Clinical trial NCT03931707: The China Neonatal Genomes Project
Official title: The China Neonatal Genomes Project
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Newborn
Hereditary Disease
Genetic Predisposition to Disease
Defect, Congenital
Keywords: Newborn
Hereditary Disease
Genetic Predisposition to Disease
Defect, Congenital
Genome Sequencing
Exome Sequencing
Newborn Screening
Genetic Diseases, Inborn
Lead sponsor: Children's Hospital of Fudan University
Sponsor class: OTHER
First posted: 2019-04-30
Enrollment: 100000
Sex: ALL
Maximum age (years): 28
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The subjects were all from all the member organizations participating in the China Newborn Genome Project. They were hospitalized in the neonatal department of each member hospital.

Brief summary: The project will carry out the genetic testing of 100000 neonates in the next 5 years. The aim of the project is to construct the Chinese neonatal genome database, establish the genetic testing standard of neonatal genetic diseases, and promote the industrialization of neonatal genetic disease gene testing, improve the training system for genetic counseling.

Detailed description: There are about 900,000 new cases of birth defects in China every year. There are a large number of hereditary diseases, such as primary immune deficiency diseases, genetic metabolic diseases and multiple malformation syndrome, etc. It is important to identify and diagnose these diseases early in life, which can optimize the treatment strategy, improve the quality of life, and achieve the purpose of accurate treatment. To improve the level of diagnosis and prevention of genetic diseases in children is conducive to the birth and education of newborn in our country. The China Neonatal Genome Project is an important part of the China Human single Target Genome Project. The investigators plan to complete genetic testing of 100,000 newborns within 5 years, establish genetic testing standards for genetic diseases of newborns, and promote precise intervention for birth defects. The Genetic Counseling Branch of China Genetics Society, the Pediatrics Hospital affiliated to Fudan University and hundreds of hospitals in China jointly launched the Chinese newborn Genome Project in Shanghai, China. The project will carry out the genetic testing of 100000 neonates in the next 5 years. The study physician and genetic counselor will provide the consultation to families utilizing all available medical information. In the sequencing analysis of the study, this will include the medical history, physical exam, family history, standard newborn screening report. The aim of the project is to construct the Chinese neonatal genome database, establish the genetic testing standard of neonatal genetic diseases, and promote the industrialization of neonatal genetic disease gene testing, improve the training system for genetic counseling.

Eligibility criteria: Inclusion Criteria:

* 1. Both parents are of Chinese origin;
* 2. Postnatal age less than 28 days;
* 3. Can be retained to at least 1ml venous blood sample;
* 4. Biological parent or guardian's informed consent.

Exclusion Criteria:

* 1. the nationality of one of the parents is not the Han nationality or other national minorities;
* 2. reluctance of parents to use genetic sequencing data for subsequent research;
* 3. parents under 18 years of age or incapacitated for decision-making;
* 4. subjects older than 28 days.
* 5. multiple pregnancies;
* 6. lack of access to biological samples from which DNA can be extracted;
* 7. failure to sign informed consent

Primary outcomes:
measure: Number of gene sequencing data in neonatal gene bank
timeFrame: From birth to completion of genetic screening, the process last up to 3 months.
measure: Gene mutation rate
timeFrame: From birth to completion of genetic screening, the process last up to 3 months.
Secondary outcomes:
Other outcomes:
Locations:
city: Shanghai
country: China
facility: Children Hospital of Fudan University
state: Shanghai
Study officials:
affiliation: Children's Hospital of Fudan University
name: Wenhao Zhou
role: STUDY_CHAIR
References:
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