Speech and language outcomes after neonatal hypoxic-ischemic encephalopathy
Official title: Investigating the Prognostic Accuracy of Different Biomarkers for Detection of Developmental Language Disorder in Children With Neonatal Encephalopathy
Run by Semmelweis University · NCT07136636 · Data updated 2026-11-12
We will see if early newborn tests—blood gas and lactate values, aEEG, and MRI (especially corpus callosum ADC)—can predict language, IQ, memory, or later diagnoses like autism and ADHD in children aged 4–7 who had moderate to severe HIE and therapeutic hypothermia.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 0 Years to 7 Years |
| Sex | All |
| Enrollment | 93 (estimated) |
| Sponsor | Semmelweis University Academic / other |
| Locations | 1 site (Budapest) |
| Status | Recruiting |
| Started | April 1, 2025 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | August 22, 2025 |
| Trial ID | NCT07136636 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children born ≥35 weeks between 2017–2023 who had moderate to severe HIE treated with therapeutic hypothermia at Semmelweis University, attended the two‑year follow-up, and whose parents provide consent are the intended participants.
✕Probably not a fit
Children with non‑HIE brain injury, congenital abnormalities, metabolic disease, hearing loss, multilingual home environments, severe motor impairment at 2 years, or those not treated/followed at the study center are unlikely to benefit from these prognostic results.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This ambispective, single-center cohort will reanalyze neonatal clinical, laboratory, aEEG, and MRI data for children treated with therapeutic hypothermia for moderate to severe HIE and who had standardized neurodevelopmental follow-up at 2 years. Neonatal MRI scans will be rescored using the Weeke system and corpus callosum ADC values will be extracted for prognostic testing. Developmental outcomes at ages 4–7 will be compared to early biomarkers to determine which markers best predict later language, cognitive, and memory performance and the incidence of ASD/ADHD. Recruitment and data collection are planned at Semmelweis University between April 1, 2025 and December 31, 2026.
Why it matters
Potential benefit: If successful, the findings could allow earlier and more accurate identification of infants at high risk for language or cognitive problems after HIE, guiding targeted early interventions and follow-up.
How similar studies have gone: Prior research has linked neonatal MRI patterns, aEEG, and some blood markers to later neurodevelopmental outcomes, but focusing on corpus callosum ADC within an ambispective cohort to predict language and ASD/ADHD risk is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Children born between 2017 and 2023 with moderate to severe HIE, treated with therapeutic hypothermia at Semmelweis University Children's Hospital. Inclusion criteria 1. Born at ≥ 35th week of gestation 2. Attended follow-up examinations at two years of age 3. Has parental informed consent Exclusion criteria 1. Hearing loss 2. Multilingual language environment 3. Congenital abnormalities 4. Metabolic disease 5. Sudden unexpected postnatal collapse 6. Brain injury not caused by HIE 7. Severe motor impairment defined as a score \<70 on the psychomotor development index (PDI) at 2 years of age
Where it's running
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Semmelweis University
Budapest, Hungary Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.