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MR Spectroscopy and Disease Severity Score for Gaucher in Pediatric Population (MRS in Gaucher)

This study is currently recruiting participants.
Verified December 2012 by Children's Hospital of Philadelphia
Sponsor:
Collaborator:
Genzyme
Information provided by (Responsible Party):
Children's Hospital of Philadelphia
ClinicalTrials.gov Identifier:
NCT01397435
First received: June 13, 2011
Last updated: December 14, 2012
Last verified: December 2012
History of Changes
  Purpose

The bone status in Gaucher disease is very difficult to monitor precisely in children. This is a major problem because lack of optimal treatment, especially enzyme replacement, may cause irreversible severe bone damage that will impact an affected person's life. Currently, there are qualitative (subjective) methods, such as Magnetic resonance Imaging (MRI), to gauge the response to treatment. A quantitative (objective) measurement of Gaucher cell presence and activity in bone marrow could help with more precise and accurate monitoring of bone marrow disease in patients both treated and not (yet) being treated with enzyme replacement. The investigators will evaluate the efficacy of Magnetic Resonance Spectroscopy (MRS) as a quantitative assessment of bone marrow involvement in Children with Gaucher, and examine how this result correlates with semiquantitative MRI scales and overall disease severity.


Condition
Gaucher

Study Type: Observational
Study Design: Observational Model: Case Control
Time Perspective: Prospective
Official Title: Quantification of Bone Marrow Involvement in Gaucher Disease With Proton MR Spectroscopy, Correlation With Bone Marrow Burden Score, Genotype and Disease Severity Score for Pediatric Patients

Resource links provided by NLM:

U.S. FDA Resources

Further study details as provided by Children's Hospital of Philadelphia:

Primary Outcome Measures:
  • Difference in the fat fraction (quantified by MRS) between subjects with Gaucher disease and controls. [ Time Frame: within 5 minutes ] [ Designated as safety issue: No ]
    We will measure the fat fraction only once, at the time of recruitment. We will compare the fat fraction of an affected subject to that of an age matched control. We will determine if significant difference exist.


Secondary Outcome Measures:
  • Difference in the semiquantitative MRI scores between affected subjects and controls [ Time Frame: within 5 minutes ] [ Designated as safety issue: No ]
    We will compare the ordinal data obtained from applying two semiquantitative severity scores: Bone marrow burden (BMB) and Spanish MRI (S-MRI).


Estimated Enrollment: 30
Study Start Date: July 2011
Estimated Study Completion Date: April 2013
Estimated Primary Completion Date: February 2013 (Final data collection date for primary outcome measure)
Groups/Cohorts
Gaucher
We will enroll 15 children who have a confirmed diagnosis of Gaucher disease.
Healthy volunteers
We will enroll 15 age and gender matched controls.

Detailed Description:

To quantify the amount of fat in the bone marrow of affected subjects and healthy controls the investigators will use Single voxel short, echo time(TE) proton spectroscopy. This MR Spectroscopy (MRS) will be conducted in the vertebral body of L5 and in the neck of the femur.

To assess the qualitative scores and compare it to the quantitative MR Spectroscopy (MRS) results the investigators will use a series of Fluid sensitive and Fat sensitive conventional MR sequences that will allows us to determine indirectly the degree of glucocerebrosidase infiltration.

  Eligibility

Ages Eligible for Study:   5 Years to 20 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

We will enroll patients with a Diagnosis of Gaucher disease. Subjects will be between 5 and 20 years of age. We will recruit an equal number of age and gender matched healthy volunteers.

Criteria

Inclusion Criteria:

  • Confirmed diagnosis of Gaucher disease / age and gender match control
  • Children aged 5-20 yrs
  • Parental consent
  • Child assent if appropriate

Exclusion Criteria:

  • Presence of medical illness or exposure to drugs that alter the appearance of bone marrow on MRI
  • Contraindication for MRI
  • Likelihood for claustrophobia
  • Non cooperative patient
  • Pregnancy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01397435

Contacts
Contact: Diego Jaramillo, MD, MPH 267-425-7110 jaramillo@email.chop.edu
Contact: Jorge Delgado 267-425-7136 delgadoj@email.chop.edu

Locations
United States, Pennsylvania
The Children's Hospital of Philadelphia Recruiting
Philadelphia, Pennsylvania, United States, 19104
Contact: Diego Jaramillo, MD, MPH         jaramillo@email.chop.edu    
Contact: Jorge Delgado     267-425-7136     delgadoj@email.chop.edu    
Principal Investigator: Diego Jaramillo, MD, MPH            
Sub-Investigator: Paige Kaplan, MBBCh            
Sub-Investigator: Jorge Delgado            
Sponsors and Collaborators
Children's Hospital of Philadelphia
Genzyme
Investigators
Principal Investigator: Diego Jaramillo, MD, MPH Children's Hospital of Philadelphia
Study Chair: Paige Kaplan, MBBCh Children's Hospital of Philadelphia
Study Director: Jorge Delgado Children's Hospital of Philadelphia
  More Information

Publications:

Responsible Party: Children's Hospital of Philadelphia
ClinicalTrials.gov Identifier: NCT01397435     History of Changes
Other Study ID Numbers: 11-008013
Study First Received: June 13, 2011
Last Updated: December 14, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by Children's Hospital of Philadelphia:
Lysosomal diseases
Magnetic resonance Spectroscopy
MRI

ClinicalTrials.gov processed this record on June 18, 2013