The Diaphragmatic Initiated Ventilatory Assist (DIVA) Trial
Part of paid clinical trials in Little Rock, Arkansas.
- Sponsor
- University of Pennsylvania
- Study ID
- NCT05446272
- Status
- Recruiting
Conditions
- Bronchopulmonary Dysplasia
- Death
- Extubation Failure
Eligibility Criteria
- Sex
- ALL
- Age
- 0 Days - 9 Weeks
- Healthy Volunteers
- Not accepted
Interventions
- NIV-NAVA — DEVICEInfants in the intervention arm will be managed with non-invasive neurally adjusted ventilatory assist (NIV-NAVA) using FDA-approved servos with associated FDA-approved Edi catheter.
- NS-NIPPV — DEVICEInfants in the active comparator arm will be treated with non-synchronized non-invasive positive pressure ventilation (NIPPV) through FDA-approved ventilators currently in use at each site.
Study Details
DIVA is a pragmatic randomized clinical trial (RCT) to determine: among (P) preterm infants born 23 0/7-28 6/7 weeks gestation undergoing extubation from mechanical ventilation, whether (I) Non-invasive neurally adjusted ventilatory assist (NIV-NAVA) (C) compared with Non-synchronized nasal intermittent positive pressure ventilation (NS-NIPPV), will reduce the incidence of (O) extubation failure within (T) 5 days (120 hours) of extubation.
Key Dates
- Start date
- Aug 3, 2022
- Status verified
- Oct 2025
- Primary completion
- Mar 31, 2026
- Completion
- Mar 31, 2027
Study Design
- Enrollment
- 478 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: NIV-NAVA
- Active Comparator: NS- NIPPV
Primary Outcome Measure
Extubation failure [ Time Frame: within the first 5 days (120 hours) post extubation ]
Central Contacts
- Elizabeth Foglia267-441-7144
- Lisa Wesby, MS215-573-6318
Locations (17)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Arkansas Children's Hospital | Little Rock | Arkansas | 72202 | David Matlock |
| Loma Linda University | Loma Linda | California | 92350 | - |
| Sharp Mary Birch | San Diego | California | 92123 | Anup Katheria |
| Joe DiMaggio Children's Hospital | Hollywood | Florida | 33021 | Bruce Shulman |
| AdventHealth | Orlando | Florida | 32803 | Samarth Shukla |
| Peyton Manning Children's Hospital | Indianapolis | Indiana | 46260 | Markus Tauscher |
| Norton Children's Hospital | Louisville | Kentucky | 40202 | Dan Stewart |
| Children's Mercy Hospital | Kansas City | Missouri | 64108 | Christopher Nitkin |
| Washington University in St.Louis | St Louis | Missouri | 63110 | Roa Rakesh |
| Virtua Vorhees Hospital | Voorhees Township | New Jersey | 08043 | Sarvin Ghavam |
| Levine Children's Hospital | Charlotte | North Carolina | 28203 | Eugenia Pallotto |
| Atrial Health Brenner Children's Hospital( Wake Forest) | Winston-Salem | North Carolina | 27157 | Ricardo J Rodriguez |
| Nationwide Children's Hospital | Columbus | Ohio | 43205 | Matthew Kielt |
| Hospital of the University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | Elizabeth Foglia |
| Intermountain Medical Center | Murray | Utah | 84107 | Bradley Yoder |
| Utah Valley Hospital | Provo | Utah | 84604 | Bradley Yoder |
| Children's Hospital of Richmond | Richmond | Virginia | 23219 | Karen Hendrick-Munoz |
Find similar trials in Little Rock, AR
Related Studies
- A Clinical Efficacy and Safety Study of OHB-607 in Preventing Bronchopulmonary Dysplasia in Extremely Premature InfantsPHASE2 · Recruiting · OHB Neonatology Ltd. · Little Rock, Arkansas
- MRI in BPD SubjectsRecruiting · Children's Hospital Medical Center, Cincinnati · Cincinnati, Ohio
- Forced Oscillometry in Infants With Bronchopulmonary DysplasiaRecruiting · Winston Manimtim · Kansas City, Missouri
- Pharmacokinetics, Pharmacodynamics, and Safety Profile of Understudied Drugs Administered to Children Per Standard of Care (POPS)Recruiting · Duke University · Phoenix, Arizona