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The aim of the study is to assess the role of complement dysregulation and its impact on antiangiogenic factors (soluble Flt1 and endoglin) in patients with foetal losses.
Females with medical history of repeated foetal losses will have blood sampling to perform analyses. If pregnant, blood sampling will be performed at different times throughout the pregnancy.
Controls will be females without medical history of repeated foetal losses. They will also have blood sampling to perform analyses. If pregnant, blood sampling will be performed at different times throughout the pregnancy.
Blood analyses will focus on :
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| females with medical history of repeated foetal losses | The females can be pregnant |
| |
| females without medical history of repeated foetal losses | The females can be pregnant |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| blood sample | Other | blood sampling at inclusion and throughout pregnancy when pregnant |
|
| Measure | Description | Time Frame |
|---|---|---|
| mutations in genes coding for molecules that modulate complement activity | to determine frequency of mutations of genes (membrane-cofactor protein (MCP), decay accelerating factor (DAF), ....) involved in complement activation : Profiles of these genes will be analysed in blood sample of females with medical history of repeated foetal losses and compared to those analysed in blood sample of females without medical history of repeated foetal losses. | day1 (at inclusion) |
| Measure | Description | Time Frame |
|---|---|---|
| serum levels of sFlt1 and endoglin and their link to complement activation markers | To assess serum levels of sFlt1 and endoglin and their link to complement activation markers in blood samples removed throughout pregnancy of females with medical history of repeated foetal losses and throughout pregnancy of females without medical history of repeated foetal losses. | 4 weeks post pregnancy start |
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Inclusion Criteria:
Exclusion criteria for females with repeated fetal losses :
Inclusion criteria for females without repeated fetal losses:
Exclusion criteria for females without repeated fetal losses:
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Females with medical history of repeated foetal losses and females without medical history of repeated foetal losses as controls.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU | Nantes | France | 44093 | France | ||
| Antoine Beclere Hospital (AP-HP) |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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blood samples
| serum levels of sFlt1 and endoglin and their link to complement activation | To assess serum levels of sFlt1 and endoglin and their link to complement activation markers in blood samples removed throughout pregnancy of females with medical history of repeated foetal losses and throughout pregnancy of females without medical history of repeated foetal losses. | 8 weeks post pregnancy start |
| serum levels of sFlt1 and endoglin and their link to complement activation | To assess serum levels of sFlt1 and endoglin and their link to complement activation markers in blood samples removed throughout pregnancy of females with medical history of repeated foetal losses and throughout pregnancy of females without medical history of repeated foetal losses. | 16 weeks post pregnancy start |
| serum levels of sFlt1 and endoglin and their link to complement activation | To assess serum levels of sFlt1 and endoglin and their link to complement activation markers in blood samples removed throughout pregnancy of females with medical history of repeated foetal losses and throughout pregnancy of females without medical history of repeated foetal losses. | 24 weeks post pregnancy start |
| Clamart |
| 92141 |
| France |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |