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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05687474
Other study ID # 2021-239
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date September 1, 2022
Est. completion date August 31, 2025

Study information

Verified date April 2024
Source Centre Hospitalier Universitaire de Liege
Contact Tamara Dangouloff
Phone +33662438138
Email tamara.dangouloff@uliege.be
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Newborn screening (NBS) is a global initiative of systematic testing at birth to identify babies with pre-defined severe but treatable conditions. With a simple blood test, rare genetic conditions can be easily detected, and the early start of transformative treatment will help avoid severe disabilities and increase the quality of life. Baby Detect Project is an innovative NBS program using a panel of target sequencing that aims to identify 126 treatable severe early onset genetic diseases at birth caused by 361 genes. The list of diseases has been established in close collaboration with the Paediatricians of the University Hospital in Liege. The investigators use dedicated dried blood spots collected between the first day and 28 days of life of babies, after a consent sign by parents.


Description:

Every year, thousands of children around the world are born with rare genetic diseases leading to death or lifelong disability. With technological advancements in the field of genetics and medicine, the rate of introduction of treatments for these rare conditions has grown remarkably. However, timing is of great importance for medication administration. The benefit that can be measured in a patient who has already suffered from a long irreversible degenerative disorder is small and, sometimes, it hardly justifies the cost and the burden of the treatment. Early diagnosis is, thus, of primary importance both to obtain the best effect of the innovative medications and to accelerate their development. The investigators are pioneered in the field of genetic newborn screening (NBS) in rare diseases by funding, designing, and leading an innovative genetic NBS program initiated in March 2018 in Southern Belgium for Spinal Muscular Atrophy (SMA) that allowed, so far, for 11 children to be detected and treated early and avoid the terrible fate of the disease. The program was disseminated in 17 countries and included public dissemination and health-economic analysis since the very beginning [1]. (www.facebook.com/sunmayariseonsma). Drawing upon our experience with SMA screening, the investigators have designed a project to screen up to 40,000 newborns/year progressively in 3 years for virtually all the rare diseases that can benefit from treatment or a pre-symptomatic clinical trial. The methodology of Baby Detect includes sequencing of target genes on dried blood spots collected from the NBS cards in a timely and cost-efficient manner, and its high dynamicity allows for any newly treatable rare disease to be included in its scheme in no longer than 6 months. Baby Detect, as a multidisciplinary newborn screening program, involves expertise in areas from genetics and medicine to laboratory studies, computer science, Data Protection, Ethics, and health economy. It will constitute the proof of concept that is needed before moving to a whole region-scale population.


Recruitment information / eligibility

Status Recruiting
Enrollment 6000
Est. completion date August 31, 2025
Est. primary completion date August 31, 2025
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group N/A to 28 Days
Eligibility Inclusion Criteria: - newborn between birth and 28 days of life - consent of parent Exclusion Criteria: - + 28 days - Non consent of parent

