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Down SyndromeCHILD-DSNCT05312177

Congenital Heart Disease: Impact on Learning and Development in Down Syndrome (CHILD-DS)

An observational study of Down Syndrome and Congenital Heart Disease, run by Carelon Research at 14 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study objective is to compare neurodevelopmental (ND) and behavioral outcomes between children with Down syndrome (DS) who had complete atrioventricular septal defect (CAVSD) repair and children from the same clinical sites with DS without major congenital heart disease (CHD) requiring previous or planned CHD… Read more about this study

Who is it for?
Ages 60 to 155 monthsHealthy volunteers can take part
Conditions the study is for
Down Syndrome, Congenital Heart Disease
What is being tested?
Stanford Binet Intelligence Scales, Fifth Edition, Vineland Adaptive Behavior Scales Third Edition and Peabody Picture Vocabulary Test, Fifth Edition
How many people
273 participants
Where
14 sitesin 2 countries
Study dates
1 May 2022to 31 Dec 2023
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 to 155 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Study population: PHN RLS Study participants with DS and CAVSD repair from the PHN sites are eligible to participate in this study. Children with a diagnosis of mosaic DS will be excluded, as these forms of DS show different ND trajectories and are usually excluded. While data on mosaic DS were not collected in the RLS Study, we anticipate few if any to have this diagnosis. The DS comparison group will be required to have no major CHD, defined as CHD that requires CHD surgery (a) in the period between birth and recruitment into the CHILD-DS Study or (b) planned for a future date.

Who may be able to join

  • Down Syndrome CAVSD Repair Group:
  • Trisomy 21
  • Male or Female, ages 5 years through 12 years
  • Had CAVSD repair within the first year of life
  • Parent or guardian and patient willing to comply with protocol and complete all study assessments; parent or guardian willing to provide written informed consent
  • Child able to speak and understand English
Show all 12Show fewer
  • Down Syndrome Comparison Group
  • Trisomy 21
  • Male or Female, age 5 years through 12 years
  • No major CHD, defined as CHD requiring previous or planned CHD surgery
  • Parent or guardian and patient willing to comply with protocol and complete all study assessments; parent or guardian willing to provide written informed consent
  • Child able to speak and understand English

Who cannot join

  • Both Groups
  • Mosaic DS
  • Down Syndrome CAVSD Repair Group only - Did not have CAVSD repair in the first year of life
  • Down Syndrome Comparison Group only
  • Major CHD requiring previous or planned CHD surgery - i.e., CHD surgery occurring (a) in the period between birth and time of recruitment into the CHILD-DS Study, or (b) planned for a future date.

Trial locations and contacts

14 sites in 2 countries.

14 sites in 2 countries

United States13 sites
  • University of Michigan Health System/Mott Hospital

    Ann Arbor, Michigan, 48109

  • Children's Healthcare of Atlanta at Egleston

    Atlanta, Georgia, 30033

  • Boston Children's Hospital

    Boston, Massachusetts, 02111

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • Baylor College of Medicine - Texas Children's Hospital

    Houston, Texas, 77030

  • Riley Children's Hospital

    Indianapolis, Indiana, 46202

  • Children's Mercy Hospital

    Kansas City, Missouri, 64108

  • Columbia College of Physicians and Surgeons

    New York, New York, 10032

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Primary Children's Hospital

    Salt Lake City, Utah, 84132

  • Children's National Hospital

    Washington D.C., District of Columbia, 20010

  • Alfred I. duPont Hospital for Children

    Wilmington, Delaware, 19899

Other trials in United States

Canada1 site
  • Hospital for Sick Children

    Toronto, Ontario, M5G 1X8

Other trials in Canada

About this study

The study objective is to compare neurodevelopmental (ND) and behavioral outcomes between children with Down syndrome (DS) who had complete atrioventricular septal defect (CAVSD) repair and children from the same clinical sites with DS without major congenital heart disease (CHD) requiring previous or planned CHD surgery.

