PregnancyNCT01736826
Free DNA and Nucleosome Concentrations in Pathological Pregnancies
An observational study of Pregnancy and Venous Thrombosis, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.
Trial summary
The primary objective of this study is to demonstrate that plasma concentrations of nucleosomes and free DNA differ between three groups: 1. pregnant patients with complications typical of placental insufficiency or venous thrombosis (group P), 2. healthy women (Group T1) and 3. healthy pregnant women (Group T2). Read more about this study
- Who is it for?
- Ages 18 years and older, women onlyHealthy volunteers can take part
- Conditions the study is for
- Pregnancy, Venous Thrombosis, Pulmonary Embolism
- What is being tested?
- Bloodwork, baseline, Blood work, Months 1 & 2 and Bloodwork, Months -1 to -6
- How many people
- 137 participants
- Where
- 1 siteFrance
- Study dates
- Jun 2015to 11 Dec 2017
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- Healthy volunteers accepted
- Adult, Older adult
Study population: The study population includes three groups: Group P: 100 pregnant women with complications typical of placental vascular disease or venous thromboembolism. Group T1: 30 non-pregnant, healthy volunteers * The first 15 patients from group T1 will form group T1x. The latter group has two months of additional follow up. Group T2: 50 pregnant, healthy volunteers * The first 15 patients from group T2 will form group T2x. The latter group has 7 months of follow-up during pregnancy.
Who may be able to join
- The patient must have given her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is pregnant and has complications typical of placental vascular disease (preeclampsia, eclampsia, HELLP syndrome, retro-placental hematoma, in utero fetal death) or venous thromboembolism (deep vein thrombosis, pulmonary embolism)
- The patient is available for 3 months of follow-up
- The patient is a non-pregnant healthy volunteer
- No identifiable chronic pathologies
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- No history of neoplastic disease
- No history of chronic infectious disease
- No acute disease (such as benign infection), now or within the past two weeks
- The patient is available for 7 months of follow-up
- The patient is pregnant, with no identifiable pregnancy complications
- No identifiable chronic pathologies
- No history of neoplastic disease
- No history of chronic infectious disease
- No acute disease (such as benign infection), now or within the past two weeks
Who cannot join
- The patient is participating in another study (with the exception of the following studies: PAPILLO-PMA (2013-A00538-37), ElastoMAP (2013-A01148-37), ElastoDéclenche (2014-A00828-39), LXRs (2009-A00968-49), Bakri (2013-A00914-41), OASIS 2 (2013-A00022-43)).
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, under tutorship or curatorship
- The patient refuses to sign the consent
- It is impossible to correctly inform the patient
- The patient cannot read French
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- The patient is receiving hormonal ovarian stimulation in the context of medically assisted procreation
- Impossible to perform venipuncture under good conditions
- New complication or pathology during the study (except for pregnancy complications in group P)
- Twin or multiple pregnancy
- The patient is participating in another study (with the exception of those mentioned in the exclusion criteria for all patients and the DG Postpartum study (2013-A00277-38)
- The patient is pregnant
- The patient is breast feeding
- The patient has given birth within the last 3 months
- Known history of chronic disease
- History of treated neoplastic disease
- Acute disease within the past two weeks (includes benign disease)
- Pregnancy with complications
- Known history of chronic disease
- History of treated neoplastic disease
- Acute disease within the past two weeks (includes benign disease)
- Twin or multiple pregnancy
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Comparative Study of Plasma Free DNA and Nucleosome Concentrations: Pathological Versus Normal Pregnancies
The primary objective of this study is to demonstrate that plasma concentrations of nucleosomes and free DNA differ between three groups:
- pregnant patients with complications typical of placental insufficiency or venous thrombosis (group P),
- healthy women (Group T1) and
- healthy pregnant women (Group T2).
Read the detailed description
Our secondary objectives include the following:
- To describe, in 15 healthy, non-pregnant women changes in plasma concentrations of nucleosomes and free DNA over 3 months.
- To describe, in 15 pregnant women (without complications), changes in plasma concentrations of nucleosomes and free DNA over the last 7 months of pregnancy
- To show that plasma concentrations of nucleosomes and free DNA, in patients with complicated pregnancies differ according to the nature of the complication
- To show that a relationship exists between the concentrations of nucleosomes, free DNA, and total granulocyte microparticles (and trophoblast particles for pregnant women)
- To evaluate the relationship between nucleosome concentrations, free DNA concentrations and circulating leukocyte populations
- To evaluate the relationship between nucleosome concentrations, free DNA concentrations and hemostasis markers
- To describe changes in hemostasis markers throughout pregnancy
- To evaluate the relationship between nucleosome concentrations, free DNA concentrations and the angiogenic marker CD146
- To add to the Nîmes University Hospital biological collections.
- Conditions
- Pregnancy, Venous Thrombosis, Pulmonary Embolism, Hypertension, Pregnancy-Induced, Eclampsia, HELLP Syndrome
- Being tested
- Bloodwork, baseline, Blood work, Months 1 & 2, Bloodwork, Months -1 to -6
- Keywords
- plasma nucleosome concentration, plasma free DNA concentration
- Medical subject headings
- Venous Thrombosis, Pulmonary Embolism, Hypertension, Pregnancy-Induced, Eclampsia, HELLP Syndrome, Pre-Eclampsia, Fetal Death, Placental Insufficiency
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Bloodwork, baselineBiological
36 ml of blood are drawn at baseline (last month of pregnancy for groups P and T2, inclusion for group T1) in order to quantify the following: plasma free DNA concentration, plasma nucleosome concentration, hemoglobin, platelets, leukocytes, polynuclear neutrophils, mean corpuscular volume, monocytes, mean corpuscular hemoglobin, lymphocytes, polynuclear eosinophils, polynuclear basophils, D-Dimers, Fibrin monomers, Trophoblast microparticles, Angiogenic marker CD146.
Blood work, Months 1 & 2Biological
36 ml of blood are drawn at 1 \& 2 months after inclusion in order to quantify the following: plasma free DNA concentration, plasma nucleosome concentration, hemoglobin, platelets, leukocytes, polynuclear neutrophils, mean corpuscular volume, monocytes, mean corpuscular hemoglobin, lymphocytes, polynuclear eosinophils, polynuclear basophils, D-Dimers, Fibrin monomers, Trophoblast microparticles, Angiogenic marker CD146.
Bloodwork, Months -1 to -6Biological
36 ml of blood are drawn at the third, fourth, fifth, sixth, seventh and eight months of normal pregnancy (corresponding to months -1 to -6 before comparative baseline; this group is included in the study early during pregnancy)in order to quantify the following: plasma free DNA concentration, plasma nucleosome concentration, hemoglobin, platelets, leukocytes, polynuclear neutrophils, mean corpuscular volume, monocytes, mean corpuscular hemoglobin, lymphocytes, polynuclear eosinophils, polynuclear basophils, D-Dimers, Fibrin monomers, Trophoblast microparticles, Angiogenic marker CD146.
| Study group | Role | What they receive |
|---|---|---|
| Group P: pregnancy w/complications | The patient is pregnant and has complications typical of placental vascular disease (preeclampsia, eclampsia, HELLP syndrome, retro-placental hematoma, in utero fetal death) or venous thromboembolism (deep vein thrombosis, pulmonary embolism).
100 patients will be included.
Interventions to be administered: Bloodwork, baseline Receives: Biological: Bloodwork, baseline | |
| Group T1: Healthy volunteers | Healthy volunteers with no history of chronic or neoplastic disease.
30 healthy volunteers will be included.
Interventions to be administered: Bloodwork, baseline Receives: Biological: Bloodwork, baseline | |
| Group T2: Pregnancy, no complications | Pregnant patients with no identifiable pregnancy complications, and no history of chronic or neoplastic disease.
50 pregnant volunteers will be included.
Interventions to be administered: Bloodwork, baseline Receives: Biological: Bloodwork, baseline | |
| Group T1x: 15 Healthy volunteers | 15 Healthy volunteers selected from group T1 (the first 15). These patients will have 2 additional months of follow up.
Interventions to be administered: Blood work, Months 1 \& 2 Receives: Biological: Bloodwork, baseline; Biological: Blood work, Months 1 & 2 | |
| Group T2x: 15 Pregnancy, no complications | 15 patients selected from group T2 (the first 15); these patients will have 7 months of follow up during pregnancy.
Interventions to be administered: Bloodwork, Months -1 to -6 Receives: Biological: Bloodwork, baseline; Biological: Bloodwork, Months -1 to -6 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Total plasma concentration of free DNA (ng/ml)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: Base line (day 0)
Total plasma concentration of nucleosomes (AU)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth
Measured: Base line (day 0)
Secondary outcomes (149)
Hemoglobin (g/l)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Platelets (g/l)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Leukocytes (g/l)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Polynuclear neutrophils(g/l)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Mean corpuscular volume (fL)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Monocytes (g/l)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Mean corpuscular hemoglobin (pg/GR)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Lymphocytes (g/l)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Polynuclear eosinophils (g/l)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Polynuclear basophils (g/l)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
D-dimers (ng/ml)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Fibrin monomers (ng/ml)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Trophoblast microparticles (%)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Angiogenic marker CD146 (ng/ml)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: baseline (day 0)
Hemoglobin (g/l)
For group T1x only
Measured: 1 month
Platelets (g/l)
For group T1x only
Measured: 1 month
Leukocytes (g/l)
For group T1x only
Measured: 1 month
Polynuclear neutrophils(g/l)
For group T1x only
Measured: 1 month
Mean corpuscular volume (fL)
For group T1x only
Measured: 1 month
Monocytes (g/l)
For group T1x only
Measured: 1 month
Mean corpuscular hemoglobin (pg/GR)
For group T1x only
Measured: 1 month
Lymphocytes (g/l)
For group T1x only
Measured: 1 month
Polynuclear eosinophils (g/l)
For group T1x only
Measured: 1 month
Polynuclear basophils (g/l)
For group T1x only
Measured: 1 month
D-dimers (ng/ml)
For group T1x only
Measured: 1 month
Fibrin monomers (ng/ml)
For group T1x only
Measured: 1 month
Trophoblast microparticles (%)
For group T1x only
Measured: 1 month
Angiogenic marker CD146 (ng/ml)
For group T1x only
Measured: 1 month
Total plasma concentration of free DNA (ng/ml)
For group T1x only
Measured: 1 month
Total plasma concentration of nucleosomes (AU)
For group T1x only
Measured: 1 month
Hemoglobin (g/l)
For group T1x only
Measured: 2 months
Platelets (g/l)
For group T1x only
Measured: 2 months
Leukocytes (g/l)
For group T1x only
Measured: 2 months
Polynuclear neutrophils(g/l)
For group T1x only
Measured: 2 months
Mean corpuscular volume (fL)
For group T1x only
Measured: 2 months
Monocytes (g/l)
For group T1x only
Measured: 2 months
Mean corpuscular hemoglobin (pg/GR)
For group T1x only
Measured: 2 months
Lymphocytes (g/l)
For group T1x only
Measured: 2 months
Polynuclear eosinophils (g/l)
For group T1x only
Measured: 2 months
Polynuclear basophils (g/l)
For group T1x only
Measured: 2 months
D-dimers (ng/ml)
For group T1x only
Measured: 2 months
Fibrin monomers (ng/ml)
For group T1x only
Measured: 2 months
Trophoblast microparticles (%)
For group T1x only
Measured: 2 months
Angiogenic marker CD146 (ng/ml)
For group T1x only
Measured: 2 months
Total plasma concentration of free DNA (ng/ml)
For group T1x only
Measured: 2 months
Total plasma concentration of nucleosomes (AU)
For group T1x only
Measured: 2 months
Hemoglobin (g/l)
For group T2x only
Measured: -1 months
Hemoglobin (g/l)
For group T2x only
