ClinicalTrials.gg
RecruitingNCT06373289PHOXUpdated Oct 6, 2026

Pulmonary Hypertension and Oxygen Saturation Targeting in Preterm Infants

An interventional study of higher oxygen saturation target using Nellcor pulse oximetry sensors and lower oxygen saturation target using Nellcor pulse oximetry sensors in Bronchopulmonary Dysplasia and Pulmonary Hypertension, sponsored by University of Alabama at Birmingham. Recruiting at 2 sites in United States. Open to participants aged 1 Month to 5 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-06.

Sponsored by University of Alabama at Birmingham · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Oct 6, 2026Start date movedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
39
Allocation
Randomized
Ages
1 Month to 5 Months
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 147 studies in Bronchopulmonary Dysplasia with a site in United States — 30 open to participants now, 37 under way, 1 of them phase 3. Bronchopulmonary Dysplasia · United States.

Planned enrollment
69th of 117
39 · median 50
Started
2026
with 11 others
No phase
46 of 147
13 open now
Primary completion
2029-07
later than 35 of 36 live
Registered
129th of 147
by date
Lead sponsor
9 of 147
University of Alabama at Birmingham

Among the 147 studies in Bronchopulmonary Dysplasia with a site in United States, this one is the 69th largest by planned enrollment of the 117 interventional ones that give a count, is one of 12 that started in 2026, is one of 46 with no phase, reaches primary completion later than 35 of the 36 other live ones, and was the 129th registered.

Bronchopulmonary Dysplasia

362 studies on the registry are indexed under Bronchopulmonary Dysplasia; 85 are open to participants now.

Browse Bronchopulmonary Dysplasia studies →

Open to participants now

30 of the 147 studies in Bronchopulmonary Dysplasia with a site in United States are open now. Recruiting first, the newest first:

24 more — sign in →

All 30 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 58 Bronchopulmonary Dysplasia studies recruiting now, 7 (12%) set no upper age limit and 50 (86%) stop at 75 or younger; 56 take children under 18; 11 take healthy volunteers.

This study: 1 Month to 5 Months · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 147 studies in Bronchopulmonary Dysplasia with a site in United States, or all of them as a file.
02

Study summary

Around 50% of infants born extremely preterm develop a chronic lung disease known as bronchopulmonary dysplasia of which some infants will also develop pulmonary hypertension of which 50% of children will die before the age of 2. Physicians are currently limited in their ability to select the most appropriate oxygen targets that will improve outcomes in infants with this condition. This clinical trial will determine whether using different amounts of oxygen improve outcomes in infants with this disease.

Read the detailed description

Infants born between 22.0 to 31.6 weeks' gestational age with bronchopulmonary dysplasia associated pulmonary hypertension, are receiving supplemental oxygen, and have mature retinas will be randomized to SpO2 targets of either (1) 92-95% (control) or (2) 95-98% (intervention).

Using a cross over design with a 1:1 parallel allocation of infants randomized using a stratified permuted block design. Following 1week of exposure A, infants will cross over to exposure B for 1 week with a 1-week washout period. Bedside providers will follow pre-specified algorithms to maintain oxygen targets during the randomization period. Reports of oxygen saturation performance will also be provided to bedside providers through oxygen saturation histograms.

03

Conditions studied

  • Bronchopulmonary Dysplasia
  • Pulmonary Hypertension
04

Who can participate

Ages eligible
1 Month to 5 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Between 22w 0/7d and 31w 6/7d gestation at birth
  • Diagnosed with echocardiographic pulmonary hypertension (1) >20% flow of blood across the PDA from the pulmonary to arterial circulation, (2) end-systolic flattening of the interventricular septum (eccentricity index >1.3), or (3) right ventricular pressure estimates ≥ 35 mm Hg
  • Receiving supplemental oxygen
  • Have mature retinas

Exclusion criteria

Exclusion Criteria:

  • Major congenital anomalies
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
39 participants (estimated)

Study arms

  • Active comparator
    Oxygen saturation target 92-95%

    At UAB and Yale oxygen saturation targeting is achieved using systematic oxygen saturation histogram monitoring every 3-4 hours by nurse, respiratory therapists, and physicians. Upon randomization to this arm, infants oxygen saturation alarm limits will be adjusted to 92-95% after which an FiO2 modification algorithm will be employed to maintain targets. Daily compliance reports will be generated to ensure oxygen saturation achievement corresponds with oxygen saturation targets. Infants will be exposed to a 1 week period after which they will crossover to the alternative oxygen saturation target with a 1 week washout period in between targets.

