Prenatal screening for trisomy 21 Genetic Diseases Down syndrome, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients coming for prenatal screening for trisomy at 11-13 weeks’ gestation 2. Singleton pregnancies 3. Normal ultrasound examination without increased nuchal translucency thickness >3.5mm and without fetal defects. If NT is increased or there are fetal defects, screening is not appropriate and invasive testing is performed 4. Informed consent
Exclusion criteria
Exclusion criteria: 1. Increased nuchal translucency thickness 2. Fetal defects 3. Multiple gestations
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number and proportion of false positive cases in each arm. False positive cases are defined as euploid cases with a risk for trisomy 21 > 1:100. The karyotype will either be obtained by invasive testing somedays after the screening test or after birth. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Number of cases that cannot be randomized (due to fetal defects, increased NT, multiple gestations). This data will become available at 11-13 weeks’ gestation. 2. Time interval between randomization and return of the blood results 3. Number of cases without results in each study arm. This data will be become available latest 2 weeks after the blood sample is taken. 4. Number of women who opt for invasive testing. This data will generally be available within the consecutive 4 weeks after the screening test but theoretically the invasive test can be carried out through the pregnancy. 5. Acceptance of each screening test. The patient will be contacted by us to assess the acceptance level of each of the screening tests. This will be done 4 weeks after the screening test and after birth. | — |
Countries
Germany