- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02148055
Comparative Evaluation of IRM and Autopsy in the Evaluation of Intra Uterine Fetal Death (COMPER)
Comparative Evaluation of IRM and Autopsy in the Evaluation of Intra Uterine Fetal Death.
Fetal intra uterine death is a rare event (incidence 2/1000 births) , unexpected and psychologically painful for the couple and the healthcare team. In this difficult context, it is essential to understand the etiology of death to guide the management of subsequent pregnancies. Among the investigations, foetopathologic examination is essential, but the examination of the brain is not possible in more than half of the cases due to the cerebral maceration due to the incompressible delay between death and expulsion.
The use of MRI as a diagnostic tool fetal post- mortem " virtual autopsy " performed before expulsion of the fetus is interesting because it would permit to obtain a macroscopic examination of the fetal brain, archivable, and a gain concerning the diagnosis. Thus, a normal MRI will exclude cerebral anatomical abnormality , stroke or bleeding . If MRI abnormalities are found , it will not only guide the foetopathologic review, but mainly to guide the etiology . On the other hand , it is a non-invasive tool and acceptability by the couple would be better than autopsy which is often refused by the couple in this difficult psychological context.
In this study , MRI will be given in addition to conventional autopsy in the painful waiting time between the time of diagnosis of death and expulsion without delaying care . If this study is validated , MRI may be systematically proposed in this indication or alternative to autopsy when it will be refused by the parents.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Rouen, France, 76000
- CHU Hôpitaux de Rouen
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient for which he was diagnosed with intra uterine death confirmed by ultrasound
- Mono fetal pregnancy,
- Term: 24 to 42 weeks' gestation
- Age> 18 years
- Patient having readen the letter of information and signed the consent.
Exclusion Criteria:
- Contraindication to MRI (heart valve, pacemaker, neurosurgical clips, claustrophobia, intraocular metallic foreign bodies)
- Maternal complications: bleeding during, eclampsia, placental hematoma retro, imminent work
- Twin pregnancy
- Patient under guardianship or trusteeship
- Patient not speaking and writing French
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Other: A group of 20 pregnant patients.
20 patients referred for intrauterine spontaneous fetal death explored by MRI and autopsy.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Recognition of anatomic cerebral structures evaluated by a common grid.
Time Frame: Before H 24 for MR. Bedore day 5 for autopsy.
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Before H 24 for MR. Bedore day 5 for autopsy.
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Recognition and mesurement of anatomic thoracic and abdominal structures by a common grid.
Time Frame: Before H24 for MR. Before day 5 for autopsy.
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Before H24 for MR. Before day 5 for autopsy.
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Recognition and mesurement of the placenta and umbilical cord.
Time Frame: Before H24 for IRM. Before day 5 for autopsy.
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Before H24 for IRM. Before day 5 for autopsy.
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Comparaison of quality criteria of both exams.
Time Frame: Before H24 for MRI. Before day 5 for autopsy.
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Before H24 for MRI. Before day 5 for autopsy.
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2012/169/HP
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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