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Congenital Diaphragmatic HerniaDHREAMSNCT00950118

Diaphragmatic Hernia Research & Exploration, Advancing Molecular Science

An observational study of Congenital Diaphragmatic Hernia, run by Columbia University at 14 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this study is to identify genes that convey susceptibility to congenital diaphragmatic hernia in humans. The identification of such genes, and examination of their structure and function, will enable a delineation of molecular pathogenesis and, ultimately, prevention or treatment of congenital… Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
Conditions the study is for
Congenital Diaphragmatic Hernia
How many people
3,000 participants
Where
14 sitesin 2 countries
Study dates
Jun 2005to Sep 2027
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Study population: Children/neonates with an unrepaired congenital diaphragmatic hernia Children/neonates with a reparied congenital diaphragmatic hernia Women who are pregnant with a fetus diagnosed with congenital diaphragmatic hernia Individuals with a family history of congenital diaphragmatic hernia

Who may be able to join

  • All individuals affected with a congenital diaphragmatic hernia (CDH), or with a family history of a CDH

Who cannot join

  • Individuals with no personal history of a CDH or family history of a family member affected with congenital diaphragmatic hernia

Trial locations and contacts

14 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Anah Kim Hetzler contact

ak3578@columbia.edu

14 sites in 2 countries

United States13 sites, 11 recruiting
  • University of Michigan/ CS Mott Children's Hospital

    Ann Arbor, Michigan, 48167-5245

    George Mychalisa, MD, MS, 734-763-2072, mychalis@med.umich.edu

    Jeannie Kreutzman, RN, MSN, 734-763-2072, jkreutzm@med.umich.edu

    Recruiting
  • Rush Hospital

    Chicago, Illinois, 60612

    Mindy Li, MD

    Alexa Hart, MS, CGC

    Recruiting
  • Cincinnati Children's Hospital and Medical Center/ University of Cincinnati

    Cincinnati, Ohio, 45229

    Trish Burns, BSN, 513-803-0745, trish.burns@cchmc.org

    Foong Yen Lim, MD

    Recruiting
  • UT Southwestern Medical Center, Children's Health, Dallas

    Dallas, Texas, 75235

    David Schindel, MD, 214-456-6040, David.Schindel@childrens.com

    Recruiting
  • Northwell Health

    Manhasset, New York, 11030

    Samuel Soffer, MD, ssoffer@nhsh.edu

    Samuel Soffer, MD

    Recruiting
  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

    Completed
  • Monroe Carrell Jr Children's Hospital at Vanderbilt

    Nashville, Tennessee, 37232

    Completed
  • New York University, Hassenfeld Children's Hospital at NYU Langone Health

    New York, New York, 10016

    Barbara Coons, Barbara.Coons@nyulangone.org

    Jason Fisher, MD

    Recruiting
  • Morgan Stanley Children's Hospital of New York- Presbyterian (Columbia University Medical Center)

    New York, New York, 10032

    Anah Kim Hetzler, 212-342-4622, ak3578@columbia.edu

    Yufeng Shen, PhD

    Recruiting
  • Children's Hospital of Omaha/ University of Nebraska

    Omaha, Nebraska, 68114

    Sheila Horak, APRN, shorak@childrensomaha.org

    Brad Warner, MD

    Recruiting
  • Children's Hospital of Pittsburgh/ University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213

    Min Shi, BSN, 412-692-7440, shim@upmc.edu

    Paul Waltz, MD, waltzpk2@upmc.edu

    Recruiting
  • Oregon Health & Science University, Doernbecher Children's Hospital

    Portland, Oregon, 97239

    Andrew Mason, masoned@ohsu.edu

    Elizabeth Fialkowski, MD, fialkows@ohsu.edu

    Recruiting
  • Washington University Medical Center/ St. Louis Children's Hospital

    St Louis, Missouri, 63110

    Jessica Conway, jessicaconway@wustl.edu

    Brad Warner, MD

    Recruiting

Other trials in United States

Egypt1 site, 1 recruiting
  • Cairo University Hospital

    Cairo

    Mahmoud Elfiky, MD, 201001557755, drmelfiky@gmail.com

    Mahmoud Elfiky, MD

    Recruiting

Other trials in Egypt

About this study

The goal of this study is to identify genes that convey susceptibility to congenital diaphragmatic hernia in humans. The identification of such genes, and examination of their structure and function, will enable a delineation of molecular pathogenesis and, ultimately, prevention or treatment of congenital diaphragmatic hernia. There are many different possible modes of inheritance for congenital anomalies, including autosomal dominant, autosomal recessive, and multifactorial. Multi-factorial inheritance is responsible for many common medical disorders, including hypertension, myocardial infarction, diabetes and cancer. This type of inheritance pattern appears to involve environmental factors as well as a combination of genetic variations that together can predispose to or produce congenital anomalies, such as congenital diaphragmatic hernia.

Our study is designed to establish a small, well-defined genetic resource consisting of 1) Nuclear families suitable for linkage analysis by parametric,non-parametric (e.g. sib pairs, TDT) and association techniques, 2) Individuals with congenital diaphragmatic hernia who can be directly screened for allelic variation in candidate genes, and 3) Individuals who can serve as controls (are unaffected by congenital diaphragmatic hernia). Neonates and their families will be collected from homogenous and heterogeneous populations. By characterizing diverse populations, it should be possible to increase the likelihood of demonstration of genetic variation in selected candidate genes that can then be used in association and linkage studies in individual subjects with congenital diaphragmatic hernia.

Read the detailed description

Congenital diaphragmatic hernia (CDH) is a birth defect that occurs when the diaphragm (thin sheet of muscle that separates the abdomen from the chest) does not form properly. When an opening is present in the diaphragm, organs that are normally in the abdomen can be pushed (herniated) through the opening and be present in the chest. Currently little is known about why this birth defect occurs.

Through this study ""Molecular Genetic Analysis of Congenital Diaphragmatic Hernia" the investigators hope to learn more about whether certain genes contribute to CDH. Genes are the instructions or blueprints for our bodies. They tell our bodies how to grow and develop. Sometimes when a mistake occurs in one or more of our genes our body does not develop properly and this can lead to a CDH. The investigators hope that the information gained through studying the genes of children with CDH and their parents, will lead to significant advances in the diagnosis, prognosis, prevention, and treatment of this disease.

Keywords
Congenital Diaphragmatic Hernia (CDH), Genes, Genetic, Genetic testing, exome sequencing, genome sequencing, RNAseq
Medical subject headings
Hernias, Diaphragmatic, Congenital

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT00950118
Study groupRoleWhat they receive
Congenital Diaphragmatic Hernia (CDH)Humans affected with congenital diaphragmatic hernia (CDH)
UnaffectedHealthy family members of individuals affected with congenital diaphragmatic hernia (CDH)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of patients with a genetic diagnosis

    DNA samples from patients will be analyzed for underlying genetic causes.

    Measured: 5 years

Secondary outcomes (2)
  1. Developmental outcomes at 2 and 5 years of age

    Formal Developmental outcome measures

    Measured: 1 exam at 2 year and 1 exam at 5 years

  2. Percentage of patients with pulmonary hypertension

    pulmonary hypertension measured by echocardiogram

    Measured: 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jul 2009 (estimated)
  2. Study startJun 2005
  3. Primary completionSep 2027 (estimated)
  4. Study completionSep 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
3,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00950118
Sponsor's protocol ID
AAAB2063
Other IDs
R01HD057036
Acronym
DHREAMS
Status last verified
Oct 2026
First submitted
29 Jul 2009
Last updated
5 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Wynn J, Yu L, Chung WK. Genetic causes of congenital diaphragmatic hernia. Semin Fetal Neonatal Med. 2014 Dec;19(6):324-30. doi: 10.1016/j.siny.2014.09.003. Epub 2014 Oct 28.

