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CompletedNCT02975999Updated Oct 24, 2024Results posted

Use of Vasopressin Following the Fontan Operation

A Phase 2/3 interventional study of Vasopressin and Normal Saline in Pleural Effusion and Single-ventricle, sponsored by Wake Forest University Health Sciences. Completed at 1 site in United States. Open to participants aged 18 Months to 7 Years. Per ClinicalTrials.gov, last updated 2024-10-24.

Sponsored by Wake Forest University Health Sciences · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
18 Months to 7 Years
Sex
All
01

Study summary

The purpose of this pilot study is to prepare for a larger study to determine whether Vasopressin following the Fontan operation will decrease chest tube output and duration.

Read the detailed description

A pilot randomized, double blinded clinical trial to evaluate the use of vasopressin following the Fontan operation.

Phase one of the study will be a single center pilot study and will be conducted at Advocate Children's Hospital, Oak Lawn IL. This will be a randomized and double blinded. Ten patients will be enrolled with five patients as control group and five receiving Vasopressin. Vasopressin levels will be obtained just prior to initiation of Vasopressin and 48 hours later in the pilot study. Safety and effect size will be evaluated after this pilot study.

Drug administration protocol:

Vasopressin at a dose of 0.4 mU/kg/min will be started on subjects in the study group while coming off cardiopulmonary bypass. The dose of Vasopressin will not be titrated. Study drug drip will infuse for 48 hours after which will be discontinued.

The placebo group will be receiving normal saline at the same rate of the vasopressin group. The treating physician will be blinded.

02

Conditions studied

  • Pleural Effusion
  • Single-ventricle
03

In context

Pleural Effusion

324 studies on the registry are indexed under Pleural Effusion; 62 are open to participants now.

This study's enrollment of 12 is below the median of 63 across 212 interventional studies indexed under Pleural Effusion.

Browse Pleural Effusion studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,320 studies on the registry; 199 are open to participants now.

Of its 323 completed or terminated interventional studies of FDA-regulated products, 243 (75%) have results posted.

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

04

Who can participate

Ages eligible
18 Months to 7 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subjects between 1.5-7 years old undergoing Fontan operation.

Exclusion criteria

Exclusion Criteria:

  • Patients with a planned fenestrated Fontan.
  • Patients undergoing revision surgery for failing Fontan.
  • Evidence of renal insufficiency prior to surgery defined by creatinine >1 mg/dl.
  • Planned arch reconstruction at the time of the Fontan procedure
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Vasopressin

    Vasopressin at 0.4mU/kg/min

    Drug: Vasopressin

  • Placebo comparator
    Normal saline

    Normal saline will be provided on a drip infusion to the selected group once coming off cardiopulmonary bypass following the Fontan operation.

    Drug: Normal Saline

Interventions

  • DrugVasopressin

    Vasopressin at dose of 0.4mU/kg/min will be started on the assigned group once coming off cardiopulmonary bypass following the Fontan operation.

    Also known as: Vasostrict, arginine

  • DrugNormal Saline

    Normal saline at starting dose of 0.4mU/kg/min will be started on the assigned group once coming off cardiopulmonary bypass following the Fontan operation.

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Chest Tube Drainage

    chest tube drainage until the day the chest tube is removed

    Time frame: From post operative day 0 through study completion, an average of 1 month

Secondary outcomes

  1. Length of Hospital Stay

    Duration the patient remains in the hospital in days until the day of discharge home

    Time frame: From the day of the surgery (post operative day 0) through study completion, an average of 1 month

07

Results

Posted Oct 9, 2024

Participant flow

Participant flow — Overall Study
MilestoneVasopressinNormal Saline
Started66
Completed66
Not completed00

Outcome measures

PrimaryChest Tube Drainage

chest tube drainage until the day the chest tube is removed

Time frame:
From post operative day 0 through study completion, an average of 1 month
Reported as:
Mean · ml/kg
Chest Tube Drainage
ml/kgVasopressinNormal Saline
Chest Tube Drainage686.83 ± 307.03535.50 ± 140.29
SecondaryLength of Hospital Stay

Duration the patient remains in the hospital in days until the day of discharge home

Time frame:
From the day of the surgery (post operative day 0) through study completion, an average of 1 month
Reported as:
Mean · days
Length of Hospital Stay
daysVasopressinNormal Saline
Length of Hospital Stay5 ± 1.74.5 ± 0.8

Adverse events

Collected over Through study completion, an average of 3 years.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Vasopressin0/6 (0%)0/6 (0%)0/6 (0%)
Normal Saline0/6 (0%)0/6 (0%)0/6 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)VasopressinNormal SalineTotal
<=18 years6612
Between 18 and 65 years000
>=65 years000
Age, Continuous
Age, Continuous(years)VasopressinNormal SalineTotal
Mean6 ± 15 ± 15 ± 1
Sex: Female, Male
Sex: Female, Male(Participants)VasopressinNormal SalineTotal
Female404
Male268
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)VasopressinNormal SalineTotal
Count of participants——0
Region of Enrollment
Region of Enrollment(Participants)VasopressinNormal SalineTotal
United States6612
08

Study locations

1 site
  • Advocate Children's Hospital
    Oak Lawn, Illinois 60453, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Nov 29, 2016

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02975999
Lead sponsor
Wake Forest University Health Sciences
Responsible party
Sponsor
First posted
Nov 29, 2016
Start date
Dec 2016
Primary completion
Dec 2019
Completion
Dec 2019
Results posted
Oct 9, 2024
Last update
Oct 24, 2024

Study contacts

Jamie Penk, MD
principal investigator · Advocate Health

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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