CLARA is a genetic screening test for couples trying to conceive, which can be carried out even before they start planning a pregnancy. It is designed for anyone planning to have children who wishes to rule out the risk of genetic disorders, particularly if these have previously been diagnosed in the family. Couples undergoing in vitro fertilisation (IVF) should also consider this test. In their case, if the result is positive, they will be able to undergo pre-implantation genetic testing for monogenic disorders (PGT-M), which offers them the chance of having a healthy child.
The earlier parents start planning a pregnancy, the greater the influence they have on its course and the child’s health. Our specialists make every effort to raise awareness of the possibilities offered by the CLARA panel. In accordance with the recommendations of the American College of Obstetricians and Gynaecologists (ACOG), every woman planning a pregnancy should be informed about the option of testing to determine whether she carries a DNA mutation.
Our DNA contains not only information such as hair and eye colour, but also our susceptibility to certain diseases. Remember that each of us carries at least 5 to 6 mutations in genes that cause rare diseases, and these are most often genetic conditions that can be life-threatening or cause chronic disability in our children.
Did you know that rare genetic disorders affect between 6 and 8 per cent of the world’s population?
This is precisely why determining whether you are a carrier of a DNA mutation is so important. We may be unaware of abnormalities in our DNA until they cause a disease in our child. Being a carrier does not, in itself, cause any symptoms of disease and does not mean that the condition will develop. However, we can pass on a copy of the abnormal gene to our child. If both parents carry the mutation, the risk of the child being born with the condition or developing it later in life is increased.
If you and your partner are both carriers of a mutation in the same gene, there is a 25 per cent risk that your child will be affected.
Find out how genetic factors can affect the health of your future child – in a simple and easy-to-understand way. Get practical tips to help you better prepare for informed parenting.
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CLARA is a screening panel for genetic disease carrier status, carried out at the INVICTA Clinic’s laboratory in Poland. The test can be carried out even before a planned pregnancy, as well as before in-vitro fertilisation.
The test is designed for all couples planning to start a family. The sample collection procedure is quick and requires no special preparation – all that is needed is a blood sample (as with karyotype testing). The test can also be carried out at home by collecting a saliva sample yourself, from which DNA is subsequently isolated. At INVICTA, we make every effort to increase patients’ access to the latest diagnostic and treatment methods.
At the INVICTA clinic, we offer our patients two types of CLARA test.
CLARA universal – screens for carrier status of the three most common known genetic disorders found in every ethnic group. It detects carrier status for:
CLARA optima – this test enables the detection of the 11 most common known genetic disorders in the Central European population. It is specifically designed for couples of Polish nationality. It helps identify mutations responsible, amongst other things, for serious metabolic disorders. The test also screens for carrier status of congenital hearing loss.
Selected metabolic disorders in the CLARA optima panel are characterised by high prenatal mortality (meaning that the patient suffers miscarriages at a very early stage of pregnancy) or the death of affected children immediately after birth. This is precisely why screening prospective parents for carrier status of DNA mutations, as early as the pregnancy planning stage, is so important.
1 Race: Caucasian (Europoid/white), African (black), East Asian; inhabitants of the Mediterranean region, Spain and Ashkenazi Jews
2 Slavic populations: Polish, Russian, Czech and Slovak
| CARRIER STATUS OF A DISEASE-CAUSING AGENT | GENE | CLARA universal |
CLARA optima |
| Cystic fibrosis | CFTR | ✔️ | ✔️ |
| Spinal muscular atrophy (SMA) | SMN1 and SMN2 | ✔️ | ✔️ |
| X-linked Fragile Chromosome Syndrome | FMR1 | ✔️ | ✔️ |
| Congenital hearing loss | GJB2 | ✔️ | |
| Phenylketonuria | PAH | ✔️ | |
| Long-chain fatty acid dehydrogenase deficiency (LCHADD) |
HADHA | ✔️ | |
| Acyl-CoA dehydrogenase deficiency of medium-chain fatty acids (MCADD) |
ACADM | ✔️ | |
| Leigh syndrome | SURF-1 | ✔️ | |
| Smith–Lemli–Opitz syndrome (SLOS) | DHCR7 | ✔️ | |
| Nijmegen syndrome | NBN | ✔️ | |
| SCO2 protein deficiency | SCO2 | ✔️ |
CLARA is a genetic test that can be carried out before pregnancy (just like a karyotype test) and before in-vitro fertilisation. It is designed for all couples planning to have children.
CLARA should primarily be carried out by couples undergoing treatment for unexplained infertility and by women who have experienced spontaneous miscarriages, also of unexplained cause.
At the INVICTA Clinic, we are committed to ensuring that our patients are aware of the opportunities offered by the CLARA genetic carrier screening panel, particularly if they are planning to start a family.
We are offering a test designed specifically for Polish couples. CLARA optima enables us to screen for conditions that are well-recognised in the Central European population and to obtain clear and reliable results. The test panel examines genetic variations associated with specific disease symptoms that are characteristic primarily of the Polish population. This means that, should a genetic predisposition to a disease be confirmed, we can recommend the appropriate course of action.
The results are available in Polish just two weeks after the test has been carried out. Receiving the test results quickly will help speed up the decision on any necessary treatment for the couple. The results should be discussed during a consultation with a clinical geneticist and, at the next stage, with a gynaecologist at the INVICTA clinics.
The test also increases the chances of a healthy pregnancy – it can help identify the cause of any previous miscarriages, if there have been any