ClinicalTrials.gg
CompletedNCT01511458NEXTUpdated Jul 14, 2014

Non-invasive Chromosomal Examination of Trisomy Study

An observational study in Trisomy 21, sponsored by Roche Sequencing Solutions. Completed at 36 sites in 6 countries. Open to female participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2014-07-14.

Sponsored by Roche Sequencing Solutions (part of Hoffmann-La Roche) · Observational

Study type
Observational
Time perspective
Prospective
Enrollment
18,955
Ages
18 Years to 60 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 204 studies in Down Syndrome with a site in United States — 47 open to participants now, 55 under way, 4 of them phase 3. Down Syndrome · United States.

Enrollment
3rd of 74
18,955 · median 433
Started
2012
with 7 others
Observational
74 of 204
14 open now
Registered
41st of 204
by date

Among the 204 studies in Down Syndrome with a site in United States, this one is the 3rd largest by enrollment of the 74 observational ones, is one of 8 that started in 2012, is one of 74 observational ones, and was the 41st registered.

By phase

204 studies; the count open now beside each. This study's row is marked.

No phase81 · 18 open
Observationalthis study74 · 14 open
Phase 223 · 8 open
Phase 310 · 2 open
Phase 18 · 3 open
Phase 45 · 1 open
Phase 1/23 · 1 open

By the year they started

First in 1981; this study’s year is marked. 8 started in 2012.

Size and results

Median enrollment 40 across the 130 interventional studies, 433 across the 74 observational. Of the 139 that completed or were terminated, 42 (30%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 204 studies in Down Syndrome with a site in United States, or all of them as a file.
02

Study summary

The purpose of this blinded, multi-center, prospective, case-controlled study is to compare the Ariosa Harmony™ Prenatal Test for trisomy 21 detection with a standard first-trimester prenatal screening test consisting of serum screening (PAPP-A,free beta-hCG [β-hCG] or total hCG) and a nuchal translucency (NT) measurement (i.e. combined first trimester screening) in a general screened population.

The performance characteristics of these two test modalities will be assessed relative to the clinical reference standard of genetic analysis of the fetus or phenotypic characterization and genetic analysis of the newborn.

03

Conditions studied

  • Trisomy 21

Browse trials for

Keywords

  • Pregnancy
  • Fetal aneuploidy
  • Trisomy 21
  • Down Syndrome
  • Prenatal screening
  • Non-invasive prenatal testing
  • First trimester
  • Combined screening
  • Nuchal translucency
  • PAPP-A
  • hCG
  • cell free DNA
  • cf DNA
  • DNA
  • Performance characteristics of non-invasive first trimester screening
  • Harmony Prenatal Test
04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Pregnant women presenting for combined first trimester screening as part of routine prenatal care

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Subject is at least 18 years old and can provide .
  2. Subject is planning a hospital delivery.
  3. Subject has a singleton pregnancy with a documented gestational age between 10 weeks, 0 days, and 14 weeks, 2 days, inclusive, at the time of the study blood sample collection.
  4. Subject is planning to undergo combined first trimester prenatal screening that includes NT measurement, and when indicated, serum screening with total or free β-hCG and PAPP-A.

Exclusion criteria

Exclusion Criteria:

  1. Subject has known aneuploidy.
  2. Subject has active or history of requiring major surgery and/or systemic chemotherapy.
  3. Subject has a twin demise at any gestational age. Twin demise includes any reductions, spontaneous or elective, after sonographic identification of a second (or more) gestational sac. Any clinical, sonographic, or other testing that suggests twin demise would serve as an exclusion criterion.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Time perspective
Prospective
Enrollment
18,955 participants (actual)
Patient registry
No

Groups and cohorts

  • Case

    Patient with a trisomy 21 pregnancy confirmed by genetic testing.

  • Control

    Patients without a trisomy 21 pregnancy confirmed by either genetic testing or a normal newborn phenotype.

