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CTRI Number  CTRI/2026/01/100176 [Registered on: 02/01/2026] Trial Registered Prospectively
Last Modified On: 01/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Study of RAM Cannula and nasal mask as continuous positive airway pressure interfaces 
Scientific Title of Study   A Randomised Control Study of RAM Cannula and Nasal Mask as Continuous Positive Airway Pressure Interfaces In Neonates 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr R Prajna Poorna Chandra 
Designation  Postgraduate In Paediatrics 
Affiliation  Kempegowda Institute Of Medical Sciences  
Address  Department Of Paediatrics, Kempegowda Institute Of Medical Sciences And Research Centre, Bangalore, Karnataka, India

Bangalore
KARNATAKA
560004
India 
Phone  7795058996  
Fax    
Email  prajnapc2000@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Girish N  
Designation  Professor Of Paediatrics  
Affiliation  Kempegowda Institute Of Medical Sciences  
Address  Department Of Paediatrics, Kempegowda Institute Of Medical Sciences And Research Centre, Bangalore, Karnataka, India

Bangalore
KARNATAKA
560004
India 
Phone  9611110857  
Fax    
Email  drgirish79@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Girish N  
Designation  Professor Of Paediatrics  
Affiliation  Kempegowda Institute Of Medical Sciences  
Address  Department Of Paediatrics, Kempegowda Institute Of Medical Sciences And Research Centre, Bangalore, Karnataka, India

Bangalore
KARNATAKA
560004
India 
Phone  9611110857  
Fax    
Email  drgirish79@gmail.com  
 
Source of Monetary or Material Support  
Neonatal Intensive Care Unit, Department Of Paediatrics, Kempegowda Institute Of Medical Sciences And Research Centre, Bangalore, Karnataka, India, 560004 
 
Primary Sponsor  
Name  Dr R Prajna Poorna Chandra 
Address  Department Of Paediatrics, Kempegowda Institute Of Medical Sciences And Research Centre, Bangalore, Karnataka, India,560004 
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 
Dr R Prajna Poorna Chandra  KIMS Hospital And Research Centre , Bangalore   Neonatal Intensive Care Unit, Department Of Paediatrics , 5TH Floor, A Block, Kempegowda Institute Of Medical Sciences And Research Centre, KR Road, Parvathi Puram , Bangalore, Karnataka, India,560004
Bangalore
KARNATAKA 
7795058996

prajnapc2000@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KIMS Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: P229||Respiratory distress of newborn, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nasal Mask  A Type Of Interface For Delivery Of Oxygen Through Continuous Positive Airway Pressure 
Intervention  RAM Cannula  A Type Of Interface For Delivery Of Oxygen Through Continuous Positive Airway Pressure  
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  28.00 Day(s)
Gender  Both 
Details  All Neonates Requiring Continuous Positive Airway Pressure (CPAP) For Respiratory Distress In NICU, Department Of Paediatrics , KIMS 
 
ExclusionCriteria 
Details  Neonates With Congenital Malformations Like Choanal Atresia, Cleft Palate, Tracheo- Oesophageal Fistula, Congenital Diaphragmatic Hernia 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To Evaluate And Compare CPAP Failure And Need For Mechanical Ventilation With Either Of The Devices , That Is, RAM Cannula And Nasal Mask As Interface  From birth till the total duration on CPAP 
 
Secondary Outcome  
Outcome  TimePoints 
Nasal Trauma  Over The Total Time Duration The Neonate Is On CPAP Via a Particular Interface  
Total Duration Of CPAP Support  Over The Total Time Duration The Neonate Is On CPAP Via A Particular Interface  
Duration Of Supplementary Oxygen Requirement  Total Duration Of Hospitalisation 
Duration of Hospitalisation  Total stay in hospital  
Air Leaks With Each Of The Interfaces  During total time on CPAP 
Cross Over To Other Methods Of Non-Invasive Ventilation Or Mechanical Ventilation  Over the total duration on CPAP 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   15/01/2026 
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)   Not Applicable 
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   Continuous positive airway pressure (CPAP) is the most used and scientifically evaluated non-invasive respiratory support in neonates. Various devices are used as interfaces for CPAP delivery in neonates. These include nasal prongs, nasal cannulas like Hudson, Argyle, RAM cannula and nasal masks. However, the interface used to deliver CPAP significantly affects both the therapeutic efficacy and the incidence of complications. Understanding and assessing the efficacy of the two commonly used interfaces of late, that is, RAM cannula and nasal mask for Continuous positive airway pressure (CPAP) is important for better outcomes and faster recovery. The study aims to evaluate and compare the effectiveness and outcome of RAM cannula and nasal mask as continuous positive airway pressure (CPAP) interfaces in neonates 
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