Read the detailed description

We are conducting a multicenter cohort study, ancillary to the Pediatric Heart Network (PHN) Residual Lesion Score (RLS) study, to investigate determinants of ND and behavioral outcomes in children with DS, focusing on the role of CHD surgery. We are including children with DS who had CAVSD repair, as this group comprises 91% of all children with DS in the RLS Study, with similar underlying congenital cardiac defect and surgical repair complexity, allowing our children with DS and CHD to be a homogeneous group. Moreover, one in five individuals with DS is born with an AVSD, a 2000 times higher incidence than in those with normal chromosomes. In addition to recruiting children with DS who had CAVSD repair, we will recruit similarly-aged children with DS who do not have documented major CHD (i.e., CHD requiring previous or planned CHD surgery) to come into the same PHN site for a single study visit consisting of detailed phenotyping by completion of a Health \& Developmental History Intake form, ND and behavioral assessments, and optional collection and storage of saliva specimens in the PHN Biorepository. By building our sample from RLS Study participants and recruiting additional children who had infant CAVSD repair and meet study eligibility criteria, as well as a comparison group from the same PHN sites, we are leveraging rich prospective data in a group of DS children with CAVSD repair from a nationally representative sample, and the expertise of the PHN and Boston Children's Hospital (BCH).

Being tested
Stanford Binet Intelligence Scales, Fifth Edition, Vineland Adaptive Behavior Scales Third Edition, Peabody Picture Vocabulary Test, Fifth Edition, Expressive Vocabulary Test, Third Edition, Leiter International Performance Scale, Third Edition
Keywords
Down Syndrome, CHD, Congenital Heart Disease, Pediatric Heart Network, INCLUDE
Medical subject headings
Down Syndrome, Heart Defects, Congenital

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Stanford Binet Intelligence Scales, Fifth EditionOther

    Also called SB-5

    The SB-5 is a comprehensive measure of cognitive and intellectual functioning for individuals from age two through 85 years of age. The SB-5 individually assess a child's functioning in five areas of cognitive functioning: Fluid Reasoning, Knowledge, Quantitative Reasoning, Visual Spatial, and Working Memory. The SB-5 is well established in the existing research literature as an assessment tool to evaluate developmental and intellectual abilities in children with ND disorders.

  • Vineland Adaptive Behavior Scales Third EditionOther

    Also called VABS-3

    The VABS-3 are a parent report, interview style measure of adaptive behavior for individuals ages birth through 90 months. The VABS-3 assesses adaptive behavior in four broad domains of Communication, Daily Living Skills, Socialization, and Motor Skills, and includes a Maladaptive Behavior Domain that assesses problem behaviors.

  • Peabody Picture Vocabulary Test, Fifth EditionOther

    Also called PPVT-5

    The PPVT-5 is a norm-referenced language measure that evaluates single-word receptive vocabulary. The PPVT-5 provides standard scores for individuals ages 2.6 through 90 years.

  • Expressive Vocabulary Test, Third EditionOther

    Also called EVT-3

    The EVT-3 is a norm-referenced language measure that evaluates single-word expressive vocabulary. The EVT-3 provides standard scores for individuals ages 2.6 through 90 years.

  • Leiter International Performance Scale, Third EditionOther

    Also called Leiter-3

    The Leiter-3 is a nonverbal measure of cognitive functioning and fluid reasoning skills in individuals ages 3 through 75 years. The Leiter-3 measures nonverbal IQ across four subscales, including Sequential Order (SO), Form Completion (FC), Classification and Analogies (CA), and Figure Ground (FG).

  • Social Communication Questionnaire, Current FormOther

    Also called SCQ

    The SCQ is a parent-report measure of social communication, social interactions, play, and behavior.

  • Aberrant Behavior ChecklistOther

    Also called ABC-2

    The ABC-2 is a parent report measure of problematic behavior at home and in the community. It measures behavior on five subscales (1) Irritability, (2) Social Withdrawal, (3) Stereotypic Behavior, (4) Hyperactivity/Noncompliance, and (5) Inappropriate Speech.

  • Repetitive Behavior Scale, RevisedOther

    Also called RBS-R

    The RBS-R is a parent report measure that comprehensively surveys for the presence of repetitive behaviors.

