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Chest Wall Mechanics Study for Heart Disease

N/A
Waitlist Available
Led By Luciana Rodriguez Guerineau, MD
Research Sponsored by The Hospital for Sick Children
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Undergone surgery using CPB for congenital heart disease
Aged <28 days of life at the time of cardiac surgery
Must not have
Pre-existing or new arrhythmia that can impact hemodynamic assessment
Gestational age < 37 weeks or weight < 2 kg at the time of surgery
Timeline
Screening 3 weeks
Treatment Varies
Follow Up at 30 days post-operation or discharge (whichever comes first)
Awards & highlights
No Placebo-Only Group

Summary

This trialstudies how babies' chest walls move during delayed sternal closure surgery after heart surgery or treatment.

Who is the study for?
This trial is for newborns under 28 days old who have had surgery for congenital heart disease and need their chest kept open in the critical care unit. They must weigh over 2 kg, be at least full-term babies, and not require certain advanced respiratory or circulatory support.
What is being tested?
The study tests how different breathing machine settings affect the chest wall during delayed sternal closure after heart surgery. It uses a special catheter to measure pressure inside the esophagus of these infants.
What are the potential side effects?
Potential side effects may include discomfort from the catheter placement, risk of infection at the insertion site, and possible interference with normal breathing patterns due to measurement procedures.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I had heart surgery with a heart-lung machine for a birth defect.
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My baby was younger than 28 days old at the time of their heart surgery.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
Select...
I have a heart rhythm problem that affects my blood flow.
Select...
My baby was born before 37 weeks or weighed less than 2 kg at surgery time.
Select...
I require a machine to help with my heart and lungs function.
Select...
I have a lung condition I was born with.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~prior to and immediately after sternal chest wall closure procedure
This trial's timeline: 3 weeks for screening, Varies for treatment, and prior to and immediately after sternal chest wall closure procedure for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Percentage of patients with successful insertion and measurement of esophageal pressures
Secondary study objectives
Changes in transmural pressures
Chest wall and lung compliance
Duration of inotropic support
+8 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Group I: Univentricular physiologyExperimental Treatment1 Intervention
Neonates with univentricular physiology
Group II: Biventricular physiologyExperimental Treatment1 Intervention
Neonates with biventricular physiology

Find a Location

Who is running the clinical trial?

The Hospital for Sick ChildrenLead Sponsor
710 Previous Clinical Trials
6,958,156 Total Patients Enrolled
Children's Hospital Los AngelesOTHER
248 Previous Clinical Trials
5,074,584 Total Patients Enrolled
Luciana Rodriguez Guerineau, MDPrincipal InvestigatorThe Hospital for Sick Children

Media Library

Univentricular physiology Clinical Trial Eligibility Overview. Trial Name: NCT05257525 — N/A
Neonatal Delayed Sternal Closure Research Study Groups: Univentricular physiology, Biventricular physiology
Neonatal Delayed Sternal Closure Clinical Trial 2023: Univentricular physiology Highlights & Side Effects. Trial Name: NCT05257525 — N/A
Univentricular physiology 2023 Treatment Timeline for Medical Study. Trial Name: NCT05257525 — N/A
~12 spots leftby Nov 2025