Early Feeds in Gastroschisis

NCT ID: NCT06878950

Last Updated: 2025-03-17

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

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-24

Study Completion Date

2029-02-01

Brief Summary

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This study aims to evaluate the feasibility of initiating early feeds in neonates with gastroschisis, a condition where infants are born with their intestines outside the body.

Detailed Description

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Conditions

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Gastroschisis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The study evaluates the feasibility and safety of a standardized early feeding protocol for neonates with presumed simple gastroschisis
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Early Feeding Protocol Group

This arm involves neonates with presumed simple gastroschisis who will be subjected to an early feeding protocol. The protocol specifies initiating human milk feeds within 48 hours of surgical repair of gastroschisis. Feeds are advanced based on tolerance and clinical assessment, with a focus on promoting oral motor skill development.

Group Type EXPERIMENTAL

Early Feeding Protocol

Intervention Type PROCEDURE

The intervention includes removal of Replogle within 24 hours of abdominal closure and the initiation of introductory feeds within 48 hours of abdominal closure.

Interventions

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Early Feeding Protocol

The intervention includes removal of Replogle within 24 hours of abdominal closure and the initiation of introductory feeds within 48 hours of abdominal closure.

Intervention Type PROCEDURE

Other Intervention Names

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Early Initiation of Human Milk Feeds

Eligibility Criteria

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Inclusion Criteria

* Neonates with presumed simple gastroschisis
* Born at ≥ 34 weeks' gestation
* Hemodynamically stable
* Consented within 48 hours after abdominal closure
* Mothers who are ≥16 years old
* Mothers who speak English or Spanish

Exclusion Criteria

* Neonates with evidence of complex gastroschisis at time of closure (any ischemic bowel, intestinal perforation, or obvious atresia with mesenteric defect)
* Presence of any major congenital anomalies
* Neonates who are receiving ionotropic medications
* Neonates who are wards of the state
* Neonates whose care is considered to be futile or those undergoing re-direction of care
* Neonates participating in another interventional trial
* Any patient deemed unfit for participation by study investigator(s)
Minimum Eligible Age

0 Days

Maximum Eligible Age

1 Year

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Gerber Foundation

OTHER

Sponsor Role collaborator

University of California, Los Angeles

OTHER

Sponsor Role collaborator

University of California Fetal Consortium

UNKNOWN

Sponsor Role collaborator

National Center for Advancing Translational Sciences (NCATS)

NIH

Sponsor Role collaborator

University of California, Davis

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nicole Cacho, DO

Role: PRINCIPAL_INVESTIGATOR

University of California, Davis

Geoanna Bautista, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, Davis

Locations

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University of California Los Angeles

Los Angeles, California, United States

Site Status NOT_YET_RECRUITING

UC Davis Children's Hospital

Sacramento, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Nicole Cacho, DO

Role: CONTACT

(916) 282-2507

Geoanna Bautista, MD

Role: CONTACT

(916) 282-2507

Facility Contacts

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Kara Calkins, MD

Role: primary

Dan Deugarte, MD

Role: backup

Nicole Cacho, DO

Role: primary

916-282-2507

Geoanna Bautista, MD

Role: backup

References

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Hobson D, Spence K, Trivedi A, Thomas G. Differences in attitudes to feeding post repair of Gastroschisis and development of a standardized feeding protocol. BMC Pediatr. 2019 Dec 4;19(1):475. doi: 10.1186/s12887-019-1858-z.

Reference Type BACKGROUND
PMID: 31801489 (View on PubMed)

DeUgarte DA, Calkins KL, Guner Y, Kim J, Kling K, Kramer K, Lee H, Lusk L, Saadai P, Uy C, Rottkamp C; University of California Fetal Consortium. Adherence to and outcomes of a University-Consortium gastroschisis pathway. J Pediatr Surg. 2020 Jan;55(1):45-48. doi: 10.1016/j.jpedsurg.2019.09.048. Epub 2019 Oct 27.

Reference Type BACKGROUND
PMID: 31704046 (View on PubMed)

Jyoti J, James-Nunez K, Spence K, Parkinson B, Thomas G, Trivedi A. Evaluation of gastroschisis feeding protocol: A retrospective cohort study. J Paediatr Child Health. 2024 Nov;60(11):675-679. doi: 10.1111/jpc.16657. Epub 2024 Aug 29.

Reference Type BACKGROUND
PMID: 39206671 (View on PubMed)

Other Identifiers

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UL1TR001860

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2216195

Identifier Type: -

Identifier Source: org_study_id

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