PRICO: OPTI Target Range

NCT ID: NCT06207994

Last Updated: 2025-03-25

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

RECRUITING

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-20

Study Completion Date

2025-09-30

Brief Summary

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The aim of the study is to determine if a narrower SpO2 Target Range setting automated control of FiO2 (A-FiO2) is more effective than a wider SpO2 Target Range

Detailed Description

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A-FiO2 systems have consistently proven to be more effective than manual control. Because it is more precise than manual control, studies of some A-FiO2 systems found small differences in the set target range (shift in the median and width) can optimize the relative performance. Similar studies of the A-FiO2 system (PRICO) used in the investigator's NICU have not been conducted.

The standard of practice in the investigator's NICU is to use 4 different target ranges to balance the risk of hypoxia and hyperoxia based on the gestational age vulnerabilities. Based on the studies of other A-FiO2 systems the investigators believe a slightly narrower width target range would be more effective. Therefore, a small systematic study is needed to determine the optimal set target range to achieve the therapeutic goal.

Conditions

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Neonatal Respiratory Distress Very Low Birth Weight Infant

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Subjects will be switched between the standard target range, the narrow target range, and the target range with a higher median every 12 hours. The sequence will be randomized differently for each subject, with a balanced block design such that every 3 days each range is evaluated twice.

Once enrolled, each subject will continue in the study with regular changes in averaging time through the course of their need for A-FiO2 or 30 days, whichever is shorter. All other elements of care will be as routinely used.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Standard Target Range

The SpO2 TR width is set to 5% SpO2, as is routine in the department. The actual TR will vary depending on the GA, as is standard practice in the department.

Group Type NO_INTERVENTION

No interventions assigned to this group

Narrow Target Range

The SpO2 TR width is set narrower than the Standard TR. The actual TR will vary depending on the GA, as is standard practice in the department.

Group Type EXPERIMENTAL

Narrow TR

Intervention Type DEVICE

The width of the PRICO SpO2 TR is set to 3% SpO2.

Shifted Target Range

The SpO2 TR width is set as the Standard TR. The median of the TR is shifted up compared to the Standard TR. The actual TR will vary depending on the GA, as is standard practice in the department.

Group Type EXPERIMENTAL

Shifted TR

Intervention Type DEVICE

The lower and the upper limits of the PRICO SpO2 TR are increased by 1% SpO2.

Interventions

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Narrow TR

The width of the PRICO SpO2 TR is set to 3% SpO2.

Intervention Type DEVICE

Shifted TR

The lower and the upper limits of the PRICO SpO2 TR are increased by 1% SpO2.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* All VLBW on respiratory support and oxygen requirements after 2 weeks of age in the NICU are eligible after informed consent is obtained.

Exclusion Criteria

* Informed consent is not obtained
* Recording device for automated control of FiO2 is not available
Minimum Eligible Age

2 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Motol

OTHER

Sponsor Role collaborator

Czech Technical University in Prague

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ekaterina Orlova, MD

Role: PRINCIPAL_INVESTIGATOR

Motol University Hospital Prague, Neonatal Unit

Jan Janota, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Motol University Hospital Prague, Neonatal Unit

Thomas E Bachman, MSc

Role: PRINCIPAL_INVESTIGATOR

Czech Technical University in Prague

Jana Dornakova, MD

Role: PRINCIPAL_INVESTIGATOR

Motol University Hospital Prague, Neonatal Unit

Locations

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Motol University Hospital

Prague, , Czechia

Site Status RECRUITING

Countries

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Czechia

Central Contacts

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Jakub Rafl, PhD

Role: CONTACT

+420728229991

Facility Contacts

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Jan Janota, PhD

Role: primary

Other Identifiers

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PricoOptiTR

Identifier Type: -

Identifier Source: org_study_id

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