Clinical trial Recruiting at 5 sites Interventional Ages 1 Minute to 6 Months

Early versus later corrective surgery for newborns with Tetralogy of Fallot.

Official title: A Multi-center, Randomized, Controlled Investigation of Tetralogy of Fallot in Neonates

Run by Beijing Anzhen Hospital · NCT06822400 · Data updated 2026-11-12

This trial will test whether doing corrective heart surgery within the first 28 days or waiting until 3–6 months leads to better outcomes for newborns with Tetralogy of Fallot.

More Tetralogy of Fallot trials

Quick facts

Study typeInterventional
Ages1 Minute to 6 Months
SexAll
Enrollment160 (estimated)
SponsorBeijing Anzhen Hospital
Academic / other
Locations5 sites (Beijing, Beijing Municipality and 4 other locations)
StatusRecruiting
StartedMarch 1, 2025
Main results expectedJanuary 31, 2028
Study endsJanuary 31, 2028
Registry record updatedOctober 13, 2026
Trial IDNCT06822400 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Full-term neonates (≤28 days old) with a clinical diagnosis of Tetralogy of Fallot, birth weight over 2.5 kg, and parental informed consent are the ideal candidates.

Probably not a fit

Preterm infants, those with complex or single-ventricle cardiac anomalies, severe pulmonary artery hypoplasia, major genetic or extracardiac conditions, or infants requiring palliative care are unlikely to benefit from this trial's timing comparison.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized interventional trial compares two timing strategies for corrective repair of Tetralogy of Fallot in neonates: corrective surgery within 28 days of birth versus corrective surgery at 3–6 months of age. Full-term infants with a clinical diagnosis of TOF and birth weight >2.5 kg whose parents give informed consent are enrolled, while preterm infants, those with complex cardiac or major extracardiac anomalies, or severe pulmonary artery hypoplasia are excluded. Participants are treated primarily at Beijing Anzhen Hospital with collaborating pediatric centers and followed for perioperative outcomes, survival, complications, need for reintervention, and early growth and developmental measures. The trial aims to provide clearer evidence about the optimal timing of corrective repair to guide clinical decision-making for affected newborns.

Why it matters

Potential benefit: If successful, selecting the better timing for repair could reduce early deaths and complications and improve short-term recovery and growth for infants with TOF.

How similar studies have gone: Previous observational and smaller randomized studies of neonatal versus later TOF repair have shown mixed results—some report higher early surgical risk while others suggest reduced cyanotic events—so this randomized comparison seeks stronger evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Clinical diagnosis of TOF's Disease. Full-term neonates aged ≤28 days. Birth weight of all eligible male or female patients \>2.5 kg. All included study participants must be able to give an informed consent

Exclusion Criteria:

Preterm infants . Coexisting complex cardiac anomalies. Severe TOF with pulmonary artery hypoplasia , recurrent hypoxic episodes , or conditions warranting palliative or single-ventricle repair.

Extra-cardiac anomalies, including genetic or chromosomal abnormalities. Neonatal bronchopulmonary dysplasia. Deteriorating conditions in the control group precluding surgery by 3 months of age.

Parental refusal to participate in the clinical trial.

Where it's running

  • Beijing Anzhen Hospital
    Beijing, Beijing Municipality, China
    Recruiting
  • West China Second Hospital of Sichuan University
    Chengdu, China
    Recruiting
  • The Children's Hospital of Fudan University, Shanghai
    Shanghai, China
    Recruiting
  • Shenzhen Children's Hospital
    Shenzhen, China
    Recruiting
  • Children's Hospital of Soochow University, Suzhou
    Suzhou, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.