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Not yet recruitingNCT07725614Updated Jul 24, 2026

Nasal Cannula Versus Single Nasal Prong for Non-Invasive Ventilation in Preterm Infants

An interventional study of Experimental, Intervention Name: Nasal Cannula and Active comparator: single nasal prong in Prematurity, sponsored by Indonesia University. Not yet recruiting at 1 site in Indonesia. Open to participants aged 0 Minutes to 6 Hours. Per ClinicalTrials.gov, last updated 2026-07-24.

Sponsored by Indonesia University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
0 Minutes to 6 Hours
Sex
All
01

Study summary

Preterm infants frequently require non-invasive ventilation (NIV) to treat respiratory distress after birth. The effectiveness of NIV may be influenced by the interface used to deliver respiratory support. Nasal cannula and single nasal prong are two interfaces commonly used for NIV; however, evidence directly comparing their efficacy during the early postnatal period remains limited.

This randomized controlled trial aims to compare the efficacy of a nasal cannula and a single nasal prong as interfaces for non-invasive ventilation in preterm infants after birth. Eligible preterm infants requiring NIV after initial stabilization will be randomly assigned to receive respiratory support using either a nasal cannula or a single nasal prong. The assigned interface will be maintained for one hour following randomization, including during transport from the delivery room to the neonatal intensive care unit.

The primary outcome is the need for endotracheal intubation within one hour after interface application. Secondary outcomes include the need for endotracheal intubation within 6 hour of age, respiratory effectiveness, assessed by the oxygen saturation index (OSI) and arterial blood gas parameters (pH and partial pressure of carbon dioxide [pCO₂]), as well as interface-related adverse events, including interface dislodgement and nasal injury.

This study is expected to provide evidence to support the selection of an effective non-invasive ventilation interface for preterm infants after birth.

02

Conditions studied

  • Prematurity

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03

In context

Premature Birth

2,550 studies on the registry are indexed under Premature Birth; 500 are open to participants now.

This study's planned enrollment of 140 is above the median of 84 across 1,666 interventional studies indexed under Premature Birth.

Browse Premature Birth studies →

Lead sponsor

Indonesia University is the lead sponsor of 446 studies on the registry; 56 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.

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

04

Who can participate

Ages eligible
0 Minutes to 6 Hours
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

Inclusion Criteria:

  1. Preterm infants with a gestational age of 28 to \<37 weeks who develop respiratory distress and require non-invasive ventilation (NIV) after birth.
  2. Written is obtained from a parent or legal guardian.

Exclusion Criteria:

  1. Infants with congenital nasal defects, including cleft lip and palate.
  2. Infants with prenatally diagnosed congenital anomalies that contraindicate NIV, including congenital diaphragmatic hernia, choanal atresia, esophageal atresia with tracheoesophageal fistula, or congenital heart disease.
  3. Infants with multiple congenital anomalies.
  4. Infants requiring endotracheal intubation for positive pressure ventilation immediately after birth.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
140 participants (estimated)

Study arms

  • Experimental
    Arm 1 with arm label: Nasal Cannula

    Device: Experimental, Intervention Name: Nasal Cannula

  • Active comparator
    Arm 2 with arm label: Single Nasal Prong

    Device: Active comparator: single nasal prong

Interventions

  • DeviceExperimental, Intervention Name: Nasal Cannula

    Non-invasive ventilation delivered through a nasal cannula as the respiratory interface for one hour after randomization in preterm infants after birth.

  • DeviceActive comparator: single nasal prong

    Non-invasive ventilation delivered through a single nasal prong as the respiratory interface for one hour after randomization in preterm infants after birth.

06

What researchers measure

Primary outcomes

  1. The need for endotracheal intubation

    The proportion of preterm infants requiring endotracheal intubation during the first hour after application of the assigned non-invasive ventilation interface.

    Time frame: Within 1 hour after interface application.

Secondary outcomes

  1. The need for Endotracheal Intubation

    The proportion of preterm infants requiring endotracheal intubation by 6 hours of age.

    Time frame: By 6 hours of age

  2. Oxygen Saturation Index (OSI)

    Oxygen saturation index measured to assess respiratory effectiveness after 1 hour application of the assigned non-invasive ventilation interface.

    Time frame: At 1 hour after interface application

  3. Partial Pressure of Carbon Dioxide (pCO₂)

    Partial pressure of carbon dioxide (pCO₂) measured to evaluate ventilatory effectiveness at 1 hour after application of the assigned non-invasive ventilation interface.

    Time frame: At 1 hour after interface application

  4. Blood pH

    Blood pH measured to evaluate oxygenation effectiveness at 1 hour after application of the assigned non-invasive ventilation interface.

    Time frame: At 1 hour after interface application

  5. Interface Dislodgement

    The proportion of infants experiencing dislodgement of the assigned non-invasive ventilation interface during the first hour after interface application.

    Time frame: Within 1 hour after interface application

  6. Title Nasal Injury

    Description The proportion of infants developing nasal injury associated with the assigned non-invasive ventilation interface during the first hour after interface application.

    Time frame: At 1 hour after interface application

07

Study locations

1 site
  • Rumah Sakit dr. Cipto Mangunkusumo
    Jakarta, DKI Jakarta, Indonesia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking 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

Start is estimated for Jul 2026; primary completion for Jul 2027, 12 months later.

Of 741 non-industry interventional studies with no phase under Premature Birth, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 47. This study's planned 12 months is below that.

Counting every sponsor, half of 759 studies reached it within 24 months; a quarter within 12 and three quarters within 47.

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

Registered
Jul 21, 2026
First posted
Jul 24, 2026
StartEst.
Jul 20, 2026
Primary completionEst.
Jul 20, 2027
CompletionEst.
Jul 20, 2027
Last update
Jul 24, 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.
No changes since tracking began. The registry record was last updated on Jul 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07725614
Responsible party
Adhi Teguh Perma Iskandar, Sp (Consultant Neonatologist, Indonesia University) — Principal investigator
First posted
Jul 24, 2026
Start date
Jul 20, 2026 (estimated)
Primary completion
Jul 20, 2027 (estimated)
Completion
Jul 20, 2027 (estimated)
Last update
Jul 24, 2026

Study contacts

Raden Adhi Teguh Perma Iskandar, Principal Investigator
Contact
adhitpi@gmail.com
085779153162
Ina Rochayati
Contact
inarochayati@gmail.com
087712526805

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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