FETO Therapy for Severe Congenital Diaphragmatic Hernia

This pilot study is testing a procedure called Fetoscopic Endoluminal Tracheal Occlusion (FETO) therapy for babies with severe left-sided congenital diaphragmatic hernia (CDH). CDH is a condition where a hole in the baby's diaphragm allows organs to move into the chest, limiting lung growth. The FETO procedure involves placing a small balloon (Balt Goldbal2) in the baby's airway before birth to help their lungs grow. The balloon is placed before 29 weeks and 6 days of pregnancy and removed by 35 weeks and 6 days. This study aims to see if the procedure is possible and safe, hoping to improve the baby's lung development and survival after birth. We are looking for 10 pregnant women (18 or older) with a single baby diagnosed with severe left-sided CDH (O/E LHR < 25%). Success for this study means successfully placing and removing the balloon.

Study design
This is a single-site pilot study, meaning it's a small initial study at one location. It aims to enroll 10 participants.
What's involved
You would undergo one procedure to place the FETO device before 29 weeks 6 days of pregnancy, and a second procedure to remove it by 35 weeks 6 days.
Compensation
Not stated in the trial record.
Follow-up
After delivery, your baby will receive routine care for CDH in the Children's MN NICU. The study measures successful balloon removal by 35 weeks 6 days.

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NCT05771688

Fetoscopic Endoluminal Tracheal Occlusion

Recruiting
NAAges 18+InterventionalDevice feasibility
Children's Hospitals and Clinics of Minnesota
~10 participants
Updated 2024-02-23 on ClinicalTrials.gov
What's tested:FETO therapy

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Successful placement of Balt Goldbal2 balloon
Measured over Prior to 29 weeks 6 days Gestational Age (GA)
+1 more outcome measured
Hernia, DIaphragmatic, Congenital
1 sites across 1 states
Minnesota1

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  • Successful placement of Balt Goldbal2 balloonPrior to 29 weeks 6 days Gestational Age (GA)

    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.

  • Successful removal of Balt Goldbal2 balloonPrior to 35 weeks 6 days GA

    Removal of the balloon