Transpyloric Versus Gastric Feeding in Bronchopulmonary Dysplasia
NCT06534359 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2025-07-28
Summary
The goal of this clinical trial is to learn if transpyloric tube feeding (feeding directly into the small intestine) versus gastric tube feeding tolerably and effectively reduces gastroesophageal reflux in infants born premature who have been diagnosed with bronchopulmonary dysplasia. The main questions this trial aims to answer are:
Does transpyloric as compared to gastric tube feeding result in differences in the amount of experienced hypoxemia (low oxygen level in the blood) or serious adverse events?
Does transpyloric as compared to gastric tube feeding reduce the frequency and severity of gastroesophageal reflux (GER) measured using 24 hour esophageal pH-multichannel intraluminal impedance (pH-MII) monitoring?
Participants will:
Undergo pre-trial 24 hour pH-MII monitoring to determine baseline severity of GER.
Be randomly assigned to receive transpyloric or gastric tube feeding for 2 weeks.
Undergo repeat pH-MII at the end of the 2 week trial to assess for change in GER.
Undergo continuous pulse oximetry to record level of hypoxemia during the 2 week trial.
Undergo saliva and airway (if supported by a breathing tube) fluid collection to measure biomarkers of GER.
Be monitored clinically for possible adverse events.
Conditions
- Bronchopulmonary Dysplasia
- Gastroesophageal Reflux
Interventions
- OTHER
-
Transpyloric tube feeding
Tube feeding into the small bowel
- OTHER
-
Gastric tube feeding
Tube feeding into the stomach
Sponsors & Collaborators
-
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
collaborator NIH -
Children's Hospital of Philadelphia
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 1 Month
- Max Age
- 12 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-15
- Primary Completion
- 2027-06-30
- Completion
- 2027-06-30
Countries
- United States
Study Locations
More Related Trials
-
The Role of Anti-Reflux Surgery for Gastroesophageal Reflux Disease in Premature Infants With Bronchopulmonary Dysplasia
NCT00926276 ·Status: COMPLETED ·Phase: PHASE4
-
Gastric Tube in Pyloric Stenosis
NCT05068622 ·Status: UNKNOWN
-
PAL to Improve Oral Feeding for Infants With Chronic Lung Disease
NCT05446389 ·Status: TERMINATED ·Phase: NA
-
Physiologic Definition of Bronchopulmonary Dysplasia
NCT01223287 ·Status: COMPLETED
-
Prematurity-Related Ventilatory Control
NCT03464396 ·Status: COMPLETED
-
Does Starting Feeds on the First Day of Life Help Premature Infants Reach Full Volume Feeds Sooner?
NCT06731439 ·Status: RECRUITING ·Phase: NA
-
Enteral L Citrulline Supplementation in Preterm Infants - Safety, Efficacy and Dosing
NCT03649932 ·Status: COMPLETED ·Phase: PHASE1
-
Multidimensional Phenotype Classification in Grade 3 Bronchopulmonary Dysplasia
NCT06475976 ·Status: RECRUITING
-
Study of Nasal Ventilation In Preterm Infants To Decrease Time on The Respirator
NCT01440647 ·Status: COMPLETED ·Phase: NA
-
NHFOV as Primary Support in Very Preterm Infants With RDS
NCT05141435 ·Status: COMPLETED ·Phase: NA
-
Impact of Early Oral Stimulation on Reducing Cardiorespiratory Events and Transition to Oral Feeding in Preterm Infants
NCT01116765 ·Status: COMPLETED ·Phase: NA
-
Effect of Tube Feeding on Gastroesophageal Reflux in Preterm Infants
NCT02837627 ·Status: COMPLETED
-
Study of Antenatal Thyrotropin-Releasing Hormone in Women in Premature Labor to Prevent Lung Disease in Preterm Infants
NCT00004840 ·Status: COMPLETED ·Phase: NA
-
Epidemiological Study for Bronchopulmonary Dysplasia (BPD) in China
NCT03850457 ·Status: COMPLETED
-
The Impact of Nasogastric Indwelling Versus Oral Intermittent Tube Feeding Methods on Premature Infants
NCT00798824 ·Status: COMPLETED ·Phase: NA
-
Point of Care Lung Ultrasound in Preterm Infants With Respiratory Distress
NCT05925075 ·Status: ENROLLING_BY_INVITATION
-
Comparision of Two Different Feeding Method in Preterms
NCT05265143 ·Status: COMPLETED ·Phase: NA
-
Restricted Versus Liberal Fluid Intake for Prevention of Bronchopulmonary Dysplasia
NCT06954142 ·Status: RECRUITING ·Phase: NA
-
Providing Oxygen During Intubation in the NICU Trial
NCT05451953 ·Status: RECRUITING ·Phase: NA
-
NHFOV vs. NCPAP as a Primary Treatment to Neonatal Respiratory Distress Syndrome(NRDS)
NCT03099694 ·Status: COMPLETED ·Phase: NA
-
Gastroesophageal Reflux and Cardiorespiratory Problems
NCT03053609 ·Status: COMPLETED
-
Estimating Length of Endotracheal Tube Insertion Using Gestational Age or Nasal-Tragus Length in Newborn Infants
NCT04393337 ·Status: UNKNOWN ·Phase: NA
-
Efficacy and Safety Evaluation of Pneumostem® Versus a Control Group for Treatment of BPD in Premature Infants
NCT01828957 ·Status: COMPLETED ·Phase: PHASE2
-
L-citrulline and Pulmonary Hypertension Associated With Bronchopulmonary Dysplasia
NCT03542812 ·Status: TERMINATED ·Phase: EARLY_PHASE1
-
Feeding Premature Infants During Non-invasive Respiratory Support
NCT03852641 ·Status: UNKNOWN ·Phase: NA