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Double Outlet Right VentricleNCT04788082

Clinical Impact of Rapid Prototyping 3D Models for Surgical Management

A study testing 3D Printed Heart Model in people with Double Outlet Right Ventricle and Transposition of the Great Arteries, run by Children's National Research Institute at 3 sites in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

Patient-specific, 3D printed models have been utilized in preoperative planning for many years. Among researchers and clinicians, there is a perception that preoperative exposure to 3D printed models, derived from patient images (CT or MRI), aid in procedural planning. Read more about this study

Who is it for?
Any age
What is being tested?
3D Printed Heart Model
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
3 sitesUnited States
Study dates
1 May 2017to Jun 2021
Phase
Interventional
Are there results?
None posted in the registry

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
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Pediatric subjects undergoing primary complex two-ventricle repair of congenital heart defect, including but not limited to:
  • double outlet right ventricle (DORV),
  • transposition of the great arteries with ventricular septal defect and pulmonary stenosis (TGA/VSD/PS),
  • truncus arteriosus with ventricular septal defect (TA/VSD)
  • congenitally corrected transposition of the arteries with pulmonary stenosis (CCTGA/PS).
  • Patient who will undergo preoperative cardiac MR or cardiac CT imaging
  • Images will be validated by the IRC prior to inclusion
  • Written informed consent (and assent when applicable) and HIPAA authorization obtained from subject or subject's legal representative and ability for subject to comply with the requirements of the study.

Who cannot join

  • Complex defects involving atrioventricular valve anomalies
  • complete or transitional atrioventricular canal
  • double inlet left ventricle
  • tricuspid atresia
  • mitral atresia
  • Defects with valve dysfunction requiring an extensive valvuloplasty
Show all 18Show fewer
  • Patients with a contraindication to MRI scanning will be excluded unless they are referred for a cardiac CT per clinical standard of practice. These contraindications include patients with the following devices:
  • Central nervous system aneurysm clips
  • Implanted neural stimulator
  • Implanted cardiac pacemaker or defibrillator which are not MR safe or MR conditional according to the manufacturer
  • Cochlear implant
  • Ocular foreign body (e.g. metal shavings)
  • Implanted Insulin pump
  • Metal shrapnel or bullet.
  • Any contraindications to receiving IV gadolinium contrast, determined clinically
  • Subjects where MRI or CT images are acquired more than six months prior to the scheduled surgical date
  • Subjects where date of scan to date of surgery is less than 10 calendar days
  • Subjects where MRI or CT reconstruction is limited due to poor image acquisition as solely determined by the Image Reconstruction Center.

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Phoenix Children's Hospital

    Phoenix, Arizona, 85016

  • Children's National Medical Center

    Washington D.C., District of Columbia, 20010

Other trials in United States

About this study

Official title: Clinical Impact of Rapid Prototyping 3D Models of Congenital Heart Disease on Surgical Management

Patient-specific, 3D printed models have been utilized in preoperative planning for many years. Among researchers and clinicians, there is a perception that preoperative exposure to 3D printed models, derived from patient images (CT or MRI), aid in procedural planning. 3D printed models for heart surgery have the potential to improve a clinician's preparedness and therefore may reduce surgically-related morbidity and mortality. This randomized clinical trial aims to evaluate whether pre-procedural planning of surgeons exposed to a patient-specific 3D printed heart model will decrease cardiopulmonary bypass time, morbidity, and mortality.

Read the detailed description

3D imaging and rapid prototyping 3D printing technology have advanced to the point where it is feasible to marry the two to produce a patient-matched and accurate 3D model of congenital heart defects. The production of a 3D model of the heart may be particularly useful in anticipation of surgery such that the operator can plan and visualize the surgery prior to the surgical date with a physical heart he or she can manipulate in their hands.

Preliminary studies demonstrate potential for clinical impact of 3D models on patient care and patient outcomes. 3D models have long been shown to enhance education and communication of anatomy. In 2008 Kim et al reviewed 3D printed models as an emerging technology in management of congenital heart disease, and also suggests that physical models may also help enhance patients and physicians' understanding of congenital heart disease. Our group has also published on the clinical and educational value of these 3D heart models. To date, no systematic trial identifying the value of 3D models on procedural planning has been published.

Being tested
3D Printed Heart Model
Keywords
3D Printing, Rapid prototpying
Medical subject headings
Double Outlet Right Ventricle, Transposition of Great Vessels, Truncus Arteriosus, Persistent, Congenitally Corrected Transposition of the Great Arteries

What participants receive

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

  • 3D Printed Heart ModelDiagnostic test

    Also called Rapid Prototyped Heart Model

    Prior to surgical intervention, the surgeon will be exposed to clinically-indicated images and a patient-specific 3D printed model of the subject's heart anatomy.

