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CompletedNCT03431480Updated Jul 22, 2022

Safety of Autologous Cord Blood Cells in HLHS Patients During Norwood Heart Surgery

A Phase 1 interventional study of Autologous Human Placental Cord Blood Mononuclear Cells in Hypoplastic Left Heart Syndrome, Heart Defects, Congenital and Pediatric Disorder, sponsored by Murdoch Childrens Research Institute. Completed at 1 site in Australia. Open to participants aged 2 Days to 4 Days. Per ClinicalTrials.gov, last updated 2022-07-22.

Sponsored by Murdoch Childrens Research Institute · Phase 1, Interventional, and Treatment

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Phase
Phase 1
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
2 Days to 4 Days
Sex
All
01

Study summary

This study aims to evaluate the safety and feasibility of coronary infusion of autologous placental cord blood mononuclear cells during the Norwood heart operation in newborn hypoplastic left heart syndrome (HLHS) patients.

Read the detailed description

This is a Phase I, open label safety study. Autologous cord blood mononuclear cells (stem cell containing, cord blood buffy coat fraction) was delivered by coronary infusion during the Norwood cardiopulmonary bypass operation in 10 antenatally diagnosed HLHS patients within 2-3 days of birth. Safety and clinical status monitoring was performed to Stage II surgical intervention for HLHS (at approximately 3 months of age). Treated patients will continue to be assessed beyond the trial during follow up between Stage II and III (Fontan) surgical interventions.

02

Conditions studied

  • Hypoplastic Left Heart Syndrome
  • Heart Defects, Congenital
  • Pediatric Disorder

Keywords

  • cord blood stem cell
  • Norwood heart surgery
  • congenital
  • heart
03

In context

Hypoplastic Left Heart Syndrome

67 studies on the registry are indexed under Hypoplastic Left Heart Syndrome; 12 are open to participants now.

This study's enrollment of 10 is below the median of 30 across 41 interventional studies indexed under Hypoplastic Left Heart Syndrome.

Browse Hypoplastic Left Heart Syndrome studies →

Lead sponsor

Murdoch Childrens Research Institute is the lead sponsor of 99 studies on the registry; 34 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

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

04

Who can participate

Ages eligible
2 Days to 4 Days
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Male and females with antenatally diagnosed Hypoplastic Left Heart Syndrome (all types requiring Norwood operation)
  • Written by parents/legal guardian
  • Successful aseptic collection of autologous cord blood unit and transfer of buffy coat mononucleocyte fraction to cold storage pending cardiac surgery within 2-4 days

Exclusion criteria

Exclusion Criteria:

Patient:

  • does not have autologous cord blood cells available at the time of cardiopulmonary bypass surgery
  • has evidence of arrhythmia requiring anti-arrhythmia therapy
  • has an additional congenital diagnosis that contributes to conditions such as an immune system disorder, immune deficiency, complex metabolic disorder, brain dysplasia or progressive neurological degenerative disorder
  • has other clinical complexity deemed by the cardiac surgeon to make the patient unsuitable for inclusion in the trial

Mother:

  • is serum positive for , hepatitis or other significant pathogen and has known allergies to penicillin, streptomycin or other antibiotic
Terms in these criteria, in plain language(2)

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.

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HIV

The human immunodeficiency virus, which weakens the immune system.

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05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    hCBMNC

    Autologous human placental cord blood mononuclear cells (buffy coat fraction)

    Biological: Autologous Human Placental Cord Blood Mononuclear Cells

Interventions

  • BiologicalAutologous Human Placental Cord Blood Mononuclear Cells

    Autologous human placental cord blood mononuclear cells are infused into the coronary artery during the Norwood heart operation

    Also known as: Cord blood buffycoat mononuclear cells, incl stem cells

06

What researchers measure

Primary outcomes

  1. Incidence of adverse cardiac events

    Monitoring of adverse events including death, heart or other organ failure, myocardial infarction, sustained/symptomatic ventricular tachycardia, bleeding, stroke

    Time frame: 1 month

Secondary outcomes

  1. Change in right ventricular function -fractional shortening (% units)

    Measured by cardiac imaging with serial echocardiography and MRI scans

    Time frame: baseline, 1 month, 3 months, 12 months

  2. Change in right ventricular end-diastolic wall thickness (% units)

    Measured by cardiac imaging with serial echocardiography and MRI scans

    Time frame: baseline, 1 month, 3 months, 12 months

  3. Change in right ventricular end-diastolic volume (% units)

    Measured by cardiac imaging with serial echocardiography and MRI scans

    Time frame: baseline, 1 month, 3 months, 12 months

  4. Change in right ventricular end-systolic volume (% units)

    Measured by cardiac imaging with serial echocardiography and MRI scans

    Time frame: baseline, 1 month, 3 months, 12 months

  5. Increase in body weight

    Body weight measured in kilograms

    Time frame: baseline, 1 month, 3 months, 12 months

  6. Composite measure of height and head circumference

    Body height and head circumference measured in meters

    Time frame: baseline, 1 month, 3 months, 12 months

07

Study locations

1 site
  • Royal Children's Hospital
    Melbourne, Victoria 3052, Australia
08

References and documents

Individual participant data

Plan to share: Undecided — IPD may be available following study publication and discussion between CIs and other researchers regarding future multicentre studies.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2018 to primary completion in Nov 2021, 44 months.

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

Registered
Jan 30, 2018
First posted
Feb 13, 2018
StartActual
Feb 16, 2018
Primary completionActual
Nov 1, 2021
CompletionActual
Jun 30, 2022
Last update
Jul 22, 2022
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 22, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03431480
Lead sponsor
Murdoch Childrens Research Institute
Responsible party
Salvatore Pepe (Trial Study Coordinator, Murdoch Childrens Research Institute) — Principal investigator
First posted
Feb 13, 2018
Start date
Feb 16, 2018
Primary completion
Nov 1, 2021
Completion
Jun 30, 2022
Last update
Jul 22, 2022

Study contacts

Salvatore Pepe
principal investigator · Melbourne Children's Campus (incorporating The Royal Children's Hospital, Murdoch Children's Research Institute, the University of Melbourne Department of Paediatrics)
Christian P Brizard
principal investigator · Melbourne Children's Campus (incorporating The Royal Children's Hospital, Murdoch Children's Research Institute, the University of Melbourne Department of Paediatrics)

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.

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