Trial of FETO for Severe Congenital Diaphragmatic Hernia

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorAimen F. Shaaban, MD

About this trial

This is a single site pilot trial to study the feasibility of Fetoscopic Endoluminal Tracheal Occlusion (FETO) therapy in the most severe group of fetuses with congenital diaphragmatic hernia (CDH) at Ann \& Robert H. Lurie Children's Hospital of Chicago (Lurie Children's). This procedure aims to increase fetal lung volume before birth and improve survival after birth. This study will enroll 10 pregnant women who meet study criteria.

Eligibility criteria

Qualifiers

Provision of signed and dated informed consent form

Pregnant individuals age 18 years and older

Singleton pregnancy

No pathogenic variants on prenatal chromosomal microarray or pathologic findings on karyotype analysis. Results by fluorescence in situ hybridization (FISH) will be acceptable if the patient is > 26 weeks

Disqualifiers

Rubber latex allergy

Presence of chromosomal abnormalities or anatomic anomalies that are known to significantly alter survival prognosis (i.e., CDH and congenital heart disease). No cases will be removed post hoc if abnormalities are discovered during post-operative monitoring

History of preterm labor, cervix shortened to ≤20 mm at enrollment or at 24 hours prior to FETO balloon insertion procedure) or uterine anomaly strongly predisposing to preterm labor or placenta previa

Maternal contraindication to fetoscopic surgery or severe maternal medical condition in pregnancy

Trial design

Treatments tested in this trial

  • FETO with Goldballoon Detachable Balloon (GOLDBAL2) along with the delivery Microcatheter (BALTACCI-BDPE100)

Treatment groups

10 Participants
are divided into 1 treatment group

Sponsors and collaborators

Aimen F. Shaaban, MD

Lead sponsor

Ann & Robert H Lurie Children's Hospital of Chicago

Sponsor institution