Genomic Predictors of Recurrent Pregnancy Loss

NCT ID: NCT05444283

Last Updated: 2024-12-27

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

RECRUITING

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-09-01

Study Completion Date

2026-12-31

Brief Summary

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The overall goals of this proposal are to determine the genetic architecture of recurrent pregnancy loss (RPL) and to discover genomic predictors of RPL.

Detailed Description

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The following specific aims are proposed:

Aim 1: Collect clinically well-characterized samples from trios (product of conception (POC), biological mother, and biological father) with unexplained RPL. Specifically, a cohort of 1,000 trios that are rigorously-phenotyped will be recruited, and for which couples' RPL is not attributable to known causes. The POC and parental DNA samples will be collected. If it is necessary for the purpose of determining the pathogenicity of sequence variants from the trio, collecting DNA samples from other family members after consent will also be considered. The study team may also request DNA or POC tissues from a prior pregnancy loss(es) if available.

Aim 2: A whole genome sequencing (WGS) at the Yale Center for Genome Analysis (YCGA) will be performed and bioinformatic analyses to identify pathogenic variants in included trios will performed as well. Pathogenic variants will be comprehensively defined and fully annotated variant maps in all included trios to provide the substrate for subsequent novel gene discovery, and ultimately, the development of clinical diagnostic tests will be generated.

Conditions

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Recurrent Pregnancy Loss

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

1. Women with loss of a current singleton pregnancy at \< 20 0/7 weeks gestation (documented by ultrasonography or histopathological examination) and one or more prior pregnancy losses.
2. Euploid current pregnancy by karyotype or microarray (a limited number of aneuploid losses will be included as part of the pilot)
3. No history of parental karyotype abnormalities
4. No history of antiphospholipid antibody syndrome
5. No evidence of uncontrolled diabetes
6. No evidence of uncontrolled thyroid disease
7. No history of autoimmune disease (SLE, RA)
8. No history of uterine anomalies
9. No history of cervical insufficiency
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Johns Hopkins University

OTHER

Sponsor Role collaborator

University of Texas at Austin

OTHER

Sponsor Role collaborator

Penn State University

OTHER

Sponsor Role collaborator

Northwestern University

OTHER

Sponsor Role collaborator

The University of Texas Health Science Center at San Antonio

OTHER

Sponsor Role collaborator

Wayne State University

OTHER

Sponsor Role collaborator

Columbia University

OTHER

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role collaborator

University of Oklahoma

OTHER

Sponsor Role collaborator

University of Chicago

OTHER

Sponsor Role collaborator

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Colorado

Aurora, Colorado, United States

Site Status RECRUITING

Yale University

New Haven, Connecticut, United States

Site Status RECRUITING

Northwestern University

Chicago, Illinois, United States

Site Status RECRUITING

University of Chicago

Chicago, Illinois, United States

Site Status ACTIVE_NOT_RECRUITING

Gaelle Massoud

Baltimore, Maryland, United States

Site Status RECRUITING

Wayne State University

Detroit, Michigan, United States

Site Status RECRUITING

Columbia University

New York, New York, United States

Site Status RECRUITING

University of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Pennsylvania State University

Hershey, Pennsylvania, United States

Site Status RECRUITING

University of Texas at Austin

Austin, Texas, United States

Site Status RECRUITING

University of Texas at San Antonio

San Antonio, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Yong-Hui Jiang, MD, PhD

Role: CONTACT

Phone: 2037852429

Email: [email protected]

Heping Zhang, PhD

Role: CONTACT

Phone: 12037855185

Email: [email protected]

Facility Contacts

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Katherine Khun, MS

Role: primary

Yong-Hui Jiang, MD, PhD

Role: primary

Dylan T Ochoa, MPH

Role: backup

Jessica Almgren-Bell

Role: primary

Gaelle Massoud, MD

Role: primary

Michelle Yoscovits

Role: primary

Jessica Giordano, CGC

Role: primary

Alexandra Tinfow, CGC

Role: backup

Michelle Starkey-Scruggs, RN

Role: primary

Ashley Moriarty, RN

Role: backup

Robinn Moyer

Role: primary

Elizabeth Davis, RN

Role: primary

Brooke Lasher

Role: backup

Susie Reyes, RN

Role: primary

Other Identifiers

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1R01HD105267-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2000029802

Identifier Type: -

Identifier Source: org_study_id