Characteristics of Andersen-Tawil Syndrome - Full Text View

Purpose

Andersen-Tawil Syndrome (ATS) is a rare, genetic disorder that causes episodes of muscle weakness, potentially life-threatening changes in heart rhythm, and developmental abnormalities. Disease symptoms can vary, the cause of some ATS cases remains unknown, and no specific treatment has been identified. The purpose of this multi-site study is to better characterize ATS, establish whether symptoms change over time, and determine if symptoms are related to a mutation in the KCNJ2 gene.

Condition
Andersen-Tawil Syndrome Andersen Syndrome


Study Type:	Observational
Study Design:	Observational Model: Cohort Time Perspective: Prospective
Official Title:	Andersen-Tawil Syndrome: Genotype-Phenotype Correlation and Longitudinal Study

Resource links provided by NLM:

Genetics Home Reference related topics: Andersen-Tawil syndrome Jervell and Lange-Nielsen syndrome Romano-Ward syndrome

Genetic and Rare Diseases Information Center resources: Andersen-Tawil Syndrome

U.S. FDA Resources

Further study details as provided by University of Rochester:

Primary Outcome Measures:

Collect prospective standardized data from participants to help better define the clinical phenotype of ATS. [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Biospecimen Retention: Samples With DNA

Blood samples


Enrollment:	28
Study Start Date:	November 2007
Study Completion Date:	October 2012
Primary Completion Date:	October 2012 (Final data collection date for primary outcome measure)

Detailed Description:

ATS is an ion channel disorder that causes episodes of muscle weakness and potentially life-threatening heart arrhythmias for which no treatment has been identified. The majority of ATS cases are caused by a mutation in the KCNJ2 gene; other cases result from unknown causes. The KCNJ2 gene mutation alters potassium channels in such a way that it disrupts the flow of potassium ions in skeletal and heart muscle. This can lead to the characteristic periodic paralysis and irregular heart rhythms. The purpose of this study is to better define the genetic basis, clinical features, and disease progression of ATS. The study will also establish clinically relevant endpoints for use in future clinical studies.

This observational study will last 2 years and will involve three study visits. The first visit will entail a 1.5- to 3.5-day inpatient stay; the length of stay will depend on whether a participant has been taking medications for their symptoms of weakness. Participants will be asked to discontinue use of such medications during the inpatient stay. Participants will not be asked to stop any medications that they may be taking for heart symptoms. This first study visit will include a medical history, a quality of life questionnaire, a physical exam, and muscle strength testing. Nerve, muscle, and heart activity will also be measured, and blood will be drawn for laboratory tests and optional DNA analysis. The second and third study visits will take place 1 and 2 years after the initial study visit and will include the same evaluations. During the 8 weeks following each study visit, participants will record in a telephone diary any muscle and heart symptoms that they experience. During the 1 week after both yearly visits, participants will also undergo an outpatient heart rhythm evaluation. A study coordinator will contact participants once a month by phone over the course of the study to review symptoms.

Eligibility


Ages Eligible for Study:	10 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No
Sampling Method:	Non-Probability Sample

Study Population

Individuals with a clinically confirmed diagnosis of Andersen-Tawil Syndrome (ATS) enrolled across seven sites in the United States, England, Italy and Canada

Criteria

Inclusion Criteria:

Clinically confirmed diagnosis of ATS as defined by at least two of the following three criteria:
1. Presence of clear-cut episodes of transient muscle weakness with or without a fixed deficit, typically following exertion or prolonged rest OR atypical history with otherwise typical exam findings (absent reflexes with normal sensation during an episode) OR unexplained hypokalemia between episodes OR abnormal long-exercise nerve conduction study
2. Heart conduction defects: prolonged QTc interval on 12-lead electrocardiogram OR ventricular ectopy, including uniform or multifocal PVCs, polymorphic VT, or bidirectional VT
3. Presence of two or more of the following physical features: low set ears, hypertelorism, small mandible, clinodactyly, syndactyly, micromelia of hands or feet --OR--
Meets one of the above three criteria and has at least one family member with two of the criteria --OR--
Does not meet the above three criteria, but possesses a mutation in the KCNJ2 gene

Exclusion Criteria:

Less than 10 years of age

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00521794

Locations


United States, California
University of California, San Francisco
San Francisco, California, United States, 94143
United States, Kansas
University of Kansas Medical Center
Kansas City, Kansas, United States, 66160
United States, New York
University of Rochester School of Medicine and Dentistry
Rochester, New York, United States, 14642
United States, Texas
University of Texas Southwestern Medical Center
Dallas, Texas, United States, 75390
Canada, Ontario
London Health Sciences Centre
London, Ontario, Canada, N6A 5A5
Italy
University of Milan
Milan, Italy
United Kingdom
Institute of Neurology and National Hospital for Neurology
London, United Kingdom

Sponsors and Collaborators

University of Rochester

Office of Rare Diseases (ORD)

Rare Diseases Clinical Research Network

National Center for Research Resources (NCRR)

Investigators


Study Chair:	Emma Ciafaloni, MD	University of Rochester
Principal Investigator:	Robert C. Griggs, MD	University of Rochester

More Information

Publications:

Tawil R, Ptacek LJ, Pavlakis SG, DeVivo DC, Penn AS, Ozdemir C, Griggs RC. Andersen's syndrome: potassium-sensitive periodic paralysis, ventricular ectopy, and dysmorphic features. Ann Neurol. 1994 Mar;35(3):326-30.

Sansone V, Griggs RC, Meola G, Ptácek LJ, Barohn R, Iannaccone S, Bryan W, Baker N, Janas SJ, Scott W, Ririe D, Tawil R. Andersen's syndrome: a distinct periodic paralysis. Ann Neurol. 1997 Sep;42(3):305-12.

Tristani-Firouzi M, Jensen JL, Donaldson MR, Sansone V, Meola G, Hahn A, Bendahhou S, Kwiecinski H, Fidzianska A, Plaster N, Fu YH, Ptacek LJ, Tawil R. Functional and clinical characterization of KCNJ2 mutations associated with LQT7 (Andersen syndrome). J Clin Invest. 2002 Aug;110(3):381-8.


Responsible Party:	Robert Griggs, MD, Professor of Neurology, Medicine, Pediatrics, Pathology & Laboratory Medicine, and Center for Human Experimental Therapeutics, University of Rochester
ClinicalTrials.gov Identifier:	NCT00521794 History of Changes
Other Study ID Numbers:	RDCRN 5301, 5U54RR019482-02
Study First Received:	August 24, 2007
Last Updated:	January 15, 2013
Health Authority:	United States: Federal Government

Keywords provided by University of Rochester:


Arrhythmia Muscle Weakness Periodic Paralysis Channelopathy

Additional relevant MeSH terms:


Andersen Syndrome Syndrome Arrhythmias, Cardiac Cardiovascular Abnormalities Cardiovascular Diseases Congenital Abnormalities	Disease Heart Defects, Congenital Heart Diseases Long QT Syndrome Pathologic Processes

ClinicalTrials.gov processed this record on March 02, 2015