    PubMed 25447988
  • Pierog A, Aspelund G, Farkouh-Karoleski C, Wu M, Kriger J, Wynn J, Krishnan U, Mencin A. Predictors of low weight and tube feedings in children with congenital diaphragmatic hernia at 1 year of age. J Pediatr Gastroenterol Nutr. 2014 Oct;59(4):527-30. doi: 10.1097/MPG.0000000000000454.

    PubMed 24918983
  • Yu L, Bennett JT, Wynn J, Carvill GL, Cheung YH, Shen Y, Mychaliska GB, Azarow KS, Crombleholme TM, Chung DH, Potoka D, Warner BW, Bucher B, Lim FY, Pietsch J, Stolar C, Aspelund G, Arkovitz MS; University of Washington Center for Mendelian Genomics; Mefford H, Chung WK. Whole exome sequencing identifies de novo mutations in GATA6 associated with congenital diaphragmatic hernia. J Med Genet. 2014 Mar;51(3):197-202. doi: 10.1136/jmedgenet-2013-101989. Epub 2014 Jan 2.

    PubMed 24385578
  • Wynn J, Aspelund G, Zygmunt A, Stolar CJ, Mychaliska G, Butcher J, Lim FY, Gratton T, Potoka D, Brennan K, Azarow K, Jackson B, Needelman H, Crombleholme T, Zhang Y, Duong J, Arkovitz MS, Chung WK, Farkouh C. Developmental outcomes of children with congenital diaphragmatic hernia: a multicenter prospective study. J Pediatr Surg. 2013 Oct;48(10):1995-2004. doi: 10.1016/j.jpedsurg.2013.02.041.

    PubMed 24094947
  • Wynn J, Krishnan U, Aspelund G, Zhang Y, Duong J, Stolar CJ, Hahn E, Pietsch J, Chung D, Moore D, Austin E, Mychaliska G, Gajarski R, Foong YL, Michelfelder E, Potolka D, Bucher B, Warner B, Grady M, Azarow K, Fletcher SE, Kutty S, Delaney J, Crombleholme T, Rosenzweig E, Chung W, Arkovitz MS. Outcomes of congenital diaphragmatic hernia in the modern era of management. J Pediatr. 2013 Jul;163(1):114-9.e1. doi: 10.1016/j.jpeds.2012.12.036. Epub 2013 Jan 30.

    PubMed 23375362
  • Yu L, Wynn J, Cheung YH, Shen Y, Mychaliska GB, Crombleholme TM, Azarow KS, Lim FY, Chung DH, Potoka D, Warner BW, Bucher B, Stolar C, Aspelund G, Arkovitz MS, Chung WK. Variants in GATA4 are a rare cause of familial and sporadic congenital diaphragmatic hernia. Hum Genet. 2013 Mar;132(3):285-92. doi: 10.1007/s00439-012-1249-0. Epub 2012 Nov 9.

    PubMed 23138528
  • Yu L, Wynn J, Ma L, Guha S, Mychaliska GB, Crombleholme TM, Azarow KS, Lim FY, Chung DH, Potoka D, Warner BW, Bucher B, LeDuc CA, Costa K, Stolar C, Aspelund G, Arkovitz MS, Chung WK. De novo copy number variants are associated with congenital diaphragmatic hernia. J Med Genet. 2012 Oct;49(10):650-9. doi: 10.1136/jmedgenet-2012-101135.

    PubMed 23054247
  • Yu L, Sawle AD, Wynn J, Aspelund G, Stolar CJ, Arkovitz MS, Potoka D, Azarow KS, Mychaliska GB, Shen Y, Chung WK. Increased burden of de novo predicted deleterious variants in complex congenital diaphragmatic hernia. Hum Mol Genet. 2015 Aug 15;24(16):4764-73. doi: 10.1093/hmg/ddv196. Epub 2015 Jun 1.

