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CTRI Number  CTRI/2024/10/074939 [Registered on: 08/10/2024] Trial Registered Prospectively
Last Modified On: 27/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study comparing two modes of oxygen delivery systems (nasal high frequency oscillation ventilation and nasal continuous positive airway pressure) in premature babies who have immature lung. 
Scientific Title of Study   Nasal high frequency oscillation ventilation versus Nasal continuous positive airway pressure as primary respiratory support in preterm neonates of more than 30weeks gestation with Respiratory distress syndrome: an Open labelled Randomized controlled trial  
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Padamata Likhitha 
Designation  DrNB Neonatology resident 
Affiliation  Ankura hospital for women and children 
Address  NICU, 3rd floor, Ankura Hospital for Women and Children, Metro pillar number 788, opposite NH65, Bagh Ameer, Sumitranagar Colony, Kukatpally, Hyderabad, 500072
NICU, 3rd floor, Ankura Hospital for Women and Children, Metro pillar number 788, opposite NH65, Bagh Ameer, Sumitranagar Colony, Kukatpally, Hyderabad, 500072
Hyderabad
TELANGANA
500072
India 
Phone  9676303665  
Fax    
Email  likhithaverma2904@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Padamata Likhitha 
Designation  DrNB Neonatology resident 
Affiliation  Ankura hospital for women and children 
Address  NICU, 3rd floor, Ankura Hospital for Women and Children, Metro pillar number 788, opposite NH65, Bagh Ameer, Sumitranagar Colony, Kukatpally, Hyderabad, 500072
NICU, 3rd floor, Ankura Hospital for Women and Children, Metro pillar number 788, opposite NH65, Bagh Ameer, Sumitranagar Colony, Kukatpally, Hyderabad, 500072
Hyderabad
TELANGANA
500072
India 
Phone  9676303665  
Fax    
Email  likhithaverma2904@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Padamata Likhitha 
Designation  DrNB Neonatology resident 
Affiliation  Ankura hospital for women and children 
Address  NICU, 3rd floor, Ankura Hospital for Women and Children, Metro pillar number 788, opposite NH65, Bagh Ameer, Sumitranagar Colony, Kukatpally, Hyderabad, 500072
NICU, 3rd floor, Ankura Hospital for Women and Children, Metro pillar number 788, opposite NH65, Bagh Ameer, Sumitranagar Colony, Kukatpally, Hyderabad, 500072
Hyderabad
TELANGANA
500072
India 
Phone  9676303665  
Fax    
Email  likhithaverma2904@gmail.com  
 
Source of Monetary or Material Support  
Ankura Hospital for Women and Children, NICU, 3rd floor, Metro pillar number 788, opposite NH65, Bagh Ameer, Sumitranagar Colony, Kukatpally, Hyderabad, 500072 
 
Primary Sponsor  
Name  Padamata Likhitha 
Address  NICU, 3rd floor, Ankura Hospital for Women and Children, Metro pillar number 788, opposite NH65, Bagh Ameer, Sumitranagar Colony, Kukatpally, Hyderabad, 500072 
Type of Sponsor  Private hospital/clinic 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Padamata Likhitha  Ankura hospital for women and children  NICU, 3rd floor, Ankura Hospital for Women and Children, Metro pillar number 788, opposite NH65, Bagh Ameer, Sumitranagar Colony, Kukatpally, Hyderabad, 500072
Hyderabad
TELANGANA 
9676303665

likhitha11814@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ankura Ethics committee- Biomedical research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  preterm neonates with respiratory distress syndrome requiring respiratory support  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nasal CPAP in a preterm more than 30 weeks gestation with respiratory distress syndrome  Nasal continuous positive airway pressure ventilation will be initiated in a baby diagnosed with respiratory distress syndrome after randomization  
Intervention  nasal HFOV in a preterm neonate more than 30 weeks gestation with respiratory distress syndrome  Nasal High Frequency oscillation ventilation will be initiated in a baby diagnosed with respiratory distress syndrome after randomization  
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  30.00 Day(s)
Gender  Both 
Details  preterm neonates of gestational age 30-36+6/7 weeks diagnosed with respiratory distress syndrome 
 
ExclusionCriteria 
Details  neonates who had undergone endotracheal intubation or had received surfactant prior to randomization , neonates with gross congenital anomalies
whose caretakers refuse to give consent to participate in study 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Treatment failure Defined as requirement of an use of an alternative NRS modality NIPPV or BiPAP,
Requirement of IMV within 72 hours of postnatal age
 
Treatment failure Defined as requirement of an use of an alternative NRS modality NIPPV or BiPAP,
Requirement of IMV within 72 hours of postnatal age
 
 
Secondary Outcome  
Outcome  TimePoints 
Requirement of surfactant replacement therapy, Pneumothorax, Mortality or BPD (defined as oxygen requirement at 28 days of postnatal age), Mortality, BPD (defined as oxygen requirement at 28 days of postnatal age), Duration of NRS support, Duration of IMV support, Duration of both NRS and IMV support, Duration of hospital stay, Severe intraventricular hemorrhage, Necrotizing enterocolitis stage 2 or more as per modified Bell’s staging, Retinopathy of prematurity (ROP) requiring intervention, Nasal injury  respiratory support started within 6hours 
 
Target Sample Size   Total Sample Size="124"
Sample Size from India="124" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   10/10/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study will be conducted in a level 3 NICU in neonates born more than 30 weeks gestation, meeting the inclusion criteria. After attaining the consent, the neonate will be enrolled, assigned to respective groups after stratified randomization. Baseline characteristics will be recorded at enrolment. Treatment failure and need for IMV at 72 HOL will be observed as primary outcome. 
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