ClinicalTrials.gg
TerminatedNCT03322345Updated Jul 14, 2026

Characterizing the Effect of Dopamine on Markers of Lymph Re-circulation in Fontan-associated Protein-losing Enteropathy

An observational study in Dopamine, Protein-Losing Enteropathies and Lymphatic System, sponsored by University of Michigan. Terminated at 1 site in United States. Open to participants aged 3 Years and older. Per ClinicalTrials.gov, last updated 2026-07-14.

Sponsored by University of Michigan · Observational

Why this study was terminated
Inadequate patient enrollment
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
3
Ages
3 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 55 studies in Univentricular Heart with a site in United States — 13 open to participants now, 16 under way, none of them phase 3. Univentricular Heart · United States.

Enrollment
22nd of 23
3 · median 30
Started
2019
with 3 others
Observational
23 of 55
5 open now
Registered
28th of 55
by date
Lead sponsor
3 of 55
University of Michigan

Among the 55 studies in Univentricular Heart with a site in United States, this one is the 22nd largest by enrollment of the 23 observational ones that give a count, is one of 4 that started in 2019, is one of 23 observational ones, and was the 28th registered.

Univentricular Heart

86 studies on the registry are indexed under Univentricular Heart; 22 are open to participants now.

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Open to participants now

13 of the 55 studies in Univentricular Heart with a site in United States are open now. Recruiting first, the newest first:

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All 13 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 21 Univentricular Heart studies recruiting now, 8 (38%) set no upper age limit and 13 (62%) stop at 75 or younger; 16 take children under 18; 1 takes healthy volunteers.

This study: 3 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Patients that have undergone a Fontan procedure (surgical correction for single ventricle congenital heart disease) may develop a complication known as protein-losing enteropathy (PLE). Some studies suggest PLE is primarily caused by impaired lymph flow. Use of continuous dopamine infusion can improve PLE. Evidence suggests the effect of dopamine may be through its effect on lymphatic function. This observational study looks at markers of lymph flow and PLE symptoms after treatment using dopamine and other standard therapies during disease exacerbations.

Read the detailed description

For infants and newborns who have a heart defect at birth that leaves them with one functional ventricle, there is a series of surgeries that are required to allow survival. These surgeries ultimately lead to a common heart and great blood vessel circulation called a cavopulmonary anastomosis (Fontan). This has allowed for survival into adulthood from universally fatal outcome in infancy. However, the non-physiologic blood flow patterns of the Fontan pathway do result in certain complications, including protein losing enteropathy (PLE), which occurs in 3.7-13.4% of patients. PLE is denoted by the loss of protein, fats, and other key nutrients into the intestines, which can lead to significant morbidity. Recent evidence suggests that this is in part mediated by impaired flow of lymph from the intestines, which is carried by the parallel vascular system called the lymphatic system. Lymphatics return these nutrients and the fluid that leaks out of the blood vessels throughout the body back into the blood circulatory system by functioning as a series of pumps with one-way valves. While few treatments exist from PLE, evidence demonstrates continuous infusion of dopamine can help resolve PLE symptoms. Studies of isolated lymphatic vessels demonstrate that dopamine may increase the ability of lymphatic vessels to pump harder. This suggests the mechanism of action of dopamine in PLE is increasing the return of lymph in the non-physiologic blood flow patterns of Fontan patients. However, the link between improved return of lymph and improvement in PLE has not been established. Therefore, the investigators have designed this study to test whether markers of lymphatic flow and heart pump function improve when patients start continuous dopamine therapy (a standard practice at the University of Michigan for PLE). This involves tracking markers of lymphatic recirculation through serial testing of blood and monitoring of PLE symptoms before and after the start of dopamine and other standard of care therapies. From these data, the investigators will correlate the monitored changes in lymph recirculation with changes in PLE symptoms.

