Comparing two types of ventilation for newborns with congenital diaphragmatic hernia
Official title: High Frequency Oscillatory Ventilation Versus High Frequency Jet Ventilation as Initial Mode of Ventilation for Congenital Diaphragmatic Hernia
Run by University of Utah · NCT04774848 · Data updated 2026-11-12
This study is testing whether high frequency jet ventilation or high frequency oscillatory ventilation works better for newborns with congenital diaphragmatic hernia who need help breathing.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | Any age to 24 Hours |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | University of Utah Academic / other |
| Locations | 2 sites (Salt Lake City, Utah and 1 other locations) |
| Status | Recruiting |
| Started | December 30, 2020 |
| Main results expected | June 30, 2025 |
| Study ends | August 28, 2025 |
| Registry record updated | April 4, 2025 |
| Trial ID | NCT04774848 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are neonates diagnosed with congenital diaphragmatic hernia who are admitted to the NICU within 24 hours of birth and require mechanical ventilation.
✕Probably not a fit
Patients with severe anomalies or those who cannot be randomized within 24 hours of life 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 study aims to evaluate the effectiveness of high frequency jet ventilation (HFJV) versus high frequency oscillatory ventilation (HFOV) in neonates diagnosed with congenital diaphragmatic hernia (CDH) who require mechanical ventilation. Infants will be randomly assigned to one of the two ventilation methods shortly after birth or admission to the NICU. The study will monitor and compare key measures of oxygenation, ventilation, and hemodynamics between the two groups. The research will take place at the University of Utah and Primary Children's Hospital NICUs.
Why it matters
Potential benefit: If successful, this study could improve ventilation strategies for newborns with congenital diaphragmatic hernia, potentially leading to better clinical outcomes.
How similar studies have gone: While both HFJV and HFOV are standard practices, this study's direct comparison in the context of CDH is relatively novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Admitted to either the University of Utah and/or Primary Children's Hospital NICU within 24 hours of birth 2. Requiring mechanical ventilation 3. Umbilical arterial line or peripheral arterial line in place 4. Obtained signed consent 5. Infant is ≤ 24 hours of age Exclusion Criteria: 1. Severe anomaly 1. Chromosomal abnormalities 2. Major congenital anomalies, including cardiac, central nervous system and syndromes 2. Post-natal diagnosis \> 24 hours of life 3. Unable to obtain consent for participation 4. Unable to randomize within 24 hours of life
Where it's running
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Primary Children's Hospital
Salt Lake City, Utah, United States Recruiting -
University Hospital
Salt Lake City, Utah, United States Recruiting
Study contacts
- Principal investigator: Michelle Yang, MD — University of Utah
- Study coordinator: Michelle Yang, MD
- Email: michelle.yang@hsc.utah.edu
- Phone: 801-581-7052
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This trial will test whether performing FETO in fetuses with isolated severe left or right CDH helps more babies survive to hospital discharge and have fewer long-term problems than standard care.
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This study is testing a new way to treat congenital diaphragmatic hernia in unborn babies by placing a balloon in their airway to help their lungs grow before they are born.
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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.