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 type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 4000 (estimated) |
| Sponsor | Natera, Inc. Industry-sponsored |
| Locations | 18 sites (Glendale, Arizona and 17 other locations) |
| Status | Recruiting |
| Started | January 25, 2024 |
| Main results expected | April 2027 |
| Study ends | December 2027 |
| Registry record updated | May 4, 2026 |
| Trial ID | NCT06808880 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
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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
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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
- Study coordinator: Jeffrey Meltzer
- Email: expandclinops@natera.com
- Phone: 844-778-4700
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.