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CompletedNCT01916928Updated Mar 13, 2017Results posted

The Use of Cell Free Fetal DNA in the Maternal Blood in the Evaluation of Intrauterine Fetal Demise and Miscarriage

An observational study in Circulating Cell Free Fetal DNA, Intrauterine Fetal Demise and Miscarriage, sponsored by Medstar Health Research Institute. Completed at 1 site in United States. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-03-13.

Sponsored by Medstar Health Research Institute · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
18 Years and older
Sex
Female
01

Study summary

Women presenting to Washington Hospital Center with fetal loss would be offered participation in the study. The objective is to determine if ccffDNA obtained from maternal blood is present in the setting of missed abortion or fetal demise.

The investigators primary hypothesis is that cell free fetal DNA will be present in maternal blood in the presence of a failed pregnancy.

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Conditions studied

  • Circulating Cell Free Fetal DNA
  • Intrauterine Fetal Demise
  • Miscarriage

Keywords

  • Circulating cell free fetal DNA
  • Intrauterine fetal demise
  • Miscarriage
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In context

Abortion, Spontaneous

320 studies on the registry are indexed under Abortion, Spontaneous; 53 are open to participants now.

This study's enrollment of 50 is below the median of 200 across 140 observational studies indexed under Abortion, Spontaneous.

Browse Abortion, Spontaneous studies →

Lead sponsor

Medstar Health Research Institute is the lead sponsor of 160 studies on the registry; 32 are open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 6 (43%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Women presenting to Washington Hospital Center with fetal loss would be offered DNA sequencing of cell free fetal DNA from maternal blood in addition to the standard workup for fetal demise and miscarriage as deemed appropriate by the patient's care provider. Only women with sonographic evidence of products of conception in-utero will be offered enrollment.

Inclusion criteria

  • Women diagnosed with Intrauterine fetal demised or missed abortion

Exclusion criteria

Exclusion Criteria:

  • Patients diagnosed with threatened abortion with cardiac activity present
  • Patients with IUFD who have delivered the fetus (the induction process may already be in process, however, the fetus and placenta must be in situ at the time of blood sampling)
  • Patients with known genetic abnormalities or mental retardation as a result of chromosomal abnormalities 13, 18, 21, or sex chromosomes.
  • Children under the age of 18
  • Patients not fluent in or unable to consent to the study in English
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Non-viable pregnancy

    Women presenting with stillbirth, defined as fetal death occurring after 20 weeks gestation or with miscarriage, defined as fetal death prior to 20 weeks gestation.

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What researchers measure

Primary outcomes

  1. The Presence or Absence of Cell Free Fetal DNA in Maternal Blood in the Setting of a Failed Pregnancy.

    Percentage of participants with the presence of cell free fetal DNA in maternal circulation after miscarriage of intrauterine fetal demise

    Time frame: During initial presentation for treatment

Secondary outcomes

  1. The Accuracy of ccffDNA Compared to Genetic Information Obtained From Amniocentesis, Chorionic Villus Sampling, Fetal, or Placental Tissue.

    Time frame: 3-4 weeks after specimen processing

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Results

Posted Feb 2, 2015

Participant flow

Participant flow — Overall Study
MilestoneNon-viable Pregnancy
Started50
Completed50
Not completed0

Outcome measures

PrimaryThe Presence or Absence of Cell Free Fetal DNA in Maternal Blood in the Setting of a Failed Pregnancy.

Percentage of participants with the presence of cell free fetal DNA in maternal circulation after miscarriage of intrauterine fetal demise

Time frame:
During initial presentation for treatment
Reported as:
Number · percentage of participants
The Presence or Absence of Cell Free Fetal DNA in Maternal Blood in the Setting of a Failed Pregnancy.
percentage of participantsNon-viable Pregnancy
The Presence or Absence of Cell Free Fetal DNA in Maternal Blood in the Setting of a Failed Pregnancy.50
SecondaryThe Accuracy of ccffDNA Compared to Genetic Information Obtained From Amniocentesis, Chorionic Villus Sampling, Fetal, or Placental Tissue.
Time frame:
3-4 weeks after specimen processing

Results for this outcome have not been posted.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Non-viable Pregnancy———

Baseline characteristics

Analysis of cell free fetal DNA in 50 non-viable pregnancies.

Age, Continuous
Age, Continuous(years)Non-viable Pregnancy
Mean31.4 ± 6.1
Sex: Female, Male
Sex: Female, Male(Participants)Non-viable Pregnancy
Female50
Male0
Region of Enrollment
Region of Enrollment(participants)Non-viable Pregnancy
United States50
08

Study locations

1 site
  • Medstar Washington Hospital Center
    Washington, District of Columbia 20010, United States
09

References and documents

Publications

  • Nagaishi M, Yamamoto T, Iinuma K, Shimomura K, Berend SA, Knops J. Chromosome abnormalities identified in 347 spontaneous abortions collected in Japan. J Obstet Gynaecol Res. 2004 Jun;30(3):237-41. doi: 10.1111/j.1447-0756.2004.00191.x. PubMed 15210050 ↗
  • Baena N, Guitart M, Ferreres JC, Gabau E, Corona M, Mellado F, Egozcue J, Caballin MR. Fetal and placenta chromosome constitution in 237 pregnancy losses. Ann Genet. 2001 Apr-Jun;44(2):83-8. doi: 10.1016/s0003-3995(01)01042-5. PubMed 11522246 ↗
  • Reddy UM, Page GP, Saade GR. The role of DNA microarrays in the evaluation of fetal death. Prenat Diagn. 2012 Apr;32(4):371-5. doi: 10.1002/pd.3825. PubMed 22467168 ↗
  • American Congress of Obstetricians and Gynecologists, Management of Stillbirth. ACOG Practice Bulletin, 2009. 102
  • 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 ↗
  • Kyle PM, Sepulveda W, Blunt S, Davies G, Cox PM, Fisk NM. High failure rate of postmortem karyotyping after termination for fetal abnormality. Obstet Gynecol. 1996 Nov;88(5):859-62. doi: 10.1016/0029-7844(96)00311-0. PubMed 8885928 ↗
  • MacDorman MF, Kirmeyer S. Fetal and perinatal mortality, United States, 2005. Natl Vital Stat Rep. 2009 Jan 28;57(8):1-19. PubMed 19294965 ↗
  • Clark-Ganheart CA, Fries MH, Leifheit KM, Jensen TJ, Moreno-Ruiz NL, Ye PP, Jennings JM, Driggers RW. Use of cell-free DNA in the investigation of intrauterine fetal demise and miscarriage. Obstet Gynecol. 2015 Jun;125(6):1321-1329. doi: 10.1097/AOG.0000000000000863. PubMed 26000503 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01916928
Lead sponsor
Medstar Health Research Institute
Collaborators
Sequenom Laboratories
Responsible party
Sponsor
First posted
Aug 6, 2013
Start date
May 2013
Primary completion
Jan 2014
Completion
Dec 2014
Results posted
Feb 2, 2015
Last update
Mar 13, 2017

Study contacts

Rita W Driggers, MD
principal investigator · Medstar Washington Hospital Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2017. You cannot join it, but the record below documents what was studied.

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