ClinicalTrials.gg
CompletedNCT07777432Updated Aug 20, 2026

Triple Combination vs. Breastfeeding (Tetanalgesia) for Neonatal Pain Relief

An interventional study of Triple Combination and Breastfeeding (Tetanalgesia) in PAIN and PAIN MANAGEMENT, sponsored by Universitat Jaume I. Completed at 1 site in Spain. Open to participants aged 47 Hours to 52 Hours. Per ClinicalTrials.gov, last updated 2026-08-20.

Sponsored by Universitat Jaume I · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 5 years 6 months after the study started (first participant enrolled Jan 2021, registered Jul 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
128
Allocation
Randomized
Ages
47 Hours to 52 Hours
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 341 studies in Pain with a site in Spain — 58 open to participants now, 68 under way, 7 of them phase 3. Pain · Spain.

Enrollment
75th of 295
128 · median 60
Started
2021
with 33 others
No phase
206 of 341
39 open now
Registered
338th of 341
by date

Among the 341 studies in Pain with a site in Spain, this one is the 75th largest by enrollment of the 295 interventional ones that give a count, is one of 34 that started in 2021, is one of 206 with no phase, and was the 338th registered.

Pain

10,060 studies on the registry are indexed under Pain; 1,651 are open to participants now.

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Open to participants now

58 of the 341 studies in Pain with a site in Spain are open now. Recruiting first, the newest first:

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

Who these studies take

Of the 929 Pain studies recruiting now, 384 (41%) set no upper age limit and 434 (47%) stop at 75 or younger; 146 take children under 18; 222 take healthy volunteers.

This study: 47 Hours to 52 Hours · all sexes · no healthy volunteers.

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02

Study summary

This randomized clinical trial evaluated whether a non-pharmacological Triple Combination of expressed breast milk, sucking, and facilitated tucking reduced pain during heel prick in healthy term newborns compared with Breastfeeding (Tetanalgesia). The study included healthy term newborns with a gestational age of 37 weeks or more whose parents provided informed consent in the maternity unit of Hospital Comarcal de Vinaròs, Spain. Pain and response to the procedure were assessed by comparing the two groups, and two investigators who were not involved in data collection independently reviewed the video recordings to assign pain scores.

Read the detailed description

The study was designed as a randomized, single-blind clinical trial with two study groups. Healthy term newborns were recruited consecutively from January 2021 to March 2023 in the maternity unit of Hospital Comarcal de Vinaròs (Castellón, Spain). After informed consent was obtained from parents or legal representatives, participants were allocated by simple randomization using sealed envelopes to one of two study groups: Triple Combination or Breastfeeding (Tetanalgesia).

In the Triple Combination group, neonates were placed in a lateral flexed position with the arms and legs close to the trunk. Sucking with a pacifier or finger was started 2 minutes before the heel prick and continued until 2 minutes after the procedure. During the procedure, 1 to 2 mL of freshly expressed breast milk was administered by syringe, while facilitated tucking was maintained throughout the procedure and for 2 minutes afterward.

In the Breastfeeding (Tetanalgesia) group, neonates were breastfed during the heel prick while being held in their mothers' arms. The procedure started after approximately 2 minutes of effective sucking and ended 2 minutes after the heel prick. Pain outcomes were assessed using the Premature Infant Pain Profile (PIPP) and the Neonatal Infant Pain Scale (NIPS). Additional outcomes included heart rate and oxygen saturation at baseline (at rest), 15 seconds after heel prick, and 30 seconds after heel prick, as well as crying duration in seconds from the start of the heel prick until crying ceased, assessed up to 5 minutes after heel prick. Two independent investigators who were not involved in data collection reviewed the video recordings to assign pain scores.

03

Conditions studied

  • PAIN
  • PAIN MANAGEMENT

Keywords

  • Heel prick
  • breastfeeding
  • breast milk
  • non-pharmacological analgesia
  • facilitated tucking
04

Who can participate

Ages eligible
47 Hours to 52 Hours
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Healthy term newborns with a gestational age of 37 weeks or later.
  • Breastfed newborns.
  • Newborns undergoing heel prick.
  • Written obtained from a parent or legal guardian.

