The NEU - CAP Trial

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeUp to 32
SponsorLeiden University Medical Center

About this trial

The aim of NEU-CAP is to investigate the clinical impact of using a colorimetric carbon dioxide (CO₂) detector during non-invasive ventilation (NIV). Infants born before 32 weeks of gestation will be included in this trial. This is a stepped-wedge cluster randomised controlled trial. The participating centre, rather than the individual infant, will be the unit of randomisation. This design is appropriate to test the effect of an intervention that encompasses a behavioural aspect, in this case CO₂-detector-guided non-invasive ventilation.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Born before 32 weeks of gestation

Received non-humidified face-mask support in the first 10 minutes of life

Parental consent obtained

Disqualifiers

Congenital diaphragmatic hernia

Tracheo-oesophageal fistula

Cyanotic heart disease

Surfactant protein deficiency

Trial design

Design model

Parallel

Treatments tested in this trial

  • Local standard care of monitoring non-invasive ventilation

    Procedure/Surgery

    See arm

  • CO₂-guided Non-Invasive Ventilation

    Procedure/Surgery

    See arm

Treatment groups

1,860 Participants
are divided into 2 treatment groups
Group A: Standard careActive comparator 1 intervention
Group B: Colorimetric CO₂-detector-guided non-invasive ventilationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Use of positive pressure ventilation (PPV) between 5 and 10 minutes after birth

Proportion of infants receiving positive pressure ventilation between 5 and 10 minutes after birth

Time frame
5-10 minutes after birth

Secondary outcomes

1

Use of PPV before 1 minute

Proportion of infants receiving positive pressure ventilation before 1 minute after birth

Time frame
Before 1 minute after birth
2

Use of PPV between 1 and 5 minutes

Proportion of infants receiving Positive Pressure Ventilation between 1 and 5 minutes after birth

Time frame
1-5 minutes after birth
3

Use of PPV after 10 minutes

Proportion of infants who continued to receive positive pressure ventilation in the delivery room after 10 minutes after birth

Time frame
After 10 minutes after birth
4

Heart rate

Heart rate

Time frame
At 5 minutes after birth

Other outcomes

1

Number of infants diagnosed with congenital anomalies

Whether the infant has congenital anomalies, e.g. diaphragmatic hernia, oesophageal atresia, cyanotic heart disease

Time frame
At birth
2

Gestational age

Gestational age at birth in weeks and days

Time frame
At birth
3

Gender

Gender of the infant

Time frame
At birth
4

Mode of delivery

Mode of delivery

Time frame
At birth

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

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