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CTRI Number  CTRI/2025/12/099711 [Registered on: 23/12/2025] Trial Registered Prospectively
Last Modified On: 22/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   TO STUDY NEONATES UNDERGOING ENDOTRACHEAL INTUBATION WITH HIGH NASAL FLOW OXYGEN VS STANDARD CARE 
Scientific Title of Study   A Randomized controlled study of neonates undergoing endotracheal intubation with high nasal flow oxygen VS standard care  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  HIMA CHANDANA MANKALA 
Designation  STUDENT  
Affiliation  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES 
Address  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES A BLOCK 5TH FLOOR DEPARTMENT OF PAEDIATRICS KR ROAD ,PARVATHIPURAM ,VISHVESHWARAPURA , SHANKARAPURA BENGALURU

Bangalore
KARNATAKA
560004
India 
Phone  7022712223  
Fax    
Email  chandanahima20@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR SUNIL B  
Designation  PROFESSOR OF PAEDIATRICS  
Affiliation  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES 
Address  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES A BLOCK 5TH FLOOR DEPARTMENT OF PAEDIATRICS KR ROAD ,PARVATHIPURAM ,VISHVESHWARAPURA , SHANKARAPURA BENGALURU

Bangalore
KARNATAKA
560004
India 
Phone  9900485879  
Fax    
Email  docsunilb@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR SUNIL B  
Designation  PROFESSOR OF PAEDIATRICS  
Affiliation  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES 
Address  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES A BLOCK 5TH FLOOR DEPARTMENT OF PAEDIATRICS KR ROAD ,PARVATHIPURAM ,VISHVESHWARAPURA , SHANKARAPURA BENGALURU

Bangalore
KARNATAKA
560004
India 
Phone  9900485879  
Fax    
Email  docsunilb@gmail.com  
 
Source of Monetary or Material Support  
nil  
 
Primary Sponsor  
Name  DrHima Chandana Mankala 
Address  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES A BLOCK 5TH FLOOR DEPARTMENT OF PAEDIATRICS KR ROAD ,PARVATHIPURAM ,VISHVESHWARAPURA , SHANKARAPURA BENGALURU  
Type of Sponsor  Research institution and hospital 
 
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 
DrHima Chandana Mankala  Kempegowda Institute of medical sciences   KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES A BLOCK 5TH FLOOR DEPARTMENT OF PAEDIATRICS KR ROAD ,PARVATHIPURAM ,VISHVESHWARAPURA , SHANKARAPURA BENGALURU
Bangalore
KARNATAKA 
7022712223

chandanahima20@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: J99||Respiratory disorders in diseasesclassified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  no use of oxygen support   oxygen support is not used here  
Intervention  Using high flow nasal oxygen during neonatal endotracheal intubation   During neonatal endotracheal intubations , randomised cases will be intubated with nigh nasal flow oxygen via nasal prongs  
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  28.00 Day(s)
Gender  Both 
Details  all eligible neonates undergoing endotracheal intubation in KIMS NICU  
 
ExclusionCriteria 
Details  infants with oromaxillary and airway anomalies  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
to observe first successful intubation attempt in neonates undergoing endotracheal intubation with high nasal flow oxygen vs neonates receiving standard care   to observe first successful intubation attempt in neonates undergoing endotracheal intubation with high nasal flow oxygen vs neonates receiving standard care immediately after the intubation attempt -10 mins  
 
Secondary Outcome  
Outcome  TimePoints 
To assess if time to desaturation is prolonged with high nasal flow oxygen via nasal prongs   10 mins of study  
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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 2 
Date of First Enrollment (India)   10/01/2026 
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)   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 aims to evaluate the effectiveness of high-flow nasal oxygen in improving the success of the first endotracheal intubation attempt in neonates, compared with standard care. By closely observing clinical outcomes in both groups, the study seeks to determine whether the continuous oxygen delivery provided by high-flow nasal therapy helps maintain better oxygenation and physiological stability during the procedure. The investigation will assess not only the rate of first-attempt success but also associated factors such as heart rate changes, oxygen desaturation episodes, and overall intubation conditions. Through this comparison, the study intends to generate evidence on whether integrating high-flow nasal oxygen into neonatal airway management can enhance procedural safety and reduce complications during intubation. 
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