Measured: -2 months
Hemoglobin (g/l)
For group T2x only
Measured: -3 months
Hemoglobin (g/l)
For group T2x only
Measured: -4 months
Hemoglobin (g/l)
For group T2x only
Measured: -5 months
Hemoglobin (g/l)
For group T2x only
Measured: -6 months
Platelets (g/l)
For group T2x only
Measured: -1 months
Platelets (g/l)
For group T2x only
Measured: -2 months
Platelets (g/l)
For group T2x only
Measured: -3 months
Platelets (g/l)
For group T2x only
Measured: -4 months
Platelets (g/l)
For group T2x only
Measured: -5 months
Platelets (g/l)
For group T2x only
Measured: -6 months
Leukocytes (g/l)
For group T2x only
Measured: -1 months
Leukocytes (g/l)
For group T2x only
Measured: -2 months
Leukocytes (g/l)
For group T2x only
Measured: -3 months
Leukocytes (g/l)
For group T2x only
Measured: -4 months
Leukocytes (g/l)
For group T2x only
Measured: -5 months
Leukocytes (g/l)
For group T2x only
Measured: -6 months
Polynuclear neutrophils(g/l)
For group T2x only
Measured: -1 months
Polynuclear neutrophils(g/l)
For group T2x only
Measured: -2 months
Polynuclear neutrophils(g/l)
For group T2x only
Measured: -3 months
Polynuclear neutrophils(g/l)
For group T2x only
Measured: -4 months
Polynuclear neutrophils(g/l)
For group T2x only
Measured: -5 months
Polynuclear neutrophils(g/l)
For group T2x only
Measured: -6 months
Mean corpuscular volume (fL)
For group T2x only
Measured: -1 months
Mean corpuscular volume (fL)
For group T2x only
Measured: -2 months
Mean corpuscular volume (fL)
For group T2x only
Measured: -3 months
Mean corpuscular volume (fL)
For group T2x only
Measured: -4 months
Mean corpuscular volume (fL)
For group T2x only
Measured: -5 months
Mean corpuscular volume (fL)
For group T2x only
Measured: -6 months
Monocytes (g/l)
For group T2x only.
Measured: -1 months
Monocytes (g/l)
For group T2x only.
Measured: -2 months
Monocytes (g/l)
For group T2x only.
Measured: -3 months
Monocytes (g/l)
For group T2x only.
Measured: -4 months
Monocytes (g/l)
For group T2x only.
Measured: -5 months
Monocytes (g/l)
For group T2x only.
Measured: -6 months
Mean corpuscular hemoglobin (pg/GR)
For group T2x only.
Measured: -1 months
Mean corpuscular hemoglobin (pg/GR)
For group T2x only.
Measured: -2 months
Mean corpuscular hemoglobin (pg/GR)
For group T2x only.
Measured: -3 months
Mean corpuscular hemoglobin (pg/GR)
For group T2x only.
Measured: -4 months
Mean corpuscular hemoglobin (pg/GR)
For group T2x only.
Measured: -5 months
Mean corpuscular hemoglobin (pg/GR)
For group T2x only.
Measured: -6 months
Lymphocytes (g/l)
For group T2x only.
Measured: -1 months
Lymphocytes (g/l)
For group T2x only.
Measured: -2 months
Lymphocytes (g/l)
For group T2x only.
Measured: -3 months
Lymphocytes (g/l)
For group T2x only.
Measured: -4 months
Lymphocytes (g/l)
For group T2x only.
Measured: -5 months
Lymphocytes (g/l)
For group T2x only.
Measured: -6 months
Polynuclear eosinophils (g/l)
For group T2x only.
Measured: -1 months
Polynuclear eosinophils (g/l)
For group T2x only.
Measured: -2 months
Polynuclear eosinophils (g/l)
For group T2x only.
Measured: -3 months
Polynuclear eosinophils (g/l)
For group T2x only.
Measured: -4 months
Polynuclear eosinophils (g/l)
For group T2x only.
Measured: -5 months
Polynuclear eosinophils (g/l)
For group T2x only.
Measured: -6 months
Polynuclear basophils (g/l)
For group T2x only.
Measured: -1 months
Polynuclear basophils (g/l)
For group T2x only.
Measured: -2 months
Polynuclear basophils (g/l)
For group T2x only.
Measured: -3 months
Polynuclear basophils (g/l)
For group T2x only.
Measured: -4 months
Polynuclear basophils (g/l)
For group T2x only.
Measured: -5 months
Polynuclear basophils (g/l)
For group T2x only.
Measured: -6 months
D-dimers (ng/ml)
For group T2x only.