Study groups in NCT04788082
Study groupRoleWhat they receive
ControlNo interventionStandard of care (not involving 3D printing)
3D ModelExperimental3D printed models (at least one rigid blood volume model and one flexible shell model) will be used for surgical planning.
Receives: Diagnostic Test: 3D Printed Heart Model

What is being measured

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

  1. Time under cardiopulmonary bypass

    Measured: peri-operative

Secondary outcomes (18)
  1. Mortality

    Measured: Up to 30 days post-operative

  2. Intraoperative death or intraprocedural death

    Measured: peri-operative

  3. Unexpected Cardiac arrest during or following procedure

    Measured: From surgical date through 30 days post-operative

  4. Bleeding, Requiring reoperation

    Measured: From surgical date through 30 days post-operative

  5. Sternum left open, Unplanned

    Measured: From surgical date through 30 days post-operative

  6. Unplanned cardiac reoperation

    Measured: From surgical date through 30 days post-operative

  7. Unplanned non-cardiac reoperation

    Measured: From surgical date through 30 days post-operative

  8. Mechanical circulatory support (IABP, VAD, ECMO, or CPS)

    Answer "yes"/"no"

    Measured: From surgical date through 30 days post-operative

  9. Arrhythmia necessitating pacemaker, Permanent pacemaker

    Measured: From surgical date through 30 days post-operative

  10. Renal failure (discharge dialysis)

    acute renal failure, Acute renal failure requiring dialysis at the time of hospital discharge

    Measured: From surgical date through 30 days post-operative

  11. Renal failure (temporary dialysis)

    acute renal failure, Acute renal failure requiring temporary dialysis with the need for dialysis not present at hospital discharge

    Measured: From surgical date through 30 days post-operative

  12. Renal failure (hemofiltration)

    acute renal failure, Acute renal failure requiring temporary hemofiltration with the need for dialysis not present at hospital discharge

    Measured: From surgical date through 30 days post-operative

  13. Sepsis

    Sepsis (following Society of Thoracic Surgery definition)

    Measured: From surgical date through 30 days post-operative

  14. Seizure

    Seizure (following Society of Thoracic Surgery definition)

    Measured: From surgical date through 30 days post-operative

  15. Stroke

    Stroke (following Society of Thoracic Surgery definition)

    Measured: From surgical date through 30 days post-operative

  16. Vocal cord dysfunction (possible recurrent laryngeal nerve injury)

    Measured: From surgical date through 30 days post-operative

  17. Other operative/procedural complication

    Other operative/procedural complication (following Society of Thoracic Surgery definition)

    Measured: From surgical date through 30 days post-operative

  18. Technology Assessment

    A survey will be given to the surgeons assessing technology acceptance of the 3D printed heart models

    Measured: Preop, Periop, and up to 30 days a

Timeline

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

  1. First posted9 Mar 2021
  2. Study start1 May 2017
  3. Primary completionApr 2021 (estimated)
  4. Study completionJun 2021 (estimated)

Why it stopped: No enrollments

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04788082
Sponsor's protocol ID
15-090
Status last verified
Mar 2021
First submitted
29 Aug 2017
Last updated
9 Mar 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Cardoen B, Demeulemeester E, Beliën J. Operating room planning and scheduling: A literature review. European Journal of Operational Research 201(3): 921-932, 2010.

  • Costello JP, Olivieri LJ, Krieger A, Thabit O, Marshall MB, Yoo SJ, Kim PC, Jonas RA, Nath DS. Utilizing Three-Dimensional Printing Technology to Assess the Feasibility of High-Fidelity Synthetic Ventricular Septal Defect Models for Simulation in Medical Education. World J Pediatr Congenit Heart Surg. 2014 Jul;5(3):421-6. doi: 10.1177/2150135114528721.

    PubMed 24958045
  • Costello JP, Olivieri LJ, Su L, Krieger A, Alfares F, Thabit O, Marshall MB, Yoo SJ, Kim PC, Jonas RA, Nath DS. Incorporating three-dimensional printing into a simulation-based congenital heart disease and critical care training curriculum for resident physicians. Congenit Heart Dis. 2015 Mar-Apr;10(2):185-90. doi: 10.1111/chd.12238. Epub 2014 Nov 11.

