Actively Recruiting

Phase 3
Age: 1Day - 31Days
All Genders
NCT04216927

NO During CPB in Neonates to Reduce Risk of AKI

Led by Children's Hospital Medical Center, Cincinnati · Updated on 2025-07-24

40

Participants Needed

1

Research Sites

181 weeks

Total Duration

On this page

Sponsors

C

Children's Hospital Medical Center, Cincinnati

Lead Sponsor

M

Mallinckrodt

Collaborating Sponsor

AI-Summary

What this Trial Is About

Acute kidney injury (AKI) following cardiac surgery for congenital heart defects (CHD) in children affects up to 60% of high risk-patients and is a major cause of both short- and long-term morbidity and mortality. Despite effort, to date, no successful therapeutic agent has gained widespread success in preventing this postoperative decline in renal function. Nitric oxide is an intricate regulator of acute inflammation and coagulation and is a potent vasodilator. The investigators hypothesize that nitric oxide, administered during cardiopulmonary bypass (CPB), may reduce the incidence of AKI.

CONDITIONS

Official Title

NO During CPB in Neonates to Reduce Risk of AKI

Who Can Participate

Age: 1Day - 31Days
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Neonates 31 days old or younger undergoing cardiac surgery with cardiopulmonary bypass for congenital heart defects
Not Eligible

You will not qualify if you...

  • Failure to obtain informed consent from parent or guardian
  • Clinical signs of persistent elevated pulmonary vascular resistance before surgery
  • Emergency surgery
  • Cardiac arrest episode within 1 week before surgery
  • Recent steroid treatment or condition requiring steroids (except steroids given during cardiopulmonary bypass)
  • Use of inhaled nitric oxide immediately before surgery
  • Structural kidney abnormalities seen on ultrasound
  • Acute kidney injury before surgery
  • Use of other investigational drugs
  • Weight less than 2 kg
  • Gestational age less than 36 weeks
  • Major extracardiac congenital anomalies
  • Non-English speakers

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States, 45229

Actively Recruiting

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Research Team

D

David S Cooepr, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

PREVENTION

Number of Arms

2

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