ClinicalTrials.gg
WithdrawnNCT05771688FETOUpdated Nov 9, 2026

Fetoscopic Endoluminal Tracheal Occlusion

An interventional study of FETO therapy in Hernia, DIaphragmatic, Congenital, sponsored by Children's Hospitals and Clinics of Minnesota. Withdrawn at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Children's Hospitals and Clinics of Minnesota · Not applicable, Interventional, and Device feasibility

Why this study was withdrawn
Slow Recruitment, business/study personnel change
Updated Nov 9, 2026Now WithdrawnPrimary completion moved+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Study summary

This is a single site pilot trial to study the feasibility of Fetoscopic Endoluminal Tracheal Occlusion (FETO) therapy in the most severe group of fetuses with congenital diaphragmatic hernia (CDH) at Midwest Fetal Care Center, a collaboration between Allina Health and Children's Minnesota. This procedure aims to increase fetal lung volume before birth and improve survival after birth. This study will enroll 10 pregnant people and their baby who meet study criteria.

Read the detailed description

This is a single site pilot trial to assess the feasibility and safety of treating the most severe group of fetuses with left CDH with Fetal Endoluminal Tracheal Occlusion (FETO) using the Goldballoon Detachable Balloon (GOLDBAL2) along with the Delivery Microcatheter (BALTACCI-BDPE100) at Midwest Fetal Care Center (MWFCC), a collaboration between Allina Health and Children's MN.

Congenital Diaphragmatic Hernia (CDH) is a condition in which a hole in the baby's diaphragm allows the abdominal organs to move into the chest and limit lung growth. The goal of the FETO device is to block the airway with a balloon-type device, allowing fluid to build up in the lungs and help the unborn baby's lungs grow. Bigger lungs may improve the baby's quality of life. The rationale for fetal therapy in severe CDH is to improve fetal lung growth and therefore neonatal survival.

The study will enroll pregnant women that meet study criteria, and their baby. The mother-fetus participant will undergo one procedure for placement of FETO before gestational age 29 weeks 6 days; and a second procedure for removal of the FETO device. The timing for removal of FETO is no later than 35 weeks and 6 days. After delivery, routine care of the baby with CDH will occur within the Children's MN NICU.

02

Conditions studied

  • Hernia, DIaphragmatic, Congenital

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03

In context

Hernia, Diaphragmatic

23 studies on the registry are indexed under Hernia, Diaphragmatic; 4 are open to participants now.

Browse Hernia, Diaphragmatic studies →

Lead sponsor

Children's Hospitals and Clinics of Minnesota is the lead sponsor of 49 studies on the registry; 2 are open to participants now.

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
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

  1. A subject is defined as a female (18 years or older) who is pregnant.
  2. The pregnancy must be a singleton pregnancy.
  3. The CDH must be left-sided.
  4. The CDH must be severe (Observed to Expected Lung to Head Ratio - O/E LHR - \< 25% from U/S measurements).
  5. No associated lethal anomalies (other than the CDH), no pathogenic variants on microarray, and no pathologic findings on karyotype.
  6. Fetal echocardiogram with changes expected with CDH and no major structural cardiac defects.
  7. Gestational age at time of balloon placement between and including 27 weeks 0 days and 29 weeks 6 days.
  8. Cervix length longer than 20 mm at pre-balloon placement evaluation.
  9. Acceptance of responsibility to stay locally (within 15 minutes) of MWFCC and Children's Minnesota - Minneapolis.
  10. Written consent must be obtained.
  11. Must meet psychosocial criteria including appropriate family/friend support during stay with balloon in place (cannot stay without additional helper), no current illicit drug use, no over-the-counter drug abuse, and no ineffectively treated diagnoses.

