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
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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RECRUITING
225 participants
OBSERVATIONAL
2025-09-10
2029-01-31
Brief Summary
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Detailed Description
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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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Study Design
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CASE_ONLY
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
* 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
* 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
18 Years
ALL
No
Sponsors
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University Children's Hospital, Zurich
OTHER
Martin Schweiger
OTHER
Responsible Party
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Martin Schweiger
Attending Physician Congenital Cardiac Surgery
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
Countries
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Central Contacts
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Clemens Haselmann, MD
Role: CONTACT
Facility Contacts
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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.
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.
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.
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.
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.
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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