Biomarkers for Feeding Intolerance in Infants With Complex Congenital Heart Defects Undergoing Single Ventricle Staged Palliation

NCT ID: NCT02995577

Last Updated: 2016-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-12-31

Brief Summary

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The purpose of this study is to investigates serum and stool biomarkers as predictors for post-operative feeding intolerance in infant patients with complex congenital heart defects who undergo single ventricle staged palliation surgery.

Detailed Description

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Conditions

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Single Ventricle Physiology

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Feeding tolerant

Patients that are able to reach 80-100% of full enteral feeds (whether fed by mouth or through a nasogastric tube) 7 days after the initiation of feeds. Patients will be excluded from this group if they are ever diagnosed with NEC at any time during this hospitalization.

Feeding tolerant

Intervention Type OTHER

Feeding intolerant

Patients with GI symptoms (vomiting, abdominal distention, diarrhea, hematemesis, and/or hematochezia) that persist for 48 hours or longer while needing to be NPO, this patient is retrospectively categorized into the feeding intolerance group. Patients with feeding intolerance may also include infants that are made NPO, placed on bowel rest, and are started on antibiotics to rule out NEC, but are never diagnosed with NEC. Exclusion criteria include patients that are continued on antibiotics for greater than 48 hours due to diagnosed bacterial sepsis or diagnosed NEC, and those that have a positive blood, urine, or sputum culture.

Feeding intolerant

Intervention Type OTHER

Necrotizing enterocolitis

Any infant that is diagnosed (radiographically, by Bell's criteria) with and treated for NEC.

Necrotizing enterocolitis

Intervention Type OTHER

Interventions

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Feeding tolerant

Intervention Type OTHER

Feeding intolerant

Intervention Type OTHER

Necrotizing enterocolitis

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Full term gestational period (37 weeks gestation or greater)
* minimum of 2.5kg or greater body weight
* diagnosis of single ventricle physiology, or complex congenital cyanotic heart disease requiring staged palliation surgery in the form of Norwood-type procedure, systemic-to-pulmonary artery shunt, or pulmonary artery banding.

Exclusion Criteria

* Have diseases affecting other organs,
* have major congenital anomalies such as Hirschsprung disease, imperforate anus, CHARGE syndrome, or VACTERL association.
Minimum Eligible Age

1 Day

Maximum Eligible Age

3 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Supriya Nair

Pediatric GI Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Supriya Nair, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Locations

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The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Supriya Nair, MD

Role: CONTACT

Phone: 832-582-0683

Email: [email protected]

J. Marc Rhoads, MD

Role: CONTACT

Phone: (713) 500-5663

Email: [email protected]

Facility Contacts

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Supriya Nair, MD

Role: primary

Other Identifiers

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HSC-MS-16-0968

Identifier Type: -

Identifier Source: org_study_id