The Relationship Between Fetal Membrane Thickness and Fetal Chromosomal Aneuploidies

NCT ID: NCT06141213

Last Updated: 2023-11-21

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

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-10-01

Study Completion Date

2024-08-31

Brief Summary

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This observational study aims to recruit pregnant women between 18 to 24 weeks of gestation to investigate the relationship between amniotic membrane thickness and fetal chromosomal abnormalities. The primary objectives are to establish whether a correlation exists between the measured thickness of the amniotic membrane and the presence of chromosomal abnormalities in the fetus, and to determine a cutoff value for amniotic membrane thickness that could indicate an increased risk of such abnormalities. Additionally, the study seeks to assess whether the inclusion of amniotic membrane thickness as a biomarker can enhance the detection rate of non-invasive prenatal testing (NIPT) and nuchal translucency (NT) for chromosomal abnormalities.

Detailed Description

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Conditions

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Chromosome Aberrations

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Normal fetal chromosomes

This group will consist of participants with confirmed normal fetal chromosomes.

Fetal membrane thickness measurements will be taken at enrollment and may be followed up with subsequent measurements throughout the pregnancy.

The data from this group will serve as the control for comparison with the chromosomal abnormality group.

Ultrasound screening

Intervention Type DIAGNOSTIC_TEST

Ultrasound screening for fetal membrane thickness at 18-24 weeks of pregnancy.

Abnormal fetal chromosomes

This group will include participants whose fetuses have been diagnosed with chromosomal abnormalities.

These participants will also have their fetal membrane thickness measured at the same gestational age as the control group to ensure consistency.

The comparison of fetal membrane thickness between this group and the control group will be a primary focus of the study.

Ultrasound screening

Intervention Type DIAGNOSTIC_TEST

Ultrasound screening for fetal membrane thickness at 18-24 weeks of pregnancy.

Interventions

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Ultrasound screening

Ultrasound screening for fetal membrane thickness at 18-24 weeks of pregnancy.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Singleton pregnant women between 18-24 weeks of gestation.
2. Participants with high-risk indications for prenatal fetal chromosomal abnormalities, including:

* Nuchal translucency (NT) ≥ 3 mm.
* High-risk results from non-invasive prenatal testing (NIPT) using cell-free fetal DNA from peripheral maternal blood.
* Ultrasound-detected fetal abnormalities.
* Other indicators include adverse birth histories, parental chromosomal abnormalities, familial diseases, and a history of thyroid cancer post-surgery.
3. Gestational age and estimated due date were confirmed by the first day of the last menstrual period and adjusted using fetal crown-rump length measured during the first-trimester ultrasound scan.
4. Participants who provided written informed consent for amniocentesis.

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Exclusion Criteria

1. Women with multiple pregnancies or higher-order births.
2. Previous chorionic villus sampling or amniocentesis in the current pregnancy.
3. Gestational age at the time of amniocentesis greater than 25 weeks or less than 18 weeks.
4. Presence of amniotic band syndrome.
5. The presence of uterine anomalies or conditions may impact ultrasound measurements' reliability.
6. Any medical condition or obstetric complication that, in the opinion of the investigators, might pose a risk to the participant or interfere with the study outcomes.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Tianjin Central Hospital of Gynecology Obstetrics

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Tianjin Central Hospital of Obstetrics and Gynecology

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jiasong Cao, PhD

Role: CONTACT

+86 13662046469

Facility Contacts

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Ying Chang, PhD

Role: primary

+8602258287905

Other Identifiers

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PLACE2102

Identifier Type: -

Identifier Source: org_study_id