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Protocol Details

Implications of Maternal 45,X Mosaicism As A Secondary Genomic Finding Following Cell-free DNA Sequencing During Pregnancy: A Deep Phenotype Study

This study is NOT currently recruiting participants.

Summary | Eligibility | Citations | Contacts

Summary

Number

000137-CH

Sponsoring Institute

National Institute of Child Health and Human Development (NICHD)

Recruitment Detail

Type: Recruitment has not started
Gender: Female
Min Age: 18 Years
Max Age: 99 Years

Referral Letter Required

No

Population Exclusion(s)

Male;
Children

Keywords

Fetal Neonatal;
Maternal;
Turner Syndrome;
Chromosomes;
reproductive;
Natural History

Recruitment Keyword(s)

None

Condition(s)

Cardiovascular Phenotype;
Metabolic Phenotype;
Hypertensive Disease;
Psychological Phenotype;
Audio

Investigational Drug(s)

None

Investigational Device(s)

None

Intervention(s)

None

Supporting Site

National Institute of Child Health and Human Development

Background:

Mosaicism is a condition in which cells within the same person have a different genetic makeup. Sometimes, a type of mosaicism called 45,X may not be discovered in a woman until she undergoes routine tests during pregnancy. Little is known about how 45,X mosaicism may affect a person s long-term health.

Objective:

This natural history study will look for health risks in people with 45,X mosaicism.

Eligibility:

People aged 18 to 99 years who during pregnancy were found to have 45,X mosaicism. Healthy volunteers are also needed.

Design:

Participants will stay in the clinic for 2 days. They will have many tests:

A physical exam, including measurements of the body.

A gynecological exam, including genital measurements. Photos may be taken, with consent.

Blood tests, with blood drawn over an 8-week period. An oral glucose test for diabetes may also be done.

Tests of heart function. Participants will have small stickers attached to wires place on their chest, arms, and legs.

Hearing tests.

Ultrasound exams, which use echoing sound waves to create images of organs such as the heart and kidneys.

Imaging scans including x-rays, MRI, and DXA. The DXA uses x-rays to measure bone density and body fat. Other types of scans will capture images of the liver.

Participants will complete 4 surveys with questions about their sexual function, anxiety, depression, and health.

Participants may remain in the study for 20 years. For 5 years, they will have a yearly follow-up by phone or email. They may have follow-up visits at the clinic every 5 years.

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Eligibility

INCLUSION CRITERIA:

Individuals of all races/ethnicities are eligible to participate.

-Individuals assigned female sex at birth ages >=18 to <= 99 years old who have not undergone medical and/or surgical transgender treatment

-Suspected maternal 45,X mosaicism as a secondary genomic finding following cfDNA sequencing during pregnancy

-Stated willingness to comply with all study procedures and availability for the duration of the study.

-Ability of subject to understand and the willingness to sign a written informed consent document.

-Ability to read and comprehend written and verbal English as the documents required for the study have not been translated for non-English speaking speakers.

Inclusion criteria for control subjects:

-Individuals assigned female sex at birth ages >=18 to <= 99 years old who have not undergone medical and/or surgical transgender treatment

-Good general health. In general, subjects should take no medications. The use of over the counter and prescription medications will be reviewed on a case-by-case basis; depending on the medication, subjects who have continued to take prescription medication prior to study entry may be still eligible.

-Stated willingness to comply with all study procedures and availability for the duration of the study.

-Ability of subject to understand and the willingness to sign a written informed consent document.

-Ability to read and comprehend written and verbal English as the documents required for the study have not been translated for non-English speaking speakers.

EXCLUSION CRITERIA:

An individual who meets any of the following criteria at screening or baseline will be excluded from participation in this study:

-Male and transfemale individuals

-Individuals with significant medical comorbidities (e.g. NYHA Class III or IV heart failure, or CKD Stage 3b or worse (eGFR < 60 mL/min/1.73 m2), or American Society of Anesthesiologists Physical Status Class 3 or above) or other serious disorders at the discretion of the investigators.

-Individuals who have current substance abuse or a DSM 5 Axis I psychiatric disorder or DSM Axis II Mental Retardation diagnosis that in the opinion of the investigators would impede competence, compliance, or participation in the study

Exclusion criteria for control subjects:

-Male and transfemale individuals

-Individuals with significant medical comorbidities (e.g. NYHA Class III or IV heart failure, or CKD Stage 3b or worse (eGFR < 60 mL/min/1.73 m2), or American Society of Anesthesiologists Physical Status Class 3 or above) or other serious disorders at the discretion of the investigators.

-For females of reproductive potential: use of oral contraceptive pills, contraceptive patch, contraceptive vaginal ring within the past 3 months; use of depo medroxyprogesterone within the past 6 months; use of the etonorgestrel contraceptive implant within the past 1 month.

-Individuals who are pregnant, planning to become pregnant, currently nursing an infant, or have irregular menses, defined as cycles less than 21 days or greater than 45 days in premenopausal women.

-Previous history of the following: malignancy, chemotherapy, radiation therapy, primary ovarian insufficiency, galactosemia.

-Individuals who have current substance abuse or a DSM 5 Axis I psychiatric disorder or DSM Axis II Mental Retardation diagnosis that in the opinion of the investigators would impede competence, compliance, or participation in the study.

-Current use of tobacco or nicotine (eg. Nicotine patch, e-cigarette) products.

-Individuals who have had prior ear surgery other than myringotomy, individuals with cochlear implants, individuals who require use of hearing aids.


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Citations:

Not Provided

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Contacts:

Principal Investigator

Referral Contact

For more information:

Veronica Gomez-Lobo, M.D.
National Institute of Child Health and Human Development (NICHD)
NIHBC 10 - CLINICAL CENTER BG RM 8N248B
10 CENTER DR
BETHESDA MD 20892
(301) 435-7567
veronica.gomez-lobo@nih.gov

Harveen Kaur
National Institute of Child Health and Human Development (NICHD)
BG 10-CRC RM 8N248
10 CENTER DR
BETHESDA MD 20814
(301) 435-6926
harveen.kaur@nih.gov

Office of Patient Recruitment
National Institutes of Health Clinical Center (CC)
Building 61, 10 Cloister Court
Bethesda, Maryland 20892
Toll Free: 1-800-411-1222
Local Phone: 301-451-4383
TTY: TTY Users Dial 7-1-1
ccopr@nih.gov

Clinical Trials Number:

NCT05548881

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