ClinicalTrials.gg
RecruitingNCT07785141Updated Sep 28, 2026

Spectroscopic Assessment of Myocardial Oxygenation Changes in Pediatric Heart Surgery

An observational study in Myocardial Ischemia, Heart Defects, Congenital and Reperfusion Injury, Myocardial, sponsored by Spectrocor. Recruiting at 1 site in Finland. Open to participants aged 1 Year to 17 Years. Per ClinicalTrials.gov, last updated 2026-09-28.

Primary conditionMyocardial Reperfusion InjuryRegistry: Myocardial IschemiaReclassifiedWhy we changed it
Registry
Myocardial Ischemia — the first condition term the registry derived for this study.
ClinicalTrials.gg
Myocardial Reperfusion Injury
Why
  1. The study's listed conditions name Myocardial Reperfusion Injury, a narrower term within Myocardial Ischemia.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Spectrocor · Observational

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Sep 28, 2026Now RecruitingFirst site in Finland+2 moreGo to Updates ↓
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
30
Ages
1 Year to 17 Years
Sex
All
01

Study summary

The goal of this observational study is to investigate the ability of the SpectroCor Tissue Oxygenation Monitor and its accessory SpectroCor Sensor to observe and monitor changes in cardiac oxygen availability in pediatric patients during open-heart surgery.

Patients of less than 18 years old who, and whose guardian(s), when applicable according to national legislation, have signed the informed consent, can participate in the study.

The primary hypothesis is that the SpectroCor Tissue Oxygenation Monitor and its accessory SpectroCor Sensor can detect myocardial oxygen availability in pediatric open-heart surgery patients. It is expected that the detected tissue oxygenation timely correlates with procedures affecting myocardial perfusion and other clinical parameters during the operation.

The secondary hypothesis is that the SpectroCor Tissue Oxygenation Monitor and its accessory, the SpectroCor Sensor, are safe to use, and their usability is acceptable.

No comparison group is included in the study.

The devices are used by the study investigators during open-heart surgery to collect myocardial tissue spectrometer data from the pediatric population to validate and potentially further develop the monitor and its accessory, the sterile sensor. The follow-up period for each participant ends with discharge from the hospital. No data (such as questionnaires) are obtained directly from the study participants.

Read the detailed description

This is a single-center study. Thirty participants, less than 18 years old, with planned elective open-heart surgery, will be recruited for this study. The primary purpose is to investigate the ability of the SpectroCor Tissue Oxygenation Monitor and its accessory SpectroCor Sensor to observe and monitor peripheral tissue oxygenation perioperatively. This open, non-controlled observational study aims to assess the monitor's ability, in combination with the sensor, to monitor and observe tissue oxygenation and the safety of the device in routine clinical practice, reflecting the real-world patient population and treatment scenarios. Therefore, no control group is needed.

For this clinical investigation, pediatric age groups will be defined according to the ICH E11/EMA framework (neonates: 0-28 days; infants: 1-23 months; children: 2-11 years; adolescents: 12-17 years). Although these definitions originate from medicinal product regulation, they are widely accepted and provide a consistent basis for pediatric clinical research.

There is currently no separate international classification system specific to medical devices. However, the ICH E11/EMA framework is appropriate for device investigations because it reflects physiological differences in growth and development that are directly relevant to cardiac surgery and to the intended uses of the monitor and sensor. In particular, the greatest physiological differences compared to adults are found in neonates and infants, where cardiac size, myocardial composition, and perioperative risks differ substantially.

The study, therefore, aims to include patients across the pediatric spectrum with emphasis on neonates and infants, while allowing flexibility in recruitment numbers. Data from older children and adolescents can be reasonably bridged to adult data, given similarities in cardiac anatomy and physiology. This approach ensures that safety and usability are adequately assessed across the relevant pediatric subpopulations without imposing rigid subgroup quotas, which would be impractical in this rare and heterogeneous patient population.

Primary endpoint:

The ability of the SpectroCor Tissue Oxygenation Monitor and its accessory SpectroCor Sensor to observe and monitor changes in cardiac oxygen availability.

