Status:

TERMINATED

Use of Oxandrolone to Promote Growth in Infants With HLHS

Lead Sponsor:

Carelon Research

Conditions:

Hypoplastic Left Heart

Congenital Heart Disease

Eligibility:

All Genders

Up to 14 years

Phase:

PHASE1

PHASE2

Brief Summary

The primary aim of this study is to determine if clinically relevant doses of buccally administered oxandrolone are safe and tolerable in neonates with hypoplastic left heart syndrome (HLHS) or other ...

Detailed Description

The proposed investigation is a Phase I/II randomized trial of 28 days of open label oxandrolone vs. no oxandrolone treatment to assess optimal dosing, safety/tolerability, and preliminary efficacy of...

Eligibility Criteria

Inclusion

  • HLHS and other single ventricle of right ventricular morphology
  • Age and Norwood procedure ≤14 days of age
  • Informed consent from parent/guardian

Exclusion

  • Small for gestational age (birth weight \<10th percentile for gestational age)
  • Prematurity, defined as gestational age \<37 weeks
  • Intrauterine growth retardation (birth weight ≤2.5 kg and gestational age ≥38 weeks)
  • Chromosomal abnormality, recognizable genetic syndrome or congenital anomalies of more than minor severity associated with growth failure
  • Moderate or greater right ventricular systolic dysfunction and/or moderate or greater tricuspid regurgitation prior to the Norwood procedure
  • Extracorporeal membrane oxygenation support (ECMO) prior to or within 24 hours of Norwood procedure
  • Pre-Norwood interventions (fetal intervention, balloon atrial septostomy for an intact or restrictive atrial septum)
  • Pre-Norwood pulmonary venous obstruction
  • Pre-Norwood procedure necrotizing enterocolitis and/or other gastrointestinal syndromes
  • Known contraindication to oxandrolone
  • Planned or current warfarin therapy at screening (warfarin effects are increased by anabolic drugs)
  • Significant hepatic dysfunction (elevation of serum transaminase levels greater than two times the upper limit of normal local laboratory standard at screening)
  • Hypercalcemia (\>1.5 times upper normal range for lab)
  • Nephrotic syndrome
  • Unwillingness or inability to return to surgical center for follow-up evaluation
  • Participation in another clinical study that may impact growth

Key Trial Info

Start Date :

December 20 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 19 2023

Estimated Enrollment :

34 Patients enrolled

Trial Details

Trial ID

NCT04090697

Start Date

December 20 2019

End Date

September 19 2023

Last Update

May 23 2024

Active Locations (10)

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Page 1 of 3 (10 locations)

1

Children's Hospital of Atlanta

Atlanta, Georgia, United States, 30322

2

Boston Children's Hospital

Boston, Massachusetts, United States, 02115

3

University of Michigan Health System, Ann Arbor

Ann Arbor, Michigan, United States, 48109

4

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States, 45229