Measured: -1 months
D-dimers (ng/ml)
For group T2x only.
Measured: -2 months
D-dimers (ng/ml)
For group T2x only.
Measured: -3 months
D-dimers (ng/ml)
For group T2x only.
Measured: -4 months
D-dimers (ng/ml)
For group T2x only.
Measured: -5 months
D-dimers (ng/ml)
For group T2x only.
Measured: -6 months
Fibrin monomers (ng/ml)
For group T2x only.
Measured: -1 months
Fibrin monomers (ng/ml)
For group T2x only.
Measured: -2 months
Fibrin monomers (ng/ml)
For group T2x only.
Measured: -3 months
Fibrin monomers (ng/ml)
For group T2x only.
Measured: -4 months
Fibrin monomers (ng/ml)
For group T2x only.
Measured: -5 months
Fibrin monomers (ng/ml)
For group T2x only.
Measured: -6 months
Trophoblast microparticles (%)
For group T2x only.
Measured: -1 months
Trophoblast microparticles (%)
For group T2x only.
Measured: -2 months
Trophoblast microparticles (%)
For group T2x only.
Measured: -3 months
Trophoblast microparticles (%)
For group T2x only.
Measured: -4 months
Trophoblast microparticles (%)
For group T2x only.
Measured: -5 months
Trophoblast microparticles (%)
For group T2x only.
Measured: -6 months
Angiogenic marker CD146 (ng/ml)
For group T2x only.
Measured: -1 months
Angiogenic marker CD146 (ng/ml)
For group T2x only.
Measured: -2 months
Angiogenic marker CD146 (ng/ml)
For group T2x only.
Measured: -3 months
Angiogenic marker CD146 (ng/ml)
For group T2x only.
Measured: -4 months
Angiogenic marker CD146 (ng/ml)
For group T2x only.
Measured: -5 months
Angiogenic marker CD146 (ng/ml)
For group T2x only.
Measured: -6 months
Total plasma concentration of nucleosomes (AU)
For group T2x only.
Measured: -1 months
Total plasma concentration of nucleosomes (AU)
For group T2x only.
Measured: -2 months
Total plasma concentration of nucleosomes (AU)
For group T2x only.
Measured: -3 months
Total plasma concentration of nucleosomes (AU)
For group T2x only.
Measured: -4 months
Total plasma concentration of nucleosomes (AU)
For group T2x only.
Measured: -5 months
Total plasma concentration of nucleosomes (AU)
For group T2x only.
Measured: -6 months
Total plasma concentration of free DNA (ng/ml)
For group T2x only.
Measured: -1 months
Total plasma concentration of free DNA (ng/ml)
For group T2x only.
Measured: -2 months
Total plasma concentration of free DNA (ng/ml)
For group T2x only.
Measured: -3 months
Total plasma concentration of free DNA (ng/ml)
For group T2x only.
Measured: -4 months
Total plasma concentration of free DNA (ng/ml)
For group T2x only.
Measured: -5 months
Total plasma concentration of free DNA (ng/ml)
For group T2x only.
Measured: -6 months
Fibrinogen (g/l)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Measured: Base line (day 0)
Fibrinogen (g/l)
For group T2x only.
Measured: -1 months
Fibrinogen (g/l)
For group T2x only.
Measured: -2 months
Fibrinogen (g/l)
For group T2x only.
Measured: -3 months
Fibrinogen (g/l)
For group T2x only.
Measured: -4 months
Fibrinogen (g/l)
For group T2x only.
Measured: -5 months
Fibrinogen (g/l)
For group T2x only.
Measured: -6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Nov 2012 (estimated)
- Study startJun 2015
- Primary completion11 Dec 2017
- Study completion11 Dec 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for PregnancyStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire de NīmesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 137 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Nīmes
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Sylvie Bouvier, MD, Study director, Centre Hospitalier Universitaire de NīmesEve Mousty, MD, Principal investigator, Centre Hospitalier Universitaire de Nīmes
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01736826
- Sponsor's protocol ID
- LOCAL/2012/SB-01
- Other IDs
- 2014-A01120-47
- Status last verified
- Jan 2019
- First submitted
- 27 Nov 2012
- Last updated
- 21 Nov 2025
- Results posted
- No
- Data monitoring committee
- No
Publications
Bouvier S, Mousty E, Fortier M, Demattei C, Mercier E, Nouvellon E, Chea M, Grosjean F, Letouzey V, Gris JC. Placenta-mediated complications: Nucleosomes and free DNA concentrations differ depending on subtypes. J Thromb Haemost. 2020 Dec;18(12):3371-3380. doi: 10.1111/jth.15105. Epub 2020 Oct 18.
