NIH-funded research U01 cooperative agreement

Endoscopic treatment vs shunt for infant hydrocephalus

Official title: Endoscopic versus Shunt Treatment of Hydrocephalus in Infants

Funded at Utah State Higher Education System--University of Utah · NIH-11608583 · Data updated 2026-11-12

Infants with hydrocephalus may be treated with a shunt or a shunt-free procedure called ETV+CPC, and this study compares the two to see if the shunt-free option can keep cognitive outcomes similar.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionUtah State Higher Education System--University of Utah
NIH-funded
Lab location1 site (Salt Lake City, United States)
Project startSeptember 15, 2019
Project endAugust 31, 2027
Funding year2026
Award (this year)$25,170
NIH project number3U01NS107486-07S1
Project IDNIH-11608583 on NIH RePORTER

Who could benefit from this research

Could help

Infants ≤12 months corrected age with hydrocephalus treated at major pediatric neurosurgery centers in North America.

Less likely to help

Some infants may not be suitable for ETV+CPC or may not experience non-inferior cognitive outcomes.

What this research studies

This project focuses on infants up to 12 months old with hydrocephalus who require treatment at major pediatric centers in North America. It compares endoscopic third ventriculostomy with choroid plexus cauterization (ETV+CPC) to the standard CSF shunt, with the goal of finding a treatment that avoids long-term shunt problems. The study uses Bayley Scales of Infant and Toddler Development to measure cognitive outcomes 12 months after surgery and tests whether ETV+CPC is non-inferior to shunting within a 1.5-point margin. The research builds on prior safety data and family preferences for shunt-free options, aiming to guide future treatment choices for infants. If successful, results could influence pediatric neurosurgical practice and reduce lifelong shunt-related costs and complications.

Why it matters

Potential benefit: Children may avoid long-term shunt complications and experience comparable cognitive development with the shunt-free option.

How similar studies have gone: Prior data show ETV+CPC can be safe and viable, but cognitive outcomes versus shunt require definitive non-inferiority testing.

Where this research is happening

  • Utah State Higher Education System--University of Utah
    Salt Lake City, United States
    Active

Researchers

  • Principal investigator: Kestle, John — Utah State Higher Education System--University of Utah
  • Study coordinator: Kestle, John

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.