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Fetoscopic Repair for Spina Bifida (fMMC Trial)

Phase 1
Waitlist Available
Led By Michael A. Belfort, M.D.
Research Sponsored by Baylor College of Medicine
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Family has considered and declined the option of termination of the pregnancy at less than 24 weeks
Absence of chromosomal abnormalities and associated anomalies
Timeline
Screening 3 weeks
Treatment Varies
Follow Up time of procedure
Awards & highlights

fMMC Trial Summary

This trial will help researchers understand if a new, minimally invasive technique for repairing fetal MMC is feasible and as effective as traditional surgery, but with less risks for mother and baby.

Who is the study for?
This trial is for pregnant women aged 18 or older with a single pregnancy and fetal MMC located between T1 and S1, showing hindbrain herniation. The fetus must not have chromosomal abnormalities, be within 19-25 weeks gestation, and the family should reject termination of pregnancy. Women must have social support, understand study requirements, and consent to follow-up after birth.Check my eligibility
What is being tested?
The study tests a new fetoscopic technique to repair fetal MMC without making a uterine incision in the mother. This could reduce maternal-fetal risks compared to open surgery, potentially avoid cesarean sections for future births, decrease premature membrane rupture risk, and allow vaginal delivery if successful.See study design
What are the potential side effects?
While specific side effects are not listed for this minimally invasive procedure, potential risks may include complications from anesthesia or surgery such as infection or bleeding. There's also a chance of preterm labor or issues related to the surgical intervention on the fetus.

fMMC Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My family and I have decided against ending the pregnancy before 24 weeks.
Select...
My genetic tests show no chromosomal abnormalities.
Select...
I have been diagnosed with Arnold-Chiari type II malformation.
Select...
My spinal condition is between the T1 and S1 vertebrae.
Select...
I am a pregnant woman, 18 or older, and can consent for myself.

fMMC Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~at birth
This trial's timeline: 3 weeks for screening, Varies for treatment, and at birth for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Feasibility
Secondary outcome measures
Reversal of the Chiari II malformation with complete closure of the spinal defect.

fMMC Trial Design

1Treatment groups
Experimental Treatment
Group I: fetoscopic surgical repairExperimental Treatment1 Intervention
Single arm study. All patients will receive the fetoscopic repair.

Find a Location

Who is running the clinical trial?

Baylor College of MedicineLead Sponsor
1,001 Previous Clinical Trials
6,001,892 Total Patients Enrolled
3 Trials studying Neural Tube Defects
139 Patients Enrolled for Neural Tube Defects
Michael A. Belfort, M.D.Principal InvestigatorBaylor College of Medicine

Media Library

Fetoscopic Meningomyelocele Repair (Other) Clinical Trial Eligibility Overview. Trial Name: NCT02230072 — Phase 1
Neural Tube Defects Research Study Groups: fetoscopic surgical repair
Neural Tube Defects Clinical Trial 2023: Fetoscopic Meningomyelocele Repair Highlights & Side Effects. Trial Name: NCT02230072 — Phase 1
Fetoscopic Meningomyelocele Repair (Other) 2023 Treatment Timeline for Medical Study. Trial Name: NCT02230072 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are enrollment opportunities available for this experiment currently?

"The information found on clinicaltrials.gov reveals that this trial, initially publicized on July 1st 2014 and recently revised April 2nd 2022 is not presently enrolling patients. Despite no longer recruiting candidates for this study, there are 27 other trials actively seeking participants at the moment."

Answered by AI

Does the age requirement for this experiment extend to individuals over fifty-five years old?

"This medical study is specifically tailored for individuals between 18 and 64 years in age. For younger or older patients, there are 15 clinical trials available to those below 18 and 12 options for seniors over 65."

Answered by AI

To what extent can fetoscopy be detrimental to a person's health?

"The safety of fetoscopy was assessed as a 1 due to its early stage clinical trials, displaying limited data regarding efficacy and security."

Answered by AI

Do I meet the necessary criteria to be a participant in this examination?

"This research endeavour is recruiting 60 subjects with acrania between legal adulthood and retirement age. Mainly, the applicants should fulfill these conditions: be of 18 years or older in order to give consent for participation; free from chromosomal abnormalities and accompanying anomalies; gestation period must span 19 0/7 weeks to 25 6/7 weeks upon procedure commencement; have an adequate amount of social support as well as understanding of the study's requirements; chosen not to terminate pregnancy prior 24 weeks mark."

Answered by AI
~3 spots leftby Nov 2024