High Flow Nasal Cannula Versus Nasal Intermittent Positive Pressure (NIPPV) in Preterm Infants

NCT ID: NCT03853161

Last Updated: 2021-02-09

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-21

Study Completion Date

2023-07-01

Brief Summary

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The aim of this study is to compare the effectiveness of Heated Humidified High Flow Nasal Cannula (HHHFNC) versus Nasal Intermittent Positive Pressure Ventilation (NIPPV) in preventing intubation when used as primary respiratory support for Respiratory Distress Syndrome (RDS) or post extubation in preterm infants

Detailed Description

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Patient population will include preterm infants born at 24 - 36+6 weeks of gestation who are candidates for non-invasive respiratory support post extubation or as primary respiratory support after birth. They will be will be randomized to 2 groups: Heated Humidified High Flow Nasal Cannula (HHHFNC) and Nasal Intermittent Positive Pressure Ventilation (NIPPV).

This will be a prospective unblinded randomized controlled study, designed as a non-inferiority trial.

Primary outcome: The primary outcome will be rate of treatment failure (need for intubation) within 7 days of starting the study treatment

Conditions

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Preterm Infant

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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Vapotherm arm

Preterm infants in this arm will be given respiratory support of heated humidified high flow via Precision Flow Vapotherm, Exeter, USA

Group Type EXPERIMENTAL

Vapotherm

Intervention Type OTHER

A form of non invasive ventilation used in newborns

NIPPV arm

Preterm infants in this arm will be given respiratory support of Nasal Intermittent Positive Pressure Ventilation via the Leoni Plus neonatal ventilator

Group Type EXPERIMENTAL

NIPPV

Intervention Type OTHER

A form of non invasive ventilation used in newborns

Interventions

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Vapotherm

A form of non invasive ventilation used in newborns

Intervention Type OTHER

NIPPV

A form of non invasive ventilation used in newborns

Intervention Type OTHER

Other Intervention Names

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Heated Humidified High Flow Nasal Cannula Nasal Intermittent Positive Pressure Ventilation

Eligibility Criteria

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Inclusion Criteria

* Infants born at 24-27+6 weeks of gestation and up to 28 days of life who are extubated for the first time after birth or immediately after surfactant administration via (intubation-surfactant-extubation) INSURE or (minimally invasive surfactant therapy) MIST procedures.
* Infants born at 28-36+6 weeks of gestation and up to 28 days of life who are candidates for non-invasive support either as a primary modality after birth or post extubation.
* Signed parental informed consent by one of the parents

Exclusion Criteria

* Infants who are unlikely to survive the immediate postnatal period or who have significant congenital abnormalities
* Presence of a pneumothorax prior to enrollment
* Hemodynamic instability due to sepsis or hemorrhage
* Inability to obtain parental consent
* Shortage of suitable equipment
* Infants who were intubated solely for surgery
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Carmel Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Ayala Gover

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ayala Gover, MD

Role: PRINCIPAL_INVESTIGATOR

Carmel Medical Center

Locations

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Carmel Medical Center

Haifa, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Ayala Gover, MD

Role: CONTACT

972-528-396948

Facility Contacts

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Ayala Gover, MD

Role: primary

972-52-396948

Other Identifiers

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CMC-17-0131-CTIL

Identifier Type: -

Identifier Source: org_study_id

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