Blood Based Assessment of sST2, Taken During and After Surgery, for Pediatric Patients With Heart Defects to Predict Heart Failure.

NCT ID: NCT07029230

Last Updated: 2025-11-17

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

Total Enrollment

225 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-09-10

Study Completion Date

2029-01-31

Brief Summary

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Patients younger than 18 scheduled for congenital heart surgery will be assessed during and post-operatively as well as at the first follow-up after 9-12 month for the novel biomarker sST2. We will assess the marker independently and in evaluation with other blood biomarkers to evaluate sings of heart failure. Compared to established biomarkers, sST2 promises thereby to be less variable to factors like age or acute kidney injury, rendering it potentially more reliable in the field of congenital cardiac surgery.

Detailed Description

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Single-center prospective biomarker validation study for Soluble suppression of tumorigenicity 2 (sST2). All data will be collected upfront to ensure accuracy. The study's findings aim to improve risk stratification and guide better management for pediatric cardiac surgery patients.

Congenital Heart Disease (CHD) is the most common congenital abnormality, affecting about 1 in 100 live births. While surgical interventions have significantly improved survival rates, a considerable number of patients experience long-term complications like ventricular dysfunction and heart failure, which are major causes of death.

Biomarkers are crucial tools that can aid clinicians in risk stratification, treatment guidance, and predicting outcomes. sST2 has shown utility in adult heart surgery cases and is included in the guidelines of the American Heart Association (AHA), while it's use in pediatric cases is largely unexplored.

This study tests if sST2 as biomarker can be a useful prognostic tool for children with CHD undergoing cardiac surgery. The primary objective is to assess if a specific cut-off level of post-surgery sST2 can predict future heart failure. Secondary objectives include comparing sST2 to other established biomarkers.

Conditions

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Congenital Heart Surgery Congenital Heart Disease in Children Fontan Physiology

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients planned for congenital cardiac surgery

Patients planned for congenital cardiac surgery

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Consented for cardiopulmonary bypass surgery for cardiac reason
* Conversational skills in German (by child and/or representative) to be able to fully understand and sign a written consent in German language

Exclusion Criteria

* Know genetic life limiting conditions
* Syndrome patients who are scheduled or highly likely to be operated on more than one organ
* Body weight at time of surgery less than 2.5 kg
* Being recruited and enrolled for an interventional study protocol
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Children's Hospital, Zurich

OTHER

Sponsor Role collaborator

Martin Schweiger

OTHER

Sponsor Role lead

Responsible Party

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Martin Schweiger

Attending Physician Congenital Cardiac Surgery

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Martin Schweiger, Prof, MD, MBA

Role: PRINCIPAL_INVESTIGATOR

University Children's Hospital, Zurich

Locations

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University Children's Hospital Zurirch

Zurich, Canton of Zurich, Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Martin Schweiger, Prof, MD, MBA

Role: CONTACT

+41 44 249 6511

Clemens Haselmann, MD

Role: CONTACT

Facility Contacts

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Martin Schweiger, Prof, MD, MBA

Role: primary

+41 44 249 6511

References

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Parker DM, Everett AD, Stabler ME, Jacobs ML, Jacobs JP, Vricella L, Thiessen-Philbrook H, Parikh CR, Manlhiot C, Brown JR. ST2 Predicts Risk of Unplanned Readmission Within 1 Year After Pediatric Congenital Heart Surgery. Ann Thorac Surg. 2020 Dec;110(6):2070-2075. doi: 10.1016/j.athoracsur.2020.02.056. Epub 2020 Apr 1.

Reference Type BACKGROUND
PMID: 32246937 (View on PubMed)

Aimo A, Januzzi JL Jr, Bayes-Genis A, Vergaro G, Sciarrone P, Passino C, Emdin M. Clinical and Prognostic Significance of sST2 in Heart Failure: JACC Review Topic of the Week. J Am Coll Cardiol. 2019 Oct 29;74(17):2193-2203. doi: 10.1016/j.jacc.2019.08.1039.

Reference Type BACKGROUND
PMID: 31648713 (View on PubMed)

Dudek M, Kaluzna-Oleksy M, Migaj J, Sawczak F, Krysztofiak H, Lesiak M, Straburzynska-Migaj E. sST2 and Heart Failure-Clinical Utility and Prognosis. J Clin Med. 2023 Apr 26;12(9):3136. doi: 10.3390/jcm12093136.

Reference Type BACKGROUND
PMID: 37176577 (View on PubMed)

Brown JR, Stabler ME, Parker DM, Vricella L, Pasquali S, Leyenaar JK, Bohm AR, MacKenzie T, Parikh C, Jacobs ML, Jacobs JP, Everett AD. Biomarkers improve prediction of 30-day unplanned readmission or mortality after paediatric congenital heart surgery. Cardiol Young. 2019 Aug;29(8):1051-1056. doi: 10.1017/S1047951119001471. Epub 2019 Jul 10.

Reference Type BACKGROUND
PMID: 31290383 (View on PubMed)

Maisel AS, Di Somma S. Do we need another heart failure biomarker: focus on soluble suppression of tumorigenicity 2 (sST2). Eur Heart J. 2017 Aug 7;38(30):2325-2333. doi: 10.1093/eurheartj/ehw462. No abstract available.

Reference Type BACKGROUND
PMID: 28028009 (View on PubMed)

Other Identifiers

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FZK 2025-INV-007

Identifier Type: OTHER

Identifier Source: secondary_id

BASEC 2024-01297

Identifier Type: -

Identifier Source: org_study_id

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