Early Check: Expanded Screening in Newborns
Early Check: A Collaborative Innovation to Facilitate Pre-Symptomatic Clinical Trials in Newborns
2 other identifiers
observational
30,000
1 country
1
Brief Summary
Early Check provides voluntary screening of newborns for a selected panel of conditions. The study has three main objectives: 1) develop and implement an approach to identify affected infants, 2) address the impact on infants and families who screen positive, and 3) evaluate the Early Check program. The Early Check screening will lead to earlier identification of newborns with rare health conditions in addition to providing important data on the implementation of this model program. Early diagnosis may result in health and development benefits for the newborns. Infants who have newborn screening in North Carolina will be eligible to participate, equating to over 120,000 eligible infants a year. Over 95% of participants are expected to screen negative. Newborns who screen positive and their parents are invited to additional research activities and services. Parents can enroll eligible newborns on the Early Check electronic Research Portal. Screening tests are conducted on residual blood from existing newborn screening dried blood spots. Confirmatory testing is provided free-of-charge for infants who screen positive, and carrier testing is provided to mothers of infants with fragile X. Affected newborns have a physical and developmental evaluation. Their parents have genetic counseling and are invited to participate in surveys and interviews. Ongoing evaluation of the program includes additional parent interviews.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2018
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 16, 2018
CompletedFirst Posted
Study publicly available on registry
August 31, 2018
CompletedStudy Start
First participant enrolled
October 15, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2025
CompletedApril 4, 2025
December 1, 2024
7.1 years
August 16, 2018
March 31, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence Rates: Number of newborns who screen positive comparative to the whole sample
Incidence rates of infants who screen positive for conditions on the Early Check panel.
Every 6 months for approximately three years
Secondary Outcomes (1)
Impact of Screening: Semi-structured parent interviews.
Measured within 6 months of participant screening results
Study Arms (2)
Newborn infants born in North Carolina
All newborn infants in North Carolina will have the opportunity to participate in Early Check. Those who screen positive for the conditions identified in the study will be subject to confirmatory testing.
Birthing Mothers in North Carolina
All birthing mothers in North Carolina will have the opportunity to participate in Early Check.
Interventions
If a newborn's screening test is positive, an experienced genetic counselor will contact the infant's mother by phone to explain the positive screening result and arrange for confirmatory testing and a follow-up appointment. If the confirmatory test is positive, then the child receives a diagnosis of the disease. Children identified with a disorder are referred for treatment, their parents receive information and counseling on what a positive diagnosis means for their child, and they are offered participation in follow-up and registry activities for the disorder.
Eligibility Criteria
Newborns born in North or South Carolina who are less than 31 days old
You may qualify if:
- Newborn has newborn screening in North Carolina
- Newborn lives in North Carolina or South Carolina
- Newborn is less than 31 days old
- Person giving consent must have legal custody of the newborn. When the mother retains custody, they must be the person to give consent.
- Person giving consent must be able to interact with the online permission portal (available in English and Spanish) and give permission online
You may not qualify if:
- A newborn screening (NBS) sample is unavailable for the newborn
- Insufficient NBS sample remains to conduct the screening
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- RTI Internationallead
- University of North Carolina, Chapel Hillcollaborator
- The John Merck Fundcollaborator
- Duke Universitycollaborator
- Wake Forest Universitycollaborator
- North Carolina Department of Health and Human Servicescollaborator
- National Center for Advancing Translational Sciences (NCATS)collaborator
- Cure SMAcollaborator
- The National Fragile X Foundationcollaborator
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)collaborator
- Asuragen, Inc.collaborator
- Sarepta Therapeutics, Inc.collaborator
- Muscular Dystrophy Associationcollaborator
- The Leona M. and Harry B. Helmsley Charitable Trustcollaborator
- Juvenile Diabetes Research Foundationcollaborator
- Janssen Pharmaceuticalscollaborator
- GeneDxcollaborator
- Illumina, Inc.collaborator
Study Sites (1)
RTI International
Research Triangle Park, North Carolina, 27709, United States
Related Publications (6)
Finkel, Mercuri, Darras, Kuntz, Kirschner et al, 2017
BACKGROUNDBirnkrant, et al, 2018
BACKGROUNDWinarni, Schneider, Borodyanskara, & Hagerman, 2012
BACKGROUNDBailey, Raspa, Bishop & Holiday, 2009
BACKGROUNDGehtland LM, Paquin RS, Andrews SM, Lee AM, Gwaltney A, Duparc M, Pfaff ER, Bailey DB Jr. Using a Patient Portal to Increase Enrollment in a Newborn Screening Research Study: Observational Study. JMIR Pediatr Parent. 2022 Feb 10;5(1):e30941. doi: 10.2196/30941.
PMID: 35142618DERIVEDBailey DB Jr, Gehtland LM, Lewis MA, Peay H, Raspa M, Shone SM, Taylor JL, Wheeler AC, Cotten M, King NMP, Powell CM, Biesecker B, Bishop CE, Boyea BL, Duparc M, Harper BA, Kemper AR, Lee SN, Moultrie R, Okoniewski KC, Paquin RS, Pettit D, Porter KA, Zimmerman SJ. Early Check: translational science at the intersection of public health and newborn screening. BMC Pediatr. 2019 Jul 17;19(1):238. doi: 10.1186/s12887-019-1606-4.
PMID: 31315600DERIVED
Biospecimen
Any biological specimens collected as part of the study will be incinerated at the conclusion of the study. Specimens utilized during the study that were collected as part of routine State newborn screening or diagnostic confirmatory testing, will be retained by the North Carolina State Laboratory of Public Health (NCSLPH),University of North Carolina at Chapel Hill (UNC), Invitae, and LabCorps in accordance with institute record retention policies and protocols.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Don Bailey, PhD
RTI International
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 16, 2018
First Posted
August 31, 2018
Study Start
October 15, 2018
Primary Completion
November 30, 2025
Study Completion
December 31, 2025
Last Updated
April 4, 2025
Record last verified: 2024-12