PubMed 32979032Bouvier S, Traboulsi W, Blois SM, Demattei C, Joshkon A, Mousty E, Nollet M, Paulmyer-Lacroix O, Foucault-Bertaud A, Fortier M, Leroyer AS, Bachelier R, Letouzey V, Alfaidy N, Dignat-George F, Blot-Chabaud M, Gris JC, Bardin N. Soluble CD146 is increased in preeclampsia and interacts with galectin-1 to regulate trophoblast migration through VEGFR2 receptor. F S Sci. 2022 Feb;3(1):84-94. doi: 10.1016/j.xfss.2021.11.002. Epub 2021 Nov 19.
PubMed 35559998
Study at a glance
From the registry record, last updated by the sponsor on 21 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Study of Plasma Free DNA and Nucleosome Concentrations: Pathological Versus Normal Pregnancies
- ClinicalTrials.gov ID
- NCT01736826
- Acronym / sponsor ID
- LOCAL/2012/SB-01
- Conditions
- Pregnancy, Venous Thrombosis, Pulmonary Embolism, Hypertension, Pregnancy-Induced, Eclampsia, HELLP Syndrome
- Keywords
- plasma nucleosome concentration, plasma free DNA concentration
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 137 participants (actual)
- Lead sponsor
- Centre Hospitalier Universitaire de NīmesUniversity, hospital or other
- Study start
- Jun 2015
- Primary completion
- 11 Dec 2017 (actual)
- Study completion
- 11 Dec 2017 (actual)
- First posted
- 29 Nov 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this study is to demonstrate that plasma concentrations of nucleosomes and free DNA differ between three groups:
- pregnant patients with complications typical of placental insufficiency or venous thrombosis (group P),
- healthy women (Group T1) and
- healthy pregnant women (Group T2).
Detailed description
Our secondary objectives include the following:
- To describe, in 15 healthy, non-pregnant women changes in plasma concentrations of nucleosomes and free DNA over 3 months.
- To describe, in 15 pregnant women (without complications), changes in plasma concentrations of nucleosomes and free DNA over the last 7 months of pregnancy
- To show that plasma concentrations of nucleosomes and free DNA, in patients with complicated pregnancies differ according to the nature of the complication
- To show that a relationship exists between the concentrations of nucleosomes, free DNA, and total granulocyte microparticles (and trophoblast particles for pregnant women)
- To evaluate the relationship between nucleosome concentrations, free DNA concentrations and circulating leukocyte populations
- To evaluate the relationship between nucleosome concentrations, free DNA concentrations and hemostasis markers
- To describe changes in hemostasis markers throughout pregnancy
- To evaluate the relationship between nucleosome concentrations, free DNA concentrations and the angiogenic marker CD146
- To add to the Nîmes University Hospital biological collections.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Group P: pregnancy w/complications | – | Biological: Bloodwork, baselineThe patient is pregnant and has complications typical of placental vascular disease (preeclampsia, eclampsia, HELLP syndrome, retro-placental hematoma, in utero fetal death) or venous thromboembolism (deep vein thrombosis, pulmonary embolism). 100 patients will be included. Interventions to be administered: Bloodwork, baseline |
| Group T1: Healthy volunteers | – | Biological: Bloodwork, baselineHealthy volunteers with no history of chronic or neoplastic disease. 30 healthy volunteers will be included. Interventions to be administered: Bloodwork, baseline |
| Group T2: Pregnancy, no complications | – | Biological: Bloodwork, baselinePregnant patients with no identifiable pregnancy complications, and no history of chronic or neoplastic disease. 50 pregnant volunteers will be included. Interventions to be administered: Bloodwork, baseline |
| Group T1x: 15 Healthy volunteers | – | Biological: Bloodwork, baseline, Biological: Blood work, Months 1 & 215 Healthy volunteers selected from group T1 (the first 15). These patients will have 2 additional months of follow up. Interventions to be administered: Blood work, Months 1 \& 2 |
| Group T2x: 15 Pregnancy, no complications | – | Biological: Bloodwork, baseline, Biological: Bloodwork, Months -1 to -615 patients selected from group T2 (the first 15); these patients will have 7 months of follow up during pregnancy. Interventions to be administered: Bloodwork, Months -1 to -6 |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- The study population includes three groups: Group P: 100 pregnant women with complications typical of placental vascular disease or venous thromboembolism. Group T1: 30 non-pregnant, healthy volunteers * The first 15 patients from group T1 will form group T1x. The latter group has two months of additional follow up. Group T2: 50 pregnant, healthy volunteers * The first 15 patients from group T2 will form group T2x. The latter group has 7 months of follow-up during pregnancy.
