ES Catheter vs Cryoablation After Pectus Surgery

NCT ID: NCT06682208

Last Updated: 2025-09-18

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

RECRUITING

Clinical Phase

NA

Total Enrollment

176 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-08

Study Completion Date

2029-04-30

Brief Summary

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Participants will be randomized to receive ES catheter or cryoablation for pain management after the Nuss procedure. The goal of this study is to compare the following between the two groups:

* Time to achieve short-term physical therapy goals and long-term functional outcomes
* Compare immediate and long-term postoperative opioid use
* Compare numbness on chest of postoperative day 1 and the return of sensation to baseline
* Compare the incidence of neuropathic pain and other complications

Participants will receive surveys for up to 12 months postoperatively.

Detailed Description

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Conditions

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Pectus Excavatum

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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ES Catheter

Hospital procedure for ES catheters will be followed for postoperative pain.

Group Type ACTIVE_COMPARATOR

ES catheter

Intervention Type PROCEDURE

ES catheter for postoperative pain control

Intercostal Nerve Cryoablation (INC)

Hospital procedure for intercostal nerve cryoablation will be followed for postoperative pain.

Group Type ACTIVE_COMPARATOR

Intercostal nerve cryoablation (INC)

Intervention Type PROCEDURE

INC used for postoperative pain control

Interventions

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ES catheter

ES catheter for postoperative pain control

Intervention Type PROCEDURE

Intercostal nerve cryoablation (INC)

INC used for postoperative pain control

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age 12 - 21 years
* History of pectus excavatum
* Scheduled for Nuss procedure

Exclusion Criteria

* Prior pectus repair
* Other concomitant surgeries
* Chronic pain conditions including Ehlers Danlos Syndrome
* Non-English speaking - rationale: the questionnaires used in the study are in English language and the social and cultural factors of pain perception of non-English speaking patients could affect the study power
* Severe developmental delays including cognitive (difficulties understanding), motor (cerebral palsy or muscular dystrophy), and speech delays (difficulties communicating)
* History of or active renal or liver disease
* Major surgery requiring opioids in the last 2 years
* Severe respiratory problems (such as obstructive sleep apnea, cystic fibrosis, pulmonary fibrosis, or pneumonia within the last month)
* Cardiac conditions including, but not limited to, cyanotic heart disease, hypoplastic left ventricle, arrhythmia, uncontrolled hypertension with ongoing treatment, Kawasaki disease, or cardiomyopathies. Participants with asymptomatic valvular lesions or defects may be included
* BMI \>35
* Pregnant or breastfeeding females
Minimum Eligible Age

12 Years

Maximum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Children's Hospital Medical Center, Cincinnati

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Charlotte Walter, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital Medical Center, Cincinnati

Surya Narayanasamy, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital Medical Center, Cincinnati

Locations

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Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Charlotte Walter, MD

Role: CONTACT

513-636-4408

Kristie Geisler, BS

Role: CONTACT

513-636-3282

Facility Contacts

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Charlotte Walter, MD

Role: primary

513-636-4408

Kristie Geisler, BS

Role: backup

513-636-3282

Other Identifiers

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2022-0760

Identifier Type: -

Identifier Source: org_study_id

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