Pulmonary Hypertension and Oxygen Saturation Targeting in Preterm Infants

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age1-5
SponsorUniversity of Alabama at Birmingham

About this trial

Around 50% of infants born extremely preterm develop a chronic lung disease known as bronchopulmonary dysplasia of which some infants will also develop pulmonary hypertension of which 50% of children will die before the age of 2. Physicians are currently limited in their ability to select the most appropriate oxygen targets that will improve outcomes in infants with this condition. This clinical trial will determine whether using different amounts of oxygen improve outcomes in infants with this disease.

Eligibility criteria

Qualifiers

Between 22w 0/7d and 31w 6/7d gestation at birth

Diagnosed with echocardiographic pulmonary hypertension (1) >20% flow of blood across the PDA from the pulmonary to arterial circulation, (2) end-systolic flattening of the interventricular septum (eccentricity index >1.3), or (3) right ventricular pressure estimates ≥ 35 mm Hg

Receiving supplemental oxygen

Have mature retinas

Disqualifiers

Major congenital anomalies

Trial design

Treatments tested in this trial

  • higher oxygen saturation target using Nellcor pulse oximetry sensors
  • lower oxygen saturation target using Nellcor pulse oximetry sensors

Treatment groups

39 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of Alabama at Birmingham

Lead sponsor

Yale University

Sponsor institution

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator