ClinicalTrials.gg
Active, not recruitingNCT03404258Updated May 1, 2026

ET1 Concentration, Metabolic Pathway Activation, and Pulmonary Blood Flow in Infants Undergoing Superior Cavo-Pulmonary Anastomosis

An observational study in Single-ventricle, Pulmonary Vascular Resistance Abnormality and Superior Cavo-Pulmonary Anastomosis, sponsored by University of Colorado, Denver. Active, not recruiting at 1 site in United States. Open to participants aged 1 Month to 2 Years. Per ClinicalTrials.gov, last updated 2026-05-01.

Sponsored by University of Colorado, Denver · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
1 Month to 2 Years
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.

Planned enrollment
11th of 23
50 · median 30
Started
2018
with 4 others
Observational
23 of 55
5 open now
Primary completion
2027-12
later than 9 of 15 live
Registered
29th of 55
by date

Among the 55 studies in Univentricular Heart with a site in United States, this one is the 11th largest by planned enrollment of the 23 observational ones that give a count, is one of 5 that started in 2018, is one of 23 observational ones, reaches primary completion later than 9 of the 15 other live ones, and was the 29th registered.

Univentricular Heart

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

Browse Univentricular Heart studies →

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:

8 more — sign in →

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: 1 Month to 2 Years · all sexes.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 55 studies in Univentricular Heart with a site in United States, or all of them as a file.
02

Study summary

This is a novel preliminary study of biomarkers of pathologic pre-operative pulmonary vascular development, elevated pre-operative Pulmonary Vascular Resistance Index (PVRi), and complications associated with decreased post-operative pulmonary blood flow in single ventricle patients undergoing superior cavo-pulmonary anastomosis (SCPA). The study will utilize a combined targeted and untargeted approach to both optimize translation of a promising existing biomarker and efficiently identify novel biomarkers and potential therapeutic targets in this population.

Read the detailed description

Overall Hypothesis: Endothelin-1 (ET1) and associated dysregulation of key metabolic pathways decrease pre-operative pulmonary blood vessel development and increase post-operative pulmonary blood vessel resistance leading to decreased pulmonary blood flow in patients undergoing SCPA.

For enrolled patients, collected data will include:

  • 3 mL blood sample (x2) at pre-SCPA catheterization.
  • 3 mL blood samples at 2, 24, and 48 hours post-operative.
  • Urine sample pre-operatively and post-operatively
  • Collection of otherwise-discarded operative tissue sample from the pulmonary artery.
  • Collection of clinical data, demographic data, and results of routine, post-operative hemodynamic monitoring.
03

Conditions studied

  • Single-ventricle
  • Pulmonary Vascular Resistance Abnormality
  • Superior Cavo-Pulmonary Anastomosis
  • Endothelin
  • Metabolomics

Browse trials for

04

Who can participate

Ages eligible
1 Month to 2 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Infants with single ventricle heart disease undergoing trans-catheter evaluation in anticipation of superior cavo-pulmonary anastomosis.

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

  • Congenital heart disease patients undergoing catheterization for pre-SPCA evaluation or undergoing SCPA without plans for cardiac catheterization (utilizing data from a previously performed clinical catheterization).
  • All patients will have age from 31 days to 2 years.

Exclusion criteria

Exclusion Criteria:

  • Patients who will remain post-op with a pulsatile source of pulmonary blood flow in addition to the cavo-pulmonary anastomosis (so called "1.5 ventricle" repair) will be excluded.
  • Due to limitations in acceptable sample blood volumes for research, patients with weight \<4kg will be excluded.
  • Patients will not be excluded on the basis of gender, ethnicity, genetic diagnosis, gestational age at birth, non-cardiac comorbidity, or pre-operative medication regimen.
05

Study design

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

Groups and cohorts

  • Study Patients

    Infants between 1 month and 2 years of age undergoing evaluation for SCPA candidacy.

    Other: Research Blood Sampling

  • Control Patients

    Infants between 3 months and 12 months of age with no known cardio-pulmonary disease, no active infection, and no known genetic abnormality undergoing elective surgery for a non-cardiac indication.

    Other: Research Blood Sampling

Interventions

  • OtherResearch Blood Sampling

    Blood samples will be collected at specified time points and research assays will be performed.

06

What researchers measure

Primary outcomes

  1. Difference in ET1 concentration between controls, study patients at pre-SCPA catheterization, and study patients in the post-operative period.

    Time frame: 48 hours post-operatively

  2. Difference in metabolomics profile between controls, study patients at pre-SCPA catheterization, and study patients in the post-operative period.

    Time frame: 48 hours post-operatively

Secondary outcomes

  1. Association between ET1 concentration at pre-SCPA catheterization in study patients and clinical metrics of pre-operative pulmonary adequacy.

    Time frame: 48 hours post-operatively

  2. Association between metabolomics profile in study patients and clinical metrics of pre-operative pulmonary adequacy.

    Time frame: 48 hours post-operatively

07

Study locations

1 site
08

References and documents

Publications

  • Frank BS, Khailova L, Silveira L, Mitchell MB, Morgan GJ, Hsieh EWY, DiMaria MV, Twite M, Klawitter J, Davidson JA. Proteomic profiling identifies key differences between inter-stage infants with single ventricle heart disease and healthy controls. Transl Res. 2021 Mar;229:24-37. doi: 10.1016/j.trsl.2020.10.001. Epub 2020 Oct 9. PubMed 33045409 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Feb 2018 (actual). Primary completion is estimated for Dec 2027, 118 months after the start.

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

Registered
Jan 11, 2018
First posted
Jan 19, 2018
StartActual
Feb 10, 2018
Primary completionEst.
Dec 31, 2027
CompletionEst.
Dec 31, 2027
Last update
May 1, 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 May 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03404258
Responsible party
Sponsor
First posted
Jan 19, 2018
Start date
Feb 10, 2018
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
May 1, 2026

Study contacts

Benjamin Frank, MD
principal investigator · University of Colorado, Denver

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion