Clinical trial Recruiting at 1 site Observational Ages 18 and up Women only

Measuring S100B Protein Levels in Newborns After Intrauterine Blood Transfusions for Fetal Anemia

Official title: Analysis of Cord Blood S100B Protein Levels in Neonates With Fetal Anemia Due to Hemolytic Disease Undergoing Intrauterine Transfusions: A Prospective Cohort Study

Run by Institute of Mother and Child, Warsaw, Poland · NCT06984445 · Data updated 2026-11-12

This study is testing if measuring a specific protein in the blood of newborns who received blood transfusions before birth can help predict the risk of brain problems later on.

More Hypoxia-Ischemia, Brain trials

Quick facts

Study typeObservational
Ages18 Years and up
SexWomen only
Enrollment180 (estimated)
SponsorInstitute of Mother and Child, Warsaw, Poland
Academic / other
Locations1 site (Warsaw)
StatusRecruiting
StartedJuly 17, 2024
Main results expectedJanuary 31, 2026
Study endsApril 30, 2026
Registry record updatedMay 22, 2025
Trial IDNCT06984445 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include singleton pregnancies diagnosed with HDFN requiring intrauterine transfusions, confirmed by maternal blood screening and abnormal fetal blood flow assessments.

Probably not a fit

Patients who do not require intrauterine transfusions or have maternal chronic use of SSRIs 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 observational study investigates the levels of S100B protein in the cord blood of newborns who have undergone intrauterine transfusions (IUT) due to hemolytic disease of the fetus and newborn (HDFN) associated with fetal anemia. It aims to determine whether S100B protein levels can predict the risk of central nervous system complications in these infants. The study will measure S100B protein concentrations before each IUT and at birth, alongside umbilical cord blood gas analysis and fetal blood count evaluations. The focus is on pregnancies with abnormal middle cerebral artery blood flow, indicating the need for IUT.

Why it matters

Potential benefit: If successful, this study could help identify fetuses at higher risk for CNS complications, potentially improving prenatal care and outcomes for affected newborns.

How similar studies have gone: While the approach of measuring S100B protein levels in this context is novel, similar studies have explored biomarkers for CNS injury in other settings.

Who can join: the full rules

Show full inclusion / exclusion criteria
Study Group - Inclusion Criteria:

1. Singleton pregnancy.
2. Diagnosis of HDFN confirmed by the detection of alloantibodies through maternal blood screening.
3. Availability of complete medical records, including routine ultrasound assessments of fetal MCA blood flow.
4. Fetal anemia requiring IUT, indicated by a MCA-PSV MoM value exceeding 1.5.

Study Group - Exclusion Criteria:

1\. Maternal chronic use of selective serotonin reuptake inhibitors (SSRIs).

Control Group - Inclusion Criteria:

1. Singleton pregnancy.
2. Diagnosis of HDFN confirmed by the detection of alloantibodies through maternal blood screening.
3. Availability of complete medical records, including routine ultrasound assessments of fetal MCA blood flow.
4. No indications for IUT, as determined by MCA-PSV MoM values \<1.5 in routine assessments of fetal cerebral arterial flow.

Control Group - Exclusion Criteria:

1\. Maternal chronic use of selective serotonin reuptake inhibitors (SSRIs).

Where it's running

  • Institute of Mother and Child
    Warsaw, Poland
    Recruiting

Study contacts

  • Principal investigator: Agnieszka A. Drozdowska-Szymczak, MD, PhD — Institute of Mother and Child in Warsaw, Poland
  • Study coordinator: Agnieszka A. Drozdowska-Szymczak, MD, PhD
  • Email: agnieszka.drozdowska@imid.med.pl
  • Phone: +48 22 32 77 411

Similar studies

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

  • IVIG given to the fetus during intrauterine transfusion for Rh isoimmunization

    This study tests whether giving intravenous immunoglobulin directly to the fetus during intrauterine transfusion helps improve birth blood counts for babies affected by Rh isoimmunization.

    Recruiting Phase 2 Post Graduate Institute of Medical Education and Research, Chandigarh · Chandigarh, Chandigarh · NCT07885592

  • Global registry for hemolytic disease of the fetus and newborn (HDFN)

    This project will follow pregnant people at risk for HDFN to see how often their fetuses or newborns develop anemia while receiving standard care.

    Recruiting at 16 sites Janssen Research & Development, LLC · Indianapolis, Indiana and 16 other locations · NCT07194070

  • Ethnic differences in S100B blood levels among healthy adults in Guadeloupe

    This project will test whether normal S100B protein blood levels differ by skin phenotype in healthy adults living and working in Guadeloupe.

    Recruiting at 2 sites Centre Hospitalier Universitaire de la Guadeloupe · Basse-Terre and 1 other locations · NCT06998381

  • Detecting brain injuries in children on ECMO using portable MRI

    This study is testing a portable MRI to see if it can help find brain injuries in children on ECMO support more quickly and accurately.

    Recruiting Children's Mercy Hospital Kansas City · Kansas City, Missouri · NCT06469801

  • Nipocalimab treatment for pregnant women at risk of severe fetal anemia

    This study is testing if nipocalimab can help pregnant women at risk of having babies with severe anemia due to a past condition, to see if it improves the health of their newborns.

    Recruiting at 66 sites Phase 3 Janssen Research & Development, LLC · La Jolla, California and 68 other locations · NCT05912517

  • Using EEG to guide anesthesia for seizures after cardiac arrest

    This study is testing two different ways of using EEG to guide anesthesia in patients who have had a cardiac arrest and are experiencing severe seizures, to see which method works better at controlling those seizures.

    Recruiting Phase 2 University of California, San Francisco · San Francisco, California · NCT05851391

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.
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.