Slower lung inflation may protect preterm Babies' lungs
NCT ID NCT07101419
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This trial studies whether a slower inflation setting (long pressure rise time) on mechanical ventilators can improve oxygen levels in extremely preterm infants compared to the standard faster setting. About 68 babies born before 28 weeks will be randomly assigned to both settings in a crossover design. The goal is to find a gentler way to support breathing and reduce lung damage.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mechanical ventilator setting (pressure rise time)
- What this could lead to
- If it works, this could lead to a gentler ventilator setting that reduces lung damage in extremely preterm babies.
- What could go wrong
- This is a small, early-stage crossover trial with only 68 infants, so results may not apply broadly. The intervention is a temporary setting change, not a cure or long-term treatment.
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 68 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Feb 2027
An estimate. Start dates often move.
- Expected to finish
-
Feb 2028
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
-
6 hours to 7 days
- 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: * Admitted to participating neonatal intensive care unit * Born between 22+0 to 27+6 weeks' gestation * Current weight ≥400 grams * Receiving synchronised, patient-triggered, volume-targeted (all breaths) conventional mechanical ventilation (Pressure Control-Assist Control + Volume Guarantee \[PC-AC+VG\] mode on Dräger Babylog VN500/800 ventilators) initiated within 72-hours post birth * Postnatal age ≥6 hours and ≤7 days * Received surfactant therapy * Clinically stable (as per treating and research team consensus) * Parent(s)/legal guardian provides prospective informed consent. Exclusion Criteria: * Major congenital anomaly involving the cardiac, respiratory or gastrointestinal systems, or a known genetic syndrome or diagnosis that might affect respiratory course and outcomes * Severe pulmonary hypoplasia due to anhydramnios or oligohydramnios before 22 weeks in which the neonatal consultant anticipates that pulmonary hypoplasia related respiratory failure will be the major respiratory problem in early postnatal life * Receiving (or expected to receive within the next 12 hours) any other mode of mechanical ventilation including synchronised intermittent mandatory ventilation (SIMV), pressure support ventilation (PSV) or high-frequency oscillatory ventilation * Planned for extubation from mechanical ventilation within the next 12 hours.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Respiratory distress syndrome in premature infant are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
3 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Joan Kirner Women's and Children's Hospital
Saint Albans, Victoria, 3021, Australia
-
Mercy Hospital for Women
Heidelberg, Victoria, Australia
-
The Royal Women's Hospital
Parkville, Victoria, 3051, Australia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Gentler breathing support may help preterm babies avoid breathing tubes
- Ultrasound may help doctors time lifesaving lung treatment for preterm infants
- Could a muscle relaxant make newborn intubation safer?
- New study tests safer sedation for tiny lungs
- Team sedation strategy may shorten ventilator time for kids
- Which method helps premature babies breathe best? new study aims to find out.