ClinicalTrials.gg
CompletedNCT01925742PEGASUSUpdated Feb 22, 2018

Study of the Efficacy of New Non-invasive Prenatal Tests for Screening for Fetal Trisomies Using Maternal Blood

An interventional study of Integrated prenatal screening for Down's syndrome and Serum QUAD Assay for aneuploidy screening in Trisomy 21, Trisomy 18 and Trisomy 13, sponsored by CHU de Quebec-Universite Laval. Completed at 5 sites in Canada. Open to female participants aged 19 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-02-22.

Sponsored by CHU de Quebec-Universite Laval · Not applicable, Interventional, and Screening

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Phase
Not applicable
Study type
Interventional
Enrollment
3,819
Allocation
Non-randomized
Ages
19 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 23 studies in Down Syndrome with a site in Canada — 4 open to participants now, 7 under way, 2 of them phase 3. Down Syndrome · Canada.

Started
2013
with 1 other
No phase
Only one
of the 23
Registered
12th of 23
by date
Lead sponsor
1 of 23
CHU de Quebec-Universite Laval

Among the 23 studies in Down Syndrome with a site in Canada, this one is one of 2 that started in 2013, is the only one with no phase, and was the 12th registered.

Down Syndrome

438 studies on the registry are indexed under Down Syndrome; 99 are open to participants now.

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Open to participants now

4 of the 23 studies in Down Syndrome with a site in Canada are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Canada have not opened yet or have stopped. Only those recruiting at a site in Canada →

Who these studies take

Of the 75 Down Syndrome studies recruiting now, 14 (19%) set no upper age limit and 58 (77%) stop at 75 or younger; 61 take children under 18; 19 take healthy volunteers.

This study: 19 Years and older · female · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 23 studies in Down Syndrome with a site in Canada, or all of them as a file.
02

Study summary

Each year, 450,000 Canadian women become pregnant and, as a result of their participation in prenatal screening for Down syndrome, approximately 10,000 of them will have an amniocentesis (i.e. sampling of liquid surrounding the fetus) and of those, 315 will be found to carry a baby with Down syndrome and 70 normal pregnancies will be lost from complications of the procedure. It has been discovered recently that, during pregnancy, there is fetal DNA in maternal blood in sufficient quantities to be analysed and methods have been proposed to detect the presence or not of a fetus with Down syndrome using maternal blood. The introduction of genomic blood testing as proposed in the context of this project could lead to increased detection of Down syndrome, less invasive screening with 9700 amniocentesis avoided each year in Canada, improving the peace of mind of pregnant women, and preventing the accidental loss of 70 normal fetuses, at a lower overall cost than current practice. However, these methods still need to be validated before being appropriately introduced in routine care.

The study hypothesis is that new genomics-based non-invasive methods using fetal-DNA in maternal blood during pregnancy can be more effective than current prenatal screening methods for fetal aneuploidy.

This project will carry out an independent study that will validate the performance and utility of different new genomic technologies for screening in pregnant women using maternal blood. The team of researchers will compare the real-life performance of different non-invasive assays and strategies to screen for fetal aneuploidy, and identify an evidence-based cost-effective approach for implementation of this new technology in the Canadian health care system. The deliverables of this project will enable decision makers, pregnant women and their partner to make informed choices pertaining to prenatal genetic screening and diagnosis, such as screening for Down syndrome, and reduce the risk to pregnancies associated with amniocentesis.

Read the detailed description

The present study is a real life comparative effectiveness study that will compare the performances and costs of several prenatal screening modalities for fetal aneuploidy (see interventions).

03

Conditions studied

  • Trisomy 21
  • Trisomy 18
  • Trisomy 13

Keywords

  • Fetal aneuploidy
04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria (High risk arm):

  • women 19 years or older between 10 weeks and 23 weeks 6 days gestation undergoing amniocentesis or CVS for:
  • positive prenatal screen;
  • abnormal ultrasound
  • previous pregnancy with trisomy
  • patient or partner carrier of Robertsonian translocation involving chr 21
  • positive NIPT result
  • Maternal age 40 or more

Inclusion Criteria (Low risk arm):

  • women 19 years and older who are 10 and 13 weeks 6 days gestation based on dating ultrasound (CRL) and are undergoing screening for Down syndrome (first trimester combined, SIPS or IPS)

Exclusion Criteria:

  • women with multiple gestations
  • women with twin demise (spontaneous or elective) at any gestational age
  • women with active or history of
Terms in these criteria, in plain language(1)

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.

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

Phase
Not applicable
Primary purpose
Screening
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
3,819 participants (actual)

Study arms

  • Experimental
    Low Risk of aneuploidy

    Integrated prenatal screening for Down's syndrome (with follow-up fetal karyotype if positive); Serum QUAD Assay for aneuploidy screening; Semiconductor MPSS NIPT assay using ccfDNA in maternal blood; Optical-based MPSS NIPT assay using ccfDNA in maternal blood; Harmony™ Test (Ariosa Diagnostics)

    Other: Integrated prenatal screening for Down's syndrome · Other: Serum QUAD Assay for aneuploidy screening · Other: Semiconductor MPSS NIPT assay using ccfDNA in maternal blood · Other: Optical-based MPSS NIPT assay using ccfDNA in maternal blood · Other: Harmony™ Test (Ariosa Diagnostics)

