ClinicalTrials.gg
Not yet recruitingNCT07364682Updated Jul 7, 2026

Measuring Heart Health in Both Term, Preterm and Unwell Newborn Babies With an Advanced Ultrasound Method: Speckle Tracking Echocardiography

An observational study in Premature Baby, Pulmonary Hypertension of Newborn and Hypoxic Ischaemic Encephalopathy (HIE), sponsored by Birmingham Women's NHS Foundation Trust. Not yet recruiting at 1 site in United Kingdom. Open to participants aged 0 Minutes to 8 Weeks, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-07.

Sponsored by Birmingham Women's NHS Foundation Trust · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
190
Ages
0 Minutes to 8 Weeks
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 100 studies in Premature Birth with a site in United Kingdom — 19 open to participants now, 25 under way, 1 of them phase 3. Premature Birth · United Kingdom.

Planned enrollment
18th of 46
190 · median 150
Started
2026
with 2 others
Observational
46 of 100
12 open now
Primary completion
2028-02
later than 23 of 24 live
Registered
98th of 100
by date

Among the 100 studies in Premature Birth with a site in United Kingdom, this one is the 18th largest by planned enrollment of the 46 observational ones that give a count, is one of 3 that started in 2026, is one of 46 observational ones, reaches primary completion later than 23 of the 24 other live ones, and was the 98th registered.

Premature Birth

2,553 studies on the registry are indexed under Premature Birth; 502 are open to participants now.

Browse Premature Birth studies →

Open to participants now

19 of the 100 studies in Premature Birth with a site in United Kingdom are open now. Recruiting first, the newest first:

13 more — sign in →

All 19 open studies →

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

Who these studies take

Of the 315 Premature Birth studies recruiting now, 88 (28%) set no upper age limit and 223 (71%) stop at 75 or younger; 241 take children under 18; 105 take healthy volunteers.

This study: 0 Minutes to 8 Weeks · all sexes · healthy volunteers too.

The full table on the hub →

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02

Study summary

This study aims to improve how neonatologists check the heart function of newborn babies, especially those who are sick. While standard heart ultrasound scans are useful, a more advanced and sensitive technique called 2D speckle tracking echocardiography (STE) can detect subtle problems with how the heart muscle squeezes and relaxes. This may allow doctors to spot potential issues earlier.

Our research will take place at Birmingham Women's Hospital. The investigators will perform these advanced, non-invasive heart scans on several groups of babies:

  1. Healthy term and premature babies, to establish a "normal" range of heart function.
  2. Babies who are unwell with specific conditions, including those with brain injury due to lack of oxygen at birth (HIE), chronic lung disease of prematurity (BPD), a hole in the diaphragm (CDH), or high blood pressure in their lungs (aPHN).

The heart scan is a standard, painless procedure. Using STE does not require any extra scanning time or cause any additional discomfort to the baby; the special images are taken during the routine scan. For many of the sick babies, these scans are already part of their normal clinical care.

The main goals of this observational study are to see if STE is a feasible and reliable tool in newborns, to establish normal values for healthy babies, and to track how heart function changes in sick babies during their illness and recovery.

Ultimately, the investigators hope this research will provide doctors with a better tool to assess heart health in newborns. This could lead to earlier, more accurate detection of heart problems and help guide treatment decisions to improve outcomes for these vulnerable infants.

03

Conditions studied

  • Premature Baby
  • Pulmonary Hypertension of Newborn
  • Hypoxic Ischaemic Encephalopathy (HIE)
  • Congenital Diaphragmatic Hernia
  • Chronic Lung DIsease

Keywords

  • Speckle Tracking Echocardiography
  • STE
  • Functional echocardiography
  • Neonatal Performed Echocardiography
04

Who can participate

Ages eligible
0 Minutes to 8 Weeks
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Inpatient status at Birmingham Women's Hospital Neonatal Unit - only babies admitted to the neonatal unit, transitional care ward or postnatal ward will be considered for screening.

Belong to one of the following target clinical groups:

  • Group 1: Term neonates diagnosed with Hypoxic Ischaemic Encephalopathy (HIE) and receiving therapeutic hypothermia.
  • Group 2: Preterm neonates born at or before 32 weeks' gestation, who are later diagnosed with Chronic Lung Disease (CLD) requiring supplemental oxygen at 36 weeks corrected gestational age.
  • Group 3: Term neonates diagnosed with Congenital Diaphragmatic Hernia (CDH).
  • Group 4: Term neonates diagnosed with Acute Pulmonary Hypertension of the Newborn (aPHN), excluding those with CDH.
  • Healthy controls:
  • Term neonates (>36 weeks' gestation) who are well and on postnatal wards.
  • Well preterm neonates (\<36 weeks' gestation). • Stable enough for echocardiography and research inclusion, as determined by the attending physician.

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

  • Neonates who are inpatient at the Birmingham Women's Hospital
  • Confirmed diagnosis of acute pulmonary hypertension, congenital diaphragmatic hernia, hypoxic ischaemic encephalopathy, or bronchopulmonary dysplasia/chronic lung disease (defined by oxygen/respiratory support requirement at 36 weeks post menstrual/corrected gestational age).

