Oxygen dilemma: which level saves preterm brains?
NCT ID NCT03825835
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 1 time
Summary
This study compares using 30% versus 60% oxygen when resuscitating extremely preterm babies (born before 29 weeks). The goal is to see which oxygen level leads to better survival and fewer long-term developmental problems like cerebral palsy or vision/hearing loss. About 1,200 babies across multiple hospitals will take part, with each hospital switching between the two oxygen levels over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- oxygen
- What this could lead to
- If it works, this could establish the safest oxygen level to use when resuscitating extremely preterm babies, potentially reducing death and long-term brain injury.
- What could go wrong
- This is a large trial but still testing a common practice; the difference between 30% and 60% oxygen may be small, and results may not apply to all hospitals or babies.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2022
- Expected to finish
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Dec 2029
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 to 10 minutes
- 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: * Infants born at 23 0/7 weeks to 28 6/7 weeks' gestational age who will receive full resuscitation and are without major congenital abnormalities Exclusion Criteria: * Infants who are outborn - initial resuscitation not performed at the study centre * Infants who are not born within the eligible gestational age range- this trial is specific to preterm infants * Infants who are born with a major congenital abnormality- congenital abnormalities may affect oxygenation or neurodevelopmental outcomes * Infants who will not receive full resuscitation at birth- these infants will not receive resuscitation
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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
2 sites in 2 countries. 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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BC Children
ACTIVE_NOT_RECRUITINGVancouver, British Colubia, Canada
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CHEO
ACTIVE_NOT_RECRUITINGOttawa, Ontario, Canada
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Chu University Laval
ACTIVE_NOT_RECRUITINGQuébec, Quebec, Canada
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Foothills Hospital
ACTIVE_NOT_RECRUITINGCalgary, Alberta, Canada
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Health Sciences
RECRUITINGWinnipeg, Manitoba, Canada
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Hospital Germans Tries i Pujol
WITHDRAWNBarcelona, Spain
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Hospital Las Palmas
WITHDRAWNLas Palmas de Gran Canaria, Spain
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Hospital Universitario Dexeus
WITHDRAWNBarcelona, Spain
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Hospital Universitario Materno Infantil Miguel Servet
WITHDRAWNZaragoza, Spain
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Hospital de Asturias
WITHDRAWNOviedo, Spain
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Hospital de la Arrixaca
WITHDRAWNEl Palmar, Spain
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Janeway Children's Health and Rehabilitation Centre
ACTIVE_NOT_RECRUITINGSt. John's, Newfoundland and Labrador, A1B 3V6, Canada
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McGill Univeristy
ACTIVE_NOT_RECRUITINGMontreal, Quebec, Canada
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Neonatal Intensive Care Unit - Hamilton Health Sciences
ACTIVE_NOT_RECRUITINGHamilton, Ontario, L8S 4K1, Canada
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Neonatal Intensive Care Unit - Mount Sinai Hospital
ACTIVE_NOT_RECRUITINGToronto, Ontario, Canada
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Newborn Health - IWK Health Centre
ACTIVE_NOT_RECRUITINGHalifax, Nova Scotia, Canada
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Queen's University
WITHDRAWNKingston, Ontario, K7L 3N6, Canada
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Royal Alexandra Hospital
ACTIVE_NOT_RECRUITINGEdmonton, Alberta, T5H 3V9, Canada
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Sunnybrook Health Sciences Centre
ACTIVE_NOT_RECRUITINGToronto, Ontario, Canada
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University College Cork
RECRUITINGCork, Ireland
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Université de Sherbrooke
ACTIVE_NOT_RECRUITINGSherbrooke, Quebec, J1N 3C6, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can early feeding shape a premature Baby's brain and body?
- Talking therapy for NICU parents may boost premature babies' futures
- Could looser jaundice rules spare preterm babies unnecessary treatment?
- New study tests safer sedation for tiny lungs
- Storytime in the NICU: can reading to preemies boost bonding?
- Which method helps premature babies breathe best? new study aims to find out.