Actively Recruiting

Phase Not Applicable
Age: 18Years +
FEMALE
Healthy Volunteers
ID06705543

Antenatal Investigation of Fetuses With Complex Congenital Heart Defects Using multiOMICS

Led by University Hospital, Bordeaux · Updated on 2025-04-10

40

Participants Needed

2

Research Sites

26 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying complex congenital heart defects (CHD) in fetuses to find epigenetic causes linked to environmental factors during pregnancy. These heart malformations have varied origins, with genetic causes identified in only a minority of cases, and environmental exposures possibly playing a role. The study aims to better understand how gene and environment interactions contribute to CHD using advanced multi-omics methods. The study involves genetic analyses on amniotic fluid collected during routine amniocentesis. These analyses include free RNA study, methylome profiling, and trio exome sequencing (parents and fetus). The research compares fetuses with complex non-syndromic CHD to controls with non-malformative anomalies to identify biomarkers and molecular mechanisms. The study period covers prenatal samples taken between 20 and 28 weeks of gestation. Participants will undergo amniocentesis for sample collection, followed by multi-omics analyses including exome, RNA sequencing, and methylation studies. Researchers will examine biomarkers related to cardiac malformations at the initial visit. Consent and social security affiliation are required. The study is non-randomized and includes ongoing monitoring of genetic and epigenetic markers to improve understanding of CHD causes. The total participation duration aligns with the prenatal period of 20 to 28 weeks gestation and data collection at visit 1.

CONDITIONS

Brief Title

Antenatal Investigation of Fetuses With Complex Congenital Heart Defects Using multiOMICS

Who Can Participate

Age: 18Years +
FEMALE
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Pregnant women aged 18 and older
  • Single fetal pregnancy with a complex non-syndromic congenital heart defect and no identified chromosomal abnormality, gene syndrome, or infection
  • Indication for amniocentesis accepted by the CPDPN and the couple/patient
  • Gestational age between 20 and 28 weeks
  • Affiliated with or benefiting from a social security scheme
  • Free, informed, and written consent obtained before any study examination
  • Control group: pregnant women aged 18 and older with indication for amniocentesis due to non-malformative ultrasound anomaly and no identified chromosomal abnormality, gene syndrome, or infection
  • Control group gestational age between 20 and 28 weeks
  • Control group affiliated with or benefiting from a social security scheme
  • Control group has free, informed, and written consent obtained before any study examination
Not Eligible

You will not qualify if you...

  • Female minors
  • Not affiliated with a social security system
  • Unable to understand French
  • Under legal guardianship
  • Multiple pregnancies
  • Fetus with associated malformations

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Single day procedure

Participants undergo amniocentesis to collect amniotic fluid for multi-omics genetic analyses, including exome, RNA, and methylome studies.

1 visit (in-person)

Long-term Monitoring

Duration - Up to 6 months

Participants are observed to evaluate biomarkers associated with cardiac malformations and to better understand the pathophysiological mechanisms linked to congenital heart defects.

Follow-up visits as scheduled by the study team

Trial Site Locations

Total: 2 locations

1

CHU de Bordeaux

Bordeaux, France, 33076

Actively Recruiting

2

CHU de Nantes

Nantes, France, 44093

Not Yet Recruiting

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Research Team

C

Caroline ROORYCK-THAMBO, PROF

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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