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Maternal Hyperoxygenation for Congenital Heart Disease

N/A
Recruiting
Led By Mike Seed, MBBS
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
Pregnant mothers ≥18 years of age
Fetal diagnosis of specific congenital heart defects (CHDs) with intention of active treatment after birth
Must not have
Major non-cardiac lesions and major genetic abnormalities affecting brain size and development
Timeline
Screening 3 weeks
Treatment Varies
Follow Up outcome measure obtained during hyperoxygenation while undergoing echocardiography and mri
Awards & highlights
No Placebo-Only Group

Summary

This trial will study whether exposing fetuses with congenital heart disease to extra oxygen can improve their neurodevelopmental outcomes.

Who is the study for?
This trial is for pregnant mothers aged 18 or older with a fetus diagnosed with certain congenital heart defects (CHDs) and planning active post-birth treatment. It excludes those considering pregnancy termination, fetuses with unusual CHDs, major non-cardiac/genetic issues affecting brain development, complex cardiac conditions, significant maternal health problems that prevent MRI scans, or multiple pregnancies.
What is being tested?
The study tests if breathing extra oxygen (maternal hyperoxygenation) can increase the unborn baby's brain oxygen levels in cases of CHD. The goal is to see if this could help the baby's brain grow better before birth and improve their learning abilities after they're born. It also seeks to find which types of CHD might benefit most from this treatment.
What are the potential side effects?
While not explicitly listed in the provided information, potential side effects of maternal hyperoxygenation may include dry throat or cough for the mother due to inhaling oxygen gas. However, these are generally mild and temporary.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am a pregnant woman aged 18 or older.
Select...
My unborn baby has been diagnosed with a heart defect and will receive treatment after birth.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
Select...
I do not have major brain development issues or genetic abnormalities.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~outcome measure obtained during hyperoxygenation while undergoing echocardiography and mri
This trial's timeline: 3 weeks for screening, Varies for treatment, and outcome measure obtained during hyperoxygenation while undergoing echocardiography and mri for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Characterize the hemodynamic effects of acute MH on fetuses with a) SV lesions and biventricular anomalies b) with TOF and c) with TGA.
Secondary study objectives
Determine the pulmonary and placental vascular response to acute MH for each CHD
Other study objectives
Assess the relationship between fetal brain volumes and cerebral oxygen delivery
To compare the prenatal measurement of placenta and the growth in body and brain size at birth.

Awards & Highlights

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

Trial Design

1Treatment groups
Experimental Treatment
Group I: Severe fetal congenital heart disease (CHD)Experimental Treatment1 Intervention
Mothers whose fetuses have a diagnosis of CHD will be exposed to 10-15 L/minute of oxygen while undergoing echocardiogaphy and MRI scanning

Find a Location

Who is running the clinical trial?

The Hospital for Sick ChildrenLead Sponsor
710 Previous Clinical Trials
6,958,125 Total Patients Enrolled
Mike Seed, MBBSPrincipal InvestigatorThe Hospital for Sick Children
1 Previous Clinical Trials
40 Total Patients Enrolled
Edgar Jaeggi, MD, FRCP(C)Principal InvestigatorThe Hospital for Sick Children

Media Library

Oxygen gas (Other) Clinical Trial Eligibility Overview. Trial Name: NCT03944837 — N/A
Congenital Heart Disease Research Study Groups: Severe fetal congenital heart disease (CHD)
Congenital Heart Disease Clinical Trial 2023: Oxygen gas Highlights & Side Effects. Trial Name: NCT03944837 — N/A
Oxygen gas (Other) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03944837 — N/A
~9 spots leftby Nov 2025