Gastric vs. Transpyloric Feeding for Infants with Severe Bronchopulmonary Dysplasia

This study is looking at the best way to feed infants with severe bronchopulmonary dysplasia (BPD), a serious lung condition, who also have trouble with feeding. It compares two methods: gastric feeding, where a tube goes into the stomach, and transpyloric feeding, where the tube goes past the stomach into the small intestine. The study will enroll about 25 infants, aged 1 month to 1 year, who were born early (before 32 weeks) and are currently in the Le Bonheur NICU with severe BPD and feeding issues. Researchers will measure changes in their breathing (Respiratory Severity Score) after 8 weeks to see which feeding method works better. The current status of this study is unclear.

Study design
This is an interventional crossover study, meaning participants will try both feeding methods. About 25 infants will be randomized to start with either gastric or transpyloric feeding.
What's involved
Participants will receive 2 weeks of one feeding method, then switch to the other method for 4 weeks. This involves continuous feeding through a tube.
Compensation
Not stated in the trial record.
Follow-up
Respiratory status will be assessed at 8 weeks.

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NCT06821776

Gastric Feeding Versus Transpyloric Feeding in Infants with Severe Bronchopulmonary Dysplasia, a Crossover Study

Recruiting
NAAges 1–1InterventionalTreatment
Le Bonheur Children's Hospital
~25 participants
Updated 2025-02-12 on ClinicalTrials.gov
What's tested:Gastric feedingTranspyloric feeding

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Respiratory Severity Score (RSS)
Measured over 8 weeks
Bronchopulmonary Dysplasia
Feeding Intolerance

NCT06821776

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Le Bonheur Children's Hospital

    Memphis, Tennesseestudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Mark Weems, MD · PRINCIPAL_INVESTIGATOR · University of Tennessee

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Eligibility criteria

Inclusion

Patients born \<32 weeks' gestation
Currently admitted to the Le Bonheur NICU
Grad 2 or 3 BPD (positive pressure or intubated at 36 weeks PMA)
Signs of gastroesophageal reflux, chronic aspiration, or other feeding intolerance.

Exclusion

Known gastrointestinal anomalies
Unable to tolerate ≥100mL/kg/day enteral feeding
Congenital anomalies likely to alter feeding techniques
Surgical feeding tube in place or expected within the next 8 weeks
Expected to remain hospitalized \<8 weeks
  • Respiratory Severity Score (RSS)8 weeks

    RSS (the product of mean airway pressure and oxygen fraction) will be calculated before and after each 2-week intervention block.