Study groups in NCT05312177
Study groupRoleWhat they receive
DS with CAVSD RepairChildren ages 5 through 12 years with Down syndrome who had Complete atrioventricular septal defect (CAVSD) repair in the first year of life and their parent(s) will be administered the Stanford-Binet Intelligence Scales, Fifth Edition (SB-5), Peabody Picture Vocabulary Test, Fifth Edition (PPVT-5), Expressive Vocabulary Test, Third Edition (EVT-3), Leiter International Performance Scale, Third Edition (Leiter-3), Vineland-3 Q-global Comprehensive Report (Vineland-3) ,Social Communication Questionnaire, Current version (SCQ), Aberrant Behavior Checklist, Second Edition, (ABC-2) and Repetitive Behavior Scale, Revised (RBS-R)
Receives: Other: Stanford Binet Intelligence Scales, Fifth Edition; Other: Vineland Adaptive Behavior Scales Third Edition; Other: Peabody Picture Vocabulary Test, Fifth Edition; Other: Expressive Vocabulary Test, Third Edition; Other: Leiter International Performance Scale, Third Edition; Other: Social Communication Questionnaire, Current Form; Other: Aberrant Behavior Checklist; Other: Repetitive Behavior Scale, Revised
DS without major CHDChildren ages 5 through 12 years with Down syndrome without major Congenital Heart Disease(CHD) and their parent(s) will be administered the Stanford-Binet Intelligence Scales, Fifth Edition (SB-5), Peabody Picture Vocabulary Test, Fifth Edition (PPVT-5), Expressive Vocabulary Test, Third Edition (EVT-3), Leiter International Performance Scale, Third Edition (Leiter-3), Vineland-3 Q-global Comprehensive Report (Vineland-3) ,Social Communication Questionnaire, Current version (SCQ), Aberrant Behavior Checklist, Second Edition, (ABC-2) and Repetitive Behavior Scale, Revised (RBS-R)
Receives: Other: Stanford Binet Intelligence Scales, Fifth Edition; Other: Vineland Adaptive Behavior Scales Third Edition; Other: Peabody Picture Vocabulary Test, Fifth Edition; Other: Expressive Vocabulary Test, Third Edition; Other: Leiter International Performance Scale, Third Edition; Other: Social Communication Questionnaire, Current Form; Other: Aberrant Behavior Checklist; Other: Repetitive Behavior Scale, Revised

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Neurodevelopmental outcomes between children with DS who had CAVSD repair and children from the same clinical sites with DS without major CHD.

    Verbal and non-verbal ratio intelligent quotients (IQs) derived from the Stanford Binet Intelligence Scales will be compared between the children with DS and CAVSD repair and the children with DS without major CHD.

    Measured: 1 day

  2. Behavioral outcomes between children with DS who had CAVSD repair and children from the same clinical sites with DS without major CHD.

    Adaptive composite scores from the Vineland Adaptive Behavior Scales will be compared between the children with DS and CAVSD repair and the children with DS without major CHD.

    Measured: 1 day

  3. Language abilities compared between the children with DS and CAVSD repair and the children with DS without major CHD.

    Using the Peabody Picture Vocabulary Test, Expressive Vocabulary Test, and Leiter International Performance Scale total language, auditory comprehension, and expressive communication will be compared between the children with DS and CAVSD repair and the children with DS without major CHD.

    Measured: 1 day

  4. Emotional outcomes compared between the children with DS and CAVSD repair and the children with DS without major CHD.

    Using the Repetitive Behavior Scale and Aberrant Behavior Checklist , behavioral and emotional problems will be compared will be compared between the children with DS and CAVSD repair and the children with DS without major CHD.

    Measured: 1 day

  5. Social Communication compared between the children with DS and CAVSD repair and the children with DS without major CHD.

    Using the Social Communication Questionnaire, social communication, social interactions, play and behavior will be compared between the children with DS and CAVSD repair and the children with DS without major CHD.

    Measured: 1 day

Secondary outcomes (2)
  1. Comorbidities as predictors of neurodevelopment and behavior

    Comorbidities will be compared between the children with DS and CAVSD repair and the children with DS without major CHD.

    Measured: 1 day

  2. Sociodemographic factors as predictors of neurodevelopment and behavior

    Sociodemographic factors, such as will be compared between the children with DS and CAVSD repair and the children with DS without major CHD.

    Measured: 1 day

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Apr 2022
  2. Study start1 May 2022
  3. Primary completion31 Dec 2023
  4. Study completion31 Dec 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
273 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05312177
Sponsor's protocol ID
CHILD-DS
Other IDs
3U24HL135691-03S1
Acronym
CHILD-DS
Status last verified
Oct 2023
First submitted
24 Feb 2020
Last updated
11 Jan 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Public Use Datasets are created after study closeout and are made available on the PHN public website. Annotated study data collection forms, Statistical Analysis Program (SAS) datasets, and excel datasets are made available, as well as de-identified study cohort characteristics.

Questions about this trial

What is this clinical trial studying?

An observational study of Down Syndrome and Congenital Heart Disease, run by Carelon Research at 14 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Neurodevelopmental outcomes between children with DS who had CAVSD repair and children from the same clinical sites with DS without major CHD. (time frame: 1 day). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jan 2024.

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