ClinicalTrials.gg
RecruitingNCT05684562Updated Sep 16, 2026

Pulmonary Determinants of Cardiorespiratory Fitness in Fontan Patients

An observational study in Fontan Procedure and Congenital Heart Disease, sponsored by Hacettepe University. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 8 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Hacettepe University · Observational

From the registry’s dates

  • Started Dec 2023; still recruiting 2 years 10 months later.

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Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
78
Ages
8 Years to 55 Years
Sex
All
01

Where this study stands

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

Among 32 studies in Heart Defects, Congenital with a site in Turkey — 11 open to participants now, 12 under way, none of them phase 3. Heart Defects, Congenital · Turkey.

Planned enrollment
6th of 14
78 · median 71
Started
2023
with 2 others
Observational
14 of 32
3 open now
Primary completion
2026-12
later than 5 of 11 live
Registered
14th of 32
by date
Lead sponsor
7 of 32
Hacettepe University

Among the 32 studies in Heart Defects, Congenital with a site in Turkey, this one is the 6th largest by planned enrollment of the 14 observational ones that give a count, is one of 3 that started in 2023, is one of 14 observational ones, reaches primary completion later than 5 of the 11 other live ones, and was the 14th registered.

Heart Defects, Congenital

991 studies on the registry are indexed under Heart Defects, Congenital; 251 are open to participants now.

Browse Heart Defects, Congenital studies →

Open to participants now

11 of the 32 studies in Heart Defects, Congenital with a site in Turkey are open now. Recruiting first, the newest first:

5 more — sign in →

All 11 open studies →

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

Who these studies take

Of the 154 Heart Defects, Congenital studies recruiting now, 67 (44%) set no upper age limit and 79 (51%) stop at 75 or younger; 110 take children under 18; 25 take healthy volunteers.

This study: 8 Years to 55 Years · all sexes · healthy volunteers too.

The full table on the hub →

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02

Study summary

This study will examine and record the patient's medical information and medical records (patient files, computer records, etc.). Physical examination, echocardiographic, electrocardiographic, laboratory, radiological, etc. evaluations are made during the routine controls of the patients. Within the scope of this study, no attempt will be made on the patients, no additional tests will be performed, or treatment changes will not be made in the patients because they are included in this study. After these records, KPET will be performed by a specialist doctor and physiotherapist for the patients who are directed to the Faculty of Physical Therapy and Rehabilitation Cardiopulmonary Rehabilitation Unit. Pulmonary function tests and respiratory muscle strength measurements will be performed on patients who have adequate rest after CPET.

03

Conditions studied

  • Fontan Procedure
  • Congenital Heart Disease
04

Who can participate

Ages eligible
8 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients aged 8-55 years who underwent the Fontan procedure and followed up by Department of Pediatric Cardiology will be included in the study. In the evaluation of patients in terms of suitability for the study, a detailed history, medical and family history, and a physical examination focused on all systems. The eligible patients will be referred to the Cardiopulmonary Rehabilitation Unit after the routine evaluations including demographic and clinical characteristics and laboratory tests are completed. For patients aged 8-17 years, the parental informed consent form for the research study and the child consent form for the research study will be carefully explained and included in the study after the parents and patients have read, understood, and accepted. For patients aged 18 years and older, the informed consent form for the research study will be carefully explained and will be included in the study after the patients have read, understood, and accepted.

Eligibility criteria

Fontan Group Inclusion Criteria:

  • Be between 8-55 years old
  • Having undergone a Fontan operation
  • Clinical stability of the patients (preserved ventricular function)
  • No change in ongoing drug therapy that adversely affects clinical stability
  • At least 1 year after the operation

Fontan Group Exclusion Criteria:

  • Neurological and/or genetic musculoskeletal disease
  • Having orthopedic and cognitive problems that prevent testing
  • The patient's and/or family's unwillingness to participate in the study

Control Group Inclusion Criteria:

  • Not have cardiovascular, neurological, and/or genetic musculoskeletal disease
  • Not having orthopedic and cognitive problems that prevent testing
  • The patient's and/or family's willingness to participate in the study
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
78 participants (estimated)
Patient registry
No

