Premature BirthNCT07765329
Higher-Dose Dexamethasone Improves Breathing and Shortens NICU Stay in Preterm Babies
An observational study of Premature Birth and Neonatal Hypoglycemia, run by Stella Maris Women and Children Hospital at 1 site in Indonesia.
Trial summary
The goal of this observational study was to compare two doses of dexamethasone given to pregnant women at risk of preterm birth. Dexamethasone is a medicine used before birth to help a baby's lungs mature. This study looked at preterm babies born between 26 and 36 weeks of pregnancy. Read more about this study
- Who is it for?
- Ages 26 to 36 weeks
- Conditions the study is for
- Premature Birth, Neonatal Hypoglycemia, Maternal Infection During Pregnancy
- What is being tested?
- Dexamethasone 12 mg Every 12 Hours and Dexamethasone 6 mg Every 12 Hours
- How many people
- 200 participants
- Where
- 1 siteIndonesia
- Study dates
- 1 Jan 2018to 1 Jun 2026
- Phase
- Observational
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 26 to 36 weeks
- All sexes
- No healthy volunteers
- Child
Study population: Preterm infants treated at the Neonatal Intensive Care Unit of Stella Maris Women's and Children's Hospital, Medan, Indonesia, from January 2018 to January 2023. Data were obtained retrospectively from hospital medical records.
Who may be able to join
- Preterm infants born to mothers with gestational age between 26 and 36 weeks
- Infants whose mothers received antenatal dexamethasone for fetal lung maturation
- Infants with complete medical records
- Singleton or multiple gestations, including twins, triplets, or quadruplets
Who cannot join
- Stillbirths
- Term infants
- Preterm infants with known congenital anomalies
- Preterm infants with known chromosomal abnormalities
- Cases with preterm premature rupture of membranes
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Comparison of Neonatal Outcomes With Two Dexamethasone Regimens (12 mg vs 6 mg Every 12 Hours) for Fetal Lung Maturation in Preterm Birth
The goal of this observational study was to compare two doses of dexamethasone given to pregnant women at risk of preterm birth. Dexamethasone is a medicine used before birth to help a baby's lungs mature.
This study looked at preterm babies born between 26 and 36 weeks of pregnancy. Researchers compared babies whose mothers received dexamethasone 12 mg every 12 hours for 48 hours with babies whose mothers received dexamethasone 6 mg every 12 hours for 48 hours.
Read more
The main questions this study aimed to answer were:
- Did the higher dose of dexamethasone help preterm babies need breathing support for a shorter time?
- Did the higher dose help shorten the babies' stay in the Neonatal Intensive Care Unit (NICU)?
- Was the higher dose as safe as the lower dose for babies and mothers?
Researchers reviewed medical records from Stella Maris Women's and Children's Hospital from January 2018 to January 2023. They looked at neonatal outcomes, including breathing support, respiratory distress syndrome, length of NICU stay, low blood sugar in babies, infection in mothers, and developmental problems at 24 months.
- Conditions
- Premature Birth, Neonatal Hypoglycemia, Maternal Infection During Pregnancy, Neurodevelopmental Disorder of Foetus, Respiratory Distress Syndrome (RDS), Necrotizing Enterocolitis (NEC)
- Being tested
- Dexamethasone 12 mg Every 12 Hours, Dexamethasone 6 mg Every 12 Hours
- Keywords
- Antenatal Corticosteroids, Prematurity, Dexamethasone, Neonatal Outcome, Maternal Outcome
- Medical subject headings
- Premature Birth, Respiratory Distress Syndrome, Enterocolitis, Necrotizing, Neonatal Sepsis, Respiratory Distress Syndrome, Newborn
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dexamethasone 12 mg Every 12 HoursDrug
Also called Antenatal Dexamethasone, Antenatal Corticosteroid
Pregnant women at risk of preterm birth received antenatal dexamethasone 12 mg every 12 hours for 48 hours for fetal lung maturation. Neonatal outcomes were compared with those of infants whose mothers received the lower-dose dexamethasone regimen.
Dexamethasone 6 mg Every 12 HoursDrug
Also called Antenatal Dexamethasone, Antenatal Corticosteroid
Pregnant women at risk of preterm birth received antenatal dexamethasone 6 mg every 12 hours for 48 hours for fetal lung maturation. This regimen was compared with dexamethasone 12 mg every 12 hours.
| Study group | Role | What they receive |
|---|---|---|
| Dexamethasone 12 mg Every 12 Hours | Not described Receives: Drug: Dexamethasone 12 mg Every 12 Hours | |
| Dexamethasone 6 mg Every 12 Hours | Not described Receives: Drug: Dexamethasone 6 mg Every 12 Hours |
What is being measured
The primary outcome is the main question the study is designed to answer.
Duration of Mechanical Ventilation Support
Number of days preterm infants required mechanical ventilation support after birth. This outcome was compared between infants whose mothers received dexamethasone 12 mg every 12 hours and infants whose mothers received dexamethasone 6 mg every 12 hours.
Measured: From initiation of mechanical ventilation until discontinuation of mechanical ventilation, assessed up to NICU discharge or 12 weeks after birth, whichever occurred first
Secondary outcomes (9)
Length of Stay in the Neonatal Intensive Care Unit (LOS-NICU)
Number of days the infant stayed in the Neonatal Intensive Care Unit, also called the NICU.
Measured: From NICU admission until NICU discharge, assessed up to 12 weeks after birth
Need for Respiratory Support
Number of infants who required respiratory support after birth, including mechanical ventilation, continuous positive airway pressure, or nasal cannula.
Measured: From birth until NICU discharge, assessed up to 12 weeks after birth
Neonatal Respiratory Distress Syndrome
Number of infants diagnosed with neonatal respiratory distress syndrome after birth.
Measured: From birth until NICU discharge, assessed up to 12 weeks after birth
Neonatal Sepsis
Number of infants diagnosed with neonatal sepsis.
Measured: From birth until NICU discharge, assessed up to 12 weeks after birth
Necrotizing Enterocolitis
Number of infants diagnosed with necrotizing enterocolitis.
Measured: From birth until NICU discharge, assessed up to 12 weeks after birth
Neonatal Intraventricular Hemorrhage
Number of infants diagnosed with intraventricular hemorrhage.
Measured: From birth until NICU discharge, assessed up to 12 weeks after birth
Neonatal Hypoglycemia
Number of infants diagnosed with low blood sugar after birth.
Measured: From birth until NICU discharge, assessed up to 12 weeks after birth
Neurodevelopmental Disorders at 24 Months
Number of infants with neurodevelopmental disorders identified at 24 months of age.
Measured: At 24 months of age after birth
Maternal Infection
Number of mothers diagnosed with infection after receiving antenatal dexamethasone.
Measured: From first dose of antenatal dexamethasone until maternal hospital discharge, assessed up to 7 days after delivery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Aug 2026
- Study start1 Jan 2018
- Primary completion31 Jan 2023
- Study completion1 Jun 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Premature BirthStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 200 participants (actual)
Sponsor and investigators
- Lead sponsor
- Stella Maris Women and Children Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Universitas Sumatera Utara
- Responsible party
- Principal investigator, Binarwan Halim, Stella Maris Women and Children Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07765329
- Sponsor's protocol ID
- 170/DIR/RSIA.SM/VI/2024
- Status last verified
- Aug 2026
- First submitted
- 10 Jul 2026
- Last updated
- 14 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No