Secondary endpoints:

Incidence of (serious) adverse events, (serious) adverse device effects, and device deficiencies.

02

Conditions studied

  • Myocardial Ischemia
  • Heart Defects, Congenital
  • Reperfusion Injury, Myocardial

Browse trials for

03

In context

Myocardial Reperfusion Injury Reclassified

57 studies on the registry are indexed under Myocardial Reperfusion Injury; 6 are open to participants now.

This study's planned enrollment of 30 is below the median of 95 across 10 observational studies indexed under Myocardial Reperfusion Injury.

Browse Myocardial Reperfusion Injury studies →

Lead sponsor

Spectrocor is the lead sponsor of 5 studies on the registry; 4 are open to participants now.

Compared within Myocardial Reperfusion Injury, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Myocardial Ischemia. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
1 Year to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Pediatric patient scheduled for an open-heart operation.

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

  • Scheduled for open-heart surgery.
  • Age \<18
  • Signed

Exclusion criteria

Exclusion Criteria:

  • Inability to provide
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
Other
Time perspective
Prospective
Enrollment
30 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Ability to observe/monitor changes in myocardial oxygen availability

    Proportion of monitor-sensor applications demonstrating expected myocardial oxygenation response - percentage of applications in which the device detects a decrease in Hb/Mb saturation and CcOx oxidation after aortic cross-clamping, an increase after de-clamping, and/or an increase after blood cardioplegia administration.

    Time frame: Intraoperatively, from sensor insertion to removal; typically 1 to 6 hours.

Secondary outcomes

  1. Incidence of device or protocol-related adverse events

    An Adverse Event (AE) is an untoward medical occurrence, unintended disease or injury, or any untoward clinical signs, including an abnormal laboratory finding, in subjects, users, or other persons, in the context of a clinical investigation, whether related to the investigated device. This definition includes events that are anticipated as well as unanticipated events occurring in a clinical investigation related to the investigated device or the procedures involved.

    Time frame: From informed consent through hospital discharge; assessed up to approximately 30 days

  2. Incidence of device or protocol-related adverse device events and serious adverse device events

    An Adverse Device Effect (ADE) is any AE related to the use of an investigational medical device. This definition includes adverse events resulting from insufficient or inadequate instructions for use, deployment, implantation, installation, or operation, or any malfunction of the investigational medical device, and any event resulting from use error or from intentional misuse of the investigational medical device. A Serious Adverse Device Effect (SADE) is an ADE that has resulted in any of the consequences characteristic of a serious adverse event. SAEs related to procedures imposed by the clinical investigation plan but not with the use of the device shall not be considered Serious Adverse Device Effects.

    Time frame: From informed consent through hospital discharge; assessed up to approximately 30 days

  3. Incidence of device or protocol-related serious adverse events

    A Serious Adverse Event (SAE) is any AE that led to any of the following: a) death; b) serious deterioration in the health of the subject that resulted in any of the following: (i) life-threatening illness or injury; (ii) permanent impairment of a body structure or a body function; (iii) hospitalization or prolongation of patient hospitalization; (iv) medical or surgical intervention to prevent life-threatening illness or injury or permanent impairment to a body structure or a body function; (v) chronic disease.

    Time frame: From informed consent through hospital discharge; assessed up to approximately 30 days

  4. Incidence of device defeciencies

    A Device Deficiency (DD) is any inadequacy in the identity, quality, durability, reliability, safety, or performance of an investigational device, including malfunction, use errors, or inadequacy in information supplied by the manufacturer.

