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The aim of the study is to obtain the initial experience of the inclusive genetic screening of newborn.
Two groups of newborns born in RCOGP will be enlisted to the study:
The residual volume of the cord blood of all newborns form both groups will be collected and subjected to the whole exome sequencing. The sequencing data will be analyzed in "screening" mode for the first group while for the second group analysis will be performed taking the respective phenotype into account.
The study is planned to cover 7000 newborns in total.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| unaffected | newborns without developmental features having no variations according to an inherited diseases screening; |
| |
| affected | newborns showing either phenotypic features or deviations according to MS screening |
| |
| refused families | parents refused to enroll their newborns to the study |
| |
| unaffected born prematurely | newborns without specific developmental features having no variations according to an inherited diseases screening, born before term |
| |
| unaffected wirh family history | newborns without developmental features having no variations according to an inherited diseases screening but with affected relative(s) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Screening | Genetic | Whole exome sequencing will be done and all infants will receive a report which will include pathogenic or likely pathogenic variants identified in genes associated with childhood-onset diseases for which specific care or prevention protocols are available. Families signed additional informed consent will receive an advanced report including variants with no care or prevention available, mid or low risk variants, and variants with late onset or those suggesting relatives to undergo screening. |
| Measure | Description | Time Frame |
|---|---|---|
| Estimate the frequency of revealing patients carrying genotype associated with a monogenic disese. | The manifestation of pathogenic or likely pathogenic variants leading to a monogenic disease presenting during early age. A genotype is considered having risk of developping a monogenic disease in case pathogenic or probably pathogenic variants are detected corresponding to the inheritance model. | 3-5 months |
| Phenotype-associated variants | Pathogenic, likely pathogenic variants or variants of uncertain significance corresponding to the observed clinical conditions | 2 weeks - 2 months |
| Motivations for refuse to participate | Questionnaire answers provided by families refused to enroll | 1 day |
| Acceptance of advanced screening | Questionnaire answers provided by families accepted screening for variants of low penetrance, no care available etc. | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Oncological risk | Pathogenic or a likely pathogenic variant causing high risk of developping a cancer | 1 day |
| Cardiological risk | Pathogenic or a likely pathogenic variant causing high risk of developping a cardiomyopathy or a sudden cardiac death |
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Group 1 (newborns without features):
Inclusion Criteria:
Exclusion Criteria:
Group 2 (newborns with phenotypic features)
Inclusion Criteria:
Exclusion Criteria:
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All infants born in the RCOGP or under treatment in an ICU departmetn of the RCOGP
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jekaterina Shubina, PhD | Contact | +7 926 721-87-17 | jekaterina.shubina@gmail.com | |
| Andrey A Bystritskiy, PhD | Contact | +7 903 722-10-34 | andrey.bystritskiy@yandex.ru |
| Name | Affiliation | Role |
|---|---|---|
| Dmitriy Y Trofimov, DSc | Federal State Budget Institution Research Center for Obstetrics, Gynecology and Perinatology Ministry of Healthcare | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Federal State Budget Institution Research Center for Obstetrics, Gynecology and Perinatology Ministry of Healthcare | Recruiting | Moscow | 117997 | Russia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36833293 | Derived | Kochetkova TO, Maslennikov DN, Tolmacheva ER, Shubina J, Bolshakova AS, Suvorova DI, Degtyareva AV, Orlovskaya IV, Kuznetsova MV, Rachkova AA, Sukhikh GT, Rebrikov DV, Trofimov DY. De Novo Variant in the KCNJ9 Gene as a Possible Cause of Neonatal Seizures. Genes (Basel). 2023 Jan 31;14(2):366. doi: 10.3390/genes14020366. |
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| ID | Term |
|---|---|
| D008403 | Mass Screening |
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D006306 | Health Surveys |
| D003625 | Data Collection |
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| unaffected wirh prenatal phenotype | newborns without developmental features at birth and on, having no variations according to an inherited diseases screening which had been observed to show signs of developmental features during prenatal ultrasound examination |
|
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| Family history record | Genetic | Families enrolled to the study will receive a genetic consult during which a family history will be taken concerning the inherited conditions. |
|
| Questionnaire survey | Other | Families invited to the study will be asked to undergo a questionnaire survey regarding the reasons to accept or refuse the study, the familiarity of the aims, methods and outcomes of the study as well as the satisfaction. |
|
| Diagnostic | Genetic | The results of whole exome sequencing will be analysed according to the infant's phenotype in addition the the general screening pipeline |
|
| Selective screening | Genetic | The results of whole exome sequencing will be analysed according to the data of prenatal ultrasound examination, family history and other available alarming information in addition the the general screening pipeline |
|
| 1 day |
| Recessive carriers | Inheritance of a pathogenic or a likely pathogenic variant causing to an autosomal recessive disease | 1 day |
| D004812 |
| Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D003954 | Diagnostic Services |
| D011314 | Preventive Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
| D015980 | Public Health Practice |