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Active, not recruitingNCT05334966MHOUpdated Aug 14, 2023

Maternal Hyperoxygenation in Fetal Left Heart Hypoplasia

An interventional study of Maternal Hyperoxygenation in Left Heart Hypoplasia, sponsored by Baylor College of Medicine. Active, not recruiting at 1 site in United States. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-08-14.

Sponsored by Baylor College of Medicine · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Apr 2024, 2 years 6 months ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Study summary

Heart disease is the leading cause of infant death related to birth defects. Congenital heart disease in which the left sided structures of the heart (left heart hypoplasia or LHH) are too small are among the most severe, and have some of the highest death and other complication rates.

Read the detailed description

We intend to study a new, non-invasive fetal intervention to help outcomes in children with LHH. We plan to study the effect of giving oxygen to mothers who have fetuses with small left-sided structures. We specifically will evaluate if the fetal left heart valves will grow faster if the mother breathes extra oxygen on a daily basis (at least 8 hours per day). Mothers and fetuses meeting criteria will be offered to enroll in the study. All enrolled mothers will be asked to receive oxygen continuously for the rest of the pregnancy using a non-rebreather mask. At birth, we will compare the fetuses whose mothers received oxygen to historical controls. We specifically will study how fast the left heart valves have grown.

02

Conditions studied

  • Left Heart Hypoplasia
03

In context

Lead sponsor

Baylor College of Medicine is the lead sponsor of 734 studies on the registry; 110 are open to participants now.

Of its 83 completed or terminated interventional studies of FDA-regulated products, 44 (53%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Group A, C: Fetuses with hypoplastic left sided structures or at risk of coarctation of the aorta and ALL of the following

    • Any mitral annulus, aortic annulus, left ventricular end-diastolic dimension, or aortic diameter z-score less than or equal to 3.0
    • Right-left ventricular size discrepancy with no other explanation of discrepancy
    • Retrograde blood flow in the aortic arch from the ductus arteriosus
    • Left to right flow across the foramen ovale
  • Group B: Healthy Fetal controls

    • Mothers undergoing screening fetal echo for family history of CHD with a normal echo.
    • Mothers undergoing fetal echocardiography for suspected heart disease with a normal echo
    • Mothers evaluated in the fetal center with normal ultrasound
  • Group D:

Fetuses with hypoplastic left sided structures or at risk of coarctation of the aorta and any of the following

  • Any mitral annulus, aortic annulus, left ventricular end-diastolic dimension, or aortic diameter z-score less than or equal to 2.0
  • Right-left ventricular size discrepancy with no other explanation of discrepancy
  • Continuous Doppler flow in the aortic arch concerning for coarctation
  • Significantly less aortic flow than pulmonary artery flow
  • Severe atrial septal aneurysm with possible obstruction of mitral valve flow
  • Left superior vena cava to coronary sinus with dilated coronary sinus.
  • Retrograde blood flow in the aortic arch from the ductus arteriosus
  • Hypoplastic left heart syndrome (HLHS) and variants of HLHS
  • Total anomalous pulmonary venous return

Exclusion criteria

Exclusion criteria:

  • Multiple gestations
  • Persistent arrhythmia
  • Very poor ultrasound images, defined by the inability to reliably measure/evaluate all included cardiac structures (valve annuli, branch pulmonary arteries, PFO, and arch)
  • Major extra cardiac anomalies
  • Aneuploidy
  • Maternal conditions that may alter fetal hemodynamics, including moderate to severe HTN requiring medication in pregnancy, preeclampsia, major or unrepaired maternal congenital heart disease, obstructive sleep apnea, severe asthma (non-responsive to inhaled steroid therapy), restrictive lung disease, severe anemia, maternal chronic renal disease known placentation abnormality (complete placenta previa, accrete, or percreta), and antiphospholipid ab syndrome
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (estimated)

Study arms

  • No intervention
    Historical LHH Controls

    Previous women with a dx of fetal LHH and whose care was continued at Texas Children's Hospital.

  • Placebo comparator
    Healthy Fetal Controls

    Healthy mothers with healthy fetuses that will come in monthly for fetal echcos starting at 20 wks.

    Other: Maternal Hyperoxygenation

  • Experimental
    Chonic Maternal Hyperoxygenation w/ LHH

    Mothers who have a fetus diagnosed with LHH and elect daily maternal hyperoxygenation therapy.

    Other: Maternal Hyperoxygenation

  • Experimental
    Acute Maternal Hyperoxygenation with LHH

    Mothers who have a fetus diagnosed with LHH and elect acute maternal hyperoxygenation challenge testing.

    Other: Maternal Hyperoxygenation

Interventions

  • OtherMaternal Hyperoxygenation

    Oxygen is given to mothers at 8L through a non-rebreather mask.

    Also known as: Oxygen

06

What researchers measure

Primary outcomes

  1. Aortic annular dimension

    By fetal echo the size of the aortic annulus in mm

    Time frame: 2 years

Secondary outcomes

  1. Mitral annular dimension

    By fetal echo the size of the mitral valve annulus in mm

    Time frame: years

07

Study locations

1 site
  • Texas Children's Hospital Pavilion for Women
    Houston, Texas 77030, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 14, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05334966
Lead sponsor
Baylor College of Medicine
Responsible party
Shaine Morris (Associate Professor, Baylor College of Medicine) — Principal investigator
First posted
Apr 19, 2022
Start date
Jan 2014
Primary completion
Apr 2024 (estimated)
Completion
Dec 2025 (estimated)
Last update
Aug 14, 2023

Study contacts

Shaine A Morris, MD
principal investigator · Baylor College of Medicine

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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