    Device: lower oxygen saturation target using Nellcor pulse oximetry sensors

  • Active comparator
    Oxygen saturation target 95-98%

    At UAB and Yale oxygen saturation targeting is achieved using systematic oxygen saturation histogram monitoring every 3-4 hours by nurse, respiratory therapists, and physicians. Upon randomization to this arm, infants oxygen saturation alarm limits will be adjusted to 95-98% after which an FiO2 modification algorithm will be employed to maintain targets. Daily compliance reports will be generated to ensure oxygen saturation achievement corresponds with oxygen saturation targets. Infants will be exposed for a 1 week period after which they will crossover to the alternative oxygen saturation target with a 1 week washout period in between targets.

    Device: higher oxygen saturation target using Nellcor pulse oximetry sensors

Interventions

  • Devicehigher oxygen saturation target using Nellcor pulse oximetry sensors

    The intervention will be a cross over exposure to the higher oxygen saturation target.

  • Devicelower oxygen saturation target using Nellcor pulse oximetry sensors

    The intervention will be a cross over exposure to the lower oxygen saturation target.

06

What researchers measure

Primary outcomes

  1. Intermittent hypoxemia event duration

    The average duration of time (in seconds) an infant's oxygen saturation decrease below 80%.

    Time frame: From date of randomization until 3 weeks have elapsed or date of discharge, whichever came first

Secondary outcomes

  1. Echocardiographic shunting

    \>20% flow of blood across the PDA from the pulmonary to arterial circulation

    Time frame: through study completion, 3 weeks from date of randomization until 3 weeks have elapsed or date of discharge, whichever came first

  2. Echocardiographic interventricular septal flattening

    End-systolic flattening of the interventricular septum (eccentricity index \>1.3)

    Time frame: From date of randomization until 3 weeks have elapsed or date of discharge, whichever came first

  3. Echocardiographic tricuspid regurgitation

    Right ventricular pressure estimates

    Time frame: From date of randomization until 3 weeks have elapsed or date of discharge, whichever came first

  4. Intermittent hypoxemia frequency

    Number of daily events during which an infant's oxygen saturation decreases below 80%

    Time frame: From date of randomization until 3 weeks have elapsed or date of discharge, whichever came first

  5. Cumulative hypoxemia

    Daily duration during which an infant's oxygen saturation is \<80%

    Time frame: From date of randomization until 3 weeks have elapsed or date of discharge, whichever came first

  6. Brain natriuretic peptide

    A polypeptide released from the cardiac ventricles indicative of right heart strain

    Time frame: From date of randomization until 3 weeks have elapsed or date of discharge, whichever came first

07

Study locations

2 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2026 (actual). Primary completion is estimated for Jul 2029, 33 months after the start.

Of 71 non-industry interventional studies with no phase under Bronchopulmonary Dysplasia, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 56. This study's planned 33 months is above that.

Counting every sponsor, half of 73 studies reached it within 37 months; a quarter within 19 and three quarters within 63.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 19, 2024
First posted
Apr 18, 2024
StartActual
Sep 22, 2026
Primary completionEst.
Jul 6, 2029
CompletionEst.
Dec 1, 2029
Last update
Oct 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Start date
Sep 15, 2026→Sep 22, 2026 (actual)
Oct 6, 2026
Show all 1 update
  1. Oct 6, 2026
    Start date Sep 15, 2026→Sep 22, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06373289
Responsible party
Samuel Gentle (Assistant Professor, Yale University) — Principal investigator
First posted
Apr 18, 2024
Start date
Sep 22, 2026
Primary completion
Jul 6, 2029 (estimated)
Completion
Dec 1, 2029 (estimated)
Last update
Oct 6, 2026

Study contacts

Samuel Gentle, MD
Contact
samjgentle@gmail.com
205-541-2247
Colm Travers
Contact
samuel.gentle@yale.edu
Samuel Gentle
principal investigator · Yale University

Oversight

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

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