ClinicalTrials.gg
RecruitingNCT06549218SCREEN4CAREUpdated May 4, 2026

Genetic Newborn Screening for Rare Diseases Within the Screen4Care Project

An interventional study of newborn genetic screening and whole genome sequencing in Newborn Screening, sponsored by University Hospital Freiburg. Recruiting at 8 sites in 3 countries. Open to participants aged Up to 2 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-04.

Sponsored by University Hospital Freiburg · Not applicable, Interventional, and Screening

From the registry’s dates

  • Started Dec 2024; still recruiting 1 year 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
20,000
Allocation
Not applicable
Ages
Up to 2 Years
Sex
All
01

Study summary

The main objective of the genetic newborn screening part of the Screen4Care-project is to shorten the path to rare disease diagnosis and to facilitate early intervention. Therefore, genetic newborn screening for currently treatable rare diseases (TREAT-panel approach) will be offered to families expecting a baby. Whole genome sequencing (WGS) will be offered as additional diagnostic approach to newborns participating in Screen4Care TREAT-panel approach, if they develop symptoms suggestive of a genetic disease.

To evaluate to what extend genetic newborn screening has an impact on participating infants and their families, a follow-up with standardised questionnaires will be performed for all participating families.

02

Conditions studied

  • Newborn Screening
03

In context

Lead sponsor

University Hospital Freiburg is the lead sponsor of 94 studies on the registry; 18 are open to participants now.

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

04

Who can participate

Ages eligible
Up to 2 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • TREAT-panel:

    • newborns
    • Infants born in one of the participating hospitals and birth centres
    • signed by both parents/legal guardian to participate in genetic newborn screening (TREAT-panel)
  • Whole genome sequencing:

    • Participation in the TREAT-panel study
    • Symptoms suggestive of a genetic disease within the first 2 years of life
    • Informed consent signed by both parents/legal guardian to participate in genetic newborn screening (TREAT-panel) and the whole genome sequencing

Exclusion criteria

Exclusion Criteria:

  • Missing of parents/legal guardian
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

Phase
Not applicable
Primary purpose
Screening
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20,000 participants (estimated)

Study arms

  • Other
    newborn screening

    All newborns participating in the study will receive a genetic newborn screening for predefined treatable diseases. Newborns participating in the TREAT-panel developing symptoms suggestive of a genetic disease during the first 2 years of life can receive whole genome sequencing.

    Diagnostic Test: newborn genetic screening and whole genome sequencing

Interventions

  • Diagnostic testnewborn genetic screening and whole genome sequencing

    newborn genetic screening (panel of treatable diseases); whole genome sequencing (if newborn develops symptoms suggestive of a genetic disease)

06

What researchers measure

Primary outcomes

  1. TREAT-panel

    • Percentage of eligible couples who will accept to participate to the genetic newborn screening

    Time frame: 1 year

  2. TREAT-panel

    • Percentage of infants in whom pathogenic or likely pathogenic variants that predict one of the target diseases will be identified

    Time frame: 1 year

  3. Whole Genome Sequencing

    • Percentage of symptomatic patients whom parents will accept to be enrolled in whole genome sequencing

    Time frame: 2 years

  4. Whole Genome Sequencing

    • Percentage of known disease genes where pathogenic variations will be identified by whole genome sequencing in enrolled patients

    Time frame: 2 years

  5. Whole Genome Sequencing

    • Percentage of infants where genetic diagnosis is achieved by whole genome sequencing

    Time frame: 2 years

Secondary outcomes

  1. TREAT-panel

    • Clinical follow-up of infants with positive findings in gNBS

    Time frame: 1 year

  2. TREAT-panel

    • Impact of genetic NBS on parents as assessed by standardized questionnaires

    Time frame: 1 year

  3. TREAT-panel

    • Carrier frequency of recessive diseases (both autosomal and X-linked) and percentage of variants of unknown significance identified through gNBS.

    Time frame: 1 year

  4. TREAT-panel

    • Percentage of study participants who develop symptoms of a genetic disease after negative newborn screening and are diagnosed by whole genome sequencing (aggregated data analysis, not reported to participants)

    Time frame: 1 year

  5. TREAT-panel

    • Impact of positive findings in gNBS on the health care and outcome of study participants

    Time frame: 1 year

  6. Whole Genome Sequencing

    • Percentage of novel disease genes (phenotype discovery) where pathogenic variations will be identified by Whole Genome Sequencing in enrolled patients

    Time frame: 2 years

  7. Whole Genome Sequencing

    • Number of VUS identified in known disease genes

    Time frame: 2 years

  8. Whole Genome Sequencing

    • Number of VUS identified in novel disease genes/phenotypes

    Time frame: 2 years

  9. Whole Genome Sequencing

    • Diagnostic yield of Whole Genome Sequencing compared to genetic newborn screening

    Time frame: 2 years

07

Study locations

6 of 8 sites recruiting
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References and documents

Publications

  • Fortunato F, Selvatici R, Kirschner J, Sansen S, Agolini E, Ottombrino S, Bertini E, Novelli A, Einhorn M, Matalonga L, Beltran S, Gut IG, Pereira AM, Hiort O, Schaefer F, Verloes A, Lohse AW, Wilde AAM, Bodemer C, Jondeau G, Dollfus H, Graessner H, Mathijssen IMJ, L'khssim I, Blay JY, Sangiorgi L, Fenaux P, Manu Pereira MDM, Gutierrez Valle V, Mosca M, Hoogerbrugge N, Wijnen R, Evangelista T, D'Angelo C, Wagner TOF, Feitz WFJ, Ladenstein R, Dobai Z, Wulffraat N, Ruperto N, Jara Vega P, Bellettato CM, Scarpa M, Onali M, Tchaicha S, Arzimanoglou A, Oh J, Lenz D, Tumiene B, Zygmunt A, Ferlini A. European Reference Networks as core health structures where referring genetic newborn screening positive infants: an innovative operational research framework. Front Public Health. 2026 Jun 10;14:1822461. doi: 10.3389/fpubh.2026.1822461. eCollection 2026. PubMed 42359128 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06549218
Lead sponsor
University Hospital Freiburg
Collaborators
Innovative Medicines Initiative, Università degli Studi di Ferrara, Ospedale Pediatrico Bambin Gesù, University of Siena, Centre Hospitalier Universitaire Dijon, Real Genix, University Hospital Goettingen, Centro Nacional de Análisis Genómico, Genoox, Municipal Hospital Karlsruhe, Schwarzwald-Baar Hospital, Illumina, Inc., Charite University, Berlin, Germany, Brno University Hospital, General Hospital Of Thessaloniki Ippokratio, San Camillo Hospital, Rome, University of Rzeszow, Hospital San Pietro Fatebenefratelli
Responsible party
Jan Kirschner (Prof. Dr., University Hospital Freiburg) — Principal investigator
First posted
Aug 12, 2024
Start date
Dec 3, 2024
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
May 4, 2026

Study contacts

Alessandra Ferlini, Professor
Contact
screen4care@unife.it
+39 0532 974439
Alessandra Ferlini, Professor
principal investigator · Unit Medical Genetics, Azienda Ospedaliero-Universitaria Sant'Anna

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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