    PubMed 26034137
  • Azarow KS, Cusick R, Wynn J, Chung W, Mychaliska GB, Crombleholme TM, Chung DH, Lim FY, Potoka D, Warner BW, Aspelund G, Arkovitz MS. The association between congenital diaphragmatic hernia and undescended testes. J Pediatr Surg. 2015 May;50(5):744-5. doi: 10.1016/j.jpedsurg.2015.02.025. Epub 2015 Feb 19.

    PubMed 25783379
  • Kardon G, Ackerman KG, McCulley DJ, Shen Y, Wynn J, Shang L, Bogenschutz E, Sun X, Chung WK. Congenital diaphragmatic hernias: from genes to mechanisms to therapies. Dis Model Mech. 2017 Aug 1;10(8):955-970. doi: 10.1242/dmm.028365.

    PubMed 28768736
  • Kruszka P, Tanpaiboon P, Neas K, Crosby K, Berger SI, Martinez AF, Addissie YA, Pongprot Y, Sittiwangkul R, Silvilairat S, Makonkawkeyoon K, Yu L, Wynn J, Bennett JT, Mefford HC, Reynolds WT, Liu X, Mommersteeg MTM, Chung WK, Lo CW, Muenke M. Loss of function in ROBO1 is associated with tetralogy of Fallot and septal defects. J Med Genet. 2017 Dec;54(12):825-829. doi: 10.1136/jmedgenet-2017-104611. Epub 2017 Jun 7.

    PubMed 28592524
  • Longoni M, High FA, Qi H, Joy MP, Hila R, Coletti CM, Wynn J, Loscertales M, Shan L, Bult CJ, Wilson JM, Shen Y, Chung WK, Donahoe PK. Genome-wide enrichment of damaging de novo variants in patients with isolated and complex congenital diaphragmatic hernia. Hum Genet. 2017 Jun;136(6):679-691. doi: 10.1007/s00439-017-1774-y. Epub 2017 Mar 16.

    PubMed 28303347
  • Chiu JS, Ma L, Wynn J, Krishnan U, Rosenzweig EB, Aspelund G, Arkovitz M, Warner BW, Lim FY, Mychaliska GB, Azarow K, Cusick RA, Chung DH, Chung WK. Mutations in BMPR2 are not present in patients with pulmonary hypertension associated with congenital diaphragmatic hernia. J Pediatr Surg. 2017 Nov;52(11):1747-1750. doi: 10.1016/j.jpedsurg.2017.01.007. Epub 2017 Jan 26.

    PubMed 28162765
  • Farkouh-Karoleski C, Najaf T, Wynn J, Aspelund G, Chung WK, Stolar CJ, Mychaliska GB, Warner BW, Wagner AJ, Cusick RA, Lim FY, Schindel DT, Potoka D, Azarow K, Cotten CM, Hesketh A, Soffer S, Crombleholme T, Needelman H. A definition of gentle ventilation in congenital diaphragmatic hernia: a survey of neonatologists and pediatric surgeons. J Perinat Med. 2017 Dec 20;45(9):1031-1038. doi: 10.1515/jpm-2016-0271.

    PubMed 28130958
  • Abramov A, Fan W, Hernan R, Zenilman AL, Wynn J, Aspelund G, Khlevner J, Krishnan U, Lim FY, Mychaliska GB, Warner BW, Cusick R, Crombleholme T, Chung D, Danko ME, Wagner AJ, Azarow K, Schindel D, Potoka D, Soffer S, Fisher J, McCulley D, Farkouh-Karoleski C, Chung WK, Duron V. Comparative outcomes of right versus left congenital diaphragmatic hernia: A multicenter analysis. J Pediatr Surg. 2020 Jan;55(1):33-38. doi: 10.1016/j.jpedsurg.2019.09.046. Epub 2019 Oct 26.

    PubMed 31677822

Questions about this trial

What is this clinical trial studying?

An observational study of Congenital Diaphragmatic Hernia, run by Columbia University at 14 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 5 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States, Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Anah Kim Hetzler (ak3578@columbia.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of patients with a genetic diagnosis (time frame: 5 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00950118, which also lists 17 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Oct 2026; AzTrials last refreshed its copy on 6 Nov 2026.

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