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Congenital DisordersNCT05673499

International Study of Cerebral Oxygenation and Electrical Activity During Major Neonatal Surgery

An observational study of Congenital Disorders and Cerebral Desaturation, run by Children's Hospital of Philadelphia at 15 sites in 7 countries.

Recruiting

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

Sites and contacts
Official record
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Trial summary

The goal of this observational study is to determine the incidence of perioperative cerebral desaturation in neonates undergoing surgery for congenital malformations. The main questions it aims to answer are: 1. The perioperative factors associated with occurrence of cerebral desaturation 2. Read more about this study

Who is it for?
Ages Up to 60 weeks
What is being tested?
NIRS/EEG monitoring
Type of treatment
Medical device
How many people
900 participants
Where
15 sitesin 7 countries
Study dates
12 Aug 2022to 31 Dec 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 Up to 60 weeks
  • All sexes
  • Child

Study population: Infant subjects ≤ 60 weeks post-menstrual age who are undergoing surgery for congenital malformat

Who may be able to join

  • Infants ≤ 60 weeks post-menstrual age on day of surgery.
  • Neonatal surgery for congenital abdominal/gastrointestinal malformations (diaphragmatic hernia, gastroschisis, omphalocele, intestinal atresia, Hirschsprung's disease, imperforate anus, necrotizing enterocolitis), congenital cystic adenomatoid/pulmonary airway malformation (CCAM/CPAM), esophageal/tracheoesophageal fistula (EF/TEF), and spinal malformations (myelomeningocele, sacrococcygeal teratoma).
  • The same patient may be enrolled multiple times for repeat or different procedures that meet the above criteria. These subjects will be counted more than once towards the enrollment goal.
  • Parental/guardian permission.

Who cannot join

  • 1) Patients with hydrocephalus limiting frontal-parietal brain volume, interventricular hemorrhage (grades 3 or 4), malformation or cerebral infarction of frontal-parietal brain.

Trial locations and contacts

15 sites in 7 countries. Contact the study team or a site near you to ask about taking part.

Paula Hu, RN, MSPH contact

267-426-2961

hup@chop.edu

Elizabeth Ramsay contact

267-270-5087

ramsaye2@chop.edu

15 sites in 7 countries

United States4 sites, 4 recruiting
  • Children's Medical Center Dallas

    Dallas, Texas, 75235

    Ethan Sanford, 303-520-8967, Ethan.Sanford@UTSouthwestern.edu

    Not yet recruiting
  • Children's Memorial Hermann Hospital

    Houston, Texas, 77030

    Maria Matuszczak, 713-498-2768, maria.matuszczak@uth.tmc.edu

    Not yet recruiting
  • Children's Hospital at Montefiore/Albert Einstein College of Medicine

    New York, New York, 10467

    Jerry Chao, 917-860-5674, JECHAO@montefiore.org

    Not yet recruiting
  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

    Charles Dean Kurth, MD, 215-590-1866, KURTHCD@chop.edu

    Recruiting

Other trials in United States

China4 sites, 4 recruiting
  • Guangzhou women and children's medical center

    Guangzhou

    Xingrong Song, 8613922416303, sxjess@126.com

    Not yet recruiting
  • Shanghai Children's Medical Center

    Shanghai

    JiJian Zheng, 18964853803, zhengjijian626@sina.com

    Not yet recruiting
  • Shengjing Hospital of China Medical University

    Shenyang

    Ping Zhao, 18940258971, zhaop@sj-hospital.org

    Not yet recruiting
  • West China Hospital and West China Second University Hospital

    Sichuan

    Yunxia Zuo, 8618980601541, zuoyunxia@scu.edu.cn

    Not yet recruiting

Other trials in China

Australia2 sites, 2 recruiting
  • Perth Children's Hospital

    Nedlands

    Britta von Ungern-Sternberg, +61426952977, lliana.slevin@health.wa.gov.au

    Recruiting
  • Royal Children's Hospital

    Parkville

    Andrew Davidson, +61402271274, andrew.davidson@rch.org.au

    Not yet recruiting

Other trials in Australia

India2 sites, 2 recruiting
  • Post Graduate Institute of Medical Education and Research

    Chandigarh

    Indu Mohini Sen, 7087009532, sen.indumohini@pgimer.edu.in

    Not yet recruiting
  • Christian Medical College Hospital

    Vellore

    Ekta Rai, 9789250113, anaesthesia@cmcvellore.ac.in

    Not yet recruiting

Other trials in India

Brazil1 site, 1 recruiting
  • Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo

    São Paulo

    Vinicius Quintao, 5511971273950, vinicius.quintao@hc.fm.usp.br

    Recruiting

Other trials in Brazil

France1 site, 1 recruiting
  • Centre Hospitalier Universitaire de Bordeaux, Hopital des enfants

    Bordeaux

    Jill Arthur, 33626964101, jill.arthur@chu-bordeaux.fr

    Not yet recruiting

Other trials in France

United Kingdom1 site, 1 recruiting
  • Great Ormond Street Hospital for Children

    London

    Richard Lin, 00447810447235, richard.lin@gosh.nhs.uk

    Not yet recruiting

Other trials in United Kingdom

About this study

The goal of this observational study is to determine the incidence of perioperative cerebral desaturation in neonates undergoing surgery for congenital malformations. The main questions it aims to answer are:

  1. The perioperative factors associated with occurrence of cerebral desaturation
  2. The association between perioperative cerebral desaturation, perioperative/hospital outcomes, and physiological conditions.

