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CompletedNCT03695900Updated May 10, 2023

Arterial Oxygen Saturation on Ventilatory Stability in Extremely Premature Infants

An interventional study of Targeting SpO2 at 93-95% and Targeting SpO2 at 90-92% in Apnea of Prematurity, Desaturation of Blood and Central Apnea, sponsored by University of Miami. Completed at 1 site in United States. Open to participants aged Up to 18 Weeks. Per ClinicalTrials.gov, last updated 2023-05-10.

Sponsored by University of Miami · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
Up to 18 Weeks
Sex
All
01

Study summary

This is a prospective crossover study to compare the within-subject effect of the two target ranges of arterial oxygen saturation (SpO2), both within the clinically recommended range of 90- 95%. The specific objective of this study to evaluate the impact of targeting SpO2 within 93-95% compared to the 90-92% range on ventilatory stability in premature infants of 23-29 weeks gestational age (GA).

02

Conditions studied

  • Apnea of Prematurity
  • Desaturation of Blood
  • Central Apnea
  • Periodic Breathing
  • Obstructive Apnea of Newborn
03

In context

Apnea

1,422 studies on the registry are indexed under Apnea; 159 are open to participants now.

This study's enrollment of 19 is below the median of 50 across 965 interventional studies indexed under Apnea.

Browse Apnea studies →

Lead sponsor

University of Miami is the lead sponsor of 820 studies on the registry; 161 are open to participants now.

Of its 111 completed or terminated interventional studies of FDA-regulated products, 93 (84%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Up to 18 Weeks
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 23 0/7- 29 6/7 weeks gestational age
  • Postnatal age ≥ 14 days
  • Requiring FiO2 ≥ 0.25 to keep SpO2 90-95%
  • Parental informed consent

Exclusion criteria

Exclusion Criteria:

  • Severe congenital anomalies that may affect pulmonary or neurosensory development
  • Severe CNS pathology that may alter respiratory control function
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Other
    Targeting SpO2 at 93-95% followed by targeting at 90-92%

    FiO2 adjusted to keep basal SpO2 at target range of 93-95% for 2 hours, followed by FiO2 adjusted to keep basal SpO2 at target range of 90-92% for 2 hours.

    Other: Targeting SpO2 at 93-95% · Other: Targeting SpO2 at 90-92%

  • Other
    Targeting SpO2 at 90-92% followed by targeting at 93-95%

    FiO2 adjusted to keep basal SpO2 at target range of 90-92% for 2 hours, followed by FiO2 adjusted to keep basal SpO2 at target range of 93-95% for 2 hours.

    Other: Targeting SpO2 at 93-95% · Other: Targeting SpO2 at 90-92%

Interventions

  • OtherTargeting SpO2 at 93-95%

    FiO2 adjusted to keep basal SpO2 at target range of 93-95% for 2 hours

  • OtherTargeting SpO2 at 90-92%

    FiO2 adjusted to keep basal SpO2 at target range of 90-92% for 2 hours.

06

What researchers measure

Primary outcomes

  1. ventilatory stability by frequency of central apnea

    by frequency of central apnea

    Time frame: 2 hours

  2. ventilatory stability by frequency of obstructive apnea

    by frequency of obstructive apnea

    Time frame: 2 hours

  3. ventilatory stability by density of periodic breathing

    by density of periodic breathing

    Time frame: 2 hours

  4. ventilatory stability by time series of inter-breath intervals

    by time series of inter-breath intervals

    Time frame: 2 hours

Secondary outcomes

  1. oxygenation stability by frequency of intermittent hypoxemia episodes

    frequency of episodes with SpO2 \< 80%

    Time frame: 2 hours

  2. frequency of bradycardia episodes

    frequency of episodes with HR \< 100 bpm

    Time frame: 2 hours

07

Study locations

1 site
  • Holtz Children's Hospital
    Miami, Florida 33136, United States
08

References and documents

Publications

  • Kurtom W, Dormishian A, Jain D, Schott A, Aguilar AC, Grieb G, Bancalari E, Claure N. Effect of the Target Range on Arterial Oxygen Saturation Stability in Extremely Premature Infants. Neonatology. 2022;119(5):638-643. doi: 10.1159/000525271. Epub 2022 Aug 26. PubMed 36030769 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 10, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03695900
Lead sponsor
University of Miami
Collaborators
The Gerber Foundation
Responsible party
Nelson Claure (Associate Professor of Pediatrics, University of Miami) — Principal investigator
First posted
Oct 4, 2018
Start date
Nov 1, 2018
Primary completion
Nov 8, 2019
Completion
Nov 8, 2019
Last update
May 10, 2023

Study contacts

Nelson Claure, MSc, PhD
principal investigator · University of Miami
Eduardo Bancalari, MD
principal investigator · University of Miami
Deepak Jain, MD
principal investigator · University of Miami
Waleed Kurtom, MD
principal investigator · Jackson Health System

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2023. You cannot join it, but the record below documents what was studied.

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