Clinical trial Recruiting at 2 sites Phase 4 Interventional

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

PhasePhase 4
Study typeInterventional
SexAll
Enrollment226 (estimated)
SponsorSemmelweis University
Academic / other
Locations2 sites (Budapest and 1 other locations)
StatusRecruiting
StartedDecember 21, 2023
Main results expectedDecember 2027
Study endsDecember 2028
Registry record updatedMay 6, 2024
Trial IDNCT06401083 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.