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Hereditary Spastic Paraplegia Genomic Sequencing Initiative (HSPseq)

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ClinicalTrials.gov Identifier: NCT05354622
Recruitment Status : Recruiting
First Posted : April 29, 2022
Last Update Posted : March 13, 2023
Sponsor:
Collaborator:
Boston Children's Hospital - Children's Rare Disease Cohorts Initiative
Information provided by (Responsible Party):
Darius Ebrahimi-Fakhari, Boston Children's Hospital

Tracking Information
First Submitted Date April 26, 2022
First Posted Date April 29, 2022
Last Update Posted Date March 13, 2023
Actual Study Start Date April 25, 2022
Estimated Primary Completion Date April 29, 2027   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: April 26, 2022)
  • Identify Genetic Findings [ Time Frame: An average of 1 year ]
    Identifying genetic variants in patients with progressive spastic paraplegia
  • Correlating Genetic Findings with HSP Phenotypes [ Time Frame: An average of 1 year ]
    Comparing phenotype/genotype associations via genome wide scanning
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Hereditary Spastic Paraplegia Genomic Sequencing Initiative (HSPseq)
Official Title Investigating the Genetic Basis of Hereditary Spastic Paraplegia
Brief Summary

The purpose of the HSP Sequencing Initiative is to better understand the role of genetics in hereditary spastic paraplegia (HSP) and related disorders. The HSPs are a group of more than 80 inherited neurological diseases that share the common feature of progressive spasticity. Collectively, the HSPs present the most common cause of inherited spasticity and associated disability, with a combined prevalence of 2-5 cases per 100,000 individuals worldwide.

In childhood-onset forms, initial symptoms are often non-specific and many children may not receive a diagnosis until progressive features are recognized, often leading to a significant diagnostic delay. Genetic testing in children with spastic paraplegia is not yet standard practice. In this study, the investigators hope to identify genetic factors related to HSP. By identifying different genetic factors, the investigators hope that over time we can develop better treatments for sub-categories of HSP based on cause.

Detailed Description

The hereditary spastic paraplegias (HSP) are a group of more than 80 inherited neurogenetic diseases that share the common feature of progressive spasticity. Collectively, the HSPs present the most common cause of inherited spasticity and associated disability, with a combined prevalence of 2-5 cases per 100,000 individuals worldwide. In childhood-onset forms, initial symptoms are often non-specific and many children may not receive a diagnosis until progressive features are recognized, often leading to a significant diagnostic delay. Genetic testing in children with spastic paraplegia is not yet standard practice.

The clinical diagnosis of HSP does not suggest anything about its molecular cause, with a wide range of outcomes dependent on the gene affected. The recent advances in HSP genetics speak to the importance of the field and the need for a more detailed study. Moreover, the relations between clinical features and genetic mechanisms are not well understood.

Given the influence of genetics on the likelihood of developing HSP as well as the complexity and diversity of the phenotypes, progress in HSP genetics will require efforts looking at relatively large samples of the HSP population. By bringing together very detailed phenotype information with high resolution DNA analyses, and using new approaches for comparing sequence information in candidate genes or looking for phenotype/genotype associations via genome-wide scanning, the investigators aim to be a leader in this emerging area of HSP research.

The aims of this study include:

  1. To identify genetic findings (single nucleotide changes or copy number variants) in patients with progressive spastic paraplegia and related disorders.
  2. To correlate molecular findings with HSP phenotypes.
Study Type Observational [Patient Registry]
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration 5 Years
Biospecimen Retention:   Samples With DNA
Description:
Blood sample or Buccal Swab
Sampling Method Non-Probability Sample
Study Population Male or female, under 30 years, with suspected HSP
Condition
  • Hereditary Spastic Paraplegia
  • Neurodegenerative Diseases
  • Pediatric Disorder
  • Spasticity, Muscle
  • Motor Neuron Disease
  • Movement Disorders
Intervention Not Provided
Study Groups/Cohorts Not Provided
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: April 26, 2022)
200
Original Estimated Enrollment Same as current
Estimated Study Completion Date April 29, 2027
Estimated Primary Completion Date April 29, 2027   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Clinical diagnosis of progressive spasticity
Sex/Gender
Sexes Eligible for Study: All
Ages 1 Month to 30 Years   (Child, Adult)
Accepts Healthy Volunteers No
Contacts
Contact: Darius Ebrahimi-Fakhari, MD, PhD 617-355-8356 Darius.Ebrahimi-Fakhari@childrens.harvard.edu
Contact: Amy Tam, BS 617-355-2698 amy.tam@childrens.harvard.edu
Listed Location Countries United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT05354622
Other Study ID Numbers P00039630
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Current Responsible Party Darius Ebrahimi-Fakhari, Boston Children's Hospital
Original Responsible Party Same as current
Current Study Sponsor Boston Children's Hospital
Original Study Sponsor Same as current
Collaborators Boston Children's Hospital - Children's Rare Disease Cohorts Initiative
Investigators
Principal Investigator: Darius Ebrahimi-Fakhari, MD, PhD Boston Children's Hospital
PRS Account Boston Children's Hospital
Verification Date March 2023