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CompletedNCT02266043Updated May 11, 2018

Early Treatment Outcomes in Pierre-Robin-Like Phenotype

An observational study in Pierre Robin Syndrome, sponsored by University Hospital Tuebingen. Completed at 3 sites in Germany. Open to participants aged Up to 12 Months. Per ClinicalTrials.gov, last updated 2018-05-11.

Sponsored by University Hospital Tuebingen · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
Up to 12 Months
Sex
All
01

Study summary

In a longitudinal cohort study, we want to assess the effect of the pre-epiglottic baton plate, the main treatment approach currently used in Germany for Pierre-Robin-Like phenotype, on upper airway obstruction and failure to thrive using objective criteria (mixed-obstructive apnea index assessed by polysomnography, standard deviation score for body weight) upon admission and 3 months after hospital discharge.

Read the detailed description

Pierre-Robin sequence consists of a small lower jaw, a retropositioned tongue (glossoptosis), and optionally cleft palate, leading to severe upper airway obstruction and failure to thrive; occasionally even to sudden infant death. Treatment approaches are heterogeneous, some are considerably invasive; few have been evaluated by objective tests.

In a longitudinal cohort study, we want to assess the effect of the pre-epiglottic baton plate on upper airway obstruction and failure to thrive using objective criteria (mixed-obstructive apnea index assessed by polysomnography, standard deviation score for body weight) upon admission and 3 months after hospital discharge. The pre-epiglottic baton plate is the main treatment approach currently used in Germany for this condition and practised standard care in the three participating study centers.

These data will help to compare the effect of the main treatment currently used in Germany with international data on more invasive treatments used in this rare condition.

02

Conditions studied

  • Pierre Robin Syndrome

Keywords

  • Upper airway obstruction
03

In context

Lead sponsor

University Hospital Tuebingen is the lead sponsor of 476 studies on the registry; 104 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 12 Months
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Infants \<1 year admitted with Pierre-Robin-like phenotype to participating centres

Inclusion criteria

  • Infants \< 1 year at admission, Pierre-Robin-like phenotype

Exclusion criteria

Exclusion Criteria:

  • no parental consent; need for immediate tracheotomy
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (estimated)
Patient registry
No

Interventions

  • DevicePre-epiglottic baton plate (PEBP)

    modified acrylic palatal plate in which a velar extension resembling a spur or baton shifts the base of the tongue forward. This treatment is the standard care for infants with Pierre-Robin-Like Phenotype in the participating study centers and not assigned by protocol.

06

What researchers measure

Primary outcomes

  1. Change in mixed-obstructive apnea index (MOAI)

    Change in mixed-obstructive apnea index (MOAI) assessed by polygraphy from pre- to post-intervention as a marker of Pierre-Robin-sequence-related breathing disorder

    Time frame: upon admission within the first year of life (before start of treatment) and 3 months after hospital discharge

Secondary outcomes

  1. Change in standard deviation score for body weight

    Body weight will be obtained by electronic scales and the standard deviation score for weight calculated

    Time frame: upon admission within the first year of life (before start of treatment) and 3 months after hospital discharge

  2. Duration of hospital stay

    Time frame: admission within the first year of life for initiation of study intervention

  3. Treatment failure

    Time frame: 3 months after admission for initiation of study intervention

07

Study locations

3 sites
  • Centre of Competence for Oro- and Craniofacial Malformations and Department of Neonatology, Univ. Hospital of Cologne
    Cologne, 50924, Germany
  • Dept. of Neonatology and Interdisciplinary Centre for Craniofacial Malformations, University Hospital Tuebingen
    Tuebingen, 72076, Germany
  • Dept. of Orthodontics and University Children's Hospital, University Hospital of Wuerzburg
    Würzburg, 97080, Germany
08

References and documents

Publications

  • Poets CF, Maas C, Buchenau W, Arand J, Vierzig A, Braumann B, Muller-Hagedorn S. Multicenter study on the effectiveness of the pre-epiglottic baton plate for airway obstruction and feeding problems in Robin sequence. Orphanet J Rare Dis. 2017 Mar 9;12(1):46. doi: 10.1186/s13023-017-0602-8. PubMed 28274235 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 11, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02266043
Lead sponsor
University Hospital Tuebingen
Collaborators
German Federal Ministry of Education and Research
Responsible party
Sponsor
First posted
Oct 16, 2014
Start date
Jan 1, 2013
Primary completion
Aug 31, 2016
Completion
Dec 31, 2016
Last update
May 11, 2018

Study contacts

Christian F Poets, MD
principal investigator · Dept. of Neonatology and Interdisciplinary Centre forCraniofacial Malformations, University Hospital Tuebingen
Siegmar Reinert, MD, PhD
principal investigator · Dept. of Craniofacial Surgery, University Hospital Tuebingen

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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