Evidence map›Paper›PMID 40302112›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2025

Stakeholder Perspectives on the Design of First-In-Human Trials for Artificial Amnion and Placenta Technology: A Qualitative Study.

Angret de Boer, André Krom, Rania Kalaai, Marieke de Vries, Marije Hogeveen, Sylvia A Obermann-Borst, Marijn Vermeulen, M Beatrijs van der Hout-van der Jagt, Juliette S van Haren, Peter Andriessen and 3 more

Abstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Angret de BoerDepartment of Obstetrics, Leiden University Medical Center, Leiden, the Netherlands.ORCID https://orcid.org/0000-0002-8281-5873
André KromDepartment of Medical Ethics and Health law, Leiden University Medical Center, Leiden, the Netherlands.ORCID https://orcid.org/0000-0001-6524-184X
Rania KalaaiDepartment of Neonatology, Radboudumc Amalia Children's Hospital, Nijmegen, the Netherlands.
Marieke de VriesInstitute for Computing and Information Sciences (iCIS), Radboud University, Nijmegen, the Netherlands.
Marije HogeveenDepartment of Neonatology, Radboudumc Amalia Children's Hospital, Nijmegen, the Netherlands.ORCID https://orcid.org/0000-0002-2562-7606
Sylvia A Obermann-BorstCare4Neo, Neonatal Patient and Parent Advocacy Organization, Rotterdam, the Netherlands.ORCID https://orcid.org/0009-0004-8886-6892
Marijn VermeulenDepartment of Neonatal and Pediatric Intensive Care, Division of Neonatology, Sophia Children's Hospital, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0001-9686-8186
M Beatrijs van der Hout-van der JagtDepartment of Obstetrics & Gynecology, Máxima Medisch Centrum, Veldhoven, the Netherlands.ORCID https://orcid.org/0000-0002-5805-5333
Juliette S van HarenDepartment of Industrial Design, Eindhoven University of Technology, Eindhoven, the Netherlands.ORCID https://orcid.org/0000-0002-2878-7349
Peter AndriessenDepartment of Neonatology, Máxima Medical Center, Veldhoven, the Netherlands.ORCID https://orcid.org/0000-0002-5159-6874
Martine C de VriesDepartment of Medical Ethics and Health law, Leiden University Medical Center, Leiden, the Netherlands.ORCID https://orcid.org/0000-0002-3178-7470
Rosa GeurtzenDepartment of Neonatology, Radboudumc Amalia Children's Hospital, Nijmegen, the Netherlands.ORCID https://orcid.org/0000-0002-5640-6160
E J T VerweijDepartment of Obstetrics, Leiden University Medical Center, Leiden, the Netherlands.ORCID https://orcid.org/0000-0002-9343-9957

Funding

European Society for Paediatric ResearchZonMw
6 · The paper itself

Abstract

objectiveArtificial Amnion and Placenta Technology (AAPT), designed to improve outcomes in extreme prematurity, has shown promise in animal studies, with human trials anticipated soon. This study seeks to inform the responsible design of future trials by utilising insights from parents who experienced an (imminent) extremely premature birth and perinatal healthcare professionals (HCPs).

designA qualitative study using individual and focus group interviews.

settingThis study was part of a Dutch study called Toward Individualised care of the Youngest. SAMPLE: Fifteen parents who experienced an (imminent) extremely premature birth and 46 HCPs were interviewed.

methodsEight focus-group and five individual interviews were performed and transcribed. The transcripts were thematically analysed. MAIN OUTCOMES AND MEASURES: The perspectives of HCPs and experienced parents on what they considered essential for human AAPT trials.

resultsAnalyses revealed some critical considerations represented in six themes: (1) optimise the animal model, (2) determine the goal of human trials, (3) carefully establish the research population, (4) formulate stop criteria, success criteria and outcome measures, (5) determine the role for parents during the AAPT trial, and (6) develop protocols for the trial and address logistical considerations.

conclusionThis study emphasises the critical role of stakeholder involvement in safeguarding the responsible design of human AAPT trials. Defining the trial objectives including well-defined stop criteria and follow-up schemes is a key element for the human AAPT trials. Establishing consensus among stakeholders is essential, as shared recommendations will facilitate alignment of expectations and promote engagement.

Indexed as

AmnionClinical Trials as TopicParentsPlacentaPremature BirthResearch DesignStakeholder ParticipationAdultAttitude of Health PersonnelFemaleFocus GroupsHumansInfant, Extremely PrematureInfant, NewbornMaleNetherlandsectogenesisethicsextremely premature infantfoetal viabilityneonatologyparentsperinatal careplacentaqualitative researchtechnology

Identifiers

PMID40302112
PMCPMC12411662

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.