The Effect of an Additional Pre-extubational Loading Dose of Caffeine-citrate
NCT06401083 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 226
Last updated 2024-05-06
Summary
The goal of this clinical trial is to answer whether the use of a single loading dose (20 mg/kg) of caffeine citrate one hour before extubation has an impact on the success rate of extubation among preterm neonates. In addition, the investigators would like to assess the frequency of apneas and side effects of the intervention, as well as the development of NEC, BPD, IVH, PVL, and long-term neurodevelopmental outcomes in the investigated populations.
According to institutional protocol, preterm infants born before the 32nd week of gestation receive a standard dose of caffeine citrate therapy. This covers a maintenance dose of 5-10 mg/kg of caffeine citrate administered intravenously once or twice daily after a loading dose of 20 mg/kg on the first day of life. In this trial, preterm infants born before the 32nd gestational week and who had been mechanically ventilated for at least 48 hours before planned extubation are planned to be randomly allocated into intervention and control groups. The intervention group will receive an additional loading dose of caffeine citrate 60 minutes before extubation. The control group will receive standard dosing regimens.
Conditions
- Apnea of Prematurity
- Premature Birth
- Respiratory Failure
Interventions
- DRUG
-
Caffeine citrate
20 mg/kg caffeine-citrate before the planned extubation.
Sponsors & Collaborators
-
Semmelweis University
lead OTHER
Principal Investigators
-
Ákos Gasparics, MD.PhD · Semmelweis University, Department of Obstetrics and Gynecology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-12-21
- Primary Completion
- 2027-12-31
- Completion
- 2028-12-31
Countries
- Hungary
Study Locations
More Related Trials
-
High Versus Low Dose of Caffeine for Apnea of Prematurity
NCT02103777 ·Status: COMPLETED ·Phase: PHASE3
-
Caffeine Treatment in in the Delivery Room
NCT04044976 ·Status: COMPLETED ·Phase: NA
-
Early Versus Routine Caffeine Administration in Extremely Preterm Neonates
NCT01783561 ·Status: COMPLETED ·Phase: PHASE4
-
Caffeine Use in the Management of Preterm Infants
NCT06327152 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Oxygen Saturation and Caffeine Post-Discharge
NCT02386046 ·Status: TERMINATED
-
Moderately Preterm Infants With Caffeine at Home for Apnea (MoCHA) Trial
NCT03340727 ·Status: TERMINATED ·Phase: PHASE3
-
Caffeine for Preterm Infants With Apnea of Prematurity(AOP)
NCT03298347 ·Status: UNKNOWN ·Phase: NA
-
Apnea of Prematurity Results in Respiratory Distress and Cyanosis. Caffeine Citrate Can Treat It.
NCT06905496 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
The Effect of Stimulating Substances on Brain Activity of Preterm Infants
NCT01344317 ·Status: UNKNOWN
-
The Caffeine Therapy in the Fetal to Neonatal Transition
NCT05454332 ·Status: RECRUITING ·Phase: PHASE4
-
Effect of Feedings on Caffeine in Premature Infants
NCT02293824 ·Status: COMPLETED
-
Prophylactic Versus Therapeutic Caffeine for Apnea of Prematurity
NCT02677584 ·Status: COMPLETED ·Phase: NA
-
PK and Safety of Caffeine in Neonates With Hypoxic Ischemic Encephalopathy Receiving Therapeutic Hypothermia
NCT05295784 ·Status: WITHDRAWN ·Phase: PHASE1
-
Caffeine to Reduce Mechanical Ventilation in Preterm Infants
NCT01751724 ·Status: TERMINATED ·Phase: NA
-
Caffeine Citrate Use and Electronic Activity of the Diaphragm (EDI) Changes
NCT05393817 ·Status: COMPLETED
-
Caffeine Optimization for Oxygen Saturation Index in ELBW Infants
NCT07216365 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Influence of Caffeine Therapy in Preterm Infants
NCT04376749 ·Status: UNKNOWN
-
Intermittent Hypoxia and Caffeine in Infants Born Preterm
NCT03321734 ·Status: COMPLETED ·Phase: PHASE2
-
Effects of Caffeine on Intermittent Hypoxia in Infants Born Preterm
NCT01875159 ·Status: COMPLETED ·Phase: PHASE3
-
Target Weaning Oxygen to Determine Cafffeine Duration for AOP
NCT04868565 ·Status: COMPLETED ·Phase: PHASE4
-
Surfactant Administration by Insure or Thin Catheter
NCT04445571 ·Status: RECRUITING ·Phase: NA
-
Baby-CINO: CaffeINe Treatment Optimisation in Premature Infants
NCT06416956 ·Status: RECRUITING
-
Brain Oxygenation and Function of Preterm Newborns During Administration of Two Different Surfactant Preparations
NCT01941524 ·Status: COMPLETED ·Phase: PHASE4
-
Caffeine for Apnea of Prematurity (CAP)
NCT00182312 ·Status: COMPLETED ·Phase: PHASE3
-
Inhalation of Low Concentration of CO2 in Preterm Infants Not Responding to Caffeine for the Treatment of Apnea
NCT01911182 ·Status: TERMINATED ·Phase: PHASE2/PHASE3