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Chromosome AberrationsChromosome18NCT00227253

Chromosome 18 Clinical Research Center

An observational study of Chromosome Aberrations and Growth Hormone Deficiency, run by The University of Texas Health Science Center at San Antonio at 2 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Our vision, that of the researchers at the University of Texas Health Science Center at San Antonio, is that every person with a chromosome 18 abnormality will have an autonomous and healthy life. Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
What is being tested?
Determination of growth hormone status, Measurement of growth, thyroid and sex hormone levels and Behavior and neuropsychometric evaluations
Type of treatment
Surgery or procedure
How many people
4,000 participants
Where
2 sitesUnited States
Study dates
Sep 1993to Dec 2040
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Study population: Must have a confirmed diagnosis of Chromosome 18 or be the parent/guardian of a child with Chromosome 18 * Subject must be at least one year of age to participate in the clinical examination aspect of the study (due to issues of venous access and blood volume required to complete studies) * General health status: good

Who may be able to join

  • Must have a confirmed diagnosis of Chromosome 18 or be the parent/guardian of a child with Chromosome 18
  • Subject must be at least one year of age to participate in the clinical examination aspect of the study (due to issues of venous access and blood volume required to complete studies)
  • General health status: good

Who cannot join

  • Pregnant women
  • Dead fetuses
  • Prisoners
  • Non-viable neonates or neonates of uncertain viability

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Jannine D. Cody, Ph.D. contact

210-567-9220

cody@uthscsa.edu

Jonathan Gelfond, M.D., Ph.D. contact

210-567-0851

gelfondjal@uthscsa.edu

United States2 sites, 2 recruiting
  • University Health Systems Hospital

    San Antonio, Texas, 78229

    Janinne Cody, PhD, 210-567-9220, cody@uthscsa.edu

    Kameel M. Karkar, M.D.

    Recruiting
  • University of Texas Health Science Center at San Antonio

    San Antonio, Texas, 78229

    Jannine D Cody, Ph.D., 210-567-9220, cody@uthscsa.edu

    Jonathan Gelfond, M.D., Ph.D., 210-567-0851, gelfondjal@uthscsa.edu

    Recruiting

Other trials in United States

About this study

Official title: The Chromosome 18 Clinical Research Center

Our vision, that of the researchers at the University of Texas Health Science Center at San Antonio, is that every person with a chromosome 18 abnormality will have an autonomous and healthy life. Our mission is to provide families affected by chromosome 18 abnormalities with comprehensive medical and educational information. Our goals are to provide definitive medical and education resources for the families of individuals with chromosome 18 abnormalities; perform and facilitate groundbreaking clinical and basic research relating to the syndromes of chromosome 18; and to provide treatments to help these individuals overcome the effects of their chromosome abnormality.

Read the detailed description

Protocol Summary:

The hypotheses are:

  1. growth hormone (GH) deficiency in children with chromosome 18 deletions is accompanied by cognitive and microstructural abnormalities of the brain that can be ameliorated by GH treatment; and
  2. the physical and behavioral findings in individuals with abnormalities of chromosome 18 are due to the genes that present in a non-diploid number.

Therefore, correlation of the physical and behavioral findings with the extent of the deletion will help identify the genes involved. An understanding of the molecular mechanisms of the phenotype will provide the insight necessary to devise appropriate therapies.

Our goals are:

  1. to be the international medical and education resource for the families of individuals with chromosome 18 abnormalities;
  2. to perform and facilitate both clinical and basic research relating to the disorders of chromosome 18; and
  3. to devise treatments to help these individuals overcome the negative effects of their chromosome abnormality.

To attain these goals, the study has the following specific aims:

  1. perform genotypic molecular analysis on the DNA of the subjects and their biological parents to determine the genotype of the affected individual;
  2. gather comprehensive clinical data on individuals with chromosome 18 abnormalities including:
  3. determination of growth hormone levels;
  4. measurement of corticotrophin, thyroid and sex hormones;
  5. psychiatric and neuropsychological evaluations;
  6. audiology and ENT testing;
  7. brain MRI scan;
  8. genetic dysmorphology examination;
  9. neurology exam;
  10. dental exam;
  11. speech pathology evaluation;
  12. gastrointestinal exam;
  13. orthopedic exam;
  14. ophthalmology exam.

The phenotypical assessment will be longitudinal; therefore, the participants will have a wide age range. This extensive range plus the fact that some participants will be assessed multiple times means that not all components of the clinical studies will be appropriate for every subject at every visit.

Being tested
Determination of growth hormone status, Measurement of growth, thyroid and sex hormone levels, Behavior and neuropsychometric evaluations, Audiological and ear, nose and throat examination, Magnetic resonance imaging of the brain
Keywords
Phenotype, Growth, Genotype, Chromosome 18
Medical subject headings
Chromosome Aberrations, Dwarfism, Pituitary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Determination of growth hormone statusProcedure or surgery

    Growth hormone stimulating testing using Arginine and Clonidine, Corticotrophin releasing hormone stimulation test

  • Measurement of growth, thyroid and sex hormone levelsProcedure or surgery

    Gonadotrophin releasing hormone stimulation test Thyroid testing - T4, TSH, T3 uptake, and anti-thyroidal antibodies baseline sample - no medication administered

  • Behavior and neuropsychometric evaluationsProcedure or surgery

    evaluation by neuropsychologist, standardized testing geared to study participant's age, abilities and past medical history

  • Audiological and ear, nose and throat examinationProcedure or surgery

    neurotological exam, behavioral audiometry, immittance audiometry, assessment of the function of the inner ear using otoacoustic emissions, Auditory brain responses

  • Magnetic resonance imaging of the brainProcedure or surgery

    MRI of the brain - standard clinical procedure

  • Dysmorphology evaluationProcedure or surgery

    Genetic evaluation with picture and measurements, physical exam

  • Neurology examinationProcedure or surgery

    physical examination including observation of balance, coordination and reflexes.

  • Dental evaluationProcedure or surgery

    Visual detal inspection with panorex X-ray of the entire mouth

  • Speech pathology evaluationProcedure or surgery

    Standardized speech \& language tests and naturalistic assessment procedures.

  • Psychiatric evaluationProcedure or surgery

    Psychiatric interview about history of psychiatric and medical illnesses, family psychiatric and medical history, demographic info also obtained

  • Orthopedic evaluationProcedure or surgery

    Physical exam by orthopedic surgeon and a dysplasia series of radiographs including AP and lateral radiographics of the feet, APs of the knees, pelvis, thoracic lumbar spine and chest, laterals of thoracic lumbar and cervical spine, lateral of the skull, AP and lateral of the forearm, bone age evaluation with radiograph of left hand

  • Ophthalmologic evaluationProcedure or surgery

    exam will determine visual acuity using one of the following: Snellen chart, Allen acuity, target acuity, optokinetic nystagmus (OKN), or Teller acuity depending on study participants ability level. Motility/alignment will also be determined using cover/uncover test. Pupils examined using slit lamp. Dilated fundus exam and cycloplegic refraction which will require dilating drops in both eyes. Cyclogen 1% and NeuSynephrine 2.5% are using. In children less than 6 months old, less potent mydriatrics and cycloplegics are used Cyclogel 0.5% or Tropicamide 1%. Intraocular pressure will be measured in adults and cooperative teens using applanation tonometry. A topical anesthetic will be used to perform this measurement.

  • Gastrointestinal evaluationProcedure or surgery

    physical exam and medical history by board certified gastroenterologist.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Primary

    Provide definitive medical and education resources for the families of individuals with chromosome 18 abnormalities

    Measured: Ongoing

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Sep 2005 (estimated)
  2. Study startSep 1993
  3. Primary completionDec 2040 (estimated)
  4. Study completionDec 2040 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Other
Enrolment
4,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00227253
Sponsor's protocol ID
Chromosome 18
Other IDs
5M01RR001346
Acronym
Chromosome18
Status last verified
Jan 2026
First submitted
14 Sep 2005
Last updated
6 Jan 2026
Results posted
No
Data monitoring committee
No

Publications

  • Cody JD, Semrud-Clikeman M, Hardies LJ, Lancaster J, Ghidoni PD, Schaub RL, Thompson NM, Wells L, Cornell JE, Love TM, Fox PT, Leach RJ, Kaye CI, Hale DE. Growth hormone benefits children with 18q deletions. Am J Med Genet A. 2005 Aug 15;137(1):9-15. doi: 10.1002/ajmg.a.30848.

    PubMed 16007630
  • Lancaster JL, Cody JD, Andrews T, Hardies LJ, Hale DE, Fox PT. Myelination in children with partial deletions of chromosome 18q. AJNR Am J Neuroradiol. 2005 Mar;26(3):447-54.

