CAffeine Use in Prolonged Oxygen Use in meConium aspIration Syndrome in Neonatal Outcomes (CAPUCINO)
NCT06972108 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2026-02-05
Summary
When babies are stressed in the womb, they sometimes pass meconium in the amniotic fluid. When this happens, they may swallow the meconium-stained fluid into their lungs which may cause them to have poor oxygen levels and require resuscitation and significant breathing support in the early hours after birth. This is referred to as Meconium Aspiration Syndrome (MAS). Some babies may recover slowly and require breathing and/or oxygen support for days. Caffeine is a drug that can help improve breathing efforts and is commonly used in premature babies who do not have regular or strong breathing efforts. Caffeine has been used in babies with MAS who recovered slowly (i.e. requiring breathing or oxygen support for a longer period) for several years now. Despite having success in many babies, there is no evidence to examine its effectiveness and mechanism of action. This pilot study proposes to look at the effects of caffeine in babies with MAS who require ongoing breathing and oxygen support. There will also be examination of whether caffeine improves breathing efforts with better lung opening using ultrasound images of the lungs.
Conditions
- Meconium Aspiration Syndrome
Interventions
- DRUG
-
Caffeine citrate
Caffeine citrate loading at 10 mg/kg, followed by daily maintenance of 5 mg/kg PO
- OTHER
-
Saline (NaCl 0,9 %) (placebo)
Saline PO for loading and daily maintenance
Sponsors & Collaborators
-
University of Alberta
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 10 Days
- Max Age
- 14 Days
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-01
- Primary Completion
- 2027-08-31
- Completion
- 2028-12-31
More Related Trials
-
Inhalation of Low Concentration of CO2 in Preterm Infants Not Responding to Caffeine for the Treatment of Apnea
NCT01911182 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
High Versus Low Dose of Caffeine for Apnea of Prematurity
NCT02103777 ·Status: COMPLETED ·Phase: PHASE3
-
Early Versus Routine Caffeine Administration in Extremely Preterm Neonates
NCT01783561 ·Status: COMPLETED ·Phase: PHASE4
-
Caffeine for Apnea of Prematurity-Sleep (CAP-S) Study
NCT01020357 ·Status: COMPLETED ·Phase: PHASE3
-
Oxygen Saturation and Caffeine Post-Discharge
NCT02386046 ·Status: TERMINATED
-
Target Weaning Oxygen to Determine Cafffeine Duration for AOP
NCT04868565 ·Status: COMPLETED ·Phase: PHASE4
-
Apnea of Prematurity Results in Respiratory Distress and Cyanosis. Caffeine Citrate Can Treat It.
NCT06905496 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Time of Positive Pressure Ventilation in Non-vigorous Infants Born Through Meconium-stained Amniotic Fluid
NCT04076189 ·Status: COMPLETED ·Phase: NA
-
Prophylactic Versus Therapeutic Caffeine for Apnea of Prematurity
NCT02677584 ·Status: COMPLETED ·Phase: NA
-
Early Caffeine in Preterm Neonates
NCT03086473 ·Status: UNKNOWN ·Phase: PHASE4
-
Phase III Randomized Study of Lucinactant in Full Term Newborn Infants With Meconium Aspiration Syndrome
NCT00004500 ·Status: TERMINATED ·Phase: PHASE3
-
Caffeine to Reduce Mechanical Ventilation in Preterm Infants
NCT01751724 ·Status: TERMINATED ·Phase: NA
-
Caffeine for Preterm Infants With Apnea of Prematurity(AOP)
NCT03298347 ·Status: UNKNOWN ·Phase: NA
-
Baby-CINO: CaffeINe Treatment Optimisation in Premature Infants
NCT06416956 ·Status: RECRUITING
-
Meconium Aspiration and Tracheal Suctioning-Feasibility Study
NCT02708563 ·Status: WITHDRAWN ·Phase: NA
-
Moderately Preterm Infants With Caffeine at Home for Apnea (MoCHA) Trial
NCT03340727 ·Status: TERMINATED ·Phase: PHASE3
-
Effect of Feedings on Caffeine in Premature Infants
NCT02293824 ·Status: COMPLETED
-
Surfactant Lavage vs. Bolus Surfactant in Neonates With Meconium Aspiration
NCT00312507 ·Status: UNKNOWN ·Phase: PHASE3
-
Effects of Caffeine on Intermittent Hypoxia in Infants Born Preterm
NCT01875159 ·Status: COMPLETED ·Phase: PHASE3
-
The Effect of Stimulating Substances on Brain Activity of Preterm Infants
NCT01344317 ·Status: UNKNOWN
-
PK and Safety of Caffeine in Neonates With Hypoxic Ischemic Encephalopathy Receiving Therapeutic Hypothermia
NCT05295784 ·Status: WITHDRAWN ·Phase: PHASE1
-
Caffeine as an Adjuvant Therapy for Late Preterm Infants With Respiratory Distress
NCT06026163 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Effect of Establishing Functional Residual Capacity During Newborn Resuscitation on Oxygenation
NCT00531102 ·Status: TERMINATED ·Phase: NA
-
Effect Of Intrapartum Oropharyngeal (IP-OP) Suction on Meconium Aspiration Syndrome
NCT01328483 ·Status: COMPLETED ·Phase: NA
-
Caffeine Optimization for Oxygen Saturation Index in ELBW Infants
NCT07216365 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2