Balloon in the womb: new hope for babies with underdeveloped lungs?
NCT ID NCT02549820
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This pilot study tests a procedure called FETO in 14 unborn babies with severe left congenital diaphragmatic hernia (CDH), a birth defect where abdominal organs push into the chest and stunt lung growth. Doctors place a tiny balloon in the baby's windpipe via fetoscopy to trap lung fluid and encourage lung expansion. The goal is to see if the balloon can be safely placed and removed, potentially improving survival after birth.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- GoldBAL2 Detachable Balloon and delivery catheter (fetoscopic endoluminal tracheal occlusion device)
- What this could lead to
- If successful, this procedure could help babies with severe CDH survive by allowing their lungs to grow before birth.
- What could go wrong
- This is a very small pilot study (14 participants) testing feasibility, not effectiveness. The procedure carries risks for both mother and fetus, including premature balloon removal or complications from the fetoscopic surgery.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
14 people
The number who actually took part.
- Start date
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Jul 2015
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 50 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Pregnant women age 18 years and older, who are able to consent 2. Singleton pregnancy Fetal: 3. Normal Karyotype or chromosomal microarray with non-pathologic variants 4. Diagnosis of Isolated Left CDH with liver up 5. Gestation at enrollment prior to 29 weeks plus 5 days 6. SEVERE pulmonary hypoplasia with Ultrasound Observed/Expected Lung-to-Head Ratio (O/E LHR) \< 25% Exclusion Criteria: 1. Pregnant women \< 18 years 2. Maternal contraindication to fetoscopic surgery or severe maternal medical condition in pregnancy 3. Technical limitations precluding fetoscopic surgery 4. Rubber latex allergy 5. Preterm labor, cervix shortened (\<15 mm at enrollment or within 24 hours of FETO balloon insertion procedure) or uterine anomaly strongly predisposing to preterm labor, placenta previa 6. Psychosocial ineligibility, precluding consent 7. Fetal Diaphragmatic hernia: right-sided or bilateral, major associated anomalies, isolated left-sided with the O/E LHR ≥ 25% 8. Inability to remain at FETO site during time period of tracheal occlusion, delivery and postnatal care
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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