FiO2-C Trial

  • Research type

    Research Study

  • Full title

    Effects of closed-loop automatic control of the inspiratory fraction of oxygen (FiO2-C) on outcome of extremely preterm infants – a randomized controlled parallel group multicenter trial for safety and efficacy

  • IRAS ID

    317261

  • Contact name

    Vrinda Nair

  • Contact email

    vrinda.nair1@nhs.net

  • Sponsor organisation

    University Hospital Tuebingen

  • Clinicaltrials.gov Identifier

    NCT03168516

  • Duration of Study in the UK

    5 years, 0 months, 31 days

  • Research summary

    Prematurely born babies especially less than 28 weeks, frequently experience low and high oxygen level episodes.The low oxygen episodes are primarily due to pauses in their breathing (Apnoea of prematurity) and immaturity of their lung. These episodes persist for weeks.. Observational data indicate that severe and prolonged low oxygen episodes are associated with severe eye disease, severe lung disease, bowel disease, poor development and death. Automatic control of the oxygen delivery to baby reduces time spent outside the oxygen target range for premature babies, decreases number and duration of high and low oxygen episodes. The proposed randomised controlled trial was designed to compare the effect of automatic oxygen control in addition to manual adjustments, in comparison with manual adjustments of oxygen delivery only, on death and severe complications of prematurity thought to be related to high and low oxygen levels and poor development in babies born early before 28 weeks of gestation. The main outcome will be a composite of death, severe eye disease, chronic lung disease, or necrotizing enterocolitis (bowel disease in premature babies) until a postmenstrual age of 36 weeks. Key secondary outcome variables are death or major developmental impairment determined at 2 years of age. The results of this trial may help to improve the quality of life of babies who are born less than 28 weeks and reduce the burden of significant health conditionas well as costs for health care and society

  • REC name

    West of Scotland REC 1

  • REC reference

    22/WS/0143

  • Date of REC Opinion

    21 Nov 2022

  • REC opinion

    Further Information Favourable Opinion