← Back to Search

Methylxanthine

Caffeine Citrate for Primary Apnea of Prematurity (MoCHA Trial)

Phase 3
Waitlist Available
Led By Waldemar Carlo, MD
Research Sponsored by NICHD Neonatal Research Network
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be younger than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 4 weeks through 8 weeks post-discharge
Awards & highlights
Pivotal Trial

Summary

This trial is testing if continuing caffeine treatment helps moderately preterm infants who had breathing issues recover faster and spend less time in the hospital. Caffeine citrate, a form of caffeine, is used to stimulate their breathing. Caffeine citrate is widely used in neonatology for treating apnea in preterm infants due to its efficacy and safety.

Eligible Conditions
  • Primary Apnea of Prematurity

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~4 weeks through 8 weeks post-discharge
This trial's timeline: 3 weeks for screening, Varies for treatment, and 4 weeks through 8 weeks post-discharge for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Number of Days Between Randomization and Hospital Discharge
Number of Sick Visits Related to Apneic or Apparent Life-threatening Events Within First 4 Weeks Post-discharge
Secondary study objectives
All-cause Mortality
Number of All-cause Readmissions Within First 4 Weeks Post-discharge
Number of All-cause Readmissions Within First 8 Weeks Post-discharge
+17 more

Awards & Highlights

Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Caffeine CitrateExperimental Treatment1 Intervention
Caffeine citrate at 10 mg/kg/dose (5 mg/kg caffeine base) daily, in hospital. Infants will continue at home on the same dose of caffeine citrate for the first 28 days after hospital discharge.
Group II: PlaceboPlacebo Group1 Intervention
Placebo contains all of the excipients except for the active ingredient, caffeine citrate, (a volume equivalent to 10 mg/kg of caffeine citrate) and given daily. Infants will be continued at home on the same dose of placebo for the first 28 days after hospital discharge.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Caffeine Citrate
2019
Completed Phase 3
~240

Find a Location

Who is running the clinical trial?

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)NIH
2,056 Previous Clinical Trials
2,737,317 Total Patients Enrolled
NICHD Neonatal Research NetworkLead Sponsor
61 Previous Clinical Trials
207,719 Total Patients Enrolled
Waldemar Carlo, MDPrincipal InvestigatorUniversity of Alabama at Birmingham
9 Previous Clinical Trials
129,366 Total Patients Enrolled
~123 spots leftby Dec 2025