Key inclusion criteria (15 listed)
- The patient must have given her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is pregnant and has complications typical of placental vascular disease (preeclampsia, eclampsia, HELLP syndrome, retro-placental hematoma, in utero fetal death) or venous thromboembolism (deep vein thrombosis, pulmonary embolism)
- The patient is available for 3 months of follow-up
- The patient is a non-pregnant healthy volunteer
Key exclusion criteria (22 listed)
- The patient is participating in another study (with the exception of the following studies: PAPILLO-PMA (2013-A00538-37), ElastoMAP (2013-A01148-37), ElastoDéclenche (2014-A00828-39), LXRs (2009-A00968-49), Bakri (2013-A00914-41), OASIS 2 (2013-A00022-43)).
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, under tutorship or curatorship
- The patient refuses to sign the consent
- It is impossible to correctly inform the patient
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Bloodwork, baseline36 ml of blood are drawn at baseline (last month of pregnancy for groups P and T2, inclusion for group T1) in order to quantify the following: plasma free DNA concentration, plasma nucleosome concentration, hemoglobin, platelets, leukocytes, polynuclear neutrophils, mean corpuscular volume, monocytes, mean corpuscular hemoglobin, lymphocytes, polynuclear eosinophils, polynuclear basophils, D-Dimers, Fibrin monomers, Trophoblast microparticles, Angiogenic marker CD146. | Biological | Group P: pregnancy w/complications, Group T1: Healthy volunteers, Group T1x: 15 Healthy volunteers, Group T2: Pregnancy, no complications, Group T2x: 15 Pregnancy, no complications |
| Blood work, Months 1 & 236 ml of blood are drawn at 1 \& 2 months after inclusion in order to quantify the following: plasma free DNA concentration, plasma nucleosome concentration, hemoglobin, platelets, leukocytes, polynuclear neutrophils, mean corpuscular volume, monocytes, mean corpuscular hemoglobin, lymphocytes, polynuclear eosinophils, polynuclear basophils, D-Dimers, Fibrin monomers, Trophoblast microparticles, Angiogenic marker CD146. | Biological | Group T1x: 15 Healthy volunteers |
| Bloodwork, Months -1 to -636 ml of blood are drawn at the third, fourth, fifth, sixth, seventh and eight months of normal pregnancy (corresponding to months -1 to -6 before comparative baseline; this group is included in the study early during pregnancy)in order to quantify the following: plasma free DNA concentration, plasma nucleosome concentration, hemoglobin, platelets, leukocytes, polynuclear neutrophils, mean corpuscular volume, monocytes, mean corpuscular hemoglobin, lymphocytes, polynuclear eosinophils, polynuclear basophils, D-Dimers, Fibrin monomers, Trophoblast microparticles, Angiogenic marker CD146. | Biological | Group T2x: 15 Pregnancy, no complications |
Primary outcome
Total plasma concentration of free DNA (ng/ml)
Time frame: Base line (day 0)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth.
