ClinicalTrials.gg
CompletedNCT02278874Updated Jun 13, 2019

High Risk Multiple Gestation Study

An observational study in Trisomy 13, Trisomy 18 and Trisomy 21, sponsored by Natera, Inc.. Completed at 4 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-06-13.

Sponsored by Natera, Inc. · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
99
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 20 studies in Trisomy 13 Syndrome with a site in United States — 3 open to participants now, 3 under way, none of them phase 3. Trisomy 13 Syndrome · United States.

Enrollment
17th of 18
99 · median 1,000
Started
2014
with 3 others
Observational
18 of 20
1 open now
Registered
11th of 20
by date
Lead sponsor
8 of 20
Natera, Inc.

Among the 20 studies in Trisomy 13 Syndrome with a site in United States, this one is the 17th largest by enrollment of the 18 observational ones that give a count, is one of 4 that started in 2014, is one of 18 observational ones, and was the 11th registered.

Trisomy 13 Syndrome

26 studies on the registry are indexed under Trisomy 13 Syndrome; 3 are open to participants now.

Browse Trisomy 13 Syndrome studies →

Open to participants now

3 of the 20 studies in Trisomy 13 Syndrome with a site in United States are open now. Recruiting first, the newest first:

All 3 open studies →

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

Who these studies take

Of the 2 Trisomy 13 Syndrome studies recruiting now, 2 set no upper age limit and none stop at 75 or younger; 1 takes children under 18; 1 takes healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 20 studies in Trisomy 13 Syndrome with a site in United States, or all of them as a file.
02

Study summary

The objectives of the clinical study are to demonstrate the accuracy of our proprietary algorithm method to determine the genetic health of the developing fetuses in a multiple gestation pregnancy from a maternal blood sample. The long term goal of this study will be the development of a method of minimally invasive prenatal diagnosis that has a higher sensitivity and lower false positive rate in the intended population (e.g. multiple gestation pregnancies) than other currently available screening tests.

This will result in fewer unnecessary amniocenteses and Chorionic Villus Sample (CVS) procedures, which are associated with a risk of miscarriage.

03

Conditions studied

  • Trisomy 13
  • Trisomy 18
  • Trisomy 21
  • Sex Chromosome Abnormalities

Keywords

  • Trisomy 13
  • Trisomy 18
  • Trisomy 21
  • Sex Chromosome Abnormalities
  • Monosomy X
  • XXX
  • XXY
  • XYY
04

Who can participate

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

Study population

Pregnant Women

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

  • Age 18 or older at enrollment
  • Clinically confirmed multiple gestation pregnancy
  • Pregnancy at high risk for genetic aneuploidy as defined below:

    • Confirmed positive aneuploidy by invasive testing
    • Non invasive prenatal testing "high risk" result
    • Serum screening risk of greater than 1:100
    • Ultrasound abnormalities indicative of aneuploidy

      • Structural abnormality of the posterior fossa
      • Holoprosencephaly
      • Structural cardiac anomaly
      • Omphalocele
      • Nuchal translucency greater than or equal to 3.5 mm or a nuchal fold greater Hydrops of unknown etiology
    • Age ≥ 38 years at delivery (if serum screening risk is not less than 1:100)
  • Gestational age between ≥ 9 weeks, 0 days and ≤26 weeks 0 days by best obstetrical estimate
  • Able to provide

Exclusion criteria

Exclusion Criteria:

  • Women carrying singleton pregnancy
  • Surrogate or egg donor used
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.

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.

05

Study design

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

Groups and cohorts

  • Multiple gestation high risk pregnancies

    women pregnant with twins or triplets at high risk for aneuploidy

06

What researchers measure

Primary outcomes

  1. Screening capability of proprietary algorithm in the form of a risk results classified as positive result for aneuploidy, negative result for aneuploidy or 'no call.'

    The primary outcome will be to confirm the diagnostic capability of NATUS risk results (a risk score eg 1:100) classified as positive result for aneuploidy, negative result for aneuploidy or 'no call.' The outcome will be determined as a risk score given for samples collected. This outcome will be compared to the diagnostic testing results of ploidy status. The chromosomal status will be determined from the CVS or amniocentesis results, if available. A cheek swab or saliva sample will be collected from live-born children if there are no CVS or amniocentesis results. This will be used to determine the true ploidy status of the fetuses.

