Characteristics of Episodic Ataxia Syndrome
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Purpose
Episodic ataxia (EA) is a rare genetic disease characterized by episodes of imbalance, incoordination, and slurring of speech. The underlying cause of EA is only partly understood, and currently there are no established treatments. There is also little information about the link between EA's clinical features and its genetic basis. The purpose of this study is to better characterize EA and disease progression. In turn, this may direct the development of future treatments.
| Condition |
|---|
|
Episodic Ataxia Syndrome Cerebellar Diseases |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Episodic Ataxia Syndrome: Genotype-phenotype Correlation and Longitudinal Study |
Blood
| Estimated Enrollment: | 125 |
| Study Start Date: | May 2006 |
| Estimated Study Completion Date: | July 2011 |
| Estimated Primary Completion Date: | July 2011 (Final data collection date for primary outcome measure) |
Attacks of ataxia, or the loss of ability to coordinate muscular movement, are often triggered by stress or exertion. EA is likely caused by an inherited genetic mutation; many individuals with EA have abnormalities in the KCNA1 or CACNA1A genes. To date, two known subtypes of EA have been identified, and other types likely exist. Specific characteristics of each EA subtype, however, have not been adequately described. The purpose of this study is to better define the clinical features and genetic basis of the various subtypes of EA and to evaluate disease progression. The study will also establish relevant study endpoints for use in future therapeutic trials.
This multi-center observational study will involve both a cross-sectional data analysis and a prospective longitudinal analysis. Participants will initially attend an outpatient study visit that will last 7 hours. This initial evaluation will include a medical history, a physical examination, neurological testing, and an ataxia assessment. Blood will be collected for genetic testing. Additionally, the following procedures may be conducted: ocular motor test, electromyography/nerve conduction study, electroencephalogram, MRI, and digital videotaping. Follow-up evaluations will occur on a yearly basis for at least 2 years; each will last 4 hours.
Eligibility| Ages Eligible for Study: | 5 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Individuals with episodic ataxia
Inclusion Criteria:
A clinically confirmed diagnosis of episodic ataxia as defined by one of the following three features:
- Clear-cut episodes of recurrent, transient ataxia
- Mutation confirmed in KCNA1 or CACNA1A
- Ataxic features with a first degree relative with episodic ataxia
Exclusion Criteria:
- Any other disorder known to cause episodic ataxia
Contacts and Locations| United States, California | |
| Reed Neurological Research Center, UCLA | |
| Los Angeles, California, United States, 90095 | |
| United States, Kansas | |
| University of Kansas Medical Center | |
| Kansas City, Kansas, United States, 66160 | |
| United States, Massachusetts | |
| Brigham & Women's Hospital | |
| Boston, Massachusetts, United States, 02115 | |
| United States, New York | |
| University of Rochester School of Medicine | |
| Rochester, New York, United States, 14642 | |
| Canada, Ontario | |
| London Health Sciences Centre | |
| London, Ontario, Canada, N6A 5W9 | |
| United Kingdom | |
| Institute of Neurology, Center for Neuromuscular Disease | |
| Queen Square, London, United Kingdom, WC1N 3BG | |
| Study Chair: | Robert W. Baloh, MD | University of California, Los Angeles |
| Principal Investigator: | Joanna C. Jen, MD, PhD | University of California, Los Angeles |
| Principal Investigator: | Tracey Graves, MD | Institute of Neurology and National Hospital for Neurology |
| Principal Investigator: | Yoon-Hee Cha, MD | University of California, Los Angeles |
More Information
Publications:
| Responsible Party: | Robert W. Baloh, MD, David Geffen School of Medicine at UCLA |
| ClinicalTrials.gov Identifier: | NCT00266760 History of Changes |
| Other Study ID Numbers: | RDCRN 5302, U54RR19482-03 |
| Study First Received: | December 16, 2005 |
| Last Updated: | July 14, 2010 |
| Health Authority: | United States: Federal Government |
Additional relevant MeSH terms:
|
Cerebellar Diseases Cerebellar Ataxia Spinocerebellar Degenerations Ataxia Spinocerebellar Ataxias Dyskinesias Neurologic Manifestations Nervous System Diseases |
Signs and Symptoms Brain Diseases Central Nervous System Diseases Spinal Cord Diseases Heredodegenerative Disorders, Nervous System Neurodegenerative Diseases Genetic Diseases, Inborn |
ClinicalTrials.gov processed this record on May 23, 2013