Sleep-disordered Breathing in Infants With Myelomeningocele

NCT ID: NCT04251806

Last Updated: 2024-12-20

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

ACTIVE_NOT_RECRUITING

Total Enrollment

173 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-07-21

Study Completion Date

2026-07-31

Brief Summary

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This study aims to determine whether the risk for sleep-disordered breathing in infants with myelomeningocele (a severe form of spina bifida) differs among those who underwent fetal vs. postnatal surgery, and to examine the link between sleep-disordered breathing and neurodevelopment.

Detailed Description

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Myelomeningocele (MMC), the most severe form of spina bifida, is characterized by exposure of the spinal cord through a spinal defect. Sleep-disordered breathing (SDB) is common in children with MMC and is a risk factor for sudden death. Abnormal sleep physiology is likely multifactorial, related to MMC level, brainstem dysfunction, musculoskeletal factors, and pulmonary abnormalities. In infants, SDB may be treatable with oxygen, caffeine, or positive airway pressure. Yet, SDB screening is not routine, even in centers with specialized MMC programs.

Evaluation of sleep in neonates who require intensive care is an emerging opportunity with potential for major impact on health and quality of life for affected children. As SDB and abnormal sleep are potentially treatable, early assessment and intervention could become an integral part of a multidisciplinary treatment strategy to optimize long-term medical and neurodevelopmental outcomes.

Conditions

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Sleep-disordered Breathing Myelomeningocele

Keywords

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polysomnogram development sleep apnea

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Prenatal Repair

This group received prenatal myelomeningocele repair.

neonatal polysomnography

Intervention Type DIAGNOSTIC_TEST

This procedure will allow the detection of sleep-disordered breathing in the neonatal period.

2-year Bayley Exam

Intervention Type DIAGNOSTIC_TEST

This procedure will evaluate neurodevelopmental outcomes.

2-year polysomnography

Intervention Type DIAGNOSTIC_TEST

This procedure will allow the detection of sleep-disordered breathing at 2 years of age.

Postnatal Repair

This group received postnatal myelomeningocele repair.

neonatal polysomnography

Intervention Type DIAGNOSTIC_TEST

This procedure will allow the detection of sleep-disordered breathing in the neonatal period.

2-year Bayley Exam

Intervention Type DIAGNOSTIC_TEST

This procedure will evaluate neurodevelopmental outcomes.

2-year polysomnography

Intervention Type DIAGNOSTIC_TEST

This procedure will allow the detection of sleep-disordered breathing at 2 years of age.

Interventions

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neonatal polysomnography

This procedure will allow the detection of sleep-disordered breathing in the neonatal period.

Intervention Type DIAGNOSTIC_TEST

2-year Bayley Exam

This procedure will evaluate neurodevelopmental outcomes.

Intervention Type DIAGNOSTIC_TEST

2-year polysomnography

This procedure will allow the detection of sleep-disordered breathing at 2 years of age.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Exclusion Criteria

* born at \<30 weeks gestation
* congenital anomalies that would predispose to sleep-disordered breathing (e.g. micrognathia)
* confirmed or suspected genetic syndromes that alter developmental outcomes
Maximum Eligible Age

2 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Renée Shellhaas, MD

Professor of Pediatrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Renee A Shellhaas, MD, MS

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Children's Hospital Colorado

Aurora, Colorado, United States

Site Status

Mott Children's Hospital

Ann Arbor, Michigan, United States

Site Status

Children's Minnesota

Minneapolis, Minnesota, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

University of Texas-Houston

Houston, Texas, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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R01HL147261

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HUM00165595

Identifier Type: -

Identifier Source: org_study_id