06

What researchers measure

Primary outcomes

  1. Difference in sensitivity and specificity of Ariosa Harmony™ Prenatal Test (AUCt) and combined first-trimester screening for detection of T21.

    Time frame: Enrollment to delivery

07

Study locations

36 sites
  • Tucson Medical Center
    Tucson, Arizona 85712, United States
  • East Bay Perinatal Associates
    Oakland, California 94609, United States
  • Stanford University
    Palo Alto, California 94305-5317, United States
  • Perinatal Diagnostic Center
    Riverside, California 92501, United States
  • University of California San Diego
    San Diego, California 92037-1300, United States
  • California Pacific Medical Center
    San Francisco, California 94118, United States
  • University of California San Francisco
    San Francisco, California 94143, United States
  • The Institute of Prenatal Diagnosis and Reproductive Medicine
    San Gabriel, California 91776, United States
  • Christiana Care Health System
    Newark, Delaware 19718, United States
  • Altus Research
    Lake Worth, Florida 33461, United States
  • Fetal Diagnostic Institute of the Pacific
    Honolulu, Hawaii 96814, United States
  • Northshore University Health System
    Evanston, Illinois 60201, United States
  • Norton Healthcare
    Louisville, Kentucky 40202, United States
  • Brigham and Women's Hospital - Center for Fetal Medicine and Prenatal Genetics
    Boston, Massachusetts 02115, United States
  • Minnesota Perinatal Associates
    Minneapolis, Minnesota 55407, United States
  • Robert Wood Johnson School of Medicine
    New Brunswick, New Jersey 08901, United States
  • St. Peters University Medical Center
    New Brunswick, New Jersey 08901, United States
  • Columbia University
    New York, New York 10032, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • Northwest Perinatal Center
    Portland, Oregon 97225, United States
  • Oregon Health Sciences University
    Portland, Oregon 97239, United States
  • Abington Memorial Hospital
    Abington, Pennsylvania 19001, United States
  • Thomas Jefferson Univeristy Hospital
    Philadelphia, Pennsylvania 19107, United States
  • Women's Health Care Group of Pennsylvania
    Wynnewood, Pennsylvania 19096, United States
  • Partners in Obstetrics and Gynecology
    Pawtucket, Rhode Island 02860, United States
  • Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • University Hospitals Leuven
    Leuven, Belgium
  • Early Risk Assessment Program - University of Alberta
    Calgary, Alberta T2N 4N1, Canada
  • Ottawa Hospital and Research Institute
    Ottawa, Ontario ON1Kh8L6, Canada
  • Mount Sinai University
    Toronto, Ontario M5G 1X5, Canada
  • University of Toronto
    Toronto, Ontario M5G1X8, Canada
  • University of Perugia
    Perugia, 06132, Italy
  • Leiden University Medical Center
    Leiden, 2333, Netherlands
  • Maastricht University Medical Center
    Maastricht, 6202, Netherlands
  • Sahlgrenska University Medical Center
    Gothenburg, SE-41685, Sweden
  • Karolinska University Hospital
    Stockholm, 14186, Sweden
08

