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CTRI Number  CTRI/2025/01/079530 [Registered on: 27/01/2025] Trial Registered Prospectively
Last Modified On: 25/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare the effectiveness of high doses versus low dose of caffeine given before removing breathing tubes in newborns on ventilators to see which helps them breathe on their better own. 
Scientific Title of Study   Efficacy of Pre-extubation High Dose vs Low Dose Caffeine Administration For Success of Weaning in Mechanically Ventilated Newborns - A 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  Yusuf Khairullah 
Designation  Junior Resident 
Affiliation  N. K. P. Salve Institute Of Medical Sciences and Research Centre And Lata Mangeshkar Hospital 
Address  N. K. P. Salve Institute Of Medical Sciences and Research Centre And Lata Mangeshkar Hospital, Digdoh, Hingna Road, Nagpur 440016, Maharashtra, INDIA.

Nagpur
MAHARASHTRA
440016
India 
Phone  8866937528  
Fax    
Email  yusufk2152@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Anjali Edbor 
Designation  Professor 
Affiliation  N. K. P. Salve Institute Of Medical Sciences and Research Centre And Lata Mangeshkar Hospital 
Address  N. K. P. Salve Institute Of Medical Sciences and Research Centre And Lata Mangeshkar Hospital, Digdoh, Hingna Road, Nagpur 440016, Maharashtra, INDIA.

Nagpur
MAHARASHTRA
440016
India 
Phone  9822470808  
Fax    
Email  dranjaliedbor@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Yusuf Khairullah 
Designation  Junior Resident 
Affiliation  N. K. P. Salve Institute Of Medical Sciences and Research Centre And Lata Mangeshkar Hospital 
Address  N. K. P. Salve Institute Of Medical Sciences and Research Centre And Lata Mangeshkar Hospital, Digdoh, Hingna Road, Nagpur 440016, Maharashtra, INDIA.

Nagpur
MAHARASHTRA
440016
India 
Phone  8866937528  
Fax    
Email  yusufk2152@gmail.com  
 
Source of Monetary or Material Support  
NKP Salve Institute Of Medical Sciences and Research Centre And Lata Mangeshkar Hospital, Digdoh, Hingna, Nagpur 440016, Maharashtra, India  
 
Primary Sponsor  
Name  Yusuf Khairullah  
Address  401, Himalaya Building, Lata Mangeshkar Hospital, Digdoh, Hingna, Nagpur - 440016, Maharashtra, India. 
Type of Sponsor  Other [Self] 
 
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 
Yusuf Khairullah   NKP. Salve Institute of Medial Sciences & Research Centre and Lata Mangeshkar Hospital   Neonatal Intensive Care Unit, Department of Paediatrics
Nagpur
MAHARASHTRA 
8866937528

yusufk2152@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NKP Salve Institute of Medial Sciences & Research Centre and Lata Mangeshkar Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: P84||Other problems with newborn,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Efficacy of Pre - Extubation High Dose v/s low dose Caffeine Administration for Success of Weaning in Mechanically Ventilated Newborns - A Randomized Controlled Trial  The comparator agent involves administering a low-dose caffeine (5 mg/kg) to mechanically ventilated newborns 6 hours before extubation to assess its impact on the success of extubation and weaning. The study compares high dose and low dose to determine the most effective regimen for improving respiratory outcomes 
Intervention  Efficacy of Pre - Extubation High Dose v/s low dose Caffeine Administration for Success of Weaning in Mechanically Ventilated Newborns - A Randomized Controlled Trial  The intervention agent involves administering a high-dose caffeine (20 mg/kg) to mechanically ventilated newborns 6 hours before extubation to assess its impact on the success of extubation and weaning. The study compares high dose and low dose to determine the most effective regimen for improving respiratory outcomes 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  3.00 Month(s)
Gender  Both 
Details  All newborns admitted in the Neonatal intensive care unit.
All newborns with invasive mechanical ventilation of more than 48 hours 
 
ExclusionCriteria 
Details  All healthy newborns in the Postnatal care unit are excluded.
All newborns with invasive mechanical ventilation of less than 48 hours 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To compare pre-extubation high and low dose caffeine administration in mechanically
ventilated newborns for success of weaning in terms of :
1. Re-intubation rates
2. Duration of non-invasive ventilation needed
 
Newborns will be assessed daily i.e every 24 hourly till they are weaned completely off non invasive ventilation 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the efficacy of high-dose & low-dose caffeine administration in reducing the
duration of supplemental oxygen requirement post-extubation in mechanically ventilated
newborns.
 
Newborns will be assessed every 24 hours till they are completely weaned off oxygen. 
 
Target Sample Size   Total Sample Size="128"
Sample Size from India="128" 
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   N/A 
Date of First Enrollment (India)   25/02/2025 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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   Primary Objective - To compare pre-extubation high and low dose caffeine administration in mechanically
ventilated newborns for success of weaning in terms of :
1. Re-intubation rates
2. Duration of non-invasive ventilation needed
 
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