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Completed

NCT Number: NCT02160938

Prenatal Microarray Follow-Up Study

The objectives of this multi-center collaborative study are to ascertain the frequency of specific copy number variants (CNVs) identified prenatally and to evaluate in detail through continued follow-up of the children the phenotypes associated with CNVs of known or uncertain clinical significance.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Center for Fetal Medicine, Los Angeles, California, United States

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About this study

Specifically the aims are as follows:

  • Determine the intellectual function of the children at age 3 years
  • Determine phenotypic characteristics other than intellectual function of the children at age 3 years
  • Determine the frequency of specific copy number variants discovered during routine prenatal diagnostic testing
  • Evaluate the educational, counseling and psychosocial implications of microarray testing as it is introduced as a standard prenatal diagnostic procedure.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Eligibility Criteria for Enrollment into the 3 year Follow-up Cohort

Inclusion criteria

  • Singleton or multi-fetal pregnancy with a prenatal invasive procedure resulting in a diagnosis by microarray analysis of a microdeletion/duplication less than 10 Mbs, either pathogenic or of uncertain significance, which is reported to the patient. This includes:
  • Infants diagnosed during prenatal diagnostic studies performed at the10 pre-specified prenatal diagnostic centers
  • Infants diagnosed by analysis of microarrays performed at the collaborating laboratories
  • Infants referred through the Prenatal Microarray Resource Center website
  • Children who will be at least 3 years of age by January of 2018, and who had a prenatally detected CNV <10 Mbs, either pathogenic or of uncertain significance OR
  • Children whose mothers were enrolled in the initial study (through July 2011) and who met inclusion criteria for follow-up in that phase, referred to as the "Index cohort". This includes:
  • CNVs of uncertain or known significance, some of which were not reported to the patient
  • Mosaic findings by karyotype and/or microarray alone.

Exclusion criteria

  • Patient refusal to allow infant follow-up through the age of three
  • Patient not fluent in the English language
  • Patient under the age of 18
  • In surrogate pregnancies, the "rearing parents" are unavailable to give consent.

Treatment and study plan

3-year follow-up

Other

When the infants reach 24 months of age, the Study Follow-up Specialist will send all participants an age- appropriate Ages and Stages Questionnaire (ASQ) for completion.

At the age of 3, the following exams will be performed and are described below:

  • The Vineland-II Adaptive Behavior Scale (VABS)
  • Wechsler Preschool and Primary Scale of Intelligence IV (WPPSI-IV), or Wechsler Intelligence Scale for Children - Fifth Edition (WISC-V, for siblings older than 7 years 7 months, when necessary)
  • Children will also be photographed (for review by the study dysmorphologist)

Primary outcomes

  1. Full Scale Intelligence Quotient (IQ) score

    Time frame: age 3 years

    Full Scale IQ score from the Wechsler Preschool and Primary Scale of Intelligence IV or Wechsler Intelligence Scale for Children 5th edition

Secondary outcomes

  1. Percent of subjects with specific commonly occurring CNVs

    Time frame: detected prenatally

  2. Percent of subjects with seizure disorders

    Time frame: age: up to 3 years

  3. Percent of subjects with cerebral palsy

    Time frame: age: up to 3 years

  4. Percent of subjects with dysmorphic features diagnosed by dysmorphologist

    Time frame: age 3 years

  5. Percent of subjects with structural anomalies

    Time frame: age: up to 3 years

  6. Verbal Comprehension composite score

    Time frame: age: up to 3 years

    Verbal Comprehension composite score from the Wechsler Preschool and Primary Scale of Intelligence IV

  7. Visual Spatial composite score

    Time frame: age: up to 3 years

    Visual Spatial composite score from the Wechsler Preschool and Primary Scale of Intelligence IV

  8. Working Memory composite score

    Time frame: age: up to 3 years

    Working Memory composite score from the Wechsler Preschool and Primary Scale of Intelligence IV

  9. Communication domain score

    Time frame: age: up to 3 years

    Communication domain score from the Vineland Adaptive Behavior Scale

  10. Daily Living Skills domain score

    Time frame: age: up to 3 years

    Daily Living Skills domain score from the Vineland Adaptive Behavior Scale

  11. Socialization domain score

    Time frame: age: up to 3 years

    Socialization domain score from the Vineland Adaptive Behavior Scale

  12. Motor Skills domain score

    Time frame: age: up to 3 years

    Motor Skills domain score from the Vineland Adaptive Behavior Scale

  13. Adaptive Behavior Composite score

    Time frame: age: up to 3 years

    Adaptive Behavior Composite score from the Vineland Adaptive Behavior Scale

  14. Age-adjusted Z scores for birth weight

    Time frame: birth

  15. Age-adjusted Z scores for birth length

    Time frame: birth

  16. Age-adjusted Z scores for head circumference

    Time frame: birth

Sponsors and collaborators

Lead sponsor

Columbia University

Other

Collaborators

  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
  • National Human Genome Research Institute (NHGRI)

Registry information

Official study title

Prenatal Cytogenetic Diagnosis by Array-Based Copy Number Analysis: Follow-Up

Important dates

Study start
2013
Primary completion
2018
Study completion
2018
First posted
Jun 11, 2014
Registry last updated
Mar 25, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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