Assessment of Biomarkers in Pregnancy on Unknown Location and Ectopic Pregnancy

NCT ID: NCT04738370

Last Updated: 2022-04-01

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

2014-12-08

Study Completion Date

2024-12-31

Brief Summary

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To further develop the patient care pathway for women classified with a pregnancy of unknown location (PUL) and ectopic pregnancy (EP).

Detailed Description

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Purpose and design-There is a need for the patient care pathway to evolve in order to aid and improve the diagnosis and management of women with a pregnancy of unknown location (PUL) and ectopic pregnancy (EP). There is potential for this to be achieved by the incorporation of a statistical model that uses one or more novel markers identified by this study.

Recruitment-1000 patients. Inclusion: Patients attending the Early Pregnancy Unit (EPU) in the first trimester with a PUL or ectopic pregnancy on trans-vaginal ultrasound scan between the ages of 18-50 years. Exclusion: Patients diagnosed with cancer, presence of acute medical condition, patients aged less than 18 years, patients who cannot give fully informed study consent.

Consent - Posters will advertise the study. Patients in EPU will be invited to the study by a member of the clinical care team. Written consent will be required.

Confidentiality - The Chief Investigator will preserve the confidentiality of participants taking part in the study and is registered under the Data Protection Act. Patient consent forms will be stored securely within the study file. All patient identifiable information, where required, will be stored electronically on National Health Service (NHS) approved computers, accessible only by personnel involved in the study via password.

Conflict of interest - None involved in the study have a conflict of interest. Dissemination of results - No patient identifiable information will be included in the research report or publication. Anonymised results will be disseminated to scientific community by means of publication in peer-reviewed literature and presented at national and international meetings.

Conditions

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Pregnancy of Unknown Location Ectopic Pregnancy Early Pregnancy Early Pregnancy Loss

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Pregnancy of unknown location

Patients will be approached for recruitment following PUL classification. Sample collection at time of classification +/- 48 hours later, timed for when bloods are taken as part of routine clinical practice +/- at any time patient attends for clinically indicated blood samples.

Sample collection

Intervention Type OTHER

Bloods +/- urine +/- vaginal swabs taken

Ectopic Pregnancy

Patients will be approached for recruitment following Ectopic Pregnancy diagnosis. Ectopic pregnancies that are recruited as PUL do not need to be re-approached as they are already part of the study. Sample collection at time of diagnosis when bloods are taken as part of routine clinical practice +/- at any time patient attends for clinically indicated blood samples.

Sample collection

Intervention Type OTHER

Bloods +/- urine +/- vaginal swabs taken

Interventions

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Sample collection

Bloods +/- urine +/- vaginal swabs taken

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients attending the Early Pregnancy Unit in the first trimester of pregnancy (≤14 weeks gestation) aged between 18-50 years old and categorized as having a PUL or ectopic pregnancy

Exclusion Criteria

* Younger than 18 years of age
* Women who in the opinion of the researcher by virtue of language or learning impairment would be unable to give fully informed consent to the study
* Viable intrauterine pregnancy (the presence of a fetal pole with a fetal heartbeat within the uterine cavity)
* Miscarriage
* Presence of an acute medical condition
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Imperial College Healthcare NHS Trust

OTHER

Sponsor Role collaborator

Imperial College London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Imperial College Healthcare NHS Trust

London, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Tom Bourne, MBBS, PhD, MRCOG

Role: CONTACT

0044 203 313 5131

Christopher Kyriacou, MBBS, BSc

Role: CONTACT

0044 203 313 5131

Facility Contacts

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Tom Bourne, MBBS, PhD, MRCOG

Role: primary

0044 203 313 5131

Christopher Kyriacou, MBBS, BSc

Role: backup

0044 203 313 5131

References

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Kyriacou C, Yang W, Kapur S, Maheetharan S, Pikovsky M, Parker N, Barcroft J, Bobdiwala S, Sur S, Stalder C, Gould D, Ofili-Yebovi D, Day A, Unsworth N, Wilkes EH, Tan T, Bourne T. Ambulatory human chorionic gonadotrophin (hCG) testing: a verification of two hCG point of care devices. Clin Chem Lab Med. 2023 Oct 30;62(4):664-673. doi: 10.1515/cclm-2023-0703. Print 2024 Mar 25.

Reference Type DERIVED
PMID: 37886834 (View on PubMed)

Other Identifiers

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14HH2202

Identifier Type: -

Identifier Source: org_study_id

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