Apnea of Prematurity Results in Respiratory Distress and Cyanosis. Caffeine Citrate Can Treat It.

NCT ID: NCT06905496

Last Updated: 2025-04-01

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

114 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-03

Study Completion Date

2026-03-01

Brief Summary

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High-dose caffeine citrate is more effective than low-dose caffeine citrate in the treatment of apnea of prematurity (AOP). The high-dose group showed fewer apnea episodes, higher extubation success rate, lower extubation failure rate and shorter duration of oxygen therapy

Detailed Description

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Apnea of prematurity (AOP) is a common condition in preterm infants due to immature respiratory control, affecting up to 80% of those under 1000 grams. It can lead to serious complications, including respiratory distress, pulmonary hemorrhage, and developmental delays. Caffeine citrate, a methylxanthine, is widely used for AOP treatment due to its longer half-life and better absorption compared to theophylline. However, the optimal dosage remains uncertain, with varying practices globally.

Conditions

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Apnea of Prematurity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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High-Dose Group

High dose group will be administered a loading dose of oral caffeine citrate at 40 mg/kg/day followed by a maintenance dose of 20 mg/kg/day for 7 days

Group Type EXPERIMENTAL

High-Dose

Intervention Type DRUG

Caffeine

Low Dose

Intervention Type DRUG

Caffeine citrate is a combination of caffeine and citric acid, commonly used as a central nervous system stimulant. It is primarily used to treat apnea of prematurity in neonates.

Low-Dose Group

Low-dose group will receive a loading dose of 20 mg/kg/day and a maintenance dose of 10 mg/kg/day for 7 days

Group Type EXPERIMENTAL

High-Dose

Intervention Type DRUG

Caffeine

Low Dose

Intervention Type DRUG

Caffeine citrate is a combination of caffeine and citric acid, commonly used as a central nervous system stimulant. It is primarily used to treat apnea of prematurity in neonates.

Interventions

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High-Dose

Caffeine

Intervention Type DRUG

Low Dose

Caffeine citrate is a combination of caffeine and citric acid, commonly used as a central nervous system stimulant. It is primarily used to treat apnea of prematurity in neonates.

Intervention Type DRUG

Other Intervention Names

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Caffeine Citrate 40mg/kg/day

Eligibility Criteria

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Inclusion Criteria

* • Patients with a gestational age of ≥32 and \<37 weeks at birth on LMP.

* Diagnosis of apnea of prematurity (AOP) established as per operational definition within the first 10 days of life.
* Either male or female patients

Exclusion Criteria

* • Patients diagnosed with Hydrops fetalis (evaluated through medical record).

* Patients presenting with major congenital or chromosomal anomalies such as anencephaly, spina bifida, congenital heart defects (e.g., tetralogy of Fallot, transposition of the great arteries), or chromosomal disorders (e.g., trisomy 18, Turner syndrome).
* Presence of a confirmed sepsis through blood culture.
* Presence of a significant underlying neurological disorder evaluated by history and medical records that could contribute to apnea (e.g., intraventricular hemorrhage with posthemorrhagic hydrocephalus, hypoxic-ischemic encephalopathy)
* Patients who have been previously treated with caffeine or other methylxanthines for apnea.
Minimum Eligible Age

1 Day

Maximum Eligible Age

10 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nishtar Medical University

OTHER

Sponsor Role lead

Responsible Party

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Fatima Zahra

Post Graduate Resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fatima Zahra, FCPS

Role: STUDY_CHAIR

Nishtar Medical University

Locations

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Nishtar Medical Hospital, Multan

Multan, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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Nishtar Hospital Multan

Identifier Type: OTHER

Identifier Source: secondary_id

HDLDCC2025

Identifier Type: -

Identifier Source: org_study_id

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