Clinical trial Recruiting at 3 sites Interventional Ages 36 Weeks to 37 Weeks

Investigating cord resuscitation techniques for newborns with congenital diaphragmatic hernia

Official title: Efficacy of Intact Cord Resuscitation Compared to Immediate Cord Clamping on Cardiorespiratory Adaptation at Birth in Infants With Isolated Congenital Diaphragmatic Hernia (CDH)

Run by University Hospital, Lille · NCT04429750 · Data updated 2026-11-12

This study is testing if delaying the clamping of the umbilical cord can help full-term newborns with congenital diaphragmatic hernia breathe better and have better health outcomes.

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Quick facts

Study typeInterventional
Ages36 Weeks to 37 Weeks
SexAll
Enrollment180 (estimated)
SponsorUniversity Hospital, Lille
Academic / other
Locations3 sites (Amiens and 2 other locations)
StatusRecruiting
StartedOctober 8, 2020
Main results expectedOctober 2026
Study endsOctober 2026
Registry record updatedMay 20, 2026
Trial IDNCT04429750 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are full-term newborns diagnosed with isolated congenital diaphragmatic hernia.

Probably not a fit

Patients who are preterm or have severe additional malformations or chromosomal diseases will not benefit from this study.

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

What this trial studies

This clinical trial examines the effects of intact cord resuscitation versus immediate cord clamping on the cardiorespiratory adaptation of full-term newborns diagnosed with isolated congenital diaphragmatic hernia (CDH). Given the high mortality rates associated with CDH, the study aims to determine if delaying cord clamping can improve outcomes for these infants. The trial is multicenter and randomized, involving several hospitals in France to ensure a diverse patient population. Parents must provide informed consent for their participation, and the study excludes preterm infants and those with severe additional malformations.

Why it matters

Potential benefit: If successful, this study could lead to improved survival rates and better health outcomes for newborns with congenital diaphragmatic hernia.

How similar studies have gone: Previous studies have indicated potential benefits of delayed cord clamping for newborns, suggesting that this approach may be promising for similar conditions.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Antenatal diagnosis of CDH
* No severe additional malformation or chromosomal diseases
* Full term (\>36 weeks gestational age)
* No inclusion in another antenatal trial
* Written informed consents from the parents

Exclusion Criteria:

* Preterm birth less than 37 weeks gestational age
* Other severe malformation(s) or chromosomal diseases
* Twin
* Parents who may have French language understanding difficulties may not participate to the study unless they receive appropriate assistance regarding the understanding of the formal consent forms needed to get included in the study. If included in the study, regarding their French understanding level, the parents may not be proposed the auto questionnaires and interviews led by the psychologist

Where it's running

  • Chu Amiens Picardie
    Amiens, France
    Recruiting
  • Hop Jeanne de Flandre Chu Lille
    Lille, France
    Recruiting
  • Chu de Nantes -
    Nantes, France
    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.