New ventilator method may save fragile preemies from breathing tubes

NCT ID NCT06849596

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study compares two ways to help extremely premature babies (born at 25-28 weeks) breathe right after birth. One method uses a standard manual T-piece device; the other uses a ventilator to deliver gentle puffs of air through a nasal mask. The goal is to see if the ventilator approach reduces the chance of death or serious complications like brain injury or chronic lung disease. About 780 babies will take part across multiple hospitals.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Ventilator-derived positive pressure ventilation (V-PPV) via nasal mask
What this could lead to
If it works, this could lead to a better way to help extremely premature babies breathe right after birth, reducing the need for a breathing tube and lowering the risk of death or brain injury.
What could go wrong
This is a relatively early-stage trial, and the ventilator method may not prove better than the standard T-piece. The babies are extremely fragile, so any breathing support carries risks.

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Conditions

The condition(s) this trial relates to.

apnea of prematurity Lung Injury Premature Birth Respiratory Aspiration

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • BC Children's and Women's Hospital

    NOT_YET_RECRUITING

    Vancouver, British Columbia, Canada

  • CHU Sainte Justine

    RECRUITING

    Montreal, Quebec, Canada

  • Cedars-Sinai Guerin Children's

    RECRUITING

    Los Angeles, California, 90505, United States

  • Children's Hospital at London Health Sciences Centre

    NOT_YET_RECRUITING

    London, Ontario, Canada

  • Foothills Medical Centre

    RECRUITING

    Calgary, Alberta, Canada

  • McMaster Children's Hospital

    RECRUITING

    Hamilton, Ontario, Canada

  • Montreal Children's Hospital

    RECRUITING

    Montral, Quebec, Canada

  • Mount Sinai Hospital

    RECRUITING

    Toronto, Ontario, M5G 1X5, Canada

  • Rigshospitalet Coppenhagen

    NOT_YET_RECRUITING

    Copenhagen, Denmark

  • Royal Alexandra Hospital

    RECRUITING

    Edmonton, Alberta, Canada

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