Participants will undergo Near-infrared spectroscopy (NIRS) and electroencephalogram (EEG) monitoring for one hour before surgery, during surgery, and up to 24 hours after surgery.

Read the detailed description

The NIRS EEG sensors will be placed about an hour before surgery. The recording will start once sensors are placed, continue throughout the duration of surgery, and end 8-24 hours after end of surgery. Sensors will be removed at the end of recording. No additional anesthesia and/or sedation will be required for the preoperative and postoperative recordings. The EEG and NIRS monitors will be blinded to clinical staff. EEG and NIRS monitoring will not prolong anesthesia or the duration of the surgical repair, and should not interfere with routine patient care. NIRS and EEG data will be downloaded from the monitors at the end of recording for analysis.

Medical record review will be conducted at 100 days postop or hospital discharge (whichever is sooner). The information below will be extracted:

  • Respiratory record
  • Post-op recovery, ICU, and discharge records
  • Cardiac and Neurologic records
  • Neurologic test such as radiology and lab tests
  • Mortality status
Being tested
NIRS/EEG monitoring
Keywords
Electroencephalography, Near-infrared spectroscopy
Medical subject headings
Congenital, Hereditary, and Neonatal Diseases and Abnormalities

What participants receive

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

  • NIRS/EEG monitoringDevice

    The study intervention will be monitoring NIRS and EEG for one hour before surgery, during surgery, and up to 8-24 hours after surgery.

Study groups in NCT05673499
Study groupRoleWhat they receive
InfantsInfant subjects ≤ 60 weeks post-menstrual age who are undergoing surgery for congenital malformations
Receives: Device: NIRS/EEG monitoring

What is being measured

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

  1. Percentage of participants with perioperative cerebral desaturation

    The incidence of cerebral desaturation in participants will be assessed by the Near-infrared Spectroscopy (NIRS) data recording of <70% and/or >10% decrease from baseline for > 3 minutes

    Measured: 24 hours

Secondary outcomes (2)
  1. Isoelectric EEG

    Determined by EEG amplitude ≤ 10mV for ≥ 2 secs

    Measured: up to 24 hours

  2. Perioperative outcomes

    Medical record review

    Measured: up to 100 days

Timeline

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

  1. First posted6 Jan 2023
  2. Study start12 Aug 2022
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 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
Cohort
Time perspective
Prospective
Enrolment
900 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05673499
Sponsor's protocol ID
22-019679
Status last verified
Apr 2026
First submitted
21 Dec 2022
Last updated
23 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • CDC. https://www.cdc.gov/ncbddd/birthdefects/data.html. Accessed April 13, 2021.

  • Bonasso PC, Dassinger MS, Ryan ML, Gowen MS, Burford JM, Smith SD. 24-hour and 30-day perioperative mortality in pediatric surgery. J Pediatr Surg. 2019 Apr;54(4):628-630. doi: 10.1016/j.jpedsurg.2018.06.026. Epub 2018 Jun 25.

    PubMed 30017066
  • Laing S, Walker K, Ungerer J, Badawi N, Spence K. Early development of children with major birth defects requiring newborn surgery. J Paediatr Child Health. 2011 Mar;47(3):140-7. doi: 10.1111/j.1440-1754.2010.01902.x. Epub 2010 Nov 21.

    PubMed 21091587
  • Stolwijk LJ, Lemmers PM, Harmsen M, Groenendaal F, de Vries LS, van der Zee DC, Benders MJ, van Herwaarden-Lindeboom MY. Neurodevelopmental Outcomes After Neonatal Surgery for Major Noncardiac Anomalies. Pediatrics. 2016 Feb;137(2):e20151728. doi: 10.1542/peds.2015-1728. Epub 2016 Jan 12.

    PubMed 26759411
  • Tusor N, Benders MJ, Counsell SJ, Nongena P, Ederies MA, Falconer S, Chew A, Gonzalez-Cinca N, Hajnal JV, Gangadharan S, Chatzi V, Kersbergen KJ, Kennea N, Azzopardi DV, Edwards AD. Punctate White Matter Lesions Associated With Altered Brain Development And Adverse Motor Outcome In Preterm Infants. Sci Rep. 2017 Oct 16;7(1):13250. doi: 10.1038/s41598-017-13753-x.

