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Trial · NCT04217421

Cerebrum and Cardiac Protection With Allopurinol in Neonates With Critical Congenital Heart Disease Requiring Cardiac Surgery With Cardiopulmonary Bypass

NCT04217421, Phase 3, Recruiting, dr. M.J.N.L. Benders

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. Cerebrum and Cardiac Protection With Allopurinol in Neonates With Critical Congenital Heart Disease Requiring Cardiac Surgery With Cardiopulmonary Bypass. Trials, record NCT04217421. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04217421

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Cerebrum and Cardiac Protection With Allopurinol in Neonates With Critical Congenital Heart Disease Requiring Cardiac Surgery With Cardiopulmonary Bypass
NCT number
NCT04217421
Status
Recruiting
Phases
Phase 3
Enrollment
236 participants, estimated
Lead sponsor
dr. M.J.N.L. Benders
Conditions
Congenital Heart Disease in Children, Neuroprotection
Interventions
Allopurinol, Mannitol
First posted
2020-01-03
Last updated
2024-05-16
Other registries' IDs
eudract:2017-004596-31

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryRelevant parenchymatous brain injury on postoperative MRIbetween birth and 1 month after cardiac surgeryThe presence or absence of relevant (moderate/severe) parenchymatous (ischemic or hemorrhagic) brain injury on postoperative MRI will be assessed, using the T1/T2/DWI and SWI weighted images.
PrimaryRate of children that are considered 'too unstable for postoperative MRI'between birth and 1 month after cardiac surgery
This decision is based on the circulatory and respiratory status of the child before the planned postoperative MRI, as included in local guidelines (not part of this protocol) of each participating center.
PrimaryIncidence of mortalitybetween birth and 1 month after cardiac surgeryDefined as death until one month postoperatively.
SecondaryBrain injury severity score on pre- and postoperative MRIbetween birth and 1 month after cardiac surgery
An MRI score, which includes diffusion-weighted imaging as well as assessment of the deep grey matter, white matter, and cerebellum \[Weeke L, et al. J Pediatr 2018\]. The score will be compared between groups (allopurinol vs placebo).
SecondaryVolume of hypoxic-ischemic brain injury on pre- and postoperative MRIbetween birth and 1 month after cardiac surgery
To assess whether there are differences between groups (allopurinol vs placebo) in volume (mm3) of hypoxic-ischemic brain lesions using a fully automatic method for detection and quantification of ischemic lesions in diffusion-weighted MR images \[Murphy K, et al. Neuroimage Clin 2017\].
SecondaryGlobal ventricular function (normal, mildly, moderately, severely, reduced) pre- and postoperativelybetween birth and 1 month after cardiac surgery
SecondaryVentricular ejection fraction (%) pre- and postoperativelybetween birth and 1 month after cardiac surgery
SecondaryBrain function: Seizure activity on aEEG (presence or absence) postnatally and postoperatively24-36 hours after birth, 6 hours before surgery, 48-72 hours after surgery
SecondaryBrain oxygenation: Regional cerebral oxygen saturation (%) postnatally and postoperatively24-36 hours after birth, 6 hours before surgery, 48-72 hours after surgery
SecondaryGeneral movements and motor optimality scoreat 3 months
Video recordings will be analyzed following the global general movement categories (normal, poor repertoire, cramped-synchronized, or chaotic) and the motor optimality score \[Einspieler C, et al. Dev Med Child Neurol. 2016\]. A higher score expresses a more optimal performance. Scores will be compared between groups (allopurinol vs placebo).

Outcomes0

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

None in this release.

Results by group0

Each measurement the trial posted, group by group, in the words and numbers it posted.

None in this release.

Participant flow0

How many started, completed or left each group, period by period.

None in this release.

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals0

The totals the trial posted for each group.

None in this release.

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
35197082BACKGROUNDPubMed
39147988DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Source

Release
trials-2026-11-12-0.4.0
Release manifest SHA-256
0f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4
Registry capture
2026-11-12
Results copy, AACT
2026-03-23
NIH clinical studies file
2026-11-13

Source ClinicalTrials.gov

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNone stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04217421

GET https://conductscience.org/api/trials/v1/NCT04217421/registered