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CompletedNCT02160938Updated Mar 25, 2019

Prenatal Microarray Follow-Up Study

An observational study in Genetic Diseases, sponsored by Columbia University. Completed at 9 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-25.

Sponsored by Columbia University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
184
Ages
18 Years and older
Sex
All
01

Study summary

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.

Read the detailed description

Specifically the aims are as follows:

  1. Determine the intellectual function of the children at age 3 years
  2. Determine phenotypic characteristics other than intellectual function of the children at age 3 years
  3. Determine the frequency of specific copy number variants discovered during routine prenatal diagnostic testing
  4. Evaluate the educational, counseling and psychosocial implications of microarray testing as it is introduced as a standard prenatal diagnostic procedure.
02

Conditions studied

  • Genetic Diseases

Keywords

  • microarray
  • prenatal
  • copy number variant
  • CNV
  • microdeletion
  • microduplication
  • genetic
03

In context

Genetic Diseases, Inborn

403 studies on the registry are indexed under Genetic Diseases, Inborn; 145 are open to participants now.

This study's enrollment of 184 is close to the median of 192 across 195 observational studies indexed under Genetic Diseases, Inborn.

Browse Genetic Diseases, Inborn studies →

Lead sponsor

Columbia University is the lead sponsor of 1,103 studies on the registry; 193 are open to participants now.

Of its 172 completed or terminated interventional studies of FDA-regulated products, 142 (83%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Women undergoing prenatal microarray testing during pregnancy.

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

Inclusion criteria

Inclusion Criteria

  1. 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
  2. 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

Exclusion Criteria

  1. Patient refusal to allow infant follow-up through the age of three
  2. Patient not fluent in the English language
  3. Patient under the age of 18
  4. In surrogate pregnancies, the "rearing parents" are unavailable to give consent.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
184 participants (actual)
Target follow-up
3 Years
Patient registry
Yes

Groups and cohorts

  • 3 year follow-up cohort

    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 as close to the age of 3 as possible, 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)

    Other: 3-year follow-up

  • Limited follow-up cohort

    Women with children who will not reach the age of 2 years 6 months by the end of our study but have a prenatally diagnosed CNV will be recruited into the limited follow-up study. Each center will describe the study to eligible women and will verbally obtain their permission to be contacted by the Study Follow-up Specialist. The Study Follow-Up Specialist will contact the patient, explain the study, and obtain full written informed consent.

Interventions

  • Other3-year follow-up

    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)

06

What researchers measure

Primary outcomes

  1. Full Scale Intelligence Quotient (IQ) score

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

    Time frame: age 3 years

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

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

    Time frame: age: up to 3 years

  7. Visual Spatial composite score

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

    Time frame: age: up to 3 years

  8. Working Memory composite score

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

    Time frame: age: up to 3 years

  9. Communication domain score

    Communication domain score from the Vineland Adaptive Behavior Scale

    Time frame: age: up to 3 years

  10. Daily Living Skills domain score

    Daily Living Skills domain score from the Vineland Adaptive Behavior Scale

    Time frame: age: up to 3 years

  11. Socialization domain score

    Socialization domain score from the Vineland Adaptive Behavior Scale

    Time frame: age: up to 3 years

  12. Motor Skills domain score

    Motor Skills domain score from the Vineland Adaptive Behavior Scale

    Time frame: age: up to 3 years

  13. Adaptive Behavior Composite score

    Adaptive Behavior Composite score from the Vineland Adaptive Behavior Scale

    Time frame: age: up to 3 years

  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

07

Study locations

9 sites
  • Center for Fetal Medicine
    Los Angeles, California 90048, United States
  • George Washington University Biostatistics Center
    Rockville, Maryland 20852, United States
  • Montefiore Medical Center
    Larchmont, New York 10538, United States
  • North Shore LIJ
    Manhasset, New York 11030, United States
  • Mt. Sinai Medical Center
    New York, New York 10029, United States
  • Columbia University
    New York, New York 10032, United States
  • OB/GYN Services PC
    New York, New York 10075, United States
  • Geisinger Health System
    Danville, Pennsylvania 17822, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
08

References and documents

Publications

  • Wapner RJ, Martin CL, Levy B, Ballif BC, Eng CM, Zachary JM, Savage M, Platt LD, Saltzman D, Grobman WA, Klugman S, Scholl T, Simpson JL, McCall K, Aggarwal VS, Bunke B, Nahum O, Patel A, Lamb AN, Thom EA, Beaudet AL, Ledbetter DH, Shaffer LG, Jackson L. Chromosomal microarray versus karyotyping for prenatal diagnosis. N Engl J Med. 2012 Dec 6;367(23):2175-84. doi: 10.1056/NEJMoa1203382. PubMed 23215555 ↗
  • Bernhardt BA, Soucier D, Hanson K, Savage MS, Jackson L, Wapner RJ. Women's experiences receiving abnormal prenatal chromosomal microarray testing results. Genet Med. 2013 Feb;15(2):139-45. doi: 10.1038/gim.2012.113. Epub 2012 Sep 6. PubMed 22955112 ↗
  • Bernhardt BA, Kellom K, Barbarese A, Faucett WA, Wapner RJ. An exploration of genetic counselors' needs and experiences with prenatal chromosomal microarray testing. J Genet Couns. 2014 Dec;23(6):938-47. doi: 10.1007/s10897-014-9702-y. Epub 2014 Feb 27. PubMed 24569858 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 25, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02160938
Lead sponsor
Columbia University
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Human Genome Research Institute (NHGRI)
Responsible party
Ronald J Wapner, MD (Professor and Vice Chairman for Research, Department of Obstetrics and Gynecology, Columbia University) — Principal investigator
First posted
Jun 11, 2014
Start date
Feb 2013
Primary completion
Dec 2018
Completion
Dec 2018
Last update
Mar 25, 2019

Study contacts

Ronald Wapner, MD
principal investigator · Columbia University

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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