    PubMed 29038505
  • Stolwijk LJ, Keunen K, de Vries LS, Groenendaal F, van der Zee DC, van Herwaarden MYA, Lemmers PMA, Benders MJNL. Neonatal Surgery for Noncardiac Congenital Anomalies: Neonates at Risk of Brain Injury. J Pediatr. 2017 Mar;182:335-341.e1. doi: 10.1016/j.jpeds.2016.11.080. Epub 2016 Dec 30.

    PubMed 28043688
  • Sood ED, Benzaquen JS, Davies RR, Woodford E, Pizarro C. Predictive value of perioperative near-infrared spectroscopy for neurodevelopmental outcomes after cardiac surgery in infancy. J Thorac Cardiovasc Surg. 2013 Feb;145(2):438-445.e1; discussion 444-5. doi: 10.1016/j.jtcvs.2012.10.033. Epub 2012 Dec 6.

    PubMed 23219333
  • Hoffman GM, Brosig CL, Mussatto KA, Tweddell JS, Ghanayem NS. Perioperative cerebral oxygen saturation in neonates with hypoplastic left heart syndrome and childhood neurodevelopmental outcome. J Thorac Cardiovasc Surg. 2013 Nov;146(5):1153-64. doi: 10.1016/j.jtcvs.2012.12.060. Epub 2013 Jan 12.

    PubMed 23317941
  • Vida VL, Tessari C, Cristante A, Nori R, Pittarello D, Ori C, Cogo PE, Perissinotto E, Stellin G. The Role of Regional Oxygen Saturation Using Near-Infrared Spectroscopy and Blood Lactate Levels as Early Predictors of Outcome After Pediatric Cardiac Surgery. Can J Cardiol. 2016 Aug;32(8):970-7. doi: 10.1016/j.cjca.2015.09.024. Epub 2015 Oct 22.

    PubMed 26868838
  • Danzer E, Hoffman C, D'Agostino JA, Gerdes M, Bernbaum J, Antiel RM, Rintoul NE, Herkert LM, Flake AW, Adzick NS, Hedrick HL. Neurodevelopmental outcomes at 5years of age in congenital diaphragmatic hernia. J Pediatr Surg. 2017 Mar;52(3):437-443. doi: 10.1016/j.jpedsurg.2016.08.008. Epub 2016 Aug 30.

    PubMed 27622588
  • Birthdefects C. https://www.cdc.gov/ncbddd/birthdefects/data.html. Published 2021. Accessed April 21, 2021.

  • Escobar MA Jr, Caty MG. Complications in neonatal surgery. Semin Pediatr Surg. 2016 Dec;25(6):347-370. doi: 10.1053/j.sempedsurg.2016.10.005. Epub 2016 Nov 1.

    PubMed 27989360
  • Andropoulos DB, Ahmad HB, Haq T, Brady K, Stayer SA, Meador MR, Hunter JV, Rivera C, Voigt RG, Turcich M, He CQ, Shekerdemian LS, Dickerson HA, Fraser CD, Dean McKenzie E, Heinle JS, Blaine Easley R. The association between brain injury, perioperative anesthetic exposure, and 12-month neurodevelopmental outcomes after neonatal cardiac surgery: a retrospective cohort study. Paediatr Anaesth. 2014 Mar;24(3):266-74. doi: 10.1111/pan.12350.

    PubMed 24467569
  • Mahle WT, Tavani F, Zimmerman RA, Nicolson SC, Galli KK, Gaynor JW, Clancy RR, Montenegro LM, Spray TL, Chiavacci RM, Wernovsky G, Kurth CD. An MRI study of neurological injury before and after congenital heart surgery. Circulation. 2002 Sep 24;106(12 Suppl 1):I109-14.

    PubMed 12354718
  • Olbrecht VA, Skowno J, Marchesini V, Ding L, Jiang Y, Ward CG, Yu G, Liu H, Schurink B, Vutskits L, de Graaff JC, McGowan FX Jr, von Ungern-Sternberg BS, Kurth CD, Davidson A. An International, Multicenter, Observational Study of Cerebral Oxygenation during Infant and Neonatal Anesthesia. Anesthesiology. 2018 Jan;128(1):85-96. doi: 10.1097/ALN.0000000000001920.

    PubMed 29019815

Questions about this trial

What is this clinical trial studying?

An observational study of Congenital Disorders and Cerebral Desaturation, run by Children's Hospital of Philadelphia at 15 sites in 7 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 4 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 23 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in United States, China, Australia, India, Brazil and 2 more countries. 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 Paula Hu, RN, MSPH (267-426-2961, hup@chop.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of participants with perioperative cerebral desaturation (time frame: 24 hours). 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 NCT05673499, which also lists 20 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 23 Apr 2026.

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