Total plasma concentration of nucleosomes (AU)
Time frame: Base line (day 0)
For group P, baseline occurs within the 30 days preceding birth. For group T1, baseline = time of inclusion. For group T2, baseline occurs within the 30 days preceding birth
149 secondary outcomes
Hemoglobin (g/l)
Time frame: baseline (day 0)
Platelets (g/l)
Time frame: baseline (day 0)
Leukocytes (g/l)
Time frame: baseline (day 0)
Polynuclear neutrophils(g/l)
Time frame: baseline (day 0)
Mean corpuscular volume (fL)
Time frame: baseline (day 0)
Monocytes (g/l)
Time frame: baseline (day 0)
Mean corpuscular hemoglobin (pg/GR)
Time frame: baseline (day 0)
Lymphocytes (g/l)
Time frame: baseline (day 0)
Polynuclear eosinophils (g/l)
Time frame: baseline (day 0)
Polynuclear basophils (g/l)
Time frame: baseline (day 0)
D-dimers (ng/ml)
Time frame: baseline (day 0)
Fibrin monomers (ng/ml)
Time frame: baseline (day 0)
Trophoblast microparticles (%)
Time frame: baseline (day 0)
Angiogenic marker CD146 (ng/ml)
Time frame: baseline (day 0)
Hemoglobin (g/l)
Time frame: 1 month
Platelets (g/l)
Time frame: 1 month
Leukocytes (g/l)
Time frame: 1 month
Polynuclear neutrophils(g/l)
Time frame: 1 month
Mean corpuscular volume (fL)
Time frame: 1 month
Monocytes (g/l)
Time frame: 1 month
Mean corpuscular hemoglobin (pg/GR)
Time frame: 1 month
Lymphocytes (g/l)
Time frame: 1 month
Polynuclear eosinophils (g/l)
Time frame: 1 month
Polynuclear basophils (g/l)
Time frame: 1 month
D-dimers (ng/ml)
Time frame: 1 month
Fibrin monomers (ng/ml)
Time frame: 1 month
Trophoblast microparticles (%)
Time frame: 1 month
Angiogenic marker CD146 (ng/ml)
Time frame: 1 month
Total plasma concentration of free DNA (ng/ml)
Time frame: 1 month
Total plasma concentration of nucleosomes (AU)
Time frame: 1 month
Hemoglobin (g/l)
Time frame: 2 months
Platelets (g/l)
Time frame: 2 months
Leukocytes (g/l)
Time frame: 2 months
Polynuclear neutrophils(g/l)
Time frame: 2 months
Mean corpuscular volume (fL)
Time frame: 2 months
Monocytes (g/l)
Time frame: 2 months
Mean corpuscular hemoglobin (pg/GR)
Time frame: 2 months
Lymphocytes (g/l)
Time frame: 2 months
Polynuclear eosinophils (g/l)
Time frame: 2 months
Polynuclear basophils (g/l)
Time frame: 2 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Nov 2025.
- Results publication: PubMed 32979032Bouvier S, Mousty E, Fortier M, Demattei C, Mercier E, Nouvellon E, Chea M, Grosjean F, Letouzey V, Gris JC. Placenta-mediated complications: Nucleosomes and free DNA concentrations differ depending on subtypes. J Thromb Haemost. 2020 Dec;18(12):3371-3380. doi: 10.1111/jth.15105. Epub 2020 Oct 18.
- Derived from this study: PubMed 35559998Bouvier S, Traboulsi W, Blois SM, Demattei C, Joshkon A, Mousty E, Nollet M, Paulmyer-Lacroix O, Foucault-Bertaud A, Fortier M, Leroyer AS, Bachelier R, Letouzey V, Alfaidy N, Dignat-George F, Blot-Chabaud M, Gris JC, Bardin N. Soluble CD146 is increased in preeclampsia and interacts with galectin-1 to regulate trophoblast migration through VEGFR2 receptor. F S Sci. 2022 Feb;3(1):84-94. doi: 10.1016/j.xfss.2021.11.002. Epub 2021 Nov 19.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Sylvie Bouvier, MD study director
Centre Hospitalier Universitaire de Nīmes
Eve Mousty, MD principal investigator
Centre Hospitalier Universitaire de Nīmes
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Pregnancy and Venous Thrombosis, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 15 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Total plasma concentration of free DNA (ng/ml) (time frame: Base line (day 0)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01736826, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Nov 2025.