Prospective, randomized, controlled, open, multicenter clinical trial on the efficacy and safety of materno-fetal hyperoxygenation (MFHO) during the third trimester of pregnancy to treat underdeveloped left ventricular structures of the fetus
Trial Snapshot
- Phase
- Phase 3
- Status
- Recruiting
- Sponsor
- Enrollment
- 64
- Locations
- 7
- Primary Endpoint
- median change of the sum of the Z-scores of the initially chosen echocardiographic fetal heart structures under O2 provocation at the time point PW35d0 (+/- 2 days) compared to the initial values on PW32d0 (+/- 2 days) under O2 provocation
Study Overview
Brief Summary
Evidence of efficacy of materno-fetal hyperoxygenation (MFHO) during the third trimester of pregnancy on growth of underdeveloped fetal left ventricular structures
Study Design
- Study Type
- Interventional
Eligibility Criteria
- Ages
- In utero to 64 years (In utero, 18-64 Years)
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •>= 18 years of age (mother)
- •third trimester of pregnancy (mother)
- •non-smoker (mother)
- •A. uterina doppler ultrasound at least one-sided without pathological findings (mother)
- •cardiac disorder with at least one underdeveloped left ventricular structure detected by echocardiography (fetus)
- •sufficient fetal cardiac function (fetus)
Exclusion Criteria
- •alcohol or drug abuse (mother)
- •underlying disease or chromosomal abnormality which might influence the effect of MFHO (fetus)
- •hemodynamic factors with influence on filling/emptying of the left heart which might affect MFHO efficacy (fetus)
- •fetal cardiac failure (fetus)
- •Hydrops fetalis (fetus)
- •severe growth retardation (fetus)
- •no flow in A. umbilicalis (fetus)
- •severe extracardiac malformations (fetus)
- •visit 2: inadequate response to O2 provocation during echocardiography (fetus)
- •multiple pregnancy (mother)
- •adipositas permagna (BMI>40) (mother)
- •diabetes melllitus, insulin-dependent (mother)
- •obstetrical issues (e.g. Cervix uteri <25mm, premature contractions, preeclampsia, eclampsia, HELLP Syndrome, …) (mother)
- •fetus impossible to evaluate by echocardiography (mother)
- •patholog. utero-placental resistance (mother)
- •cardiac failure (NYHA III/IV or decompensated) (mother)
- •severe COPD, hypercapnia (mother)
Outcomes
Primary Outcomes
median change of the sum of the Z-scores of the initially chosen echocardiographic fetal heart structures under O2 provocation at the time point PW35d0 (+/- 2 days) compared to the initial values on PW32d0 (+/- 2 days) under O2 provocation
median change of the sum of the Z-scores of the initially chosen echocardiographic fetal heart structures under O2 provocation at the time point PW35d0 (+/- 2 days) compared to the initial values on PW32d0 (+/- 2 days) under O2 provocation
Secondary Outcomes
No secondary outcomes reported
Investigators
Prof. Dr. Holm Schneider
Scientific
Universitaetsklinikum Erlangen AöR
