First-Trimester Screening of Open Neural Tube Defects Using Biometrics and Maternal Serum Markers

NCT07864142 — Recruiting, 100 participants, University Hospital, Strasbourg, France

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Analysis of Fetal Biometrics and Maternal Serum Markers in First-Trimester Screening of Open Neural Tube Defects

RegistryNCT07864142, acronym BIMAS
StatusRecruiting
Study typeObservational
Enrollment100 (Estimated)
SponsorUniversity Hospital, Strasbourg, France (Other)
ConditionsNeural Tube Defects (NTDs)
Datesstart 2026-09-14, primary completion 2026-11-14 (estimated), completion 2026-12-14 (estimated), first posted 2026-10-07, last updated 2026-10-07
Locations1 site in France

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-Summary

Open neural tube defects are congenital malformations associated with significant morbidity. Early detection during the first trimester remains a key challenge.

This retrospective monocentric study aims to evaluate the diagnostic performance of fetal biometrics (biparietal diameter and abdominal transverse diameter ratios) and maternal serum markers (beta-hCG and PAPP-A) for early screening of open neural tube defects. The study will assess the predictive value of these parameters individually and in combination to define optimal screening thresholds applicable in routine clinical practice

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+Outcome measures

Primary outcomes

  • Diagnostic performance of biometric ratios and serum markers [At first-trimester screening (retrospective data from 2011 to 2023)]: Determination of optimal thresholds for BPD/TAD and BPD/PA ratios and maternal serum markers (beta-hCG and PAPP-A) for screening of open neural tube defects, by comparing their diagnostic performance alone and in combination using ROC analysis.

+Eligibility

Sex: Female, ages: 18 Years to any

Inclusion Criteria:

* Adult pregnant woman (≥18 years)
* First-trimester ultrasound performed at Strasbourg University Hospitals between 01/01/2011 and 31/12/2023
* No written opposition to reuse of medical data for research purposes

Exclusion Criteria:

* Written opposition to reuse of medical data for research purposes
* Multiple pregnancy
* Presence of fetal growth abnormality, morphological or genetic anomaly during pregnancy
* Crown-rump length <45 mm or >84 mm at screening ultrasound
* Missing data
* Fetus with closed dysraphism

+Locations (1)

FacilityCityCountryStatus
Service de Gynécologie et Obstétrique - CHU de Strasbourg - FranceStrasbourgFranceRecruiting