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Not yet recruitingNCT07869719Updated Oct 9, 2026

nCPAP Versus High-Flow Nasal Cannula in Preterm Infants With RDS

An interventional study of Non-invasive respiratory support in Respiratory Distress Syndrome and Premature Birth, sponsored by Assiut University. Not yet recruiting. Open to participants aged Up to 28 Days. Per ClinicalTrials.gov, last updated 2026-10-09.

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

Updated Oct 9, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
94
Allocation
Randomized
Ages
Up to 28 Days
Sex
All
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Study summary

This randomized controlled trial aims to compare the efficacy and safety of nasal continuous positive airway pressure versus high-flow nasal cannula as initial non-invasive respiratory support in preterm infants with respiratory distress syndrome.

Read the detailed description

Respiratory distress syndrome is a major cause of morbidity in preterm infants. Non-invasive respiratory support with nasal continuous positive airway pressure (nCPAP) or high-flow nasal cannula (HFNC) is commonly used to avoid intubation.

This prospective randomized parallel-group trial will compare treatment failure rates within the first 72 hours between preterm infants receiving nCPAP and those receiving HFNC as initial respiratory support.

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Conditions studied

  • Respiratory Distress Syndrome
  • Premature Birth

Keywords

  • nCPAP
  • High-flow nasal cannula
  • Respiratory distress syndrome
  • NICU
  • Assiut
  • Preterm infants
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In context

Respiratory Distress Syndrome

1,596 studies on the registry are indexed under Respiratory Distress Syndrome; 312 are open to participants now.

This study's planned enrollment of 94 is above the median of 60 across 960 interventional studies indexed under Respiratory Distress Syndrome.

Browse Respiratory Distress Syndrome studies →

Lead sponsor

Assiut University is the lead sponsor of 4,919 studies on the registry; 2,116 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

Ages eligible
Up to 28 Days
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • - Preterm infants with gestational age 28 to 36 weeks and 6 days
  • Clinical diagnosis of respiratory distress syndrome
  • Spontaneous breathing without immediate need for invasive mechanical ventilation
  • Requirement for non-invasive respiratory support
  • Written informed consent from parent or legal guardian

Exclusion criteria

Exclusion Criteria:

  • - Infants requiring immediate endotracheal intubation and mechanical ventilation
  • Major congenital anomalies affecting the respiratory or cardiovascular systems
  • Congenital diaphragmatic hernia
  • Significant congenital heart disease
  • Severe perinatal asphyxia requiring prolonged resuscitation
  • Severe hemodynamic instability
  • Prolonged mechanical ventilation before enrollment
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
94 participants (estimated)

Study arms

  • Experimental
    Nasal Continuous Positive Airway Pressure

    Preterm infants will receive nasal continuous positive airway pressure through an appropriate neonatal interface.

    Device: Non-invasive respiratory support

  • Active comparator
    High-Flow Nasal Cannula

    Preterm infants will receive heated and humidified high-flow nasal cannula therapy.

    Device: Non-invasive respiratory support

Interventions

  • DeviceNon-invasive respiratory support

    Non-invasive respiratory support using either nCPAP or high-flow nasal cannula according to group allocation.

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What researchers measure

Primary outcomes

  1. Treatment failure within 72 hours

    Number of infants meeting predefined criteria for treatment failure of the assigned non-invasive respiratory support modality within the first 72 hours.

    Time frame: At 72 hours

Secondary outcomes

  1. Need for mechanical ventilation

    Number of infants requiring endotracheal intubation and mechanical ventilation.

    Time frame: At 72 hours

  2. Need for surfactant therapy

    Number of infants requiring surfactant administration.

    Time frame: At 72 hours

  3. Duration of respiratory support

    Mean duration of non-invasive respiratory support in days.

    Time frame: At 28 days

  4. Incidence of nasal trauma

    Number of infants who develop nasal trauma related to the respiratory support interface.

    Time frame: At 28 days

  5. Incidence of pneumothorax

    Number of infants who develop pneumothorax.

    Time frame: At 28 days

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    First appeared on the registry

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 ↗

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Registry details

Key details

Study ID
NCT07869719
Lead sponsor
Assiut University
Responsible party
Yara Sabry Mahmoud (Resident Physician, Department of Pediatrics, Assiut University) — Principal investigator
First posted
Oct 9, 2026
Start date
Oct 10, 2026 (estimated)
Primary completion
Oct 10, 2027 (estimated)
Completion
Feb 25, 2028 (estimated)
Last update
Oct 9, 2026

Study contacts

Yara S Mahmoud, Resident
Contact
Yara.17298705@med.aun.edu.eg
+20 11 53798964
Hekma S Farghaly, prof
study chair · Pediatrics Department, Assiut University Hospitals

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

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