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Blood test during pregnancy to check the baby for inherited gene disorders

Tests a maternal blood sample to detect inherited gene disorders in the fetus.

Plain-language title generated from the registry record
Registry title: Development of Non-Invasive Prenatal Diagnosis for Single Gene Disorders

Key facts

Where
Paris, FranceSee the site

Where in France

  • Hôpital Cochin, Maternité Port-Royal, service de Gynécologie obstétriqueParis, FranceTaking people

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Trial details

Who runs it
Assistance Publique - Hôpitaux de Paris
Trial code
NCT06147414
Record updated
21 October 2026
Original description
Cell-free fetal DNA (cffDNA) is present in the maternal blood from the early first trimester of gestation and makes up 5%-20% of the total circulating cell-free DNA (cfDNA) in maternal plasma. Its presence in maternal plasma has allowed development of noninvasive prenatal diagnosis for single-gene disorders (SGD-NIPD). This can be performed from 9 weeks of amenorrhea and offers an early, safe and accurate definitive diagnosis without the miscarriage risk associated with invasive procedures. One of the major difficulties is distinguishing fetal genotype in the high background of maternal cfDNA, which leads to several technical and analytical challenges. Besides, unlike noninvasive prenatal testing for aneuploidy, NIPD for monogenic diseases represent a smaller market opportunity, and many cases must be provided on a bespoke, patient- or disease-specific basis. As a result, implementation of SGD-NIPD remained sparse, with most testing being delivered in a research setting.Read full original descriptionShow less

Evaluation of the Diagnostic Performance of Non-Invasive Prenatal Diagnosis for Single Gene Disorders

Cell-free fetal DNA (cffDNA) is present in the maternal blood from the early first trimester of gestation and makes up 5%-20% of the total circulating cell-free DNA (cfDNA) in maternal plasma. Its presence in maternal plasma has allowed development of noninvasive prenatal diagnosis for single-gene disorders (SGD-NIPD). This can be performed from 9 weeks of amenorrhea and offers an early, safe and accurate definitive diagnosis without the miscarriage risk associated with invasive procedures. One of the major difficulties is distinguishing fetal genotype in the high background of maternal cfDNA, which leads to several technical and analytical challenges. Besides, unlike noninvasive prenatal testing for aneuploidy, NIPD for monogenic diseases represent a smaller market opportunity, and many cases must be provided on a bespoke, patient- or disease-specific basis. As a result, implementation of SGD-NIPD remained sparse, with most testing being delivered in a research setting.

The present project aims to take advantage of the unique French collaborative network to make SGD-NIPD possible for theoretically any monogenic disorder and any family.

Inclusion: pregnant woman with 9 weeks of amenorrhea or more; singleton pregnancy; undergoing invasive PND in a context of family history of SGD involving the following genes : HBB, CFTR, FMR1, SMN1, DMPK, DMD, NF1, HTT, F8, F9, GCK, L1CAM, PKHD1, or undergoing prenatal counselling in a context of maternal history of diabetes MODY-GCK; germinal pathogenic paternal and/or maternal mutations previously identified; age 18 years old or over; signing an informed consent.

Exclusion: at risk of SGD involving a de novo pathogenic mutation in a previous child; woman under legal protection.

ClinicalTrials.gov NCT06147414