Exclusion criteria

Exclusion Criteria:

  1. Twin or higher order gestation
  2. Not able to consent
  3. Right-sided or bilateral CDH
  4. Additional fetal or genetic abnormalities that would impact care after delivery or be known to have an impact on outcome
  5. Maternal isoimmunization or neonatal alloimmune thrombocytopenia
  6. Balloon not able to be placed prior to 30 weeks gestation
  7. CDH O/E LHR 25% or greater
  8. Maternal factors precluding safe fetal surgery (maternal cardiac findings not safe for anesthesia, maternal morbid obesity precluding safe usage of the equipment required for entry into the uterus, spontaneous preterm delivery prior to 36 weeks)
  9. Maternal , with positive surface antigen, with presence of virus in maternal blood due to risks of fetal transmission during procedures
  10. Short cervix (20 mm or less)
  11. History of incompetent cervix or uterine anomaly predisposing to preterm labor
  12. Significant placental abnormalities (abruption, chorioangioma, accrete) known at the time of enrollment and/or surgery
  13. History of natural rubber latex allergy
  14. No safe or feasible fetoscopic approach to balloon placement
  15. Inability to relocate to within 15 minutes of MWFCC/Children's Minnesota
Terms in these criteria, in plain language(4)

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.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    FETO therapy

    FETO therapy

    Device: FETO therapy

Interventions

  • DeviceFETO therapy

    placement of FETO prior to 29 weeks 6 days GA; and removal of the FETO device no later than 35 weeks and 6 days

    Also known as: Fetoscopic Endoluminal Tracheal Occlusion, GOLDBALLOON, BALTACCI

06

What researchers measure

Primary outcomes

  1. Successful placement of Balt Goldbal2 balloon

    Successful completion of balloon insertion in fetuses with severe CDH defined as direct visualization of balloon above the carina at the time of FETO procedure.

    Time frame: Prior to 29 weeks 6 days Gestational Age (GA)

  2. Successful removal of Balt Goldbal2 balloon

    Removal of the balloon

    Time frame: Prior to 35 weeks 6 days GA

Secondary outcomes

  1. Change in fetal lung growth

    Prenatal ultrasound will measure the observed-to-expected lung to head ratio (o/e LHR) at weekly visits while the balloon is in place and after balloon removal. Fetal lung growth will be calculated as the difference between the o/e LHR pre-balloon placement and the o/e LHR after balloon removal.

    Time frame: Immediately after intervention (device removal)

  2. Gestational age at delivery

    Gestational age at delivery will be recorded.

    Time frame: Measured at time of delivery

  3. Infant survival

    Infant survival will be recorded from delivery to NICU discharge, and at 6, 12, and 24 months of age

    Time frame: Birth - 24 months

  4. Number of infants requiring extra corporeal membrane oxygenation (ECMO) support

    Use of ECMO will be collected from medical chart review.

    Time frame: Birth to 6 months

  5. Number of infants requiring tracheostomy while in the NICU

    Tracheostomy information will be collected from medical chart review.

    Time frame: up to 2 years of age

  6. Number of infants requiring home oxygen support upon discharge from the NICU

    Oxygen support will be collected from medical chart review.

    Time frame: up to 2 years of age

  7. Time to pulmonary hypertension resolution

    pulmonary hypertension will be collected from medical chart review.

    Time frame: up to 2 years of age

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Ran from Feb 2024 to primary completion in Feb 2026, 24 months.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 9, 2026: primary completion Feb 2028 → Feb 2026 and completion Sep 2028 → Feb 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Feb 16, 2023
First posted
Mar 16, 2023
StartActual
Feb 22, 2024
Primary completionActual
Feb 28, 2026was Feb 2028
CompletionActual
Feb 28, 2026was Sep 2028
Last update
Nov 9, 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.
Status
Recruiting→Withdrawn Slow Recruitment, business/study personnel change
changed Nov 9, 2026
Primary completion
Feb 2028→Feb 28, 2026 (actual)
Nov 9, 2026
Study completion
Sep 2028→Feb 28, 2026 (actual)
Nov 9, 2026
Enrollment
10 (estimated)→0 (actual)
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    Recruiting→Withdrawn
    Why stopped Slow Recruitment, business/study personnel change
    Primary completion Feb 2028→Feb 28, 2026 (now actual)
    Study completion Sep 2028→Feb 28, 2026 (now actual)
    Enrollment 10 (estimated)→0 (actual)
    + 2 other changes: contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05771688
Lead sponsor
Children's Hospitals and Clinics of Minnesota
Collaborators
Allina Health System
Responsible party
Sponsor
First posted
Mar 16, 2023
Start date
Feb 22, 2024
Primary completion
Feb 28, 2026
Completion
Feb 28, 2026
Last update
Nov 9, 2026

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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