- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05476055
NGS in the Diagnosis of Neonatal Diseases
The Application of Targeted Sequencing in the Diagnosis of Neonatal Diseases
Study Overview
Status
Intervention / Treatment
Detailed Description
As health care has improved, genetic diseases have become the leading cause of infant death in hospitalized neonatal. However, due to extensive clinical and genetic heterogeneity, differential diagnosis of all known genetic disorders is often a challenging and lengthy process. Current clinical potential genetic diagnosis of ill baby often undergo repeated consulting, several times repeated invasive testing and/or metabolic examination, and efficiency is not high, which lead to children's and family's heavy mental pressure and economic burden.
Targeted sequencing, also known as next Generation sequence (NGS), has the advantages of fast sequencing, wide sequencing range, high sensitivity, high accuracy and low cost compared with traditional sequencing technology (Sanger sequencing). NGS has been widely used in tumor diseases, prenatal screening, drugs and the diagnosis of various genetic diseases. In prenatal screening, targeted sequencing is gradually used to detect free fetal DNA in pregnant women's peripheral blood, with an accuracy of 95%, which is much better than traditional amniocentesis karyotype analysis and improves the detection rate of secondary birth defects. Compared with traditional methods, NGS can provide diagnosis and classification, rich genetic disease gene spectrum, accurate direction for treatment, as well as the predict the risk of the next generation of children of the same disease. Therefore, targeted sequencing technology has great advantages for the diagnosis of children and prevention of newborn birth defect diseases.
To evaluate the efficacy of NGS in the screening and diagnosis of neonatal disease, the investigator lauched the "Budding Action". This study is to evaluate the application of NGS in the diagnosis of neonatal disease.
Study Type
Enrollment (Anticipated)
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Subjects: conventional NBS+ infants NICU infants premature infants
- After fully understanding the program, the guardian signs the informed consent and agrees to participate in the program.
Exclusion Criteria:
- Other similar clinical research projects are under way for the examined neonates;
- Neonates have received transfusion of allogeneic blood products;
- Newborns whose guardians explicitly refuse to participate in the program after receiving the mission.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
conventional NBS+ infants
Disease diagnosis is carried out using conventional diagnosis and treatment methods.
|
|
conventional NBS+ infants (NGS)
Disease diagnosis is carried out using conventional diagnosis and treatment methods, as well as NGS.
|
In the conbentional NBS+/NICU/premature infants, NGS was conducted to investigate whether NGS can accelerate diagnosis and improve prognosis in these children
|
NICU infants
Disease diagnosis is carried out using conventional diagnosis and treatment methods.
|
|
NICU infants (NGS)
Disease diagnosis is carried out using conventional diagnosis and treatment methods, as well as NGS.
|
In the conbentional NBS+/NICU/premature infants, NGS was conducted to investigate whether NGS can accelerate diagnosis and improve prognosis in these children
|
Premature infants
Disease diagnosis is carried out using conventional diagnosis and treatment methods.
|
|
Premature infants (NGS)
Disease diagnosis is carried out using conventional diagnosis and treatment methods, as well as NGS.
|
In the conbentional NBS+/NICU/premature infants, NGS was conducted to investigate whether NGS can accelerate diagnosis and improve prognosis in these children
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Diagnostic time
Time Frame: up to 6 months
|
In each cohort, NGS was conducted to investigate whether NGS can shorten the diagnostic time.
|
up to 6 months
|
Prognosis (mortality)
Time Frame: up to 1 year
|
In each cohort, NGS was conducted to investigate whether NGS can reduce the mortality of children.
|
up to 1 year
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- shercru-20220003-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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