NCT07738003

Brief Summary

The University of Iowa's Center for Disabilities and Development is researching how pregnancy, early childhood experiences, and genetic factors influence child development, with a focus on autism spectrum disorder (ASD). Pregnant women are invited to participate in a study that tracks their pregnancy and child's early development, through simple, at-home activities using a cell phone. Participants complete short questionnaires, join an online interview, and videotape their baby's play after birth. They are also sent a kit to swab their baby's mouth to collect cheek cells for genetic testing. The study will explore whether stress and early social experience lead to genetic changes associated with autism or other developmental conditions.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
7,200

participants targeted

Target at P75+ for all trials

Timeline
45mo left

Started May 2026

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress6%
May 2026May 2030

Study Start

First participant enrolled

May 12, 2026

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

July 27, 2026

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 30, 2026

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2029

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2030

Last Updated

July 30, 2026

Status Verified

July 1, 2026

Enrollment Period

3 years

First QC Date

July 27, 2026

Last Update Submit

July 27, 2026

Conditions

Keywords

autismepigeneticsprenatal stresssocial experiencedevelopmental delay

Outcome Measures

Primary Outcomes (1)

  • Social communication

    A continuous measure of child's social communication capacity

    18-36 months

Secondary Outcomes (1)

  • Categorical diagnosis

    18-36 months

Study Arms (4)

Pregnant women/mothers

Recruited prior to the 3rd trimester of pregnancy

Children with autism spectrum disorder (ASD)

Children of pregnant women/mothers at 18-24 months of age

Group with developmental delay (but no ASD)

Children of pregnant women/mothers at 18-24 months of age

Typically developing (TD) group

Children of pregnant women/mothers at 18-24 months of age

Eligibility Criteria

Age0 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Pregnant women (prior to 3rd trimester) from throughout the United States.

You may qualify if:

  • A. Criteria for Pregnant Women:
  • Pregnant women in their 1st or 2nd trimester of a singleton pregnancy.
  • Age 18 to 50 years
  • Currently use a smart phone
  • B. ASD Group at age 18 to 27 months
  • M-CHAT score \>= 4 or POSI score \>= 3
  • Child has subsequently clinically confirmed diagnosis of ASD, based on ADOS/TAP testing and/or other clinical evaluation
  • C. Developmental Delay (DD) Group at age 18 to 27-months
  • Developmental screening score on SWYC in the "at risk" range.
  • Child has subsequently clinically confirmed developmental delay on clinical evaluation and/or self-report measure
  • D. Typically Developing (TD) Group at age 18 to 27 months - None

You may not qualify if:

  • A. Criteria for Pregnant Women:
  • Non-English speaking mother
  • History of severe mental illness in the past year, resulting in inpatient admission
  • B. All children
  • \<35 weeks gestational age at birth
  • History of serious neonatal complications requiring NICU admission for one week or more
  • Known genetic or syndromic condition (e.g. Down Syndrome, etc.) that impacts learning and brain development
  • Hearing impairment
  • C. ASD Group at age 18 to 27 months
  • \- None
  • D. Developmental Delay (DD) Group at age 18 to 27 months
  • Screen positive for ASD (M-CHAT \>= 4 AND POSI \>= 3)
  • First-degree relative who has been diagnosed with ASD
  • E. Typically Developing (TD) Group at age 18 to 27 months
  • Screen positive for ASD (M-CHAT \>= 4 AND POSI \>= 3)
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Center fro Disabilities and Development

Iowa City, Iowa, 52246, United States

RECRUITING

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

DNA extracted from buccal cells

MeSH Terms

Conditions

Learning DisabilitiesSocial BehaviorAutistic Disorder

Condition Hierarchy (Ancestors)

Communication DisordersNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and SymptomsNeurodevelopmental DisordersMental DisordersBehaviorAutism Spectrum DisorderChild Development Disorders, Pervasive

Study Officials

  • Lane Strathearn, MBBS FRACP PhD

    University of Iowa

    PRINCIPAL INVESTIGATOR

Central Study Contacts

John Pienta, MD

CONTACT

Lane Strathearn, MBBS FRACP PhD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

July 27, 2026

First Posted

July 30, 2026

Study Start

May 12, 2026

Primary Completion (Estimated)

May 1, 2029

Study Completion (Estimated)

May 1, 2030

Last Updated

July 30, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will share

With patient consent, data to be preserved and shared will include: cleaned, item-level tabular data, including 1) raw genomic and DNA methylation data; 2) behavioral/phenotypic, and clinical data; and 3) video and audio data with derived coding variables. This will allow other researchers to access and analyze other questions related to the collected data. A Data Submission Agreement has been submitted to NIMH Data Archive (NDA) and a Data Expected List has been created. To facilitate the interpretation and reuse of the data, a data dictionary will be generated and deposited into a repository along with all shared datasets.

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
Beginning up to 1 year after publication with no end date
Access Criteria
Access to data for possible reuse will be controlled by the NIMH Data Archive (NDA) and Databrary. Distribution of the data is not permitted. Data and associated item-level metadata will be available for educational and research purposes, subject to participant consent and meeting the repository requirements for access. Access to the data in NDA will be controlled, and the NDA Data Access Committee will decide which requests to grant. The standard NDA data access process allows access for one year and is renewable. Data shared through Databrary will only be viewable and downloadable to authorized users who have been granted secure access by Databrary's administrators. Select data may be made available to the public, but only as determined by the researcher and based on participant permission. Lead PI Dr Lane Strathearn, ORCID: 0000-0001-5870-8843, will be responsible for oversight of the project's data management activities and data sharing.
More information

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