NCT03655223

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

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
30,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2018

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
enrolling by invitation

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

Completed
15 days until next milestone

First Posted

Study publicly available on registry

August 31, 2018

Completed
2 months until next milestone

Study Start

First participant enrolled

October 15, 2018

Completed
7.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2025

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
Last Updated

April 4, 2025

Status Verified

December 1, 2024

Enrollment Period

7.1 years

First QC Date

August 16, 2018

Last Update Submit

March 31, 2025

Conditions

Spinal Muscular AtrophyFragile X SyndromeFragile X - PremutationDuchenne Muscular DystrophyHyperinsulinemic Hypoglycemia, Familial 1Diabetes MellitusAdrenoleukodystrophy, NeonatalMedium-chain Acyl-CoA Dehydrogenase DeficiencyVery Long Chain Acyl Coa Dehydrogenase DeficiencyBeta-ketothiolase DeficiencySevere Combined Immunodeficiency Due to Adenosine Deaminase DeficiencyPrimary Hyperoxaluria Type 1Congenital Bile Acid Synthesis Defect Type 2Pyridoxine-Dependent EpilepsyHereditary Fructose IntoleranceHypophosphatasiaHyperargininemiaMucopolysaccharidosis Type 6Argininosuccinic AciduriaCitrullinemia, Type IWilson DiseaseMaple Syrup Urine Disease, Type 1AMaple Syrup Urine Disease, Type 1BBiotinidase DeficiencyNeonatal Severe Primary HyperparathyroidismIntrinsic Factor DeficiencyUsher Syndrome Type 1D/F Digenic (Diagnosis)Cystic FibrosisStickler Syndrome Type 2Stickler Syndrome Type 1Alport Syndrome, Autosomal RecessiveAlport Syndrome, X-LinkedCarbamoyl Phosphate Synthetase I Deficiency DiseaseCarnitine Palmitoyl Transferase 1A DeficiencyCarnitine Palmitoyltransferase II DeficiencyCystinosisChronic Granulomatous DiseaseCerebrotendinous XanthomatosesMaple Syrup Urine Disease, Type 2Severe Combined Immunodeficiency Due to DCLRE1C DeficiencyThyroid Dyshormonogenesis 6Thyroid Dyshormonogenesis 5Supravalvar Aortic StenosisFactor X DeficiencyHemophilia AHemophilia BTyrosinemia, Type IFructose 1,6 Bisphosphatase DeficiencyGlycogen Storage Disease Type IG6PD DeficiencyGlycogen Storage Disease IIGalactokinase DeficiencyMucopolysaccharidosis Type IV AGalactosemiasGuanidinoacetate Methyltransferase DeficiencyAgat DeficiencyGlutaryl-CoA Dehydrogenase DeficiencyGtp Cyclohydrolase I DeficiencyHyperinsulinism-Hyperammonemia SyndromePrimary Hyperoxaluria Type 23-Hydroxyacyl-CoA Dehydrogenase DeficiencyLong-chain 3-hydroxyacyl-CoA Dehydrogenase DeficiencyMitochondrial Trifunctional Protein DeficiencySickle Cell DiseaseBeta-ThalassemiaHolocarboxylase Synthetase Deficiency3-Hydroxy-3-Methylglutaric AciduriaPrimary Hyperoxaluria Type 3Hermansky-Pudlak Syndrome 1Hermansky-Pudlak Syndrome 4Apparent Mineralocorticoid ExcessHSDBCBAS1Mucopolysaccharidosis Type 2Mucopolysaccharidosis Type 1Severe Combined Immunodeficiency, X LinkedSevere Combined Immunodeficiency Due to IL-7Ralpha DeficiencyDiabetes Mellitus, Permanent NeonatalIsovaleric AcidemiaSevere Combined Immunodeficiency T-Cell Negative B-Cell Positive Due to Janus Kinase-3 Deficiency (Disorder)Jervell and Lange-Nielsen Syndrome 2Hyperinsulinemic