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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 180 (estimated) |
| Sponsor | Institute of Mother and Child, Warsaw, Poland Academic / other |
| Locations | 1 site (Warsaw) |
| Status | Recruiting |
| Started | July 17, 2024 |
| Main results expected | January 31, 2026 |
| Study ends | April 30, 2026 |
| Registry record updated | May 22, 2025 |
| Trial ID | NCT06984445 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
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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.
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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.
-
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.
-
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.
-
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.
-
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.
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Using EEG to guide anesthesia for seizures after cardiac arrest
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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.