    Time frame: From informed consent through hospital discharge; assessed up to approximately 30 days

07

Study locations

1 of 1 sites recruiting
  • HUS New Childrens Hospital
    Helsinki, Uusimaa 00290, Finland
    Recruiting
    • Tommi Pätilä, PhD · Contacttommi@spectrocor.com
    • Kalle Kotilahti, PhD · Contactkalle@spectrocor.com
    • Henri Haapanen, PhD · Principal investigator
    • Antti Huuskonen, PhD · Sub investigator
    • Niklas Mattila, PhD · Sub investigator
    • Tiina Ojala, PhD · Sub investigator
08

References and documents

Publications

  • Bridgewater B; Adult Cardiac Surgeons of North West England. Mortality data in adult cardiac surgery for named surgeons: retrospective examination of prospectively collected data on coronary artery surgery and aortic valve replacement. BMJ. 2005 Mar 5;330(7490):506-10. doi: 10.1136/bmj.330.7490.506. PubMed 15746131 ↗
  • Patila T, Kukkonen S, Vento A, Pettila V, Suojaranta-Ylinen R. Relation of the Sequential Organ Failure Assessment score to morbidity and mortality after cardiac surgery. Ann Thorac Surg. 2006 Dec;82(6):2072-8. doi: 10.1016/j.athoracsur.2006.06.025. PubMed 17126112 ↗
  • Chen JC, Kaul P, Levy JH, Haverich A, Menasche P, Smith PK, Carrier M, Verrier ED, Van de Werf F, Burge R, Finnegan P, Mark DB, Shernan SK; PRIMO-CABG Investigators. Myocardial infarction following coronary artery bypass graft surgery increases healthcare resource utilization. Crit Care Med. 2007 May;35(5):1296-301. doi: 10.1097/01.CCM.0000262403.08546.A2. PubMed 17414091 ↗
  • Lomivorotov VV, Efremov SM, Pokushalov EA, Romanov AB, Ponomarev DN, Cherniavsky AM, Shilova AN, Karaskov AM, Lomivorotov VN. Randomized trial of fish oil infusion to prevent atrial fibrillation after cardiac surgery: data from an implantable continuous cardiac monitor. J Cardiothorac Vasc Anesth. 2014 Oct;28(5):1278-84. doi: 10.1053/j.jvca.2014.02.019. Epub 2014 Jul 11. PubMed 25027101 ↗
  • Maganti M, Badiwala M, Sheikh A, Scully H, Feindel C, David TE, Rao V. Predictors of low cardiac output syndrome after isolated mitral valve surgery. J Thorac Cardiovasc Surg. 2010 Oct;140(4):790-6. doi: 10.1016/j.jtcvs.2009.11.022. Epub 2010 Feb 11. PubMed 20152992 ↗
  • Flogel U, Fago A, Rassaf T. Keeping the heart in balance: the functional interactions of myoglobin with nitrogen oxides. J Exp Biol. 2010 Aug 15;213(Pt 16):2726-33. doi: 10.1242/jeb.041681. PubMed 20675541 ↗
  • Shiva S, Sack MN, Greer JJ, Duranski M, Ringwood LA, Burwell L, Wang X, MacArthur PH, Shoja A, Raghavachari N, Calvert JW, Brookes PS, Lefer DJ, Gladwin MT. Nitrite augments tolerance to ischemia/reperfusion injury via the modulation of mitochondrial electron transfer. J Exp Med. 2007 Sep 3;204(9):2089-102. doi: 10.1084/jem.20070198. Epub 2007 Aug 6. PubMed 17682069 ↗
  • Brookes PS, Levonen AL, Shiva S, Sarti P, Darley-Usmar VM. Mitochondria: regulators of signal transduction by reactive oxygen and nitrogen species. Free Radic Biol Med. 2002 Sep 15;33(6):755-64. doi: 10.1016/s0891-5849(02)00901-2. PubMed 12208364 ↗
  • Lindbergh T, Larsson M, Szabo Z, Casimir-Ahn H, Stromberg T. Intramyocardial oxygen transport by quantitative diffuse reflectance spectroscopy in calves. J Biomed Opt. 2010 Mar-Apr;15(2):027009. doi: 10.1117/1.3374050. PubMed 20459283 ↗
  • Cohen GA, Permut LC, Arakaki LS, Ciesielski WA, McMullan DM, Parrish AR, Schenkman KA. Direct optical measurement of intraoperative myocardial oxygenation during congenital heart surgery. ASAIO J. 2011 Jul-Aug;57(4):314-7. doi: 10.1097/MAT.0b013e3182179881. PubMed 21508828 ↗
