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).
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)
Study Type
OBSERVATIONAL
Enrollment
4,000
Natera sgNIPT is intended for use in pregnant people whose 'fetus/ fetuses are identified as at increased risk for a single gene disorder 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).
Valley Perinatal
Glendale, Arizona, United States
RECRUITINGCedars Sinai Prenatal Diagnosis Center
Los Angeles, California, United States
RECRUITINGCenter for Fetal Medicine and Womens Ultrasound
Los Angeles, California, United States
RECRUITINGNatera Inc
San Carlos, California, United States
RECRUITINGUniversity of California San Francisco
San Francisco, California, United States
RECRUITINGOrlando Health Inc. (Winnie Palmer Hsopital)
Orlando, Florida, United States
RECRUITINGUMMC WH Univerity Center For Fetal Medicine
Jackson, Mississippi, United States
RECRUITINGCapital Health
Lawrenceville, New Jersey, United States
RECRUITINGRutgers Robert Wood Johnson Medical School
New Brunswick, New Jersey, United States
RECRUITINGNYU Langone Hospital
Garden City, New York, United States
RECRUITING...and 8 more locations
Performance of sgNIPT assay in the detection of primary four autosomal recessive disorders
The sgNIPT assay call, high risk or low risk; will be compared to the genetic outcome of the fetus/ fetuses Affected; or Not Affected; as determined by prenatal genetic testing, post-natal genetic testing or genetic testing performed on the newborn cheek swab sample. Sensitivity, PPV, NPV, and no call rates will be assessed.
Time frame: Following the development of the sgNIPT assay, approximately 2 years after the launch of the study
Performance of sgNIPT assay in the detection of single gene disorders other than the primary four
The sgNIPT assay call, high risk or low risk; will be compared to the genetic outcome of the fetus/ fetuses Affected; or Not Affected; as determined by prenatal genetic testing, post-natal genetic testing or genetic testing performed on the newborn cheek swab sample. Sensitivity and PPV pooled across single gene disorders other than the four primary disorders
Time frame: Following the development of the primary disorder assay, approximately 2.5 years after the launch of the study
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