Respiratory Distress Syndrome, Newborn Clinical Trial
Official title:
Multicenter Randomized Controlled Trial Of Restrictive Fluid Management For Respiratory Distress in the Newborn Period
The object of this study is to determine the best way to care for infants with respiratory distress. The investigators are testing a method of feeding fluids to infants with respiratory distress in amounts similar to what healthy breastfed babies eat when they are feeding on demand, and comparing this method to the current standard of care for feeding fluids to infants with respiratory distress. These methods of feeding fluids to the study infants will continue until the infants are able to feed normally by mouth. The study will include about 400 infants across five sites in the United States, Chile and Argentina.
Infants with respiratory distress syndrome will be enrolled within the first twelve hours of life, and randomly assigned to one of two groups: the first group will receive the interventional fluid management method, and the second (the control group) will receive the current standard of care for fluid management. To standardize respiratory care across all five study sites, a computer-based algorithm for respiratory support management based on objective markers of respiratory distress will guide clinician management decisions. However, each infant's medical team will make all final decisions on respiratory treatment and IV fluid management. Any study infant who experiences dehydration and/or low blood sugar during the course of the study will be removed from the study and be treated for the condition. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT01206946 -
Efficacy of Antenatal Steroids in Reducing Respiratory Morbidities in Late Preterm Infants
|
Phase 2 | |
| Completed |
NCT00739115 -
The Use of Heliox Via Nasal CPAP to Prevent Early CPAP Failure in Premature Infants: A Feasibility Study
|
N/A | |
| Terminated |
NCT00486395 -
Will CPAP Reduce Length Of Respiratory Support In Premature Infants?
|
Phase 3 | |
| Completed |
NCT01242462 -
Feasibility of Mid-frequency Ventilation in Newborns With RDS: Randomized Crossover Pilot Trial
|
Phase 1/Phase 2 | |
| Enrolling by invitation |
NCT02050971 -
Autologous Cord Blood Infusion for the Prevention and Treatment of Prematurity Complications In Preterm Neonates
|
Phase 1 | |
| Completed |
NCT00486850 -
Synchronized Intermittent Mandatory Ventilation (SIMV) Versus Nasal Intermittent Positive Pressure Ventilation (NIPPV) In Preterm Infants With Respiratory Distress
|
Phase 4 | |
| Terminated |
NCT00005776 -
Inhaled Nitric Oxide Study for Respiratory Failure in Newborns
|
Phase 3 | |
| Completed |
NCT04500353 -
Routine Or Selective Application of a Face Mask for Preterm Infants at Birth: the ROSA Trial
|
N/A | |
| Completed |
NCT05796128 -
NIPPV vs.nCPAP During LISA Procedure
|
N/A | |
| Withdrawn |
NCT02835209 -
Positioning During SBT in NICU Infants
|
N/A | |
| Terminated |
NCT01467076 -
Inhaled Prostaglandin E1 (IPGE1) for Hypoxemic Respiratory Failure (NHRF)
|
Phase 2 | |
| Completed |
NCT00828243 -
Genetic Regulation of Surfactant Deficiency
|
||
| Completed |
NCT00556738 -
Intrapulmonary Percussive Ventilation (IPV) Versus Nasal Continuous Positive Airway Pressure Ventilation (nCPAP) in Transient Respiratory Distress of the Newborn
|
N/A | |
| Not yet recruiting |
NCT05594030 -
Thoracic Fluid Content by Electric Bioimpedance Versus Lung Ultrasound in Preterm Neonates With Respiratory Distress
|
||
| Completed |
NCT02332304 -
Amniotic Fluid Optical Density Determination as a Test for Assessment of Fetal Lung Maturity.
|
Phase 3 | |
| Withdrawn |
NCT00598429 -
Inhaled PGE1 in Neonatal Hypoxemic Respiratory Failure
|
Phase 2 | |
| Completed |
NCT04137783 -
ABCA3 Gene and RDS in Late Preterm and Term Infants
|
||
| Completed |
NCT01941524 -
Brain Oxygenation and Function of Preterm Newborns During Administration of Two Different Surfactant Preparations
|
Phase 4 | |
| Completed |
NCT01102543 -
Observational Study on the Prophylactic Use of Curosurf in Neonatal Respiratory Distress Syndrome (RDS)
|
N/A | |
| Completed |
NCT00501982 -
Efficacy of Combining Prophylactic Curosurf With Early Nasal CPAP in Delivery Room: the Curpap Study
|
Phase 4 |