The CLARA test – showing that parents can have a real impact on their child’s health

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.

Why is it worth having a carrier test?

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.

A free guide for expectant parents

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.

Fill in a short form to receive the guide by email.


What is CLARA?

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.

CLARA panels

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:

  • cystic fibrosis (caused by mutations in the CFTR gene),
  • X-linked fragile chromosome syndrome (intellectual disability with features of autism, caused by mutations in the FMR1 gene),
  • SMA, or spinal muscular atrophy (caused by mutations in the SMN1 and SMN2 genes).

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 ✔️

Order a mail-order genetic test online!

Who is CLARA for?

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.

CLARA Genetic Disease Carrier Panel

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.

  • Parents have the opportunity to safeguard their child’s health right from the pregnancy planning stage, as the panel checks whether there is a risk of passing on the most common genetic conditions to their child. The earlier a couple begins preparing for pregnancy, the greater the chances of a successful pregnancy and the birth of a healthy child.
  • Parents diagnosed as carriers of a mutation have the opportunity to minimise the risk of their future child developing the condition. If the test results confirm that the partners are carriers of defective genes, they can opt for in vitro fertilisation with pre-implantation genetic testing for monogenic disorders (PGT-M). This procedure will enable the selection of a normal embryo for transfer, one that is not affected by the condition being tested for.

What makes the CLARA panel so effective?

icon

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.

icon

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.

icon

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

Would you like to book an appointment?

How else can we help you?

Call us

Mon-Fri: 7:00 - 20:00
Sat: 7:00 - 15:00

Contact form

Have questions for us? Write. We'll call you.