OR

  • Health control (>36 weeks - well and on the postnatal ward)
  • Well preterm neonate (\<36 weeks) admitted to the NICU, transitional care or post-natal wards.
  • obtained from parent(s) or legal guardian(s)

Exclusion criteria

Exclusion Criteria:

  • Presence of major congenital heart disease (other than patent foramen ovale or patent ductus arteriosus).
  • Presence of other life-limiting congenital anomalies (other than CDH) or syndromes that could independently affect cardiac function.
  • Inability to obtain adequate echocardiographic images for STE analysis after reasonable attempts.
  • If the neonatal consultant or neonatal nurse caring for the neonate feels that the neonate is too unstable for inclusion in the study or that consent should not be sought from parents.
Terms in these criteria, in plain language(1)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

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

Groups and cohorts

  • Congenital Diaphragmatic Hernia

    Term neonates diagnosed with Congenital Diaphragmatic Hernia (CDH)

  • Hypoxic Ischaemic Encephalopathy

    Term neonates diagnosed with Hypoxic Ischaemic Encephalopathy (HIE) and receiving therapeutic hypothermia.

  • Acute pulmonary hypertension

    Term neonates diagnosed with Acute Pulmonary Hypertension of the Newborn (aPHN), excluding those with CDH.

  • Bronchopulmonary Dysplasia

    Preterm neonates born at or before 32 weeks' gestation, who are later diagnosed with Chronic Lung Disease (CLD) requiring supplemental oxygen at 36 weeks corrected gestational age.

  • Healthy preterms

    (\<36 weeks' gestation) admitted to the NICU and transitional care. Stratified into extreme preterm, moderately preterm and late preterm.

  • Healthy term controls

    (\>36 weeks' gestation) who are well and on postnatal wards.

06

What researchers measure

Primary outcomes

  1. To assess the feasibility of acquiring adequate quality images for comprehensive Right ventricular - Speckle Tracking Echocardiography (RV-STE), Left ventricular (LV) STE, and left atrial (LA) -STE in neonates with aPHN, CDH, HIE, and BPD.

    Feasibility rate of RV, LV, and LA STE.

    Time frame: By completion of data collection (September 2027)

  2. To describe the longitudinal changes in RV, LV, and LA STE parameters from acute illness through recovery/discharge in each disease cohort.

    The invetigators will measure this by looking at values and longitudinal trends of: RV-Global Longitudinal Strain (GLS), RV-Free Wall Longitudinal Strain (FWLS), LV-GLS, LA reservoir strain (LASr) in healthy neonates and neonates with disease conditions (HIE, BPD, CDH, aPHN).

    Time frame: By September 2027

  3. To establish normative values of simultaneously performed RV, LV and LA strain in well term and preterm neonates

    The investigators will establish normative reference RV, LV and LA strain using two-dimensional speckle-tracking echocardiography in a cohort of well term and preterm neonates. Report Strain values as means ± standard deviations and percentiles (5th-95th), stratified by gestational age, postnatal age, and birth weight categories.

    Time frame: By September 2027

Secondary outcomes

  1. To evaluate the intra-observer and inter-observer reproducibility of RV, LV, and LA STE measurements

    The investigators will use intra-class correlation coefficients (ICC), Bland-Altman limits of agreement, and coefficient of variation (CV) for key STE parameters.

    Time frame: By September 2027

  2. To compare STE-derived parameters with conventional echocardiographic measures of cardiac function.

    Correlation and agreement between speckle tracking echocardiography (STE)-derived parameters (STE derived EF, STE derived TAPSE) and conventional echocardiographic measures of cardiac function (EF by Simpson Biplane technique, M-mode TAPSE).

    Time frame: By September 2027

  3. To compare RV, LV, and LA STE parameters between the different disease cohorts and a cohort of healthy control neonate

    Comparison of right ventricular (RV), left ventricular (LV), and left atrial (LA) strain and strain rate parameters derived from speckle tracking echocardiography (STE) between neonates in different disease cohorts and a healthy control group.

    Time frame: By September 2027

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No — The REC required removal of the proposed wording allowing anonymised participant data to be shared with external researchers on request. As participants are not being consented for future research data sharing, the study has no plan to share IPD, and the ClinicalTrials.gov IPD field is therefore recorded as "No". This is an observational trial with no intervention and not a clinical trial of a device or drug.

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

Start is estimated for Sep 2026; primary completion for Feb 2028, 17 months later.

Of 372 non-industry observational studies under Premature Birth, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 63. This study's planned 17 months is below that.

Counting every sponsor, half of 387 studies reached it within 35 months; a quarter within 18 and three quarters within 61.

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

Registered
Jan 16, 2026
First posted
Jan 23, 2026
StartEst.
Sep 1, 2026
Primary completionEst.
Feb 1, 2028
CompletionEst.
Mar 1, 2028
Last update
Jul 7, 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 Jul 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07364682
Lead sponsor
Birmingham Women's NHS Foundation Trust
Responsible party
Asad Abbas (Consultant Neonatologist, Birmingham Women's NHS Foundation Trust) — Principal investigator
First posted
Jan 23, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Feb 1, 2028 (estimated)
Completion
Mar 1, 2028 (estimated)
Last update
Jul 7, 2026

Study contacts

Asad Abbas Dr Asad Abbas, MD MBBS FRCPCH
Contact
asad.abbas1@nhs.net
+441214721377
Andrew Pearce Dr Andrew Pearce, MBBS MRCPCH
Contact
andrewjames.pearce@nhs.net

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 not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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