Clinical Trials Logo

Clinical Trial Summary

The purpose of this study is to explore physiological interventions and biomarkers for Apnea of Prematurity in newborn infants.


Clinical Trial Description

Apnea of prematurity is defined as cessation of breathing that lasts for more than 20 seconds and/or is accompanied by oxygen desaturation or a decrease in heart rate (bradycardia). Because apnea presents itself within a variety of diseases in newborns, its diagnosis is based largely on the exclusion of other findings. The difficulty in relating the manifestation of apnea to its cause can lead to issues regarding appropriate medical management and delays in treatment.

Our exploration of physiological interventions for Apnea of Prematurity begins with stochastic resonance. Stochastic resonance is the introduction of noise to a system, to alter the system's behavior. This technology has been examined in previous medical applications. The hypothesis for this work is that stochastic resonance stimulation, in the form of gentle vibrations, will stabilize immature breathing patterns in infants.

In this research study, we will use an apnea mattress developed by engineers at the Wyss Institute, Harvard University, which provides gentle vibrations to the infant. We will closely follow the research protocol from UMass Medical School. Whilst the infant is on the mattress, clinical care data will be collected to determine effect on breathing patterns. We also hope to collect enough baseline and intervention data signals to be able to identify candidate biomarkers for apnea. This will assist in development of predictive algorithms for apnea in infants. ;


Study Design

Observational Model: Case-Only, Time Perspective: Prospective


Related Conditions & MeSH terms


NCT number NCT01643057
Study type Observational
Source Wyss Institute at Harvard University
Contact
Status Completed
Phase N/A
Start date July 2012
Completion date July 2014

See also
  Status Clinical Trial Phase
Recruiting NCT03670732 - CPAP vs.Unsynchronized NIPPV at Equal Mean Airway Pressure N/A
Terminated NCT02524249 - Early Versus Late Caffeine for ELBW Newborns N/A
Completed NCT03292562 - A Comparison of Methods of Discontinuing Nasal CPAP in Premature Infants <30 Weeks Gestation N/A
Recruiting NCT05298748 - The Effect of Womb Recordings on Maturation of Respiratory Control in Preterm Infants N/A
Recruiting NCT05968586 - Non-Invasive Neurally Adjusted Ventilatory Assist (NAVA) Prone vs Supine in Premature Infants N/A
Active, not recruiting NCT02641249 - Non-invasive Intervention for Apnea of Prematurity N/A
Terminated NCT01911182 - Inhalation of Low Concentration of CO2 in Preterm Infants Not Responding to Caffeine for the Treatment of Apnea Phase 2/Phase 3
Completed NCT00182312 - Caffeine for Apnea of Prematurity (CAP) Phase 3
Recruiting NCT03651648 - Apnea Treatment in Premature Infants Using an Automatic Vibro-tactile Stimulator Triggered by the Detection of Apnea-bradycardia. N/A
Recruiting NCT03298347 - Caffeine for Preterm Infants With Apnea of Prematurity(AOP) N/A
Completed NCT01020357 - Caffeine for Apnea of Prematurity-Sleep (CAP-S) Study Phase 3
Completed NCT00809055 - MRI and Neurodevelopment in Preterm Infants Following Administration of High-Dose Caffeine Phase 4
Completed NCT03298035 - A Comparison of Non-invasive Ventilation Methods Used to Prevent Endotracheal Intubation Due to Apnea in Very Low Birth Weight Infants N/A
Completed NCT03695900 - Arterial Oxygen Saturation on Ventilatory Stability in Extremely Premature Infants N/A
Completed NCT04327466 - Effect of High Frequency Oscillatory Highflow Nasal Cannula on Desaturations and Bradycardia in Preterm Infants N/A
Not yet recruiting NCT06374147 - "Prapela® SVS Incubator Pad for Apnea of Prematurity N/A
Completed NCT04868565 - Target Weaning Oxygen to Determine Cafffeine Duration for AOP Phase 4
Terminated NCT00482040 - Randomized Trial Investigating Four Nasal CPAP Systems in the Management of Apnea of Prematurity N/A
Not yet recruiting NCT06292299 - The PARS Study: Paediatric Advanced Respiratory Service Study - An Observational Diagnostic Feasibility Study
Completed NCT05393817 - Caffeine Citrate Use and Electronic Activity of the Diaphragm (EDI) Changes