The Combined First Trimester Screening

NCT ID: NCT07015203

Last Updated: 2025-06-15

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

NOT_YET_RECRUITING

Total Enrollment

2000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-06-15

Study Completion Date

2027-04-30

Brief Summary

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The project is a national, prospective, multicenter pilot project. The project is focus on setting up the combined first trimester screening in the Czech Republic.

The combined first trimester screening is aimed at predicting and detecting the most serious obstetric complications, such as the great obstetrical syndromes (preeclampsia, fetal growth restriction, preterm labor and intrauterine fetal demise "IUFD") and structural congenital defects (morphological and chromosomal).

The primary objective of the project is to create a unified methodology for performing and evaluating the combined first trimester screening in connection with the National Health Information System (hereinafter referred to as "NHIS"), which will enable recording, providing analysis and linking recorded clinical parameters with data in the NHIS. The pilot project will also provide data for modeling appropriate mechanisms for reimbursement from public health insurance.

Detailed Description

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The project is a national, prospective, multicenter pilot project. The project is focus on setting up the combined first trimester screening in the Czech Republic.

The global goal of the project is to develop and implement an appropriate care system for pregnant women, specifically by unifying (standardizing) the process of assessing the fetal anomaly scan and the risk of preeclampsia. This examination in first trimester of pregnancy is not routinely covered by public health insurance and is therefore not available to all women. By standardizing and unifying the screening process, the quality and accessibility of care will be improved for all population groups. This will lead to better health outcomes for the population, including socially excluded groups.

The methodology will be tested on a sample of 2000 women in the first trimester of pregnancy.

The combined firts trimester screening will include collecting the required parameters maternal, ultrasound, biochemical and biophysical. The Fetal Medicine Foundation (FMF) certified software will be used to determine them. FMF certified software will be used to calculate/assess the individual risk of developing pre-eclampsia, fetal growth restriction and the occurrence of fetal chromosomal aneuploidies (trisomies of chromosomes 21, 18 and 13) based on the input parameters.

The project is supported by the European Social Fund Plus (Operational Program Employment plus) and the state budget of the Czech Republic and is registered by the Ministry of Labour and Social Affairs of the Czech Republic under ID: CZ.03.02.02/00/22\_005/0003855.

Conditions

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Preeclampsia (PE) Fetal Growth Restriction Congenital Abnormalities Preterm Labor Intrauterine Fetal Demise Genetics Syndrome Pregnancy Overdue - Week 41+6

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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A woman over 18 years old in the first trimester of pregnancy (11th-13th gestational week)

A participant in the project must have signed the Consent to Participate in the Project and the Consent to the Processing of Personal Data.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* A woman over 18 years old in the first trimester of pregnancy (11th-13th gestational week)
* Signed the Consent to Participate in the Project and GDPR.

Exclusion Criteria

* Unsigned the Consent to Participate in the Project and the Consent to the Processing of Personal Data.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University Hospital Olomouc

OTHER

Sponsor Role collaborator

Institute for the Care of Mother and Child, Prague, Czech Republic

OTHER

Sponsor Role collaborator

Krajská zdravotní, a.s. - Nemocnice Most, o.z.

OTHER

Sponsor Role collaborator

Institute of Health Information and Statistics of the Czech Republic

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marek Ľubušký, prof.

Role: STUDY_DIRECTOR

THE FETAL MEDICINE CENTRE, Department of Obstetrics and Gynecology, Palacky University Olomouc, Faculty of Medicine and Dentistry, University Hospital Olomouc

Locations

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Regional Health Corpotarion - Most Hospital

Most, Czechia, Czechia

Site Status

University Hospital Olomouc

Olomouc, Czechia, Czechia

Site Status

Institute for the Care of Mother and Child

Prague, Czechia, Czechia

Site Status

Countries

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Czechia

Central Contacts

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Petra Brlica Heideová, Msc.

Role: CONTACT

+420 770 171 533

Lucie Mandelová, PhD

Role: CONTACT

+420 770 190 828

Facility Contacts

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Marian Kacerovský, Prof.

Role: primary

+420777657991

Michaela Maděrková Tozzi, MD., Ph.D.

Role: primary

+420724991367

Ladislav Krofta, Prof.

Role: primary

+420296511837

Other Identifiers

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UZIS 2025/4

Identifier Type: -

Identifier Source: org_study_id

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