Trial Outcomes & Findings for DynaCleft® Effects on Soft Tissues and on Quality of Life for Incomplete Unilateral Cleft Lip Infants (NCT NCT04455035)

NCT ID: NCT04455035

Last Updated: 2024-12-30

Results Overview

Width of the cleft lip was measured from extraoral clinical photographs. Data reported is width of cleft lip at 3 months minus width of cleft lip at time of initial examination.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

initial time of examination with study team, time of surgery (3 months post intervention)

Results posted on

2024-12-30

Participant Flow

Participant milestones

Participant milestones
Measure
Retrospective Group(Control)
Comparator: Retrospective Group(Control): The control group for this study will be obtained from a retrospective chart review of electronic health records of patients with incomplete cleft lip who underwent surgery without any presurgical interventions.
Prospective Group
Prospective Group: The study population for the prospective aspect will include recruited newborns with untreated unilateral incomplete cleft lip. DynaCleft® + Nasal Elevator therapy will be discussed with parent(s) as a presurgical orthopedic option while awaiting primary cleft lip surgical repair that typically occurs between the ages of 3 to 6 months.Study duration will be up to three months of presurgical intervention.Photographs are to be taken at initial visit prior to presurgical intervention and later at completion of the DynaCleft® therapy immediately prior to lip surgery. Angles to be pictured are to include the standard anterior-posterior, profile, and worms-eye view. Linear measurements will be obtained with a ruler and registered in millimeters. A goniometer will be used to measure angles.
Overall Study
STARTED
20
4
Overall Study
COMPLETED
20
4
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Data for this measure were not collected.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Retrospective Group(Control)
n=20 Participants
Comparator: Retrospective Group(Control): The control group for this study will be obtained from a retrospective chart review of electronic health records of patients with incomplete cleft lip who underwent surgery without any presurgical interventions.
Prospective Group
n=4 Participants
Prospective Group: The study population for the prospective aspect will include recruited newborns with untreated unilateral incomplete cleft lip. DynaCleft® + Nasal Elevator therapy will be discussed with parent(s) as a presurgical orthopedic option while awaiting primary cleft lip surgical repair that typically occurs between the ages of 3 to 6 months.Study duration will be up to three months of presurgical intervention.Photographs are to be taken at initial visit prior to presurgical intervention and later at completion of the DynaCleft® therapy immediately prior to lip surgery. Angles to be pictured are to include the standard anterior-posterior, profile, and worms-eye view. Linear measurements will be obtained with a ruler and registered in millimeters. A goniometer will be used to measure angles.
Total
n=24 Participants
Total of all reporting groups
Age, Categorical
<=18 years
20 Participants
n=20 Participants
4 Participants
n=4 Participants
24 Participants
n=24 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=20 Participants
0 Participants
n=4 Participants
0 Participants
n=24 Participants
Age, Categorical
>=65 years
0 Participants
n=20 Participants
0 Participants
n=4 Participants
0 Participants
n=24 Participants
Sex: Female, Male
Female
0 Participants
Data for this measure were not collected.
Sex: Female, Male
Male
0 Participants
Data for this measure were not collected.
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
20 participants
n=20 Participants
4 participants
n=4 Participants
24 participants
n=24 Participants

PRIMARY outcome

Timeframe: initial time of examination with study team, time of surgery (3 months post intervention)

Width of the cleft lip was measured from extraoral clinical photographs. Data reported is width of cleft lip at 3 months minus width of cleft lip at time of initial examination.

Outcome measures

Outcome measures
Measure
Retrospective Group(Control)
n=20 Participants
Comparator: Retrospective Group(Control): The control group for this study will be obtained from a retrospective chart review of electronic health records of patients with incomplete cleft lip who underwent surgery without any presurgical interventions.
Prospective Group
n=4 Participants
Prospective Group: The study population for the prospective aspect will include recruited newborns with untreated unilateral incomplete cleft lip. DynaCleft® + Nasal Elevator therapy will be discussed with parent(s) as a presurgical orthopedic option while awaiting primary cleft lip surgical repair that typically occurs between the ages of 3 to 6 months.Study duration will be up to three months of presurgical intervention.Photographs are to be taken at initial visit prior to presurgical intervention and later at completion of the DynaCleft® therapy immediately prior to lip surgery. Angles to be pictured are to include the standard anterior-posterior, profile, and worms-eye view. Linear measurements will be obtained with a ruler and registered in millimeters. A goniometer will be used to measure angles.
Changes in Soft Tissue as Indicated by Width of the Cleft Lip Measured From Extraoral Clinical Photographs
0.601 pixels
Standard Deviation 0.236
0.435 pixels
Standard Deviation 0.111

PRIMARY outcome

Timeframe: initial time of examination with study team, time of surgery (3 months post intervention)

Columellar angle was measured from extraoral clinical photographs. Data reported is columellar angle at 3 months minus columellar angle at time of initial examination.

