Supraglottic airway to support breathing in premature infants born at 29–33 weeks
Official title: Supraglottic Airway Interface for Positive Pressure Ventilation During Delivery Room Resuscitation of Premature Infants: A Pilot Feasibility Trial
Run by University of Pennsylvania · NCT07419438 · Data updated 2026-11-12
We will try using a supraglottic airway to give positive-pressure breaths right after birth to premature infants born at 29 0/7–33 6/7 weeks who need help breathing.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 0 Days to 1 Day |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | University of Pennsylvania Academic / other |
| Locations | 1 site (Philadelphia, Pennsylvania) |
| Status | Recruiting |
| Started | March 13, 2026 |
| Main results expected | February 2027 |
| Study ends | February 2027 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07419438 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Premature infants born at 29 0/7 to 33 6/7 weeks' gestation with estimated birth weight ≥1000 g whose care team decides PPV is needed at birth and whose parent provided prenatal consent.
✕Probably not a fit
Extremely preterm infants (<29 weeks), babies with major congenital anomalies or aneuploidy, infants planned for palliative care, or those not resuscitated in the designated resuscitation room are unlikely to receive benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This single-arm feasibility trial will enroll infants born at 29 0/7 to 33 6/7 weeks' gestation who require positive-pressure ventilation (PPV) at delivery. Prenatal consent will be obtained and eligibility will be reconfirmed at the time of delivery. If resuscitation is required, a supraglottic airway (SA) will be used as the primary interface for PPV and clinical and procedural data will be collected during delivery-room resuscitation. The goal is to determine whether using an SA is practical and can provide effective ventilation in this preterm population.
Why it matters
Potential benefit: If successful, this approach could make initial breathing support easier and faster for moderate preterm infants and reduce the need for emergency intubation.
How similar studies have gone: Supraglottic airways have shown promise in term newborns and simulation studies, but routine use specifically for resuscitation of 29–33 week preterm infants is largely untested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Gestational age 29 0/7 to 33 6/7 weeks at birth * Estimated fetal weight \>/= 1000 grams at birth * Clinical decision to initiate PPV * Parental informed consent Exclusion Criteria: * Major anomalies or aneuploidy * Palliative care planned or considered * Not resuscitated in the infant resuscitation room
Where it's running
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Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States Recruiting
Study contacts
- Study coordinator: Sura Lee
- Email: sura.lee@pennmedicine.upenn.edu
- Phone: 215-873-9339
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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.