Could pain relief make a lifesaving breathing procedure safer for preterm infants?
NCT ID NCT05065424
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether giving two medicines (atropine and fentanyl) before a less invasive breathing treatment helps preterm babies have fewer dangerous drops in heart rate and oxygen levels. Fifty-eight babies born at 29 weeks or later took part. The goal is to see if premedication makes the procedure safer and more comfortable.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- atropine and fentanyl
- What this could lead to
- If it works, this could make a common breathing procedure safer and less stressful for preterm babies.
- What could go wrong
- This is a small, single-center trial with only 58 babies, so results may not apply widely. The drugs themselves can cause side effects like slowed breathing.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
58 people
The number who actually took part.
- Started
-
Apr 2022
- Finished
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Mar 2026
- Lead sponsor
-
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
-
0 to 72 hours
- Sex
-
Anyone
- Healthy volunteers
-
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 ≥29 weeks gestational age initiated on CPAP in the delivery room or upon admission who require ≥0.25 FiO2. Exclusion Criteria: * Infants requiring intubation prior to surfactant therapy * Infants with known severe congenital anomalies (including complex congenital heart disease, airway, and central nervous system anomalies) * Infants born to mothers with known opioid addiction or in a methadone treatment program * Maternal COVID19 infection (RT-PCR positive) within two weeks prior to delivery
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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.
Contacts and locations
Locations
-
Parkland Health and Hospital System
Dallas, Texas, 75390, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Gentler breathing support may help preterm babies avoid breathing tubes