Caffeine trial aims to keep preterm babies breathing safely at home
NCT ID NCT06518603
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether giving caffeine citrate to moderately preterm infants for 28 days after hospital discharge can prevent apnea (breathing pauses) that lead to sick visits. About 340 babies in Zambia will receive either caffeine or a placebo daily. Researchers will also check if caffeine improves the babies' development at 12 months of age.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- caffeine citrate
- What this could lead to
- If it works, this could reduce dangerous breathing pauses and emergency visits in preterm babies after they go home, and possibly improve their development at one year.
- What could go wrong
- This is a Phase 4 trial, but it's still early to know if caffeine helps after discharge. The study is in one country (Zambia), so results may not apply everywhere. Caffeine can cause side effects like jitteriness or fast heart rate.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 340 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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0 days to 12 months
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Newborns: 1. 29 0/7 to 33 6/7 weeks GA (or with a birth weight 1.0 to 2.0 kg if pregnancy dating is unreliable) admitted to the UTH NICU, 2. On methylxanthines with plans to discontinue on methylxanthine, 3. Off oxygen therapy for \>48 hours at the time of evaluation for eligibility, 4. Receiving full daily feeds, 5. Deemed stable and ready to go off caffeine as recommended by the Neonatologist 6. 18+ years of age (parent) Exclusion Criteria: 1. Newborns with neuromuscular conditions affecting respiration, 2. Major congenital malformations and genetic disorders, 3. Unable to obtain parental or guardian consent
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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University Teaching Hospital
RECRUITINGLusaka, Lusaka Province, 10100, Zambia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- A $75 nudge: can social transfers boost exclusive breastfeeding?
- Tiny wireless sensors could free fragile preemies from a tangle of wires
- Mother's scent may calm preterm infants' breathing
- Could a muscle relaxant make newborn intubation safer?