Clinical trial Recruiting at 18 sites Observational Ages 18 and up

Developing a noninvasive prenatal test for single gene disorders

Official title: EXpanding Prenatal Cell Free DNA Screening Across moNogenic Disorders (EXPAND)

Run by Natera, Inc. · NCT06808880 · Data updated 2026-11-12

This study is testing a new blood test for pregnant women to see if it can safely check for serious genetic disorders in their babies, especially for those at higher risk.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment4000 (estimated)
SponsorNatera, Inc.
Industry-sponsored
Locations18 sites (Glendale, Arizona and 17 other locations)
StatusRecruiting
StartedJanuary 25, 2024
Main results expectedApril 2027
Study endsDecember 2027
Registry record updatedMay 4, 2026
Trial IDNCT06808880 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include pregnant women aged 18 or older who are at increased risk for single gene disorders based on their medical history or ultrasound findings.

Probably not a fit

Patients who are not pregnant or those without a known risk for single gene disorders may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This research aims to develop and validate a single gene non-invasive prenatal test (sgNIPT) for conditions such as cystic fibrosis, spinal muscular atrophy, and various thalassemias. The study will collect blood samples and medical information from pregnant women at higher risk for these disorders, including those who are carriers or affected themselves. Investigators will also gather genetic testing results or cheek swab samples from newborns to enhance the accuracy of the test. The goal is to provide critical information about the risk of serious health conditions in fetuses, especially when partner screening is not available.

Why it matters

Potential benefit: If successful, this test could significantly improve prenatal screening for serious genetic conditions, allowing for better-informed decisions for expectant parents.

How similar studies have gone: Other studies have shown promise in developing non-invasive prenatal testing approaches, but this specific application for single gene disorders is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age 18 or older at the time of informed consent
2. Maternal participant: Pregnant and blood draw at ≥ 9 weeks gestational age (GA)
3. Maternal participant is positive for a single-gene disorder and/or there are prenatal ultrasound findings suggestive for a fetal single-gene disorder, including but not limited to the genes listed in the primary and secondary objectives
4. Meet the criteria for one of the following:

   * Both maternal and reproductive partner (paternal) status are positive for the same single-gene disorder OR
   * A commercially available single-gene NIPT has been performed as part of clinical care and is reported as increased risk for an affected fetus/fetuses OR Maternal status is positive for one or more single-gene disorders and reproductive partner status is unknown OR
   * Prenatal ultrasound findings are suggestive of a fetal single-gene disorder (autosomal dominant, autosomal recessive, or X-linked condition) and enrollment is approved by the medical monitor.
5. Willing to permit release of neonatal health information and the performance of a newborn cheek swab within 6 months following delivery
6. Willing to sign informed consent and comply with study procedures

Exclusion Criteria:

1. Reproductive partner found to not be positive for the same autosomal recessive genetic disorder as the pregnant maternal carrier, or vice versa
2. Surrogate gestation or egg donor pregnancy
3. Negative preimplantation genetic testing for the single-gene disorder identified in one or both parents

Where it's running

  • Valley Perinatal
    Glendale, Arizona, United States
    Recruiting
  • Cedars Sinai Prenatal Diagnosis Center
    Los Angeles, California, United States
    Recruiting
  • Center for Fetal Medicine and Womens Ultrasound
    Los Angeles, California, United States
    Recruiting
  • Natera Inc
    San Carlos, California, United States
    Recruiting
  • University of California San Francisco
    San Francisco, California, United States
    Recruiting
  • Orlando Health Inc. (Winnie Palmer Hsopital)
    Orlando, Florida, United States
    Recruiting
Show 12 more locations
  • UMMC WH Univerity Center For Fetal Medicine
    Jackson, Mississippi, United States
    Recruiting
  • Capital Health
    Lawrenceville, New Jersey, United States
    Recruiting
  • Rutgers Robert Wood Johnson Medical School
    New Brunswick, New Jersey, United States
    Recruiting
  • NYU Langone Hospital
    Garden City, New York, United States
    Recruiting
  • Northwell (Northshore/LIJ)
    New Hyde Park, New York, United States
    Recruiting
  • NYU Langone
    New York, New York, United States
    Recruiting
  • Icahn School of Medicine at Mount Sinai
    New York, New York, United States
    Recruiting
  • Weill Medical College of Cornell University
    New York, New York, United States
    Recruiting
  • University of Rochester
    Rochester, New York, United States
    Recruiting
  • Austin Maternal Fetal Medicine/St. Davids Healthcare
    Austin, Texas, United States
    Recruiting
  • University of Texas Medical Branch (UTMB)
    Galveston, Texas, United States
    Recruiting
  • PEDIATRIX Medical Services, Inc. Master + Houston
    Stafford, Texas, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Browse more
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.