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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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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
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.

Indonesia1 site
  • RSIA Stella Maris

    Medan, North Sumatera, 20152

Other trials in Indonesia

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.

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 groups in NCT07765329
Study groupRoleWhat they receive
Dexamethasone 12 mg Every 12 HoursNot described
Receives: Drug: Dexamethasone 12 mg Every 12 Hours
Dexamethasone 6 mg Every 12 HoursNot 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.

  1. 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)
  1. 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

  2. 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

  3. 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

  4. Neonatal Sepsis

    Number of infants diagnosed with neonatal sepsis.

    Measured: From birth until NICU discharge, assessed up to 12 weeks after birth

  5. Necrotizing Enterocolitis

    Number of infants diagnosed with necrotizing enterocolitis.

    Measured: From birth until NICU discharge, assessed up to 12 weeks after birth

  6. Neonatal Intraventricular Hemorrhage

    Number of infants diagnosed with intraventricular hemorrhage.

    Measured: From birth until NICU discharge, assessed up to 12 weeks after birth

  7. 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

  8. 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

  9. 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.

  1. First posted14 Aug 2026
  2. Study start1 Jan 2018
  3. Primary completion31 Jan 2023
  4. Study completion1 Jun 2026

Resources

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)
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

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