Hypoglycemia, Familial, 2Diabetes Mellitus, Permanent Neonatal, With Neurologic FeaturesJervell and Lange-Nielsen Syndrome 1Lysosomal Acid Lipase DeficiencyCblF3-Methylcrotonyl CoA Carboxylase 1 Deficiency3-Methylcrotonyl CoA Carboxylase 2 DeficiencyWaardenburg Syndrome Type 2AMethylmalonic Aciduria cblA TypeMethylmalonic Aciduria cblB TypeMethylmalonic Aciduria and Homocystinuria Type cblCMAHCDMethylmalonic Aciduria Due to Methylmalonyl-CoA Mutase DeficiencyCongenital Disorder of Glycosylation Type 1BMthfr DeficiencyMethylcobalamin Deficiency Type Cbl G (Disorder)Methylcobalamin Deficiency Type cblEUsher Syndrome, Type 1BN-acetylglutamate Synthase DeficiencyOrnithine Transcarbamylase DeficiencyPhenylketonuriasWaardenburg Syndrome Type 1Congenital HypothyroidismPropionic AcidemiaUsher Syndrome, Type 1FPancreatic Agenesis 1Hereditary Hypophosphatemic RicketsGlycogen Storage Disease IXBGlycogen Storage Disease IXCMOWSEpilepsy, Early-Onset, Vitamin B6-DependentPyridoxal Phosphate-Responsive SeizuresPituitary Hormone Deficiency, Combined, 1PtsdDihydropteridine Reductase DeficiencySevere Combined Immunodeficiency Due to RAG1 DeficiencySevere Combined Immunodeficiency Due to RAG2 DeficiencyRetinoblastomaMultiple Endocrine Neoplasia Type 2BPseudohypoaldosteronism, Type ILiddle SyndromeBiotin-Responsive Basal Ganglia DiseaseSCDDIAR1GSD1CAcrodermatitis EnteropathicaThyroid Dyshormonogenesis 1Riboflavin Transporter DeficiencyWaardenburg Syndrome, Type 2ESRDCongenital Lipoid Adrenal Hyperplasia Due to STAR DeficiencyBarth SyndromeAdrenocorticotropic Hormone DeficiencyTranscobalamin II DeficiencyThyroid Dyshormonogenesis 3Segawa Syndrome, Autosomal RecessiveAutosomal Recessive Nonsyndromic Hearing LossThyroid Dyshormonogenesis 2ACongenital Isolated Thyroid Stimulating Hormone DeficiencyHypothyroidism Due to TSH Receptor MutationsUsher Syndrome Type 1CUsher Syndrome Type 1G (Diagnosis)Von Willebrand Disease, Type 3Combined Immunodeficiency Due to ZAP70 DeficiencyAdenine Phosphoribosyltransferase DeficiencyMetachromatic LeukodystrophyCanavan DiseaseMenkes DiseaseCarbonic Anhydrase VA DeficiencyDevelopmental and Epileptic Encephalopathy 217 Alpha-Hydroxylase DeficiencySmith-Lemli-Opitz SyndromeKrabbe DiseaseGlutathione Synthetase DeficiencyMucopolysaccharidosis Type 7Rett SyndromeMolybdenum Cofactor Deficiency, Type ANiemann-Pick Disease, Type C1Niemann-Pick Disease Type C2Ornithine Aminotransferase Deficiency3-Phosphoglycerate Dehydrogenase DeficiencyLeber Congenital Amaurosis 2Dravet SyndromeMucopolysaccharidosis Type 3 AOrnithine Translocase DeficiencyCarnitine-acylcarnitine Translocase DeficiencyGlucose Transporter Type 1 Deficiency SyndromeCreatine Transporter DeficiencyNiemann-Pick Disease Type APitt Hopkins SyndromeTuberous Sclerosis 1Tuberous Sclerosis 2Ataxia With Isolated Vitamin E DeficiencyAngelman SyndromePrader-Willi SyndromeHomocystinuriaPermanent Neonatal Diabetes MellitusTransient Neonatal Diabetes MellitusFactor VII DeficiencyGlycogen Storage Disease Type IXA1Glycogen Storage Disease, Type IXA2Glycogen Storage Disease ICGlycogen Storage Disease Type IBCentral Hypoventilation Syndrome With or Without Hirschsprung Disease

Keywords

Newborn ScreeningRare DisordersGenetic CounselingFamiliesDevelopmentRiskGenetic Sequencing

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.

Diagnostic Test: Confirmatory Testing

Birthing Mothers in North Carolina

All birthing mothers in North Carolina will have the opportunity to participate in Early Check.

Interventions

Confirmatory TestingDIAGNOSTIC_TEST

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.

Newborn infants born in North Carolina

Eligibility Criteria

Age1 Day - 31 Days
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)
Sampling MethodNon-Probability Sample
Study Population

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

Study Sites (1)

RTI International

Research Triangle Park, North Carolina, 27709, United States

Location

Related Publications (6)

  • Finkel, Mercuri, Darras, Kuntz, Kirschner et al, 2017

    BACKGROUND
  • Birnkrant, et al, 2018

    BACKGROUND
  • Winarni, Schneider, Borodyanskara, & Hagerman, 2012

    BACKGROUND
  • Bailey, Raspa, Bishop & Holiday, 2009

    BACKGROUND
  • Gehtland 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.

  • Bailey 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.

Biospecimen

Retention: SAMPLES WITH DNA

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

Muscular Atrophy, SpinalFragile X SyndromeMuscular Dystrophy, DuchenneCongenital HyperinsulinismDiabetes MellitusPeroxisomal DisordersMedium chain acyl CoA dehydrogenase deficiencyVLCAD deficiencyBeta ketothiolase deficiencySevere combined immunodeficiency due to adenosine deaminase deficiencyPrimary hyperoxaluria type 1Bile acid synthesis defect, congenital, 2Pyridoxine-dependent epilepsyFructose IntoleranceHypophosphatasiaHyperargininemiaMucopolysaccharidosis VIArgininosuccinic AciduriaCitrullinemiaHepatolenticular DegenerationMaple syrup urine disease, type 1AMaple syrup urine disease, type 1BBiotinidase DeficiencyHyperparathyroidism, Neonatal Severe PrimaryIntrinsic Factor DeficiencyDiseaseCystic FibrosisStickler syndrome, type 2Stickler syndrome, type 1Nephritis, HereditaryCarbamoyl-Phosphate Synthase I Deficiency DiseaseCarnitine palmitoyl transferase 1A deficiencyCarnitine palmitoyl transferase 2 deficiencyCystinosisGranulomatous Disease, ChronicXanthomatosis, CerebrotendinousMaple syrup urine disease, type 2Thyroid Dyshormonogenesis 6Thyroid Dyshormonogenesis 5Aortic Stenosis, SupravalvularFactor X DeficiencyHemophilia AHemophilia BTyrosinemiasFructose-1,6-Diphosphatase DeficiencyGlycogen Storage Disease Type IGlucosephosphate Dehydrogenase DeficiencyGlycogen Storage Disease Type IIGalactosemiasMucopolysaccharidosis IVGuanidinoacetate methyltransferase deficiencyArginine-Glycine Amidinotransferase DeficiencyGlutaric Acidemia IHyperphenylalaninemia, BH4-Deficient, BHyperinsulinemic hypoglycemia, familial, 6Primary hyperoxaluria type 23-Hydroxyacyl-CoA Dehydrogenase DeficiencyTrifunctional Protein Deficiency With Myopathy And NeuropathyAnemia, Sickle Cellbeta-ThalassemiaHolocarboxylase Synthetase Deficiency3-Hydroxy-3-Methylglutaryl-CoA Lyase DeficiencyHermanski-Pudlak SyndromeMineralocorticoid Excess Syndrome, ApparentMucopolysaccharidosis IIMucopolysaccharidosis IX-Linked Combined Immunodeficiency DiseasesDiabetes Mellitus, Permanent NeonatalAcidemia, isovalericJervell And Lange-Nielsen Syndrome 2Diabetes Mellitus, Permanent Neonatal, With Neurologic FeaturesJervell-Lange Nielsen SyndromeWolman Disease3-methylcrotonyl CoA carboxylase 1 deficiency3-methylcrotonyl CoA carboxylase 2 deficiencyWaardenburg syndrome type 2AMethylmalonic aciduria cblA typeMethylmalonic aciduria cblB typeMethylmalonic acidemia with homocystinuriaMethylmalonic Aciduria due to Methylmalonyl-CoA Mutase DeficiencyCongenital disorder of glycosylation type 1BMethylenetetrahydrofolate reductase deficiencyHomocystinuria-Megaloblastic Anemia due to Defect in Cobalamin Metabolism, CblE Complementation TypeUsher syndrome, type 1BN-acetyl glutamate synthetase deficiencyOrnithine Carbamoyltransferase Deficiency DiseasePhenylketonuriasWaardenburg SyndromeCongenital HypothyroidismPropionic AcidemiaUsher syndrome, type 1FMaturity-Onset Diabetes of the Young, Type 4Familial Hypophosphatemic RicketsGlycogen Storage Disease IXBGlycogen Storage Disease IXCEpilepsyPyridoxamine 5-Prime-Phosphate Oxidase DeficiencyPituitary Hormone Deficiency, Combined, 1Stress Disorders, Post-TraumaticRetinoblastomaMultiple Endocrine Neoplasia Type 2bPseudohypoaldosteronismLiddle SyndromeBasal ganglia disease, biotin-responsiveAcrodermatitis enteropathicaThyroid Dyshormonogenesis 1Brown-Vialetto-Van Laere syndromeWaardenburg syndrome type 2Barth SyndromeAdrenocorticotropic hormone deficiencyThyroid Dyshormonogenesis 3Segawa syndrome, autosomal recessiveThyroid Dyshormonogenesis 2AUsher syndrome, type 1Cvon Willebrand Disease, Type 3Adenine phosphoribosyltransferase deficiencyLeukodystrophy, MetachromaticCanavan DiseaseMenkes Kinky Hair SyndromeEpilepsies, MyoclonicAdrenal hyperplasia, congenital, type 5Smith-Lemli-Opitz SyndromeLeukodystrophy, Globoid CellGlutathione synthetase deficiencyMucopolysaccharidosis VIIRett SyndromeMolybdenum Cofactor Deficiency, Complementation Group ANiemann-Pick Disease, Type CNiemann-Pick disease, type C2Gyrate AtrophyAmaurosis congenita of Leber, type 2Mucopolysaccharidosis IIIHHH syndromeCarnitine-Acylcarnitine Translocase DeficiencyGlut1 Deficiency SyndromeCreatine deficiency, X-linkedNiemann-Pick Disease, Type APitt-Hopkins syndromeTuberous Sclerosis 1Tuberous Sclerosis 2Ataxia with vitamin E deficiencyAngelman SyndromePrader-Willi SyndromeHomocystinuriaFactor VII DeficiencyGlycogen Storage Disease, Type IXA2Glycogen Storage Disease ICGlycogen Storage Disease IB

Condition Hierarchy (Ancestors)

Spinal Cord DiseasesCentral Nervous System DiseasesNervous System DiseasesMotor Neuron DiseaseNeurodegenerative DiseasesNeuromuscular DiseasesX-Linked Intellectual DisabilityIntellectual DisabilityNeurobehavioral ManifestationsNeurologic ManifestationsSex Chromosome DisordersChromosome DisordersCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesGenetic Diseases, InbornGenetic Diseases, X-LinkedHeredodegenerative Disorders, Nervous SystemMuscular DystrophiesMuscular Disorders, AtrophicMuscular DiseasesMusculoskeletal DiseasesPancreatic DiseasesDigestive System DiseasesInfant, Newborn, DiseasesHyperinsulinismGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesHypoglycemiaEndocrine System DiseasesMetabolism, Inborn ErrorsFructose Metabolism, Inborn ErrorsCarbohydrate Metabolism, Inborn ErrorsMetal Metabolism, Inborn ErrorsUrea Cycle Disorders, InbornBrain Diseases, Metabolic, InbornBrain Diseases, MetabolicBrain DiseasesAmino Acid Metabolism, Inborn ErrorsMucopolysaccharidosesLysosomal Storage DiseasesMucinosesConnective Tissue DiseasesSkin and Connective Tissue DiseasesLiver DiseasesBasal Ganglia DiseasesMovement DisordersMultiple Carboxylase DeficiencyPathologic ProcessesPathological Conditions, Signs and SymptomsLung DiseasesRespiratory Tract DiseasesUrogenital AbnormalitiesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesNephritisKidney DiseasesUrologic DiseasesMale Urogenital DiseasesCollagen DiseasesMitochondrial DiseasesPhagocyte Bactericidal DysfunctionLeukocyte DisordersHematologic DiseasesHemic and Lymphatic DiseasesImmunologic Deficiency SyndromesImmune System DiseasesChronic DiseaseDisease AttributesLipid Metabolism, Inborn ErrorsLipid Metabolism DisordersXanthomatosisAortic Valve StenosisAortic Valve DiseaseHeart Valve DiseasesHeart DiseasesCardiovascular DiseasesVentricular Outflow ObstructionBlood Coagulation Disorders, InheritedBlood Coagulation DisordersCoagulation Protein DisordersHemorrhagic DisordersGlycogen Storage DiseaseAnemia, Hemolytic, CongenitalAnemia, HemolyticAnemiaLysosomal Storage Diseases, Nervous SystemHemoglobinopathiesThalassemiaAlbinism, OculocutaneousAlbinismEye Diseases, HereditaryEye DiseasesPlatelet Storage Pool DeficiencyBlood Platelet DisordersSkin Diseases, GeneticHypopigmentationPigmentation DisordersSkin DiseasesSteroid Metabolism, Inborn ErrorsSevere Combined ImmunodeficiencyPrimary Immunodeficiency DiseasesLong QT SyndromeArrhythmias, CardiacCardiac Conduction System DiseaseHeart Defects, CongenitalCardiovascular AbnormalitiesCholesterol Ester Storage DiseaseLipidosesAbnormalities, MultipleDwarfismBone Diseases, DevelopmentalBone DiseasesBone Diseases, EndocrineHypothyroidismThyroid DiseasesRickets, HypophosphatemicRicketsBone Diseases, MetabolicHypophosphatemia, FamilialRenal Tubular Transport, Inborn ErrorsCalcium Metabolism DisordersHypophosphatemiaPhosphorus Metabolism DisordersVitamin D DeficiencyAvitaminosisDeficiency DiseasesMalnutritionNutrition DisordersStress Disorders, TraumaticTrauma and Stressor Related DisordersMental DisordersNeoplasms, NeuroepithelialNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasmsNeoplasms, Glandular and EpithelialNeoplasms, Nerve TissueRetinal NeoplasmsEye NeoplasmsNeoplasms by SiteRetinal DiseasesMultiple Endocrine NeoplasiaEndocrine Gland NeoplasmsNeoplasms, Multiple PrimaryNeoplastic Syndromes, Hereditaryvon Willebrand DiseasesHereditary Central Nervous System Demyelinating DiseasesSulfatidosisSphingolipidosesLeukoencephalopathiesDemyelinating DiseasesHair DiseasesEpilepsy, GeneralizedEpileptic SyndromesDyslipidemiasNiemann-Pick DiseasesHistiocytosis, Non-Langerhans-CellHistiocytosisLymphatic DiseasesChoroid DiseasesUveal DiseasesImprinting DisordersObesityOverweightOvernutritionHyperhomocysteinemia

Study Officials

  • Don Bailey, PhD

    RTI International

    PRINCIPAL INVESTIGATOR

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

Locations