References and documents

Publications

  • American College of Obstetricians and Gynecologists. Guidelines for Perinatal Care, Sixth Edition, October 2007.
  • Nicolaides KH. A model for a new pyramid of prenatal care based on the 11 to 13 weeks' assessment. Prenat Diagn. 2011 Jan;31(1):3-6. doi: 10.1002/pd.2685. No abstract available. PubMed 21210474 ↗
  • Malone FD, Canick JA, Ball RH, Nyberg DA, Comstock CH, Bukowski R, Berkowitz RL, Gross SJ, Dugoff L, Craigo SD, Timor-Tritsch IE, Carr SR, Wolfe HM, Dukes K, Bianchi DW, Rudnicka AR, Hackshaw AK, Lambert-Messerlian G, Wald NJ, D'Alton ME; First- and Second-Trimester Evaluation of Risk (FASTER) Research Consortium. First-trimester or second-trimester screening, or both, for Down's syndrome. N Engl J Med. 2005 Nov 10;353(19):2001-11. doi: 10.1056/NEJMoa043693. PubMed 16282175 ↗
  • Nicolaides KH, Spencer K, Avgidou K, Faiola S, Falcon O. Multicenter study of first-trimester screening for trisomy 21 in 75 821 pregnancies: results and estimation of the potential impact of individual risk-orientated two-stage first-trimester screening. Ultrasound Obstet Gynecol. 2005 Mar;25(3):221-6. doi: 10.1002/uog.1860. PubMed 15736186 ↗
  • Cicero S, Rembouskos G, Vandecruys H, Hogg M, Nicolaides KH. Likelihood ratio for trisomy 21 in fetuses with absent nasal bone at the 11-14-week scan. Ultrasound Obstet Gynecol. 2004 Mar;23(3):218-23. doi: 10.1002/uog.992. PubMed 15027007 ↗
  • Borrell A. The ductus venosus in early pregnancy and congenital anomalies. Prenat Diagn. 2004 Sep;24(9):688-92. doi: 10.1002/pd.958. PubMed 15386454 ↗
  • Faiola S, Tsoi E, Huggon IC, Allan LD, Nicolaides KH. Likelihood ratio for trisomy 21 in fetuses with tricuspid regurgitation at the 11 to 13 + 6-week scan. Ultrasound Obstet Gynecol. 2005 Jul;26(1):22-7. doi: 10.1002/uog.1922. PubMed 15937972 ↗
  • Sonek J, Borenstein M, Dagklis T, Persico N, Nicolaides KH. Frontomaxillary facial angle in fetuses with trisomy 21 at 11-13(6) weeks. Am J Obstet Gynecol. 2007 Mar;196(3):271.e1-4. doi: 10.1016/j.ajog.2006.10.891. PubMed 17346551 ↗
  • ACOG Committee on Practice Bulletins. ACOG Practice Bulletin No. 77: screening for fetal chromosomal abnormalities. Obstet Gynecol. 2007 Jan;109(1):217-27. doi: 10.1097/00006250-200701000-00054. PubMed 17197615 ↗
  • American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 88, December 2007. Invasive prenatal testing for aneuploidy. Obstet Gynecol. 2007 Dec;110(6):1459-67. doi: 10.1097/01.AOG.0000291570.63450.44. PubMed 18055749 ↗
  • Ehrich M, Deciu C, Zwiefelhofer T, Tynan JA, Cagasan L, Tim R, Lu V, McCullough R, McCarthy E, Nygren AO, Dean J, Tang L, Hutchison D, Lu T, Wang H, Angkachatchai V, Oeth P, Cantor CR, Bombard A, van den Boom D. Noninvasive detection of fetal trisomy 21 by sequencing of DNA in maternal blood: a study in a clinical setting. Am J Obstet Gynecol. 2011 Mar;204(3):205.e1-11. doi: 10.1016/j.ajog.2010.12.060. Epub 2011 Feb 18. PubMed 21310373 ↗
  • Lo YM, Corbetta N, Chamberlain PF, Rai V, Sargent IL, Redman CW, Wainscoat JS. Presence of fetal DNA in maternal plasma and serum. Lancet. 1997 Aug 16;350(9076):485-7. doi: 10.1016/S0140-6736(97)02174-0. PubMed 9274585 ↗