  • Experimental
    High risk of aneuploidy

    Integrated prenatal screening for Down's syndrome (with follow-up fetal karyotype if positive); Serum QUAD Assay for aneuploidy screening; Semiconductor MPSS NIPT assay using ccfDNA in maternal blood; Optical-based MPSS NIPT assay using ccfDNA in maternal blood; Harmony™ Test (Ariosa Diagnostics) (subset)

    Other: Integrated prenatal screening for Down's syndrome · Other: Serum QUAD Assay for aneuploidy screening · Other: Semiconductor MPSS NIPT assay using ccfDNA in maternal blood · Other: Optical-based MPSS NIPT assay using ccfDNA in maternal blood · Other: Harmony™ Test (Ariosa Diagnostics)

Interventions

  • OtherIntegrated prenatal screening for Down's syndrome

    Analysis of several serum biochemical markers, and fetal nuchal translucency by ultrasound, with computation of an individual risk of fetal aneuploidy.

    Also known as: IPS, Prenatal serum screening, Aneuploidy screening, Down's syndrome screening, Downs' syndrome screening

  • OtherSerum QUAD Assay for aneuploidy screening

    Series of biochemical markers with results integrated into a computational estimate of risk of fetal aneuploidy

    Also known as: First trimester QUAD prenatal screening assay

  • OtherSemiconductor MPSS NIPT assay using ccfDNA in maternal blood

    Analysis by next-generation sequencing of ccfDNA (circulating cell-free DNA) from maternal blood, using a targeted NIPT assay.

    Also known as: NIPD, MPSS, Non-invasive prenatal testing, Non-invasive prenatal diagnosis

  • OtherOptical-based MPSS NIPT assay using ccfDNA in maternal blood

    Analysis by next-generation sequencing of ccfDNA (circulating cell-free DNA) from maternal blood, using an un-targeted NIPT assay.

    Also known as: NIPD, MPSS, Un-Targeted NIPD, Non-invasive prenatal testing, Non-invasive prenatal diagnosis

  • OtherHarmony™ Test (Ariosa Diagnostics)

    Test that is commercially available (Ariosa Diagnostics). (will be used for benchmarking purposes in a subset of each arm)

    Also known as: DANSR Assay

06

What researchers measure

Primary outcomes

  1. Number of cases with Fetal trisomy 21, 18 or 13

    Only pregnant women will be recruited, fetal outcome will be assessed by fetal karyotype or at or after delivery.

    Time frame: 6 weeks after the delivery date

Secondary outcomes

  1. Number of women with assay failure

    Time frame: At end of pregnancy.

Other outcomes

  1. Overall costs of screening algorithm

    Time frame: 6 weeks after delivery

07

Study locations

5 sites
  • Foothills Medical Centre
    Calgary, Alberta T2N 2T9, Canada
  • Children's & Women's Health Centre
    Vancouver, British Columbia V6H 3N1, Canada
  • The Ottawa Hospital
    Ottawa, Ontario K1H 8L6, Canada
  • CHU Ste-Justine
    Montreal, Quebec H3T 1C5, Canada
  • CHU de Québec
    Quebec City, Quebec G1L3L5, Canada
08

References and documents

Publications

  • Fibke C, Giroux S, Caron A, Starks E, Parker JDK, Swanson L, Jouan L, Langlois S, Rouleau G, Rousseau F, Karsan A. Effect of preexamination conditions in a centralized-testing model of non-invasive prenatal screening. Clin Chem Lab Med. 2021 Nov 11;60(2):183-190. doi: 10.1515/cclm-2021-0652. Print 2022 Jan 27. PubMed 34761647 ↗
  • Rousseau F, Langlois S, Johnson JA, Gekas J, Bujold E, Audibert F, Walker M, Giroux S, Caron A, Clement V, Blais J, MacLeod T, Moore R, Gauthier J, Jouan L, Laporte A, Diallo O, Parker J, Swanson L, Zhao Y, Labelle Y, Giguere Y, Forest JC, Little J, Karsan A, Rouleau G. Prospective head-to-head comparison of accuracy of two sequencing platforms for screening for fetal aneuploidy by cell-free DNA: the PEGASUS study. Eur J Hum Genet. 2019 Nov;27(11):1701-1715. doi: 10.1038/s41431-019-0443-0. Epub 2019 Jun 23. PubMed 31231136 ↗
09

Timeline

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

The record gives a start of Nov 2013, a primary completion of Jun 2017 and a completion of Jun 2017. 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
Aug 16, 2013
First posted
Aug 20, 2013
Start
Nov 2013
Primary completionActual
Jun 2017
CompletionActual
Jun 2017
Last update
Feb 22, 2018
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 Feb 22, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01925742
Collaborators
Laval University, Genome Canada, Genome Quebec, Genome British Columbia, Canadian Institutes of Health Research (CIHR)
Responsible party
Sponsor
First posted
Aug 20, 2013
Start date
Nov 2013
Primary completion
Jun 2017
Completion
Jun 2017
Last update
Feb 22, 2018

Study contacts

Francois Rousseau, MD MSc FRCPC
principal investigator · Universite Laval and CHU de Quebec
Sylvie Langlois, MD FRCPC
principal investigator · University of British Columbia

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2016. You cannot join it, but the record below documents what was studied.

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