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Difficulty recruiting patients
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| Name | Class |
|---|---|
| Albert Einstein College of Medicine | OTHER |
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Approximately 2% of neonates in the US are born very preterm. Preterm births are associated with impaired cognitive, language and motor function, and increased risk for autism spectrum disorders. Epidemiological studies indicate a dose-response relationship between gestational age at delivery and cognitive impairments, with the most immature of newborns being the most susceptible to developmental delays. Sensitive and reproducible biomarkers of long-term neurocognitive impairments are currently lacking. The investigators seek to identify epigenetic markers that mediate the relationship between adverse prematurity-related exposures and neurocognitive impairments. The overarching hypothesis of this proposal is that DNA methylation profiles of CD34+ hematopoetic progenitor and stem cells from very preterm infants can be used as a risk-stratifying biomarker for predicting neurocognitive impairment in childhood.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Preterm infants <32 weeks gestational age |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observational study | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Brain white matter development | Brain MRI | 38-42 weeks adjusted age |
| Measure | Description | Time Frame |
|---|---|---|
| Neurodevelopment | Administration of NICU Neonatal Neurobehavioral Scale | 38-42 weeks adjusted age |
| Neurodevelopment | Administration of Bayley Scales of Infant and Toddler Development, 3rd edition |
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Inclusion Criteria:
Exclusion Criteria:
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Preterm infants <32 weeks GA
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| Name | Affiliation | Role |
|---|---|---|
| Mamta Fuloria, MD | Montefiore Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jack D. Weiler Hospital | The Bronx | New York | 10461 | United States |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| D065886 | Neurodevelopmental Disorders |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D019370 | Observation |
| ID | Term |
|---|---|
| D008722 | Methods |
| D008919 | Investigative Techniques |
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Cord blood, buccal swab and urine samples will be collected from enrolled patients.
| 18-24 months adjusted age |
| D000091642 | Urogenital Diseases |
| D001523 | Mental Disorders |