Status:

NOT_YET_RECRUITING

Inhaled Nitric Oxide (iNO) for Congenital Diaphragmatic Hernia (CDH) - The "NoNO Trial" - a Multi-center, De-implementation, Stepped-wedge, Cluster-randomized Trial Within an Established Collaborative

Lead Sponsor:

The University of Texas Health Science Center, Houston

Conditions:

Congenital Diaphragmatic Hernia

Eligibility:

All Genders

Up to 1 years

Phase:

PHASE4

Brief Summary

The purpose of this study is to Determine if deimplementation of iNO in the post-natal resuscitation/stabilization phase affects the composite outcome of ECLS use and/or mortality, as well as ECLS use...

Detailed Description

In this multi-center study, centers will use iNO per their usual protocol, and centers will then crossover to iNO de-implementation (that is, at the time of crossover, centers will stop using iNO in t...

Eligibility Criteria

Inclusion

  • Postnatal, live born neonates with CDH
  • a. Presence of associated or additional anomalies is acceptable for inclusion
  • Bochdalek hernia location (right or left)
  • Diagnosed prior to 1 month of life
  • Born within or transferred to (within 1 week of life) a CDHSG member center participating in the trial

Exclusion

  • CDH diagnosis after 1 month of age
  • Morgagni diaphragmatic hernia (central / anterior-medial diaphragmatic defect location)
  • Transferred to a CDH Study Group (CDHSG) member center after 1 week of life
  • Patients without potential access to iNO

Key Trial Info

Start Date :

January 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2030

Estimated Enrollment :

600 Patients enrolled

Trial Details

Trial ID

NCT05213676

Start Date

January 1 2025

End Date

December 31 2030

Last Update

June 29 2023

Active Locations (1)

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1

The University of Texas Health Science Center at Houston

Houston, Texas, United States, 77030