Outcome measures

Outcome measures
Measure
Retrospective Group(Control)
n=20 Participants
Comparator: Retrospective Group(Control): The control group for this study will be obtained from a retrospective chart review of electronic health records of patients with incomplete cleft lip who underwent surgery without any presurgical interventions.
Prospective Group
n=4 Participants
Prospective Group: The study population for the prospective aspect will include recruited newborns with untreated unilateral incomplete cleft lip. DynaCleft® + Nasal Elevator therapy will be discussed with parent(s) as a presurgical orthopedic option while awaiting primary cleft lip surgical repair that typically occurs between the ages of 3 to 6 months.Study duration will be up to three months of presurgical intervention.Photographs are to be taken at initial visit prior to presurgical intervention and later at completion of the DynaCleft® therapy immediately prior to lip surgery. Angles to be pictured are to include the standard anterior-posterior, profile, and worms-eye view. Linear measurements will be obtained with a ruler and registered in millimeters. A goniometer will be used to measure angles.
Changes in Soft Tissue as Indicated by Columellar Angle Measured From Extraoral Clinical Photographs
54.93 degrees
Standard Deviation 5.124
64.75 degrees
Standard Deviation 4.991

PRIMARY outcome

Timeframe: initial time of examination with study team, time of surgery (3 months post intervention)

Population: Data was not collected for this outcome measure.

Data was not collected for this outcome. Data was not collected for this outcome. Data was not collected for this outcome. Data was not collected for this outcome. Data was not collected for this outcome.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: initial time of examination with study team, time of surgery (3 months post intervention)

Population: Data was not collected for this outcome measure.

Data was not collected for this outcome. Data was not collected for this outcome. Data was not collected for this outcome. Data was not collected for this outcome. Data was not collected for this outcome.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: initial time of examination with study team, time of surgery (3 months post intervention)

Population: Data for this outcome measure were not collected from the retrospective arm, as IRB approval was not requested to contact retrospective participants.

The Infant and New Parent Quality of Life questionnaire consists of 22 questions related to quality of life. For each question, it was determined whether the response at 3 months indicated an improvement, no change, or a decrease in quality of life relative to the response at the time of initial examination. The average number with an improvement in quality of life (averaged over all 22 questions), the average number who had no change in quality of life (averaged over all 22 questions), and the average number who had a decrease in quality of life (averaged over all 22 questions) are reported.

Outcome measures

Outcome measures
Measure
Retrospective Group(Control)
Comparator: Retrospective Group(Control): The control group for this study will be obtained from a retrospective chart review of electronic health records of patients with incomplete cleft lip who underwent surgery without any presurgical interventions.
Prospective Group
n=4 Participants
Prospective Group: The study population for the prospective aspect will include recruited newborns with untreated unilateral incomplete cleft lip. DynaCleft® + Nasal Elevator therapy will be discussed with parent(s) as a presurgical orthopedic option while awaiting primary cleft lip surgical repair that typically occurs between the ages of 3 to 6 months.Study duration will be up to three months of presurgical intervention.Photographs are to be taken at initial visit prior to presurgical intervention and later at completion of the DynaCleft® therapy immediately prior to lip surgery. Angles to be pictured are to include the standard anterior-posterior, profile, and worms-eye view. Linear measurements will be obtained with a ruler and registered in millimeters. A goniometer will be used to measure angles.
Average Number of Responses Indicating Improvement, no Change, or Decrease in Quality of Life as Assessed by the Infant and New Parent Quality of Life Questionnaire
improvement in quality of life
2.27 number of responses
Standard Deviation 0.83
Average Number of Responses Indicating Improvement, no Change, or Decrease in Quality of Life as Assessed by the Infant and New Parent Quality of Life Questionnaire
no change in quality of life
1.68 number of responses
Standard Deviation 0.84
Average Number of Responses Indicating Improvement, no Change, or Decrease in Quality of Life as Assessed by the Infant and New Parent Quality of Life Questionnaire
decrease in quality of life
0 number of responses
Standard Deviation 0

Adverse Events

Retrospective Group(Control)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Prospective Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Brett Chiquet, DDS, PhD, Associate Professor

The University of Texas Health Science Center at Houston

Phone: 7135008220

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place