Study Design


Related Conditions & MeSH terms

  • Acidosis
  • Acyl-CoA Dehydrogenase Family, Member 9, Deficiency of
  • Adrenal Hyperplasia, Congenital
  • Adrenogenital Syndrome
  • Adrenoleukodystrophy
  • Alpha 1-Antitrypsin Deficiency
  • Alpha-Thalassemia
  • Alport Syndrome
  • Andersen Syndrome
  • Anemia
  • Anemia, Diamond-Blackfan
  • Anemia, Sickle Cell
  • Argininosuccinic Aciduria
  • Aromatic L-amino Acid Decarboxylase Deficiency
  • Ataxia With Vitamin E Deficiency
  • Biotinidase Deficiency
  • Brain Diseases
  • Carbamoyl-Phosphate Synthase I Deficiency Disease
  • Cardiomyopathies
  • Cardiomyopathy, Hypertrophic
  • Cardiomyopathy, Hypertrophic, Familial
  • Catecholaminergic Polymorphic Ventricular Tachycardia
  • Charcot-Marie-Tooth Disease
  • Chediak-Higashi Syndrome
  • Cholestasis
  • Cholestasis, Intrahepatic
  • Chronic Granulomatous Disease
  • Citrullinemia
  • Citrullinemia 1
  • Cobalamin Deficiency
  • Congenital Adrenal Hyperplasia
  • Congenital Hyperinsulinism
  • Congenital Hypothyroidism
  • Congenital Myasthenic Syndrome
  • Crigler-Najjar Syndrome
  • Cystic Fibrosis
  • Cystinosis
  • Diabetes Insipidus
  • Diabetes Insipidus, Nephrogenic
  • Diabetes Mellitus
  • Diabetes Mellitus, Type 2
  • Diamond Blackfan Anemia
  • Dopamine Beta Hydroxylase Deficiency
  • Familial Chylomicronemia
  • Familial Hemophagocytic Lymphocytosis
  • Familial Hypophosphatemic Rickets
  • Fanconi Anemia
  • Fanconi Syndrome
  • Galactosemias
  • Gaucher Disease
  • Gaucher Disease, Type 1
  • Glucose 6 Phosphate Dehydrogenase Deficiency
  • Glucosephosphate Dehydrogenase Deficiency
  • Glut1 Deficiency Syndrome
  • Glutaric Acidemia I
  • Glycogen Storage Disease
  • Glycogen Storage Disease Type II
  • Granulomatous Disease, Chronic
  • Griscelli Syndrome
  • Hemophilia A
  • Hemophilia B
  • Hereditary Retinoblastoma
  • Hereditary Sensory and Motor Neuropathy
  • Homocystinuria
  • Hyperammonemia
  • Hyperekplexia
  • Hyperlipoproteinemia Type I
  • Hyperoxaluria, Primary
  • Hyperplasia
  • Hypoglycemia
  • Hypophosphatasia
  • Hypophosphatemia
  • Hypothyroidism
  • Immunologic Deficiency Syndromes
  • Inflammatory Bowel Diseases
  • Lambert-Eaton Myasthenic Syndrome
  • Late-Infantile Neuronal Ceroid Lipofuscinosis
  • Leukodystrophy, Metachromatic
  • Long-chain 3-hydroxyacyl-CoA Dehydrogenase Deficiency
  • Lymphocytosis
  • Lymphohistiocytosis, Hemophagocytic
  • Lysosomal Acid Lipase Deficiency
  • Maple Syrup Urine Disease
  • Maturity Onset Diabetes of the Young
  • Menkes Disease
  • Metachromatic Leukodystrophy
  • Mucopolysaccharidoses
  • Mucopolysaccharidosis I
  • Mucopolysaccharidosis II
  • Mucopolysaccharidosis IV
  • Mucopolysaccharidosis IV A
  • Mucopolysaccharidosis VI
  • Mucopolysaccharidosis VII
  • Myasthenic Syndromes, Congenital
  • Nephritis, Hereditary
  • Nephrosis
  • Nephrotic Syndrome
  • Nerve Compression Syndromes
  • Nesidioblastosis
  • Neuronal Ceroid-Lipofuscinoses
  • Neutropenia
  • Ornithine Transcarbamylase Deficiency
  • Phenylketonurias
  • Phosphoglucomutase 1 Deficiency
  • Pituitary Diseases
  • Polyneuropathies
  • Pompe Disease
  • Primary Hyperoxaluria
  • Progressive Familial Intrahepatic Cholestasis
  • Propionic Acidemia
  • Pseudohypoaldosteronism
  • Pseudohypoaldosteronism Type 1
  • Retinoblastoma
  • S-Adenosylhomocysteine Hydrolase Deficiency
  • Severe Combined Immunodeficiency
  • Severe Congenital Neutropenia
  • Shwachman-Diamond Syndrome
  • Sickle Cell Disease
  • Smith-Lemli-Opitz Syndrome
  • Stiff-Person Syndrome
  • Syndrome
  • Tachycardia
  • Tachycardia, Ventricular
  • Thalassemia
  • Tooth Diseases
  • Tyrosinemia, Type I
  • Tyrosinemias
  • Vitamin B 12 Deficiency
  • Vitamin E Deficiency
  • Wilson Disease
  • Wiskott-Aldrich Syndrome
  • Wolman Disease

Locations

Country Name City State
Belgium CRMN, Hôpital La Citadelle Liege Wallonia

Sponsors (8)

Lead Sponsor Collaborator
Centre Hospitalier Universitaire de Liege Centre Hospitalier Régional de la Citadelle, Leon Fredericq Foundation, Orchard Therapeutics, Sanofi, Takeda, University of Liege, Zentech-Lacar Company

Country where clinical trial is conducted

Belgium, 

Outcome

Type Measure Description Time frame Safety issue
Primary Acceptability The percentage of parents accepting the proposed screening in comparison with the number of mothers approached for consent through study completion, an average of 1 year
Primary Feasibility - timing The Turn-around time for the different mutations that are screened through study completion, an average of 1 year
Primary Feasibility - reliability The percentage of false positives and the predicted value for each test The estimation of the false negatives through collaboration with physicians treating the different diseases. through study completion, an average of 1 year
Secondary Consequence of NBS on early treatment access - timing The time passed between the birth of diagnostic-positive newborns to the initiation of their treatment through study completion, an average of 1 year
Secondary Consequence of NBS on early treatment access - frequency The number of patients offered early treatment through study completion, an average of 1 year
Secondary To improve the detection technique for disease related mutations that are not detected in classical screening by improving the classification of unspecified variants. The number of new mutations implemented yearly in the NBS. through study completion, an average of 1 year
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