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Video link to neonatologist may cut newborn deaths in rural hospitals

NCT ID NCT06087224

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tests whether real-time video consultations with a neonatologist (a baby doctor) can improve outcomes for at-risk newborns delivered in community hospitals. About 947 newborns and their doctors will take part. The main goal is to see if this approach lowers the number of deaths within the first week of life.

What this could mean

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

Active substance
telemedicine (teleneonatology)
What this could lead to
If successful, this could show that remote specialist support during newborn emergencies saves lives and reduces serious complications in community hospitals.
What could go wrong
This is a large trial, but telemedicine depends on reliable technology and staff training. Results may vary across hospitals, and it may not work in all settings.

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

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

About 947 people

The number the study aims to enrol. It can still change while the study runs.

Started

Mar 2024

Expected to finish

May 2029

An estimate. End dates often move.

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 days and older

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: GROUP 1: Community hospital clinicians To be eligible to participate in this study, an individual must meet all of the following criteria: 1. A clinician who attends newborn resuscitations at a participating community hospital spoke site. 2. Provision of informed oral consent prior to any mandatory study specific procedures and analyses. GROUP 2: At-risk outborn neonates To be eligible for this study, a neonate born in a participating community hospital spoke site must meet \*at least one\* of the following inclusion criteria 1. Preterm birth at less than 32 weeks' gestation at delivery; OR 2. Need for advanced resuscitation defined as: 1. positive pressure ventilation (PPV) initiated soon after birth and continued for at least 10 minutes; OR 2. placement of an alternative airway (endotracheal tube or laryngeal mask) to provide PPV; OR 3. chest compressions. Exclusion Criteria: GROUP 1: Community hospital clinicians None GROUP 2: At-risk outborn neonates A neonate born in a participating community hospital spoke site who meets any of the following criteria will be excluded from the study: 1. Birth outside of the hospital birthing center. 2. Neonatal transport team present at time of birth and providing resuscitative care. 3. Severe congenital anomaly necessitating intensive care or surgery in the first two weeks of life. 4. Plan for comfort care (non-resuscitation) following delivery. 5. In-person neonatology-trained physician present for the resuscitation.

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Conditions

The condition(s) this trial relates to.

Perinatal Death perinatal disease

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.

  1. The places running it

    34 sites in 2 countries. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. 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

  • Bartlett Regional Hospital

    RECRUITING

    Juneau, Alaska, 99801, United States

  • Central Washington Health Services Association d/b/a Confluence Health

    RECRUITING

    Wenatchee, Washington, 98801, United States

  • Chickasaw Nation Medical Center

    RECRUITING

    Ada, Oklahoma, 74820, United States

  • Fort HealthCare

    RECRUITING

    Fort Atkinson, Wisconsin, 53538, United States

  • Great Plains Regional Medical Center

    RECRUITING

    Elk City, Oklahoma, 73648, United States

  • Island Health

    RECRUITING

    Anacortes, Washington, 98221, United States

  • Jackson County Memorial Hospital

    RECRUITING

    Altus, Oklahoma, 73521, United States

  • Mackenzie Health - Cortellucci Vaughan Hospital

    RECRUITING

    Vaughan, Ontario, L6A 4Z3, Canada

  • Mayo Clinic Arizona

    ACTIVE_NOT_RECRUITING

    Pheonix, Arizona, 85054, United States

  • Mayo Clinic Minnesota

    ACTIVE_NOT_RECRUITING

    Rochester, Minnesota, 55905, United States

  • Michael Garron Hospital

    RECRUITING

    East York, Ontario, M4C 3E7, Canada

  • Mount Sinai Hospital

    RECRUITING

    Toronto, Ontario, M5G 1X5, Canada

  • North York General Hospital

    RECRUITING

    Toronto, Ontario, M2K 1E1, Canada

  • Olympic Medical Center

    RECRUITING

    Port Angeles, Washington, 98362, United States

  • Orillia Soldiers Memorial Hospital

    RECRUITING

    Orillia, Ontario, L3V 2Z3, Canada

  • PeaceHealth Ketchikan Medical Center

    RECRUITING

    Ketchikan, Alaska, 99901, United States

  • Prairie Ridge Health

    RECRUITING

    Columbus, Wisconsin, 53925, United States

  • Providence Alaska Medical Center

    RECRUITING

    Anchorage, Alaska, 99508, United States

  • Providence Regional Medical Center Everett

    RECRUITING

    Everett, Washington, 98201, United States

  • Reedsburg Area Medical Center

    RECRUITING

    Reedsburg, Wisconsin, 53959, United States

  • Sauk Prairie Healthcare

    RECRUITING

    Prairie du Sac, Wisconsin, 53578, United States

  • Scarborough Health Network - Centenary Hospital

    RECRUITING

    Scarborough Village, Ontario, M1E 4B9, Canada

  • Scarborough Health Network - General Hospital

    RECRUITING

    Scarborough Village, Ontario, M1P 2V5, Canada

  • Seattle Children's Hospital

    RECRUITING

    Seattle, Washington, 98105, United States

  • Southlake Regional Health Centre

    RECRUITING

    Newmarket, Ontario, L3Y 2P9, Canada

  • Stevenson Memorial Hospital

    RECRUITING

    Alliston, Ontario, L9R 1W7, Canada

  • Sunnybrook Health Sciences Centre

    RECRUITING

    Toronto, Ontario, M4N 3M5, Canada

  • The Hospital for Sick Children

    RECRUITING

    Toronto, Ontario, M5G 1X8, Canada

  • Trillium Health Partners - Credit Valley Health

    RECRUITING

    Mississauga, Ontario, L5M 2N1, Canada

  • Unity Health - St. Joseph's Health Centre

    RECRUITING

    Toronto, Ontario, M6R 1B5, Canada

  • University of Oklahoma Health Sciences Center

    RECRUITING

    Oklahoma City, Oklahoma, 73104, United States

  • University of Washington

    RECRUITING

    Seattle, Washington, 98195, United States

  • University of Wisconsin-Madison

    RECRUITING

    Madison, Wisconsin, 53715, United States

  • Watertown Regional Medical Center

    RECRUITING

    Watertown, Wisconsin, 53098, United States

  • William Osler Health System - Brampton Civic Hospital

    RECRUITING

    Brampton, Ontario, L6R 3J7, Canada

  • William Osler Health System - Etobicoke General Hospital

    RECRUITING

    Etobicoke, Ontario, M9V 1R8, Canada

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