Inhaled Nitric Oxide for Congenital Diaphragmatic Hernia
De-implementing Inhaled Nitric Oxide for Congenital Diaphragmatic Hernia
Recruiting
Phase 4Interventional Study
Congenital Diaphragmatic Hernia
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
0 Months – 1 Month
Sex
Any
Trial phase
Phase 4
Study type
Interventional
Purpose
Treatment
Participants needed
600 (estimated)
Sponsor
The University of Texas Health Science Center, Houston · Other
Who this trial is looking for
This trial is looking for newborns with congenital diaphragmatic hernia (CDH). Participants will be part of a study to see if a treatment is beneficial and cost-effective during their early care.
Are You a Good Fit for This Trial?
You may be able to join if
I am a live born neonate with CDH.
I have a Bochdalek hernia.
I was diagnosed with CDH before I was 1 month old.
I was born at or transferred to a participating CDH center within 1 week of life.
You may not be able to join if
I was diagnosed with CDH after 1 month of age.
I have a Morgagni hernia.
I was transferred to a CDH center after 1 week of life.
I do not have access to inhaled nitric oxide.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
The purpose of this study is to determine if de-implementation of inhaled nitric oxide (iNO) in the post-natal resuscitation/stabilization phase affects the composite outcome of extracorporeal life support (ECLS) use and/or mortality, as well as ECLS use, mortality, and/or oxygenation in congenital diaphragmatic hernia (CDH) newborns and to establish the cost-effectiveness of de-implementing iNO a…
The purpose of this study is to determine if de-implementation of inhaled nitric oxide (iNO) in the post-natal resuscitation/stabilization phase affects the composite outcome of extracorporeal life support (ECLS) use and/or mortality, as well as ECLS use, mortality, and/or oxygenation in congenital diaphragmatic hernia (CDH) newborns and to establish the cost-effectiveness of de-implementing iNO as a therapy in the postnatal resuscitation/stabilization phase of CDH management, which will be assessed as the incremental health system costs (savings) per prevented ECLS use and/or death.
Trial Locations
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State
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Status
Eligibility Criteria
Inclusion Criteria:
* Postnatal, live born neonates with CDH
a. Presence of associated or additional anomalies is acceptable for inclusion
* Bochdalek hernia location (right or left)
* Diagnosed prior to 1 month of life
* Born within or transferred to (within 1 week of life) a CDHSG member cente…
Inclusion Criteria:
* Postnatal, live born neonates with CDH
a. Presence of associated or additional anomalies is acceptable for inclusion
* Bochdalek hernia location (right or left)
* Diagnosed prior to 1 month of life
* Born within or transferred to (within 1 week of life) a CDHSG member center participating in the trial
Exclusion Criteria:
* CDH diagnosis after 1 month of age
* Morgagni diaphragmatic hernia (central / anterior-medial diaphragmatic defect location)
* Transferred to a CDH Study Group (CDHSG) member center after 1 week of life
* Patients without potential access to iNO
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