Groups and cohorts

  • Fontan group

    Cardiopulmonary exercise test Pulmonary function test respiratory muscle strength test

    Other: Cardiopulmonary exercise test · Other: Pulmonary function test · Other: Respiratory muscle strength test

  • Control Group

    Cardiopulmonary exercise test Pulmonary function test respiratory muscle strength test

    Other: Cardiopulmonary exercise test · Other: Pulmonary function test · Other: Respiratory muscle strength test

Interventions

  • OtherCardiopulmonary exercise test

    CPET, the gold standard, will be used in the assessment of cardiorespiratory fitness. The cardiopulmonary exercise test system (Cosmed Quark CPET, Rome, Italy) is a safe method in which the patient can be monitored via ECG during the execution of the individual on a treadmill, and simultaneously lactate measurement, maximal O2 consumption, and CO2 production are evaluated. The Bruce protocol is the most commonly used method for KPET applied with a treadmill. However, since the Bruce protocol prefers high workload preferences, the Modified Bruce/half Bruce protocol with intermediate increments will be used. In addition, dyspnea, leg fatigue, and general fatigue at rest, during the test, and during the recovery phases after the test will be recorded with a sphygmomanometer using the Modified Borg Scale.

  • OtherPulmonary function test

    Pulmonary function testing will be performed with a spirometer (Cosmed Quark CPET, Rome, Italy) connected to the CPET system using standard procedures. Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC, peak expiratory volume measured at 25% and 75% of forced expiratory time (FEF 25-75%), and peak expiratory volume (PEF) parameters will be saved.

  • OtherRespiratory muscle strength test

    Intraoral maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) will be used as indicators of respiratory muscle strength. A portable intraoral pressure gauge (MicroRPM, Micromedical, Kent, UK) and nose clip will be used during MIP and MEP assessments. MIP and MEP measurements will be obtained using standard procedures. 3 measurements will be made where the difference between each measurement is not more than 10% and the maximum value of MIP and MEP will be recorded.

06

What researchers measure

Primary outcomes

  1. Maximal oxygen consumption

    Time frame: 30-45 minutes

  2. Forced vital capacity (FVC)

    Time frame: 15-20 minutes

  3. Forced expiratory volume in 1 second (FEV1)

    Time frame: 15-20 minutes

  4. FEV1/FVC

    Time frame: 15-20 minutes

  5. Maximal inspiratory pressure

    Time frame: 15-20 minutes

  6. Maximal expiratory pressure

    Time frame: 15-20 minutes

  7. Ratio curve of minute ventilation to carbon dioxide production (VE/VCO2) slope

    Time frame: 30-45 minutes

  8. Ratio of minute ventilation to carbon dioxide production (VE/VCO2)

    Time frame: 30-45 minutes

  9. Oxygen uptake efficiency slope (OUES)

    Time frame: 30-45 minutes

  10. Minute ventilation (VE)

    Time frame: 30-45 minutes

  11. End tidal oxygen pressure (PetO2)

    Time frame: 30-45 minutes

  12. End tidal carbon dioxide pressure (PetCO2)

    Time frame: 30-45 minutes

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Dec 2023 (actual). Primary completion is estimated for Dec 2026, 35 months after the start.

Of 178 non-industry observational studies under Heart Defects, Congenital, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 83. This study's planned 35 months is below that.

Counting every sponsor, half of 185 studies reached it within 44 months; a quarter within 17 and three quarters within 83.

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

Registered
Dec 27, 2022
First posted
Jan 13, 2023
StartActual
Dec 26, 2023
Primary completionEst.
Dec 25, 2026
CompletionEst.
Apr 30, 2027
Last update
Sep 16, 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 Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05684562
Responsible party
Haluk TEKERLEK (Research assistant, Hacettepe University) — Principal investigator
First posted
Jan 13, 2023
Start date
Dec 26, 2023
Primary completion
Dec 25, 2026 (estimated)
Completion
Apr 30, 2027 (estimated)
Last update
Sep 16, 2026

Study contacts

Haluk Tekerlek
Contact
haluktekerlek@gmail.com
+905355915009

Oversight

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

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