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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 11 December 2023
Main ID:  NCT04027374
Date of registration: 16/07/2019
Prospective Registration: No
Primary sponsor: University Children's Hospital, Zurich
Public title: Stress-associated Epigenetic Alterations in Newborns After Fetal Surgery
Scientific title: Epigenetic Alterations in Stress Regulation Genes Among Newborns After Fetal Surgery for Myelomeningocele Repair: An Exploratory Study
Date of first enrolment: July 1, 2019
Target sample size: 70
Recruitment status: Completed
URL:  https://clinicaltrials.gov/ct2/show/NCT04027374
Study type:  Observational
Study design:   
Phase: 
Countries of recruitment
Switzerland
Contacts
Name:     Ueli Moehrlen, MD
Address: 
Telephone:
Email:
Affiliation:  University Children's Hospital, Zurich
Name:     Markus A Landolt, PhD
Address: 
Telephone:
Email:
Affiliation:  University Children's Hospital, Zurich
Name:     Tilo Burckhart, MD
Address: 
Telephone:
Email:
Affiliation:  University of Zurich
Name:     Edna Gruenblatt, PhD
Address: 
Telephone:
Email:
Affiliation:  University of Zurich, Department of Child and Adolescent Psychiatry
Key inclusion & exclusion criteria

Inclusion Criteria:

Group 1: Newborns after successful fetal surgery for MMC, delivered by ECS (elective
c-section) at weeks 350 - 370.

Group 2: Healthy newborns after exposure to synthetic glucocorticoids for lung maturity
during pregnancy, delivered by ECS between 350 - 400 weeks, matched for child sex with
group 1. This group is needed to control for the effects of sGC exposure.

Group 3: Healthy newborns, uncomplicated pregnancy, delivered at term by ECS between 360 -
390 weeks (healthy controls). Matched for child sex with group 1.

Exclusion Criteria for all 3 groups:

- Multiple pregnancies

- Apgar 5 min <=7, or significant postpartal health problems such as respiratory
distress syndrome

- ph<7.15

- General anaesthesia for ECS

- Insufficient knowledge of German or English by the mother

- Mother exposed to traumatic stress during pregnancy (other than fetal surgery)

- Non-Caucasian origin

- Egg donation



Age minimum: 2 Days
Age maximum: 3 Months
Gender: All
Health Condition(s) or Problem(s) studied
Meningomyelocele
Intervention(s)
Procedure: Fetal surgery for MMC repair
Primary Outcome(s)
Methylation status at NRC3C1 and the FKBP5 gene [Time Frame: Day 2 - Day 3]
Secondary Outcome(s)
Patient Health Questionnaire (PHQ) [Time Frame: Week 6 and month 3]
Secondary ID(s)
BASEC 2019-00598
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Psychiatric University Hospital, Zurich
University of Zurich
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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