    PubMed 25385353
  • Cui X, Boland T, D'Lima DD, Lotz MK. Thermal inkjet printing in tissue engineering and regenerative medicine. Recent Pat Drug Deliv Formul. 2012 Aug;6(2):149-55. doi: 10.2174/187221112800672949.

    PubMed 22436025
  • Davis FD, Bagozzi RP, Warshaw PR. User Acceptance of Computer Technology: A Comparison of Two Theoretical Models. Management Science 35(8): 982-1003, 1989.

  • Dexter F, Macario A. Changing allocations of operating room time from a system based on historical utilization to one where the aim is to schedule as many surgical cases as possible. Anesth Analg. 2002 May;94(5):1272-9, table of contents. doi: 10.1097/00000539-200205000-00042.

    PubMed 11973204
  • Does RJMM, Vermaat TMB, Verver JPS, Bisgaard S, Van Den Heuvel J. Reducing Start Time Delays in Operating Rooms. Journal of Quality Technology 41(1): 95-109, 2009.

  • Ejaz F, Ryan J, Henriksen M, Stomski L, Feith M, Osborn M, Pophal S, Richardson R, Frakes D. Color-coded patient-specific physical models of congenital heart disease. Rapid Prototyping Journal 20(4): 336-343, 2014.

  • Gelijns AC, Moskowitz AJ, Acker MA, Argenziano M, Geller NL, Puskas JD, Perrault LP, Smith PK, Kron IL, Michler RE, Miller MA, Gardner TJ, Ascheim DD, Ailawadi G, Lackner P, Goldsmith LA, Robichaud S, Miller RA, Rose EA, Ferguson TB Jr, Horvath KA, Moquete EG, Parides MK, Bagiella E, O'Gara PT, Blackstone EH; Cardiothoracic Surgical Trials Network (CTSN). Management practices and major infections after cardiac surgery. J Am Coll Cardiol. 2014 Jul 29;64(4):372-81. doi: 10.1016/j.jacc.2014.04.052.

    PubMed 25060372
  • Hu A, Wilson T, Ladak H, Haase P, Doyle P, Fung K. Evaluation of a three-dimensional educational computer model of the larynx: voicing a new direction. J Otolaryngol Head Neck Surg. 2010 Jun;39(3):315-22.

    PubMed 20470679
  • Kim MS, Hansgen AR, Wink O, Quaife RA, Carroll JD. Rapid prototyping: a new tool in understanding and treating structural heart disease. Circulation. 2008 May 6;117(18):2388-94. doi: 10.1161/CIRCULATIONAHA.107.740977.

    PubMed 18458180
  • King WR, He J. A meta-analysis of the technology acceptance model. Information & Management 43(6): 740-755, 2006.

  • Kutty S, Graney BA, Khoo NS, Li L, Polak A, Gribben P, Hammel JM, Smallhorn JF, Danford DA. Serial assessment of right ventricular volume and function in surgically palliated hypoplastic left heart syndrome using real-time transthoracic three-dimensional echocardiography. J Am Soc Echocardiogr. 2012 Jun;25(6):682-9. doi: 10.1016/j.echo.2012.02.008. Epub 2012 Mar 14.

    PubMed 22421029
  • Lang RM, Badano LP, Tsang W, Adams DH, Agricola E, Buck T, Faletra FF, Franke A, Hung J, de Isla LP, Kamp O, Kasprzak JD, Lancellotti P, Marwick TH, McCulloch ML, Monaghan MJ, Nihoyannopoulos P, Pandian NG, Pellikka PA, Pepi M, Roberson DA, Shernan SK, Shirali GS, Sugeng L, Ten Cate FJ, Vannan MA, Zamorano JL, Zoghbi WA; American Society of Echocardiography; European Association of Echocardiography. EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr. 2012 Jan;25(1):3-46. doi: 10.1016/j.echo.2011.11.010. No abstract available.

    PubMed 22183020
  • Mavroudis C, Backer C, Idriss RF. Pediatric Cardiac Surgery, 4 edition. Hoboken, NJ, Wiley-Blackwell, 2012.

Questions about this trial

What is this clinical trial studying?

A study testing 3D Printed Heart Model in people with Double Outlet Right Ventricle and Transposition of the Great Arteries, run by Children's National Research Institute at 3 sites in United States.

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 8 inclusion and 18 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: withdrawn, as of the sponsor's last update on 9 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. 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?

The study was withdrawn before enrolling participants, so there are no results.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time under cardiopulmonary bypass (time frame: peri-operative). 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 NCT04788082, which also lists 24 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 9 Mar 2021.

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