    Time frame: 4 years

07

Study locations

4 sites
  • Tufts Medical Center
    Boston, Massachusetts 02111, United States
  • Montefiore Medical Center
    Bronx, New York 10461, United States
  • Long Island Jewish Medical Center
    Glen Cove, New York 11542, United States
  • Mt. Sinai Hospital
    New York, New York 10029, United States
08

References and documents

Publications

  • Pergament E, Cuckle H, Zimmermann B, Banjevic M, Sigurjonsson S, Ryan A, Hall MP, Dodd M, Lacroute P, Stosic M, Chopra N, Hunkapiller N, Prosen DE, McAdoo S, Demko Z, Siddiqui A, Hill M, Rabinowitz M. Single-nucleotide polymorphism-based noninvasive prenatal screening in a high-risk and low-risk cohort. Obstet Gynecol. 2014 Aug;124(2 Pt 1):210-218. doi: 10.1097/AOG.0000000000000363. PubMed 25004354 ↗
  • 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 ↗
  • 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 ↗
  • Sehnert AJ, Rhees B, Comstock D, de Feo E, Heilek G, Burke J, Rava RP. Optimal detection of fetal chromosomal abnormalities by massively parallel DNA sequencing of cell-free fetal DNA from maternal blood. Clin Chem. 2011 Jul;57(7):1042-9. doi: 10.1373/clinchem.2011.165910. Epub 2011 Apr 25. PubMed 21519036 ↗
  • Bianchi DW, Platt LD, Goldberg JD, Abuhamad AZ, Sehnert AJ, Rava RP; MatErnal BLood IS Source to Accurately diagnose fetal aneuploidy (MELISSA) Study Group. Genome-wide fetal aneuploidy detection by maternal plasma DNA sequencing. Obstet Gynecol. 2012 May;119(5):890-901. doi: 10.1097/AOG.0b013e31824fb482. Erratum In: Obstet Gynecol. 2012 Oct;120(4):957. PubMed 22362253 ↗
  • Palomaki GE, Deciu C, Kloza EM, Lambert-Messerlian GM, Haddow JE, Neveux LM, Ehrich M, van den Boom D, Bombard AT, Grody WW, Nelson SF, Canick JA. DNA sequencing of maternal plasma reliably identifies trisomy 18 and trisomy 13 as well as Down syndrome: an international collaborative study. Genet Med. 2012 Mar;14(3):296-305. doi: 10.1038/gim.2011.73. Epub 2012 Feb 2. PubMed 22281937 ↗
  • Norton ME, Brar H, Weiss J, Karimi A, Laurent LC, Caughey AB, Rodriguez MH, Williams J 3rd, Mitchell ME, Adair CD, Lee H, Jacobsson B, Tomlinson MW, Oepkes D, Hollemon D, Sparks AB, Oliphant A, Song K. Non-Invasive Chromosomal Evaluation (NICE) Study: results of a multicenter prospective cohort study for detection of fetal trisomy 21 and trisomy 18. Am J Obstet Gynecol. 2012 Aug;207(2):137.e1-8. doi: 10.1016/j.ajog.2012.05.021. Epub 2012 Jun 1. PubMed 22742782 ↗
  • Canick JA, Kloza EM, Lambert-Messerlian GM, Haddow JE, Ehrich M, van den Boom D, Bombard AT, Deciu C, Palomaki GE. DNA sequencing of maternal plasma to identify Down syndrome and other trisomies in multiple gestations. Prenat Diagn. 2012 Aug;32(8):730-4. doi: 10.1002/pd.3892. Epub 2012 May 14. PubMed 22585317 ↗

Related links

09

Timeline

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

The record gives a start of Aug 2014, a primary completion of Dec 2018 and a completion of Mar 2019. 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 27, 2014
First posted
Oct 30, 2014
Start
Aug 2014
Primary completionActual
Dec 1, 2018
CompletionActual
Mar 2019
Last update
Jun 13, 2019
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 Jun 13, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02278874
Lead sponsor
Natera, Inc.
Collaborators
MOUNT SINAI HOSPITAL, Montefiore Medical Center, Long Island Jewish Medical Center, Tufts Medical Center
Responsible party
Sponsor
First posted
Oct 30, 2014
Start date
Aug 2014
Primary completion
Dec 1, 2018
Completion
Mar 2019
Last update
Jun 13, 2019

Study contacts

Joanne Stone, MD
principal investigator · Mt. Sinai Hospital, New York
Peer Dar, MD
principal investigator · Montefiore Medical Center
Rajeevi Madankumar, MD
principal investigator · Long Island Jewish Medical Center
Errol Norwitz, MD, PhD
principal investigator · Tufts Medical Center

Oversight

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

Not currently enrolling

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

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