  • Ohira S, Tanaka H, Harada Y, Minamikawa T, Kumamoto Y, Matoba S, Yaku H, Takamatsu T. Label-free detection of myocardial ischaemia in the perfused rat heart by spontaneous Raman spectroscopy. Sci Rep. 2017 Feb 10;7:42401. doi: 10.1038/srep42401. PubMed 28186163 ↗
  • Lelovas PP, Kostomitsopoulos NG, Xanthos TT. A comparative anatomic and physiologic overview of the porcine heart. J Am Assoc Lab Anim Sci. 2014 Sep;53(5):432-8. PubMed 25255064 ↗
  • Drury NE. Myocardial protection in paediatric cardiac surgery: building an evidence-based strategy. Ann R Coll Surg Engl. 2024 Mar;106(3):277-282. doi: 10.1308/rcsann.2023.0004. Epub 2023 May 30. PubMed 37249560 ↗
  • Turkoz R. Myocardial protection in pediatric cardiac surgery. Artif Organs. 2013 Jan;37(1):16-20. doi: 10.1111/aor.12029. PubMed 23305570 ↗
  • Jobsis FF. Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science. 1977 Dec 23;198(4323):1264-7. doi: 10.1126/science.929199. PubMed 929199 ↗
  • Bale G, Elwell CE, Tachtsidis I. From Jobsis to the present day: a review of clinical near-infrared spectroscopy measurements of cerebral cytochrome-c-oxidase. J Biomed Opt. 2016 Sep;21(9):091307. doi: 10.1117/1.JBO.21.9.091307. PubMed 27170072 ↗
  • Holper L, Mann JJ. Test-retest reliability of brain mitochondrial cytochrome-c-oxidase assessed by functional near-infrared spectroscopy. J Biomed Opt. 2018 May;23(5):1-9. doi: 10.1117/1.JBO.23.5.056006. PubMed 29766685 ↗
  • Lindbergh T, Haggblad E, Ahn H, Goran Salerud E, Larsson M, Stromberg T. Improved model for myocardial diffuse reflectance spectra by including mitochondrial cytochrome aa3, methemoglobin, and inhomogenously distributed RBC. J Biophotonics. 2011 Apr;4(4):268-76. doi: 10.1002/jbio.201000048. PubMed 20661995 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared. The investigation enrols minors undergoing congenital cardiac surgery at a single centre, a rare and heterogeneous population in which the small sample size and detailed intraoperative and perioperative data create a substantive risk of re-identification. Participant consent and the approved Clinical Investigation Plan do not cover secondary sharing of individual-level data, and the sponsor's obligations under Regulation (EU) 2016/679 (GDPR) preclude onward transfer without a valid legal basis. Aggregate results will be published in accordance with the publication policy and made publicly available in EUDAMED, and the clinical investigation report will be submitted to the competent authority within one year of the end of the investigation.

09

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Sep 28, 2026
Sites
1 site added — first site in Finland
Show site
  • HUS New Childrens Hospital · Helsinki, Finland
Sep 28, 2026
Start date
Oct 1, 2026→Sep 17, 2026 (actual)
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    Not yet recruiting→Recruiting
    1 site added — first site in Finland
    Show site
    • HUS New Childrens Hospital · Helsinki, Finland
    Start date Oct 1, 2026→Sep 17, 2026 (now actual)
    + 1 other change: verification date

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
NCT07785141
Lead sponsor
Spectrocor
Collaborators
Hospital District of Helsinki and Uusimaa
Responsible party
Sponsor
First posted
Aug 25, 2026
Start date
Sep 17, 2026
Primary completion
Dec 31, 2027 (estimated)
Completion
Feb 28, 2029 (estimated)
Last update
Sep 28, 2026

Study contacts

Kalle Kotilahti
Contact
kalle@spectrocor.com
+358449016550
Tommi Pätilä, PhD
Contact
tommi@spectrocor.com
+358440130770
Henri Haapanen, PhD
principal investigator · Helsinki University Hospital (HUS)

Oversight

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

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