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Comparative Effectiveness Trial for Diagnosis of Necrotizing Enterocolitis

Children's Mercy Hospital Kansas City logo

Children's Mercy Hospital Kansas City

Status

Completed

Conditions

Necrotizing Enterocolitis

Treatments

Diagnostic Test: Abdominal radiograph
Diagnostic Test: Bowel Ultrasound

Study type

Interventional

Funder types

Other

Identifiers

NCT05573113
STUDY00002293

Details and patient eligibility

About

The overall objective of our study is to determine the clinical usefulness of BUS for NEC evaluation in diverse NICU settings.

Full description

Bowel ultrasound (BUS) for NEC evaluation is a non-invasive imaging modality that allows real-time assessment of the intestinal wall, vascular perfusion, peristalsis, and abdominal fluid. Advantages of BUS is it is non-invasive, does not have radiation, does not require special preparation before procedure, and is well tolerated even by sick preterm infants. BUS is already being used in centers that have sufficient BUS expertise as an alternative standard of care approach for evaluating NEC, but in a highly variable manner.

Standard ultrasound equipment is all that is needed for BUS. Pre-study training will be conducted for sonographers to acquire the study BUS images using standardized technique. Pre-study training of radiologists will also be conducted to standardize the interpretation of BUS findings for NEC. All BUS for NEC ordering, acquisition, and interpretation in the study will be the same as the standard workflow for any other imaging ordered in the clinical setting. All BUS performed as part of the study will not be charged to patients.

Enrollment

169 patients

Sex

All

Ages

Under 1 year old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

  • Admitted to the NICU at CMKC or KUMC
  • With clinical suspicion for NEC for which further imaging evaluation was decided by treating neonatologist

Exclusion Criteria

• Infants with major gastrointestinal anomalies such as gastroschisis or omphalocele that prevent BUS from being performed

Trial design

Primary purpose

Diagnostic

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

169 participants in 2 patient groups

AXR Arm 1
Active Comparator group
Description:
Abdomen Radiograph
Treatment:
Diagnostic Test: Abdominal radiograph
AXR + BUS Arm 2
Active Comparator group
Description:
Abdomen Radiograph + Bowel Ultrasound
Treatment:
Diagnostic Test: Bowel Ultrasound
Diagnostic Test: Abdominal radiograph

Trial documents
1

Trial contacts and locations

2

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Central trial contact

Maura Sien, MS, RT(R); Sarah Foster, RT(R)

Data sourced from clinicaltrials.gov

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