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CTRI Number  CTRI/2026/01/100145 [Registered on: 01/01/2026] Trial Registered Prospectively
Last Modified On: 01/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [CPAP]  
Study Design  Other 
Public Title of Study   A study comparing two types of breathing support continuous positive airway pressure for premature babies with breathing problems in a hospital 
Scientific Title of Study   Conventional CPAP as an alternative to Bubble CPAP as a respiratory support in preterm babies with respiratory distress syndrome – An Interventional comparative study at a tertiary care centre 
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 S Madhumetha 
Designation  Postgraduate  
Affiliation  Vinayaka missions kirupananda variar medical college and research institute  
Address  NICU Department of paediatrics Vinayaka missions kirupananda variar medical college and research institute Ariyanoor Salem

Salem
TAMIL NADU
636006
India 
Phone  7010179756  
Fax    
Email  madhusrisen@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  K Rangasamy 
Designation  Professor 
Affiliation  Vinayaka missions kirupananda variar medical college and research institute  
Address  Vinayaka missions kirupananda variar medical college and research institute chinnaseeragapadi ariyanur post salem

Salem
TAMIL NADU
636308
India 
Phone  9486767266  
Fax    
Email  ramrangsdr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  S Madhumetha 
Designation  Postgraduate 
Affiliation  Vinayaka missions kirupananda variar medical college and research institute  
Address  94 Pension line velu street dadagapatty salem

Salem
TAMIL NADU
636006
India 
Phone  7010179756  
Fax    
Email  madhusrisen@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  S Madhumetha 
Address  94 Pension line velu street dadagapatty salem 636006 
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 S Madhumetha  Vinayaka missions kirupananda variar medical college and research institute  Paediatrics department NICU Ariyanoor salem
Salem
TAMIL NADU 
7010179756

madhusrisen@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J80||Acute respiratory distress syndrome,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  CPAP  Conventional CPAP as an alternative to Bubble CPAP as a respiratory support in preterm babies with respiratory distress syndrome  
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  8.00 Month(s)
Age To  9.00 Month(s)
Gender  Both 
Details  32 to 34 weeks preterm with respiratory distress syndrome 
 
ExclusionCriteria 
Details  Preterm neonates less than 32 weeks are excluded from the study.
High risk cases such as Cardiovascular, Pulmonary, Coagulopathies ,
Neonates with congenital anomalies and genetic disorders are excluded from the study

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Conventional CPAP may be as effective as Bubble CPAP in management of Respiratory distress syndrome in preterm infants requiring CPAP
The use of C-CPAP in preterm infants with RDS may not have increase in complications and CPAP failure rates in comparison to B-CPAP.

 
Conventional CPAP may be as effective as Bubble CPAP in management of Respiratory distress syndrome in preterm infants requiring CPAP
The use of C-CPAP in preterm infants with RDS may not have increase in complications and CPAP failure rates in comparison to B-CPAP.

 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
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="2"
Months="0"
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   This study compares the effectiveness of Conventional CPAP and Bubble CPAP in preterm neonates 32to34 weeks with Respiratory Distress Syndrome  to determine whether Conventional CPAP can serve as an equally effective and cost-efficient alternative in resource-limited settings. It is an interventional comparative study involving 64 infants, evaluating vital parameters, improvement in Modified Downe’s score, complications like abdominal distension and nasal injury, CPAP failure, and NICU stay duration. By analysing these outcomes, the study aims to establish whether Conventional CPAP provides similar clinical benefits and safety when compared with Bubble CPAP, without increasing complications or treatment failure. 
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