Natural History and Biomarkers of Amyotrophic Lateral Sclerosis and Frontotemporal Dementia Caused by the C9ORF72 Gene Mutation
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|ClinicalTrials.gov Identifier: NCT01925196|
Recruitment Status : Active, not recruiting
First Posted : August 19, 2013
Last Update Posted : November 8, 2019
- Some people have a mutation in the C9ORF72 gene that causes amyotrophic lateral sclerosis (ALS) or frontotemporal dementia (FTD). The mutation causes a small piece of DNA to repeat itself thousands of times. The C9ORF gene mutation mostly occurs in families. In those families, some persons have ALS and others have FTD. Occasionally the C9ORF gene mutation occurs in persons without a family history. Researchers want to understand how this gene causes different diseases. They will study how symptoms caused by the C9ORF gene develop and change over time. They will measure symptoms that occur in ALS and in FTD. In particular, they will measure strength, ability to move, thinking, and memory. They will also see if other tests are associated with progression of disease. These tests, called biomarkers, may help detect or measure C9ORF72 disease in the future.
- To understand how symptoms change over time in people with mutations in a gene called C9ORF72, which causes ALS and FTD.
- Adults over age 18 who have this genetic mutation
- Participants will have up to 4 in-person visits and 3 telephone interviews over 3 years. Each in-person visit may take place over several days. They may be either inpatient or outpatient visits.
- At each visit, participants will undergo a series of brain, language, and behavior tests. These will include:
- Magnetic resonance imaging (MRI) of the brain. This uses magnets, radio waves, and computers to produce detailed pictures of the brain.
- Collecting spinal fluid. The clinician will make the participant s back numb and then insert a needle to collect fluid.
<TAB>- Blood samples will be taken.
<TAB>- Participants will be asked to perform several language and movement tests.
<TAB>- Small skin samples will be taken on one visit
- Between visits, participants will answer questions about their health over the phone 3 times.
|Condition or disease|
|Amyotrophic Lateral Sclerosis Frontotemporal Lobar Degeneration|
The primary objective of this study is to characterize the natural history of disease in patients who carry a repeat expansion in the C9ORF72 gene, which causes amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). The secondary objective is to assess whether candidate biomarkers correlate with disease progression.
62 persons with a documented repeat expansion in C9ORF72 gene who have ALS, ALS-FTD, or FTD or who are carriers of the gene mutation and have a symptomatic family member.
Participants will undergo a structured battery of clinical and neuropsychological tests at enrollment and at three follow-up visits to NIH to assess disease severity. During these visits, physiological, imaging, blood, and CSF for testing of candidate biomarkers will be obtained. Between visits to NIH, assessments of functional status and cognition will be carried out by phone. Participants may be seen earlier than the scheduled follow-up visit or at home if phone assessments indicate clinical deterioration.
There will be three primary outcome measures, for changes in three areas of function over the first six months. The primary measure of the severity of motor clinical function will be the ALS Functional rating scale-revised (ALSFRS-R). The primary measure of the severity of cognitive function will be changes in verbal fluency score. The primary measure of the severity of behavioral dysfunction will be the caregiver assessment of the fronto-behavioral index (FBI). Secondary clinical outcomes will be the forced vital capacity (FVC) and survival. The correlation between primary and secondary clinical outcome measures and candidate biomarkers measures will be analyzed in an exploratory fashion to determine whether candidate biomarkers are predictive of disease onset or progression.
|Study Type :||Observational|
|Actual Enrollment :||50 participants|
|Official Title:||Natural History and Biomarkers of C9ORF72 Amyotrophic Lateral Sclerosis and Frontotemporal Dementia|
|Actual Study Start Date :||September 30, 2013|
|Estimated Primary Completion Date :||December 31, 2020|
|Estimated Study Completion Date :||November 30, 2021|
Participants with C9ORF72 mutation
- ALS Functional Rating Scale-revised [ Time Frame: baseline and every 6 months therafter for 3 years ]measure of the severity of motor clinical function
- Verbal Fluency Score [ Time Frame: baseline and every 6 months therafter for 3 years ]measure of the severity of cognitive function
- Fronto behavioral Index (FBI) [ Time Frame: baseline and every 6 months thereafter for 6 years ]measure of the severity of behavioral dysfunction
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01925196
|United States, Maryland|
|National Institutes of Health Clinical Center, 9000 Rockville Pike|
|Bethesda, Maryland, United States, 20892|
|Principal Investigator:||Mary Kay Floeter, M.D.||National Institute of Neurological Disorders and Stroke (NINDS)|