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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12611001057976
Ethics application status
Approved
Date submitted
3/10/2011
Date registered
10/10/2011
Date last updated
2/04/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
The effects of nasal continuous positive airway pressure on cardiac function in (i) premature infants with established lung disease and (ii) premature infants with minimal lung disease.
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Scientific title
In preterm infants with a corrected gestational age of 28-34 weeks, do levels of nasal CPAP of 4 or 8 cm of water affect right ventricular cardiac output?
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Secondary ID [1]
273127
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
effect of nasal CPAP on right ventricular output
270884
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in premature infants with significant lung disease and minimal lung disease
278904
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Condition category
Condition code
Cardiovascular
279057
279057
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0
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Normal development and function of the cardiovascular system
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Reproductive Health and Childbirth
279085
279085
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0
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Complications of newborn
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Respiratory
279116
279116
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
nasal continuous positive airway pressure of 4, 6 and 8 centimeter of water for 15 minutes each in randomized order. There will be 5-10 minutes before changing to the next CPAP level to allow for echocardiographic assessment.
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Intervention code [1]
269468
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Treatment: Devices
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Comparator / control treatment
each infants is his/her own control as different levels of nasal CPAP are compared
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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right ventricular output, assessed by echocardiography
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Assessment method [1]
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Timepoint [1]
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15 minutes after each change in nCPAP level
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Secondary outcome [1]
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left ventricular output, assessed by echocardiography
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Assessment method [1]
294268
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Timepoint [1]
294268
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15 minutes after each change in nCPAP level
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Eligibility
Key inclusion criteria
Premature infants with a corrected gestational age of 28-34 weeks, admitted to the Neonatal Intensive and Special Care and treated with nasal CPAP.
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Minimum age
28
Weeks
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Maximum age
34
Weeks
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Infants with sepsis, organ failure, necrotizing enterocolitis, seizures, or identified by the clinical team to be too sick to participate in the study will be excluded.
Infants will be excluded if they have congenital heart disease including a haemodynamically significant patent ductus arteriosus (PDA), atrial septal defect (ASD)/persistent foramen ovale (PFO) and/or ventricular septal defect (VSD). Infants will also be excluded if they are treated with fractional inspired oxygen (FiO2) of more than 40%, and/or treated with a PEEP higher than 7 cmH2O, or nasal intermittent mandatory ventilation (nIMV).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/11/2011
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Actual
6/12/2011
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Date of last participant enrolment
Anticipated
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Actual
20/03/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
68
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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The Royal Women's Hospital - Parkville
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Recruitment hospital [2]
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Monash Medical Centre - Clayton campus - Clayton
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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n/a
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Address [1]
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n/a
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Country [1]
269949
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Primary sponsor type
Hospital
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Name
Royal Women's Hospital
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Address
CNR Grattan Street and Flemington Rd
Parkville, Victoria 3052
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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n/a
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Address [1]
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n/a
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Country [1]
268946
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
271918
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Ethics committee address [1]
271918
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Ethics committee country [1]
271918
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Date submitted for ethics approval [1]
271918
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05/10/2011
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Approval date [1]
271918
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Ethics approval number [1]
271918
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Summary
Brief summary
The aim of the study is to determine changes in blood flow in the heart associated with low or high air pressures given with the nasal prong breathing support to the prematurely born infant. Research studies have shown that nasal CPAP can influence the way the blood flows in premature infants. We want to find out if the CPAP machine affects the function of the heart and the blood flow to the lungs. So that we can learn what is the most appropriate level of CPAP for infants with different types of lung disease that provides respiratory support with least affect on heart function.
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Trial website
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Trial related presentations / publications
The effects of nasal continuous positive airway pressure on cardiac function in premature infants with minimal lung disease: a crossover randomized trial. Beker F, Rogerson SR, Hooper SB, Wong C, Davis PG. J Pediatr. 2014 Apr;164(4):726-9
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Public notes
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Contacts
Principal investigator
Name
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Dr Sheryle Rogerson
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Address
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The Women's Hospital Cnr Grattan Street/Flemington Rd PArkville, Vic 3052
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Country
33212
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Australia
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Phone
33212
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+61 3 83452000
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Fax
33212
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Email
33212
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[email protected]
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Contact person for public queries
Name
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Dr Sheryle Rogerson
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Address
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The Women's Hospital Cnr Grattan Street/Flemington Rd PArkville, Vic 3052
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Country
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Australia
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Phone
16459
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+61 3 83452000
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Fax
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+61 3 8345 3789
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Sheryle Rogerson
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Address
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The Women's Hospital Cnr Grattan Street/Flemington Rd Parkville, Vic 3052
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Country
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Australia
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Phone
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+61 3 8345 2000
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Fax
7387
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Email
7387
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF