Caffeine treatment for late preterm infants with breathing difficulties
Official title: Caffeine for Late Preterm Infants: A Double Blind Randomized Controlled Trial
Run by Ministry of Health, Saudi Arabia · NCT06026163 · Data updated 2026-11-12
This study tests if giving caffeine to late preterm infants with breathing problems can help them breathe better and shorten their hospital stay.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 1 Day to 3 Days |
| Sex | All |
| Enrollment | 134 (estimated) |
| Sponsor | Ministry of Health, Saudi Arabia Government |
| Locations | 2 sites (Madinah, Medina Region and 1 other locations) |
| Status | Recruiting |
| Started | October 12, 2023 |
| Main results expected | October 30, 2027 |
| Study ends | January 1, 2028 |
| Registry record updated | June 27, 2025 |
| Trial ID | NCT06026163 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are late preterm infants aged 34 to 36 weeks gestation who are experiencing respiratory distress and require respiratory support.
✕Probably not a fit
Patients who are late preterm but do not require significant respiratory support or have non-respiratory issues will 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 study investigates the effects of caffeine citrate on late preterm infants experiencing respiratory distress. Infants will be randomly assigned to receive either caffeine or a placebo, with the aim of assessing how caffeine impacts their respiratory support needs, hospital stay duration, and frequency of apnea events. The caffeine treatment group will receive a loading dose followed by a maintenance dose until they no longer require respiratory support. The study is designed to be double-blinded to ensure unbiased results.
Why it matters
Potential benefit: If successful, this treatment could significantly reduce the duration of respiratory support and hospital stays for late preterm infants.
How similar studies have gone: Previous studies have shown promising results with caffeine therapy in preterm infants, suggesting potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Newborn infants at gestational age 34 0/7 through 36 6/7 * Presented with respiratory distress * Require respiratory support in the form of any of the following : A) Invasive mechanical ventilation, B) Non-invasive positive pressure ventilation, C) Nasal cannula with FIO2 requirement over 50% to keep pre-ductal saturation between 90-95%. Exclusion Criteria: 1 - Late preterm admitted for non-respiratory etiologies 2- Late preterm infants requiring nasal cannula on less than 50% FIO2 by 4 hours of age as they are less likely to require respiratory support for a long time. 3- Newborn infants with congenital malformations and chromosomal anomalies. 4- Infants with echocardiographic evidence of PPHN requiring medical intervention. 5- Late preterm with history of maternal substance abuse
Where it's running
-
King Salman Bin Abdulaziz Medical City
Madinah, Medina Region, Saudi Arabia Recruiting -
King Salman Bin Abdulaziz Medical City
Madinah, Saudi Arabia Recruiting
Study contacts
- Principal investigator: Nehad Nasef — Neonatology Consultant
- Study coordinator: Ohoud Almoualled, Dr
- Email: o.doc2or@gmail.com
- Phone: +966500550679
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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.