Infants from the Incubator to the Crib: A Randomized Clinical Trial. J Pediatr. 2019 Jan;204:96-102.e4. doi: 10.1016/j.jpeds.2018.08.079. Epub 2018 Oct 15.

Reference Type DERIVED
PMID: 30337189 (View on PubMed)

Related Links

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http://neonatal.rti.org/

NICHD Neonatal Research Network site

Other Identifiers

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NICHD-NRN-0054

Identifier Type: -

Identifier Source: org_study_id

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