First Trimester Screening for Trisomy 21, 18, 13 and 22q11.2 Deletion Syndrome

NCT ID: NCT03375359

Last Updated: 2022-01-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-01-08

Study Completion Date

2022-08-31

Brief Summary

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Combined first-trimester screening represents the gold standard of risk assessment for the presence of trisomy 21, 18, and 13. The concept is based on the age risk, the measurement of fetal nuchal translucency (NT), and the determination of serum markers free beta-hCG and PAPP-A in maternal blood.

In recent years it has been shown that the risk assessment can be improved by combining in-depth ultrasound and cell-free DNA analysis from maternal blood. In their latest study, the investigators were able to detect all fetuses with trisomy 21, 18, and 13 through this procedure. No normal fetus displayed an increased risk. In contrast, the detection rate in classic, combined first-trimester screening is about 95% and the false-positive rate is 3-5%. In this study the investigator examine the test quality - especially the false positives - of cell-free DNA analysis on trisomy 21, 18 and 13 as well as on the microdeletion 22q in 1000 pregnancies.

Detailed Description

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Conditions

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Pregnancy

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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cfDNA screening

Pregnant women who are referred for FTS or for further follow-up examinations in case of a suspected anomaly or increased nuchal translucency at 11-13 weeks' gestation can be recruited for this study.

cfDNA screening

Intervention Type DIAGNOSTIC_TEST

cfDNA screening test for aneuploidy risk assessment

Interventions

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cfDNA screening

cfDNA screening test for aneuploidy risk assessment

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Maternal age of 18 years and more
* Crown rump length 45 - 84mm
* Referral for first trimester risk assessment
* Singleton pregnancy
* Written consent

Exclusion Criteria

* No consent
* Known parental microdeletion 22q11.2
* Crown rump length \<45mm or \>84mm
* Multiple pregnancies including vanishing twins
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital Tuebingen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Karl-Oliver Kagan, Prof.

Role: PRINCIPAL_INVESTIGATOR

University Hospital Tuebingen, Department of Women's Health

Locations

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University Hospital Tuebingen, Department of Women's Health

Tübingen, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Karl-Oliver Kagan, Prof.

Role: CONTACT

+49 7071 29-82211

Markus Hoopmann, PD

Role: CONTACT

+49 7071 29-82211

Facility Contacts

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Miriam Linneweh, Dr

Role: primary

+4970712982211

Other Identifiers

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PerFet_ReFaPo02

Identifier Type: -

Identifier Source: org_study_id

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