  • Fan HC, Blumenfeld YJ, Chitkara U, Hudgins L, Quake SR. Noninvasive diagnosis of fetal aneuploidy by shotgun sequencing DNA from maternal blood. Proc Natl Acad Sci U S A. 2008 Oct 21;105(42):16266-71. doi: 10.1073/pnas.0808319105. Epub 2008 Oct 6. PubMed 18838674 ↗
  • Chiu RW, Chan KC, Gao Y, Lau VY, Zheng W, Leung TY, Foo CH, Xie B, Tsui NB, Lun FM, Zee BC, Lau TK, Cantor CR, Lo YM. Noninvasive prenatal diagnosis of fetal chromosomal aneuploidy by massively parallel genomic sequencing of DNA in maternal plasma. Proc Natl Acad Sci U S A. 2008 Dec 23;105(51):20458-63. doi: 10.1073/pnas.0810641105. Epub 2008 Dec 10. PubMed 19073917 ↗
  • Chiu RW, Sun H, Akolekar R, Clouser C, Lee C, McKernan K, Zhou D, Nicolaides KH, Lo YM. Maternal plasma DNA analysis with massively parallel sequencing by ligation for noninvasive prenatal diagnosis of trisomy 21. Clin Chem. 2010 Mar;56(3):459-63. doi: 10.1373/clinchem.2009.136507. Epub 2009 Dec 21. PubMed 20026875 ↗
  • Palomaki GE, Kloza EM, Lambert-Messerlian GM, Haddow JE, Neveux LM, Ehrich M, van den Boom D, Bombard AT, Deciu C, Grody WW, Nelson SF, Canick JA. DNA sequencing of maternal plasma to detect Down syndrome: an international clinical validation study. Genet Med. 2011 Nov;13(11):913-20. doi: 10.1097/GIM.0b013e3182368a0e. PubMed 22005709 ↗
  • Dhallan R, Guo X, Emche S, Damewood M, Bayliss P, Cronin M, Barry J, Betz J, Franz K, Gold K, Vallecillo B, Varney J. A non-invasive test for prenatal diagnosis based on fetal DNA present in maternal blood: a preliminary study. Lancet. 2007 Feb 10;369(9560):474-81. doi: 10.1016/S0140-6736(07)60115-9. PubMed 17292767 ↗
  • Tong YK, Jin S, Chiu RW, Ding C, Chan KC, Leung TY, Yu L, Lau TK, Lo YM. Noninvasive prenatal detection of trisomy 21 by an epigenetic-genetic chromosome-dosage approach. Clin Chem. 2010 Jan;56(1):90-8. doi: 10.1373/clinchem.2009.134114. Epub 2009 Oct 22. PubMed 19850629 ↗
  • Ghanta S, Mitchell ME, Ames M, Hidestrand M, Simpson P, Goetsch M, Thilly WG, Struble CA, Tomita-Mitchell A. Non-invasive prenatal detection of trisomy 21 using tandem single nucleotide polymorphisms. PLoS One. 2010 Oct 8;5(10):e13184. doi: 10.1371/journal.pone.0013184. PubMed 20949031 ↗
  • Norton ME, Jacobsson B, Swamy GK, Laurent LC, Ranzini AC, Brar H, Tomlinson MW, Pereira L, Spitz JL, Hollemon D, Cuckle H, Musci TJ, Wapner RJ. Cell-free DNA analysis for noninvasive examination of trisomy. N Engl J Med. 2015 Apr 23;372(17):1589-97. doi: 10.1056/NEJMoa1407349. Epub 2015 Apr 1. PubMed 25830321 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Mar 2012, a primary completion of Nov 2013 and a completion of May 2014. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 13, 2012
First posted
Jan 18, 2012
Start
Mar 2012
Primary completionActual
Nov 2013
CompletionActual
May 2014
Last update
Jul 14, 2014
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 14, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01511458
Collaborators
Perinatal Quality Foundation: Nuchal Translucency Quality Review
Responsible party
Sponsor
First posted
Jan 18, 2012
Start date
Mar 2012
Primary completion
Nov 2013
Completion
May 2014
Last update
Jul 14, 2014

Study contacts

Mary E. Norton, MD
principal investigator · Stanford University
Ronald Wapner, MD
principal investigator · Columbia University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2014. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion