NCT06385366

Brief Summary

This is Observational study, aiming to investigate the potentiality of cffDNA and cfRNA by a non-invasive test, in combination with clinical characteristics, to establish models for early screening and predicting high-risk pregnancy of PE, SPB, and GDM in Vietnam.

Trial Health

55
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
1,105

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2024

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

April 22, 2024

Completed
4 days until next milestone

First Posted

Study publicly available on registry

April 26, 2024

Completed
14 days until next milestone

Study Start

First participant enrolled

May 10, 2024

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 6, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 6, 2025

Completed
Last Updated

July 16, 2025

Status Verified

July 1, 2025

Enrollment Period

1.5 years

First QC Date

April 22, 2024

Last Update Submit

July 12, 2025

Conditions

Keywords

cffDNAcfRNAVietnam

Outcome Measures

Primary Outcomes (5)

  • Characteristics of pregnant women at 1st trimester (9-13 weeks 6 days of gestation)

    Observe the characteristics of pregnant women at 1st trimester (9-13 weeks 6 days of gestation): clinical features, cffDNA, cfRNA

    12 months

  • Characteristics of pregnant women at recruitment

    Characteristics of pregnant women at recruitment: clinical features, cffDNA, cfRNA

    12 months

  • Define the significant differences between cases and controls

    Comparison between clinical features, cffDNA, and cfRNA of early pregnancy and at recruitment, then defines the significant differences between cases and controls

    12 months

  • The development of learning machine models

    The development of learning machine models involved potential factors that help predict events of interest (PE, SPB, and GDM). From cfRNA and cfDNA data, factors that differ between the two groups will be identified and evaluated for their potentiality in predicting high-risk individuals. The Receiver Operating Characteristic (ROC) curve and values of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were used to determine the validity of the constructed model.

    12 months

  • Evaluation of the developed models

    Evaluation of the developed models by determining their sensitivity, specificity, area under the ROC Curve (AUC), positive predictive value (PPV), negative predictive value (NPV), and accuracy.

    12 months

Eligibility Criteria

Age18 Years - 80 Years
Sexfemale
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

This study population will include women with singleton pregnancies, who are diagnosed Preeclampsia/eclampsia, Preterm premature rupture of membranes (PPROM)/preterm labor leading to SPB, and/or gestational diabetes mellitus or who are healthy pregnancy at ≥ 37 weeks of gestation.

You may qualify if:

  • At recruitment, women with singleton pregnancies must fulfill the conditions:
  • Cases: diagnosis of Preeclampsia/eclampsia, Preterm premature rupture of membranes (PPROM)/preterm labor leading to SPB, and/or gestational diabetes mellitus.
  • Controls: healthy pregnancy at ≥ 37 weeks of gestation
  • History of undergoing non-invasive prenatal testing (NIPT) at 9-13 weeks 6 days of gestation at Gene Solutions Lab. NIPT report was at low-risk. No abnormal fetal and maternal conditions were confirmed at NIPT time.
  • NIPT blood sample is available according to post-test sample storage procedures at Gene Solutions Lab.
  • Consent to voluntarily participate in the study

You may not qualify if:

  • Multiple pregnancies
  • Pregnancy with any genetic abnormality
  • Pregnancy with any fetal structural abnormality
  • Pregnancy with indications for termination, miscarriage, or stillbirth due to other complications
  • Maternal medical history of diabetes mellitus type 1/ type 2, chronic hypertension, and chronic kidney disease. Maternal abnormal uterus anatomy and history of cervical cone biopsy sample or loop electrocautery excision procedures (LEEP).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Medical Genetics Institute

Ho Chi Minh City, Hồ Chí Minh, Vietnam

Location

Related Publications (19)

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    PMID: 21094932BACKGROUND
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    PMID: 27190902BACKGROUND
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    PMID: 33562187BACKGROUND
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    PMID: 25225060BACKGROUND
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    PMID: 27640943BACKGROUND
  • Fonseca EB, Celik E, Parra M, Singh M, Nicolaides KH; Fetal Medicine Foundation Second Trimester Screening Group. Progesterone and the risk of preterm birth among women with a short cervix. N Engl J Med. 2007 Aug 2;357(5):462-9. doi: 10.1056/NEJMoa067815.

    PMID: 17671254BACKGROUND
  • Becking EC, Scheffer PG, Henrichs J, Bax CJ, Crombag NMTH, Weiss MM, Macville MVE, Van Opstal D, Boon EMJ, Sistermans EA, Henneman L, Schuit E, Bekker MN. Fetal fraction of cell-free DNA in noninvasive prenatal testing and adverse pregnancy outcomes: a nationwide retrospective cohort study of 56,110 pregnant women. Am J Obstet Gynecol. 2024 Aug;231(2):244.e1-244.e18. doi: 10.1016/j.ajog.2023.12.008. Epub 2023 Dec 12.

    PMID: 38097030BACKGROUND
  • Karapetian capital A, Cyrilliccapital O, Cyrillic, Baev capital O, CyrillicR, Sadekova capital A, Cyrilliccapital A, Cyrillic, Krasnyi capital A, Cyrilliccapital EM, Cyrillic, Sukhikh GT. Cell-Free Foetal DNA as a Useful Marker for Preeclampsia Prediction. Reprod Sci. 2021 May;28(5):1563-1569. doi: 10.1007/s43032-021-00466-w. Epub 2021 Jan 21.

    PMID: 33475978BACKGROUND
  • Munchel S, Rohrback S, Randise-Hinchliff C, Kinnings S, Deshmukh S, Alla N, Tan C, Kia A, Greene G, Leety L, Rhoa M, Yeats S, Saul M, Chou J, Bianco K, O'Shea K, Bujold E, Norwitz E, Wapner R, Saade G, Kaper F. Circulating transcripts in maternal blood reflect a molecular signature of early-onset preeclampsia. Sci Transl Med. 2020 Jul 1;12(550):eaaz0131. doi: 10.1126/scitranslmed.aaz0131.

    PMID: 32611681BACKGROUND
  • Zhou S, Li J, Yang W, Xue P, Yin Y, Wang Y, Tian P, Peng H, Jiang H, Xu W, Huang S, Zhang R, Wei F, Sun HX, Zhang J, Zhao L. Noninvasive preeclampsia prediction using plasma cell-free RNA signatures. Am J Obstet Gynecol. 2023 Nov;229(5):553.e1-553.e16. doi: 10.1016/j.ajog.2023.05.015. Epub 2023 May 19.

    PMID: 37211139BACKGROUND
  • Dugoff L, Barberio A, Whittaker PG, Schwartz N, Sehdev H, Bastek JA. Cell-free DNA fetal fraction and preterm birth. Am J Obstet Gynecol. 2016 Aug;215(2):231.e1-7. doi: 10.1016/j.ajog.2016.02.009. Epub 2016 Feb 11.

    PMID: 26875947BACKGROUND
  • Darghahi R, Mobaraki-Asl N, Ghavami Z, Pourfarzi F, Hosseini-Asl S, Jalilvand F. Effect of cell-free fetal DNA on spontaneous preterm labor. J Adv Pharm Technol Res. 2019 Jul-Sep;10(3):117-120. doi: 10.4103/japtr.JAPTR_371_18.

    PMID: 31334093BACKGROUND
  • Camunas-Soler J, Gee EPS, Reddy M, Mi JD, Thao M, Brundage T, Siddiqui F, Hezelgrave NL, Shennan AH, Namsaraev E, Haverty C, Jain M, Elovitz MA, Rasmussen M, Tribe RM. Predictive RNA profiles for early and very early spontaneous preterm birth. Am J Obstet Gynecol. 2022 Jul;227(1):72.e1-72.e16. doi: 10.1016/j.ajog.2022.04.002. Epub 2022 Apr 6.

    PMID: 35398029BACKGROUND
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    PMID: 35741140BACKGROUND
  • Guo Z, Yang F, Zhang J, Zhang Z, Li K, Tian Q, Hou H, Xu C, Lu Q, Ren Z, Yang X, Lv Z, Wang K, Yang X, Wu Y, Yang X. Whole-Genome Promoter Profiling of Plasma DNA Exhibits Diagnostic Value for Placenta-Origin Pregnancy Complications. Adv Sci (Weinh). 2020 Feb 18;7(7):1901819. doi: 10.1002/advs.201901819. eCollection 2020 Apr.

    PMID: 32274292BACKGROUND
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    PMID: 33045922BACKGROUND
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    PMID: 24582925BACKGROUND

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

At recruitment, 10 mL of peripheral blood is collected for cffDNA and cfRNA analyses. An available NIPT sample at 1st trimester is processed for cffDNA and cfRNA analyses.

MeSH Terms

Conditions

Pregnancy ComplicationsPre-EclampsiaPremature BirthDiabetes, Gestational

Condition Hierarchy (Ancestors)

Female Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesHypertension, Pregnancy-InducedObstetric Labor, PrematureObstetric Labor ComplicationsDiabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 22, 2024

First Posted

April 26, 2024

Study Start

May 10, 2024

Primary Completion

November 6, 2025

Study Completion

November 6, 2025

Last Updated

July 16, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will share

Anonymized data of this study may be requested for publication by the journals. Sharing anonymized data with suitable study will be decided by the Sponsor, Principles Investigator and the authority agency. No identifiable information will be share with any other person or organization than authorized in this study.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
December 2025
Access Criteria
GS\ NP1

Locations