UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000040216
Receipt number R000045849
Scientific Title HIGH FLOW NASAL CANNULA IN PEDIATRIC PATIENTS AFTER CARDIOTHORACIC SURGERY:A RANDOMIZED CONTROLLED TRIAL
Date of disclosure of the study information 2020/06/01
Last modified on 2023/12/21 10:53:56

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Basic information

Public title

HIGH FLOW NASAL CANNULA IN PEDIATRIC PATIENTS AFTER CARDIOTHORACIC SURGERY:A RANDOMIZED CONTROLLED TRIAL

Acronym

OSACA CATS TRIAL

Scientific Title

HIGH FLOW NASAL CANNULA IN PEDIATRIC PATIENTS AFTER CARDIOTHORACIC SURGERY:A RANDOMIZED CONTROLLED TRIAL

Scientific Title:Acronym

OSACA CATS TRIAL

Region

Japan


Condition

Condition

pediatric patients after cardiothoracic surgery

Classification by specialty

Pediatrics Cardiovascular surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This multicenter RCT involving pediatric patients after cardiothoracic surgery will be conducted to determine whether high-flow nasal cannula,compared with conventional oxygen therapy,after extubation can reduce the rate of"escalation of care due to treatment failure"

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

the rate of"escalation of care due to treatment failure" within 72 hours after extubation

Key secondary outcomes

1non event rate within 72 hours after extubation2peripheral oxygen saturation3fractional inspired oxygen4potential of hydrogen5partial pressure of carbon dioxide in arterial blood6respiratory rate7lactate8heart rate9mean blood pressure10catecholamine score11sedative dose12chest x ray score13Inhaled oxygen flow rate14criteria of treatment failure15details of escalation of care16treatment outcome of the patients who have been diagnosed as treatment failure at the time of 72 hours after extubation17the rate of reintubation at the time of 72 hours after extubation18ICU days19hospital days20adverse events21prespecified sub group analysis


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

high flow nasal cannula

Interventions/Control_2

conventional oxygen therapy

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit

2 years-old >=

Gender

Male and Female

Key inclusion criteria

1)pediatric patients younger than two years old after cardiothoracic surgery

2)pediatric patients who have been ventilated for more than 12 hours after surgery

Key exclusion criteria

1)patients with tracheostomy
2)patients with DNR(do not resuscitate)
3)patients who have be treated by noninvasive positive pressure ventilation or high flow nasal cannula before surgery
4)patients who undergo unplanned extubation
5)patients who have withdrawn consent from their legal guardian
6)patients who don't need oxygen therapy
7)patients who are planned to receive treatment with noninvasive positive pressure ventilation after extubation
8)patients who are planned to inhale nitric oxide(NO) after extubation

Target sample size

380


Research contact person

Name of lead principal investigator

1st name Takeshi
Middle name
Last name Yoshida

Organization

Osaka University

Division name

Department of Anesthesiology and Intensive Care Medicine

Zip code

565-0871

Address

2-15 Yamadaoka, Suita, Osaka, 565-0871, Japan

TEL

06-6820-5820

Email

takeshiyoshida@hp-icu.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Takeshi
Middle name
Last name Yoshida

Organization

Osaka University

Division name

Department of Anesthesiology and Intensive Care Medicine

Zip code

565-0871

Address

2-15 Yamadaoka, Suita, Osaka, 565-0871, Japan

TEL

06-6820-5820

Homepage URL


Email

takeshiyoshida@hp-icu.med.osaka-u.ac.jp


Sponsor or person

Institute

Department of Anesthesiology and Intensive Care Medicine,Osaka University

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Osaka Women's and Children's Hospital
Hyogo Prefectural Kobe Children's Hospital
Osaka City General Hospital
Aichi Children's Health and Medical Center
National Center for Child Health and Development

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board of Osaka Universty Hospital

Address

2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan

Tel

06-6210-8290

Email

jim-chiken@hp-crc.med.osaka-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

大阪大学医学部附属病院(大阪府)、大阪母子医療センター(大阪府)、兵庫県立こども病院(兵庫県)、大阪市立総合医療センター(大阪府)、あいち小児保健医療総合センター(愛知県)、国立成育医療研究センター(東京都)


Other administrative information

Date of disclosure of the study information

2020 Year 06 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed

Delay expected

Results Delay Reason

Progress is delayed.

Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2020 Year 03 Month 26 Day

Date of IRB

2020 Year 06 Month 08 Day

Anticipated trial start date

2020 Year 08 Month 11 Day

Last follow-up date

2024 Year 06 Month 30 Day

Date of closure to data entry

2024 Year 06 Month 30 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 04 Month 22 Day

Last modified on

2023 Year 12 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045849


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name