Take part in our research trials
Tommy's trials at multiple hospitals
LOCI Pregnancy loss sub-study
Polycystic Ovary Syndrome (PCOS) affects around 20% of women and birthing people, and can lead to them not releasing eggs. Current guidelines suggest using the medication clomifene to improve ovulation in people with PCOS with or without another medication called metformin, which can help improve PCOS, but this does not result in pregnancy in many women and birthing people. The LOCI trial is looking at using another medication called letrozole to see if it is better at improving ovulation and fertility compared to clomifene.
This sub-study of the LOCI trial is assessing whether giving participants metformin can also reduce miscarriage rates.
Who can get involved?
Women and birthing people participating in the LOCI trial that become pregnant after ovulation induction treatment can take part. There are multiple sites recruiting to the LOCI trial across the UK.
Find out more about the trial and whether your hospital or healthcare provider is taking part by emailing [email protected].
Tommy's trials in Birmingham
The Graded Model of Miscarriage Care
In 2021, our National Centre for Miscarriage Research published the Miscarriage Matters series, outlining the devastating impact of miscarriage and calling for a complete rethink around miscarriage care. Within these papers, the team recommended the Graded Model of Care for Miscarriage, which would see women and birthing people receive support after 1 miscarriage, not 3.
The team are now piloting this model of care at Birmingham Women's Hospital for 3 months to show the impact of the model on miscarriage rates.
In the recently release Pregnancy Loss Review, the government committed to reviewing the findings of the pilot and to consider how this model might be implemented on a national scale.
Who can get involved?
All women and birthing people at Birmingham Women's Hospital who have miscarried pregnancies up to 14 weeks are eligible for care under the graded model.
You cannot take part if you experience molar pregnancy, ectopic pregnancy or a miscarriage at later gestation.
Find out more by emailing [email protected] or [email protected]
PRESTIGE preterm birth study
Understanding how genetics can play a role in preterm birth
Our study aims to better predict and understand preterm birth, so that health complications can be avoided and reduced. Our researchers want to find out if there are any genetic factors that could be linked to preterm birth, by looking at genetic data from people of different ethnic backgrounds.
- Researchers: Imperial College London in collaboration between all study sites, Tommy's National Centre for Preterm Birth Research and Genomics England Limited.
- Researcher centre: Tommy’s National Centre for Preterm Birth Research
- Research status: ongoing project
Why do we need this research?
Across the UK, 1 in 13 babies are born preterm (before 37 weeks) - that’s nearly 8% of all live births, and 6 babies every hour. Some babies who are born prematurely can be very vulnerable and parents can endure agonising months in hospital, unsure of their baby’s future. While most preterm babies survive, complications related to preterm birth remain the leading cause of death in children under the age of 5.
Currently, 86% of the genetic data available globally comes from people of European ancestry. We know that people from Black and Asian backgrounds are more likely to experience preterm birth than those from White backgrounds, and this study will help to establish the extent to which this could be explained by genetic factors.
We still do not fully understand the causes of preterm birth and why some people are more likely to have a preterm birth compared to others. However, researchers have found that there are some genetic factors related to preterm birth.
To get a complete picture of preterm birth, we need to also collect genetic data from people of diverse ethnic backgrounds. Completing this research will help us develop more effective ways to prevent preterm birth.
What is ‘genetic data’?
Genetic data is information that is gathered through the genetic sequencing of a small amount of a biological sample such as blood. This allows scientists to better understand inherited (what you got from your parents) characteristics that could affect a person's health. Your genetic data is unique to you. Whole Genome Sequencing is a technique that reads your entire genetic material. It can provide information about whether you are more or less likely to experience certain health conditions. All genetic data collected through this project will be anonymised and held securely.
Who can take part in this project?
Mothers aged over 18 who have experienced a spontaneous preterm birth at the hospitals listed below and are biologically related to the preterm child can take part. We are specifically looking for people who have experienced a spontaneous preterm birth or a preterm birth after the water around the baby broke naturally, rather than a preterm birth that was medically induced (iatrogenic preterm birth).
What does the study involve?
Participants will be asked to provide a small blood sample (about 3ml, less than one teaspoon) from their arm and share information about their pregnancy and birth. Our researchers will use Whole Genome Sequencing (WGS) to study the genetic factors related to preterm birth.
What difference will this project make?
In this project, we aim to learn more about the genetic factors related to preterm birth in people from all ethnic backgrounds using WGS.
Our goals are to:
- Understand the genetic reasons behind preterm birth.
- Improve how we manage and prevent preterm birth.
- Develop ways to predict who might be at higher risk of having a preterm birth based on their genetic information.
What if English is not your first language?
Our research team has study information sheets available in various languages. We can also use telephone interpreting services at our local hospital to answer any questions you might have and help you through the consent process.
Did you have a preterm baby / babies at one of these hospitals?
Please check the list below to see if your hospital is included. We're inviting women and birthing people who had preterm births at these hospitals across England to join our study, so we can gather accurate information. If your hospital is on the list, please fill out the self-referral form to get in touch with us. The research team at your hospital will then contact you. We will regularly update the list of hospitals to choose from as and when new hospital sites join the study.
- Arrowe Park Hospital (Wirral University Teaching Hospital NHS Foundation Trust)
- Barnet Hospital (Royal Free London NHS Foundation Trust)
- Chelsea and Westminster Hospital NHS Foundation Trust
- George Eliot Hospital NHS Trust
- Hillingdon Hospital
- John Radcliffe Hospital (Oxford University Hospitals NHS Foundation Trust)
- Leighton Hospital (Mid Cheshire Hospitals NHS Foundation Trust)
- Liverpool Women's Hospital (Liverpool Women's NHS Foundation Trust)
- Princess Royal Hospital Telford (The Shrewsbury and Telford Hospital NHS Trust)
- Queen Charlotte's and Chelsea Hospital (Imperial College Healthcare NHS Trust)
- Rosie Hospital (Cambridge University Hospitals NHS Foundation Trust)
- Royal Berkshire Hospital
- Royal Bolton Hospital (Bolton NHS Foundation Trust)
- Royal Cornwall Hospital (Royal Cornwall Hospitals NHS Trust)
- Royal Free Hospital (Royal Free London NHS Foundation Trust)
- Royal Victoria Infirmary (The Newcastle Upon Tyne Hospitals NHS Foundation Trust)
- St Mary's Hospital (Imperial College Healthcare NHS Trust)
- St Mary's Hospital (Manchester University NHS Foundation Trust)
- St Michael's Hospital (University Hospitals Bristol and Weston NHS Foundation Trust)
- St James's University Hospital (Leeds Teaching Hospitals NHS Trust)
- Stoke Mandeville Hospital (Buckinghamshire Healthcare NHS Trust)
- The Royal London Hospital (Barts Health NHS Trust)
- Tunbridge Wells Hospital - Maidstone and Tunbridge Wells NHS Trust
- University College London Hospitals NHS Foundation Trust
- University Hospital (University Hospitals Coventry and Warwickshire NHS Trust)
- Warwick Hospital (South Warwickshire NHS Foundation Trust)
To find out your eligibility and get in touch with us, please complete the self-referral webform.
We hope to have details of stillbirth trials taking place soon.
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