Exclusion criteria

Exclusion Criteria:

  • Formula-fed newborns.
  • Newborns admitted to the pediatric unit for any medical condition.
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
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
128 participants (actual)

Study arms

  • Experimental
    Triple Combination

    Participants receive the Triple Combination intervention during heel prick.

    Procedure: Triple Combination

  • Active comparator
    Breastfeeding (Tetanalgesia)

    Participants receive the Breastfeeding (Tetanalgesia) intervention during heel prick.

    Procedure: Breastfeeding (Tetanalgesia)

Interventions

  • ProcedureTriple Combination

    Triple Combination intervention administered during heel prick.

  • ProcedureBreastfeeding (Tetanalgesia)

    Breastfeeding (Tetanalgesia) intervention administered during heel prick.

06

What researchers measure

Primary outcomes

  1. Total score on the Premature Infant Pain Profile (PIPP)

    Total score on the Premature Infant Pain Profile (PIPP), assessed in term newborns (gestational age ≥37 weeks) during the heel prick procedure using a 15 second behavioral observation period and a 30 second physiological/facial observation period. Possible scores range from 0 to 18, with higher scores indicating worse pain.

    Time frame: During the heel prick procedure.

  2. Total score on the Neonatal Infant Pain Scale (NIPS)

    Total score on the Neonatal Infant Pain Scale (NIPS), assessed during the heel prick procedure. The scale evaluates five behavioral responses and one physiological response to procedural pain. Possible scores range from 0 to 7, with higher scores indicating worse pain.

    Time frame: During the heel prick procedure.

Secondary outcomes

  1. Time to cessation of crying

    Time from the start of the heel prick until cessation of crying, measured in seconds.

    Time frame: Up to 5 minutes after heel prick.

  2. Mean heart rate

    Mean heart rate, measured in beats per minute, recorded in term newborns (gestational age ≥ 37 weeks) at baseline (at rest), 15 seconds after heel prick, and 30 seconds after heel prick.

    Time frame: Baseline (at rest), 15 seconds after heel prick, and 30 seconds after heel prick.

  3. Mean oxygen saturation (SpO2)

    Mean oxygen saturation (SpO2), measured as percentage, recorded in term newborns (gestational age ≥37 weeks) at baseline (at rest), 15 seconds after heel prick, and 30 seconds after heel prick.

    Time frame: Baseline (at rest), 15 seconds after heel prick, and 30 seconds after heel prick.

07

Study locations

1 site
  • Hospital Comarcal de Vinaròs
    Vinaròs, Castellón 12500, Spain
08

References and documents

Publications

  • Lanchares Vallés, María Silvia. Efectividad de una Triple Combinación (leche materna, succión y contención) vs. Tetanalgesia para aliviar el dolor durante la punción del talón en recién nacidos a término : un ensayo clínico aleatorizado controlado. Tesis doctoral. Universitat Jaume I; 2025.

Individual participant data

Plan to share: No — Individual participant data will not be shared because there is no plan for data sharing and participant confidentiality will be protected.

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

Ran from Jan 2021 to primary completion in Mar 2023, 25 months.

Of 3,734 non-industry interventional studies with no phase under Pain, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 23. This study's 25 months is above that.

Counting every sponsor, half of 3,833 studies reached it within 10 months; a quarter within 4 and three quarters within 23.

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

Registered
Jul 28, 2026
First posted
Aug 20, 2026
StartActual
Jan 25, 2021
Primary completionActual
Mar 22, 2023
CompletionActual
Mar 22, 2023
Last update
Aug 20, 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 Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07777432
Lead sponsor
Universitat Jaume I
Responsible party
María Silvia Lanchares Vallés (Principal Investigator, Universitat Jaume I) — Principal investigator
First posted
Aug 20, 2026
Start date
Jan 25, 2021
Primary completion
Mar 22, 2023
Completion
Mar 22, 2023
Last update
Aug 20, 2026

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 Jul 2026. You cannot join it, but the record below documents what was studied.

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