03

Conditions studied

  • Dopamine
  • Protein-Losing Enteropathies
  • Lymphatic System
  • Lymph
  • Catecholamine
  • Single-ventricle
  • Congenital Heart Disease

Keywords

  • lymph flow
  • Fontan
04

Who can participate

Ages eligible
3 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will be prospective cohort of patients who have undergone Fontan surgery and are currenty followed within the University of Michigan Congenital Heart Center. The target populations are patients with protein losing enteropathy (PLE) that are having increased disease symptoms requiring additional treatment. Those that have PLE refractory to other treatments and require the addition of continuous dopamine infusion to their treatment regimen will be recruited to the dopamine group. Those that have PLE worsening that require the addition of other treatments except the initiation of continuous dopamine infusion will be recruited to the control group.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Males and females with Fontan physiology of any age
  • Must have protein losing enteropathy with current worsening who require additional therapies
  • Participant consent or parental/guardian consent and participant assent

Exclusion criteria

Exclusion Criteria:

  • Patients with inflammatory bowel disease (i.e Crohn's, ulcerative colitis)
  • Patients with systemic disease (i.e. Systemic Lupus Erythematous)
  • Patients with primary immunodeficiency syndromes
  • Patients with nephrotic syndrome
  • Patients with anemia
  • Patients less than 31 pounds
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
3 participants (actual)
Patient registry
No

Groups and cohorts

  • Dopamine Added

    Patients with protein losing enteropathy (PLE) that have an exacerbation such that their treating physicians decide to add continuous dopamine infusion to their current therapies.

  • No dopamine added (control)

    Patients with protein losing enteropathy (PLE) that have an exacerbation such that their treating physicians decide to add new therapies to their current therapies but that do not require the addition of continuous dopamine infusion.

06

What researchers measure

Primary outcomes

  1. Change in CD4 counts

    The change in the number of circulating CD4 lymphocytes will be tracked at multiple time points from baseline to 6 months after start of additional treatment (dopamine and control)

    Time frame: Baseline to 6 months

  2. Change in fatty acid profile

    The change in the relative ratios of free fatty acids absorption into the the plasma will be tracked at multiple time points from baseline to 6 months after start of additional treatment (dopamine and control)

    Time frame: Baseline to 6 months

  3. Change in vitamin D3

    The change in the levels of vitamin D3 absorbed and circulating in the plasma will be tracked at multiple time points from baseline to 6 months after start of additional treatment (dopamine and control)

    Time frame: Baseline to 6 months

Secondary outcomes

  1. Change in albumin infusion requirements

    The change in the number of albumin infusions per month will be tracked each month from baseline to 6 months after start of additional treatment (dopamine and control)

    Time frame: Baseline to 6 months

  2. Change in IVIG infusion requirements

    The change in the number of IVIG infusions per month will be tracked each mother from baseline to 6 months after start of additional treatment (dopamine and control)

    Time frame: Baseline to 6 months

  3. Change in PLE symptoms

    Change in symptoms of protein losing enteropathy as determined by the protein losing enteropathy assessment tool (PLEAT) at multiple time points from baseline to 6 months after initiation of additional treatment (dopamine and control)

    Time frame: baseline to 6 months

  4. Change in quality of life

    Change in quantitative quality of life metrics as assessed by the Pediatric Quality of Life Inventory (PedsQL) at multiple time points from baseline to 6 months after initiation of additional treatment (dopamine and control)

    Time frame: baseline to 6 months

07

Study locations

1 site
  • University of Michigan Health System
    Ann Arbor, Michigan 48109, United States
08

References and documents

Individual participant data

Plan to share: No — Inadequate enrollment

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2019 to primary completion in May 2025, 72 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 23, 2017
First posted
Oct 26, 2017
StartActual
Apr 9, 2019
Primary completionActual
May 1, 2025
CompletionActual
May 14, 2026
Last update
Jul 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03322345
Responsible party
Joshua Meisner (Pediatric Cardiology Fellow, University of Michigan) — Principal investigator
First posted
Oct 26, 2017
Start date
Apr 9, 2019
Primary completion
May 1, 2025
Completion
May 14, 2026
Last update
Jul 14, 2026

Study contacts

Kurt Schumacher, MD, MS
principal investigator · University of Michigan Division of Pediatric Cardiology
Joshua Meisner, MD, PhD
principal investigator · University of Michigan Division of Pediatric Cardiology

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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