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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Efficacy Study; Intervention Model: Parallel Assignment; Masking: Double Blind (Subject, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
| Conditions: |
Heart Defects, Congenital Heart Failure, Congestive |
| Interventions: |
Drug: Enalapril Drug: Placebo |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
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| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| Description | |
|---|---|
| Enalapril | ACE (Angiotensin-converting enzyme) inhibitor enalapril, initial dose 0.1 mg/kg/day; Uptitrated as tolerated to target dose of 0.4 mg/kg/day given in two divided doses |
| Placebo | Placebo suspension |
| Enalapril | Placebo | |
|---|---|---|
| STARTED | 115 | 115 |
| COMPLETED | 91 | 94 |
| NOT COMPLETED | 24 | 21 |
| Death or Transplant | 14 | 16 |
| Family or MD withdrew subject | 10 | 5 |
Baseline Characteristics
| Description | |
|---|---|
| Enalapril | ACE (Angiotensin-converting enzyme) inhibitor enalapril, initial dose 0.1 mg/kg/day; Uptitrated as tolerated to target dose of 0.4 mg/kg/day given in two divided doses |
| Placebo | Placebo suspension |
| Enalapril | Placebo | Total | |
|---|---|---|---|
|
Number of Participants
[units: participants] |
115 | 115 | 230 |
|
Age
[units: participants] |
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| <=18 years | 115 | 115 | 230 |
| Between 18 and 65 years | 0 | 0 | 0 |
| >=65 years | 0 | 0 | 0 |
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Age
[units: days] Mean ± Standard Deviation |
20.1 ± 8.9 | 20.7 ± 9.1 | 20.4 ± 9.0 |
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Gender
[units: participants] |
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| Female | 40 | 28 | 68 |
| Male | 75 | 87 | 162 |
|
Race/Ethnicity, Customized
[units: participants] |
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| White | 96 | 89 | 185 |
| Black/African-American | 12 | 20 | 32 |
| Asian | 4 | 3 | 7 |
| Other | 3 | 3 | 6 |
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Region of Enrollment
[units: participants] |
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| United States | 104 | 105 | 209 |
| Canada | 11 | 10 | 21 |
Outcome Measures
| 1. Primary: | Weight-for-age Z-score at 14 Months of Age [ Time Frame: Measured at baseline, 2 weeks after starting study drug, just prior to the Glenn surgery, 7 days after restarting drug following the Glenn surgery, at 10 months of age, and at 14 months of age ] |
| 2. Secondary: | Height-for-age Z-score [ Time Frame: Measured at baseline, 2 weeks after starting study drug, just prior to the Glenn surgery, 7 days after restarting drug following the Glenn surgery, at 10 months of age, and at 14 months of age ] |
| 3. Secondary: | Head Circumference-for-age Z-score [ Time Frame: Measured at baseline, 2 weeks after starting study drug, just prior to the Glenn surgery, 7 days after restarting drug following the Glenn surgery, at 10 months of age, and at 14 months of age ] |
| 4. Secondary: | Number of Participants With Ross Heart Failure Class I [ Time Frame: Just prior to the pre-Glenn surgery ] |
| 5. Secondary: | Number of Participants With Ross Heart Failure Class I [ Time Frame: Measured at 14 months of age ] |
| 6. Secondary: | B-Type Natriuretic Peptide [ Time Frame: Measured just prior to the Glenn surgery ] |
| 7. Secondary: | B-type Natriuretic Peptide Level [ Time Frame: at the time of the 14 month visit ] |
| 8. Secondary: | Neurodevelopmental Status (PDI): the Bayley Scales of Infant Development,Psychomotor Development Index Z-score [ Time Frame: at 14 months of age ] |
| 9. Secondary: | Neurodevelopmental Status(MDI): Bayley Scales of Infant Development, Mental Developmental Index Z-score [ Time Frame: at 14 months of age ] |
| 10. Secondary: | Neurodevelopmental Status (FSII) [ Time Frame: at 14 months of age ] |
| 11. Secondary: | MacArthur-Bates Inventory -Phrases Understood [ Time Frame: at 14 months of age ] |
| 12. Secondary: | MacArthur-Bates Inventory -Words Understood [ Time Frame: at 14 months of age ] |
| 13. Secondary: | MacArthur-Bates Inventory -Total Gestures [ Time Frame: at 14 months of age ] |
| 14. Secondary: | MacArthur-Bates Inventory -Words Produced [ Time Frame: at 14 months of age ] |
| 15. Secondary: | Ejection Fraction (%) [ Time Frame: just before the Glenn surgery ] |
| 16. Secondary: | Ejection Fraction (%) [ Time Frame: at 14 months of age ] |
| 17. Secondary: | Ventricular Mass [ Time Frame: just before the Glenn surgery ] |
| 18. Secondary: | Ventricular Mass [ Time Frame: At 14 months of age ] |
| 19. Secondary: | Ventricular Mass Z-score [ Time Frame: just before the Glenn surgery ] |
| 20. Secondary: | Ventricular Mass Z-score [ Time Frame: at 14 months of age ] |
| 21. Secondary: | End-diastolic Volume [ Time Frame: just before the Glenn surgery ] |
| 22. Secondary: | End-diastolic Volume [ Time Frame: at 14 months of age ] |
| 23. Secondary: | End Diastolic Volume Z-score [ Time Frame: just before the Glenn surgery ] |
| 24. Secondary: | End-diastolic Volume Z-score [ Time Frame: at 14 months of age ] |
| 25. Secondary: | Ventricular Mass to Volume Ratio [ Time Frame: Measured just before the Glenn surgery ] |
| 26. Secondary: | Ventricular Mass to Volume Ratio [ Time Frame: Measured at 14 months of age ] |
| 27. Secondary: | Ventricular Filling Pressure [ Time Frame: just before the Glenn surgery ] |
| 28. Secondary: | Number of Participants With Moderate to Severe AV Valve Regurgitation [ Time Frame: just before the pre-Glenn surgery ] |
| 29. Secondary: | Number of Participants With Moderate to Severe AV Valve Regurgitation [ Time Frame: at age 14 months ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. |
| There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. |
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
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| No text entered. |
| Responsible Party: | Lynn Sleeper, PI, New England Research Institutes |
| ClinicalTrials.gov Identifier: | NCT00113087 History of Changes |
| Other Study ID Numbers: | 177, U01HL068270, U01HL068279, U01HL068281, U01HL068285, U01HL068288, U01HL068290, U01HL068292, U01HL068269 |
| Study First Received: | June 3, 2005 |
| Results First Received: | September 4, 2009 |
| Last Updated: | September 16, 2010 |
| Health Authority: | United States: Food and Drug Administration |