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NCT06808880Recruiting

EXpanding Prenatal Cell Free DNA Screening Across moNogenic Disorders (EXPAND)

Natera, Inc.

Start Date

1/25/2024

Completion Date

12/1/2027

Summary

The purpose of this research is to develop and validate a single gene Non-Invasive Prenatal Test. The development of this investigational single-gene noninvasive prenatal testing (sgNIPT) for conditions such as cystic fibrosis (CF), spinal muscular atrophy (SMA), Sickle cell disease, alpha thalassemia (a-thalassemia) and beta thalassemia (b-thalassemia) could provide information about the possibility that a child will be born with a serious health condition, in some cases in the absence of reproductive partner screening. In order to develop a test for this purpose, investigators will collect blood samples and medical information from pregnant women who have pregnancies at higher risk for single gene disorders, such as those who are carriers for these conditions or affected by these conditions themselves, medical data from their reproductive partners in some cases, and either genetic testing results or a cheek swab sample from the newborn(s).

Detailed Description

Natera sgNIPT is intended for use in pregnant people whose fetus/ fetuses are identified as at increased risk for a single gene disorder, such as one of the disorders below, when there is no reproductive partner (paternal) screening available or when there is positive reproductive partner screening, but prenatal diagnostic testing is not an option or when there is concern for a single-gene disorder in the fetus/ fetuses irrespective of carrier status (e.g., based on fetal ultrasound findings). Disorders include: CF (CFTR) SMA (SMN1) Alpha-thalassemia (HBA1/HBA2) Beta-hemoglobinopathies including sickle cell disease (HBB)

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: 1. Age 18 or older at the time of informed consent 2. Maternal participant: Pregnant and blood draw at ≥ 9 weeks gestational age (GA) 3. Maternal participant is positive for a single-gene disorder and/or there are prenatal ultrasound findings suggestive for a fetal single-gene disorder, including but not limited to the genes listed in the primary and secondary objectives 4. Meet the criteria for one of the following: * Both maternal and reproductive partner (paternal) status are positive for the same single-gene disorder OR * A commercially available single-gene NIPT has been performed as part of clinical care and is reported as increased risk for an affected fetus/fetuses OR Maternal status is positive for one or more single-gene disorders and reproductive partner status is unknown OR * Prenatal ultrasound findings are suggestive of a fetal single-gene disorder (autosomal dominant, autosomal recessive, or X-linked condition) and enrollment is approved by the medical monitor. 5. Willing to permit release of neonatal health information and the performance of a newborn cheek swab within 6 months following delivery 6. Willing to sign informed consent and comply with study procedures Exclusion Criteria: 1. Reproductive partner found to not be positive for the same autosomal recessive genetic disorder as the pregnant maternal carrier, or vice versa 2. Surrogate gestation or egg donor pregnancy 3. Negative preimplantation genetic testing for the single-gene disorder identified in one or both parents

Interventions

DEVICE

Single-gene Noninvasive Prenatal Testing (sgNIPT)

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Conditions

Single Gene NIPT

Locations

Valley Perinatal

Glendale, Arizona 85304

United States

Cedars Sinai Prenatal Diagnosis Center

Los Angeles, California 90048

United States

Center for Fetal Medicine and Womens Ultrasound

Los Angeles, California 90048

United States

Natera Inc

San Carlos, California 94070

United States

University of California San Francisco

San Francisco, California 94158

United States

Orlando Health Inc. (Winnie Palmer Hsopital)

Orlando, Florida 32806

United States

UMMC WH Univerity Center For Fetal Medicine

Jackson, Mississippi 39216

United States

Capital Health

Lawrenceville, New Jersey 08648

United States

Rutgers Robert Wood Johnson Medical School

New Brunswick, New Jersey 08901

United States

NYU Langone Hospital

Garden City, New York 11530

United States

Northwell (Northshore/LIJ)

New Hyde Park, New York 11040

United States

NYU Langone

New York, New York 10022

United States

Icahn School of Medicine at Mount Sinai

New York, New York 10029

United States

Weill Medical College of Cornell University

New York, New York 10065

United States

University of Rochester

Rochester, New York 14642

United States

Austin Maternal Fetal Medicine/St. Davids Healthcare

Austin, Texas 78758

United States

University of Texas Medical Branch (UTMB)

Galveston, Texas 77555

United States

PEDIATRIX Medical Services, Inc. Master + Houston

Stafford, Texas 77477

United States