Caffeine citrate loading dose before extubation in preterm infants
Official title: The Effect of an Additional Pre-extubational Loading Dose of Caffeine-citrate
Run by Semmelweis University · NCT06401083 · Data updated 2026-11-12
This study tests if giving a dose of caffeine to preterm babies before they are taken off the ventilator can help them breathe better and stay off the machine successfully.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Sex | All |
| Enrollment | 226 (estimated) |
| Sponsor | Semmelweis University Academic / other |
| Locations | 2 sites (Budapest and 1 other locations) |
| Status | Recruiting |
| Started | December 21, 2023 |
| Main results expected | December 2027 |
| Study ends | December 2028 |
| Registry record updated | May 6, 2024 |
| Trial ID | NCT06401083 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are preterm infants born before the 32nd week of gestation who have been mechanically ventilated for at least 48 hours prior to planned extubation.
✕Probably not a fit
Patients with major congenital anomalies or those who have not received surfactant treatment may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the impact of a single loading dose of caffeine citrate on the success rate of extubation in preterm neonates born before the 32nd week of gestation. The study involves randomly allocating infants who have been mechanically ventilated for at least 48 hours into intervention and control groups. Researchers will also monitor the frequency of apneas, side effects, and long-term neurodevelopmental outcomes associated with the intervention. The goal is to determine if the additional caffeine dose can improve respiratory function and reduce extubation failure rates.
Why it matters
Potential benefit: If successful, this approach could enhance extubation success rates and improve respiratory outcomes for preterm infants.
How similar studies have gone: Previous studies have shown varying results regarding the efficacy of caffeine in improving extubation outcomes, making this approach both relevant and necessary to explore further.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Premature infant born before 32nd week of gestation is completed; * Had been mechanically ventilated for at least 48 hours; * Before the first planned extubation. Exclusion Criteria: * Lack of informed consent, refusal to participate in the study; * Major congenital anomaly; * Had not received surfactant treatment; * Hydrops foetalis; * Persistent tachycardia before extubation, fetal/neonatal arrhythmia; * Asphyxia.
Where it's running
-
Pediatric Center, Semmelweis University
Budapest, Hungary Recruiting -
Department of Obstetrics and Gynecology, Semmelweis University
Budapest, Hungary Recruiting
Study contacts
- Principal investigator: Ákos Gasparics, MD.PhD — Semmelweis University, Department of Obstetrics and Gynecology
- Study coordinator: Kinga Kovács, MD.
- Email: kovacs.kinga1@semmelweis.hu
- Phone: +36206663718
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.