    PubMed 15760848
  • Kochunov P, Lancaster J, Hardies J, Thompson PM, Woods RP, Cody JD, Hale DE, Laird A, Fox PT. Mapping structural differences of the corpus callosum in individuals with 18q deletions using targetless regional spatial normalization. Hum Brain Mapp. 2005 Apr;24(4):325-31. doi: 10.1002/hbm.20090.

    PubMed 15704090
  • Schaub RL, Hale DE, Rose SR, Leach RJ, Cody JD. The spectrum of thyroid abnormalities in individuals with 18q deletions. J Clin Endocrinol Metab. 2005 Apr;90(4):2259-63. doi: 10.1210/jc.2004-1630. Epub 2005 Jan 25.

    PubMed 15671099
  • Cody JD, Hale DE. Precision in phenotyping and genotyping. Am J Med Genet A. 2004 Dec 15;131(3):313. doi: 10.1002/ajmg.a.30263. No abstract available.

    PubMed 15540176
  • Gunn SR, Mohammed M, Reveles XT, Viskochil DH, Palumbos JC, Johnson-Pais TL, Hale DE, Lancaster JL, Hardies LJ, Boespflug-Tanguy O, Cody JD, Leach RJ. Molecular characterization of a patient with central nervous system dysmyelination and cryptic unbalanced translocation between chromosomes 4q and 18q. Am J Med Genet A. 2003 Jul 1;120A(1):127-35. doi: 10.1002/ajmg.a.20026.

    PubMed 12794705
  • Schaub RL, Reveles XT, Baillargeon J, Leach RJ, Cody JD. Molecular characterization of 18p deletions: evidence for a breakpoint cluster. Genet Med. 2002 Jan-Feb;4(1):15-9. doi: 10.1097/00125817-200201000-00003.

    PubMed 11839953
  • Schaub RL, Cody JD, Hale DE. Growth disorders in the chromosome 18 syndromes. Highlights 9:3-5, 2001

  • Hermesch CB, Cody JT, Cody JD. Dental caries history in nine children with chromosome 18p deletion syndrome. Spec Care Dentist. 2000 Mar-Apr;20(2):53-5. doi: 10.1111/j.1754-4505.2000.tb01143.x.

    PubMed 11203878
  • Hale DE, Cody JD, Baillargeon J, Schaub R, Danney MM, Leach RJ. The spectrum of growth abnormalities in children with 18q deletions. J Clin Endocrinol Metab. 2000 Dec;85(12):4450-4. doi: 10.1210/jcem.85.12.7016.

    PubMed 11134092
  • Cody JD, Reveles XT, Hale DE, Lehman D, Coon H, Leach RJ. Haplosufficiency of the melancortin-4 receptor gene in individuals with deletions of 18q. Hum Genet. 1999 Nov;105(5):424-7. doi: 10.1007/s004390051125.

    PubMed 10598807
  • Wang Z, Cody JD, Leach RJ, O'Connell P. Gene expression patterns in cell lines from patients with 18q- syndrome. Hum Genet. 1999 Jun;104(6):467-75. doi: 10.1007/s004390050989.

    PubMed 10453734
  • Cody JD, Ghidoni PD, DuPont BR, Hale DE, Hilsenbeck SG, Stratton RF, Hoffman DS, Muller S, Schaub RL, Leach RJ, Kaye CI. Congenital anomalies and anthropometry of 42 individuals with deletions of chromosome 18q. Am J Med Genet. 1999 Aug 27;85(5):455-62. doi: 10.1002/(sici)1096-8628(19990827)85:53.0.co;2-z.

    PubMed 10405442
  • Brkanac Z, Cody JD, Leach RJ, DuPont BR. Identification of cryptic rearrangements in patients with 18q- deletion syndrome. Am J Hum Genet. 1998 Jun;62(6):1500-6. doi: 10.1086/301854.

    PubMed 9585582
  • Keppler-Noreuil KM, Carroll AJ, Finley SC, Descartes M, Cody JD, DuPont BR, Gay CT, Leach RJ. Chromosome 18q paracentric inversion in a family with mental retardation and hearing loss. Am J Med Genet. 1998 Apr 13;76(5):372-8. doi: 10.1002/(sici)1096-8628(19980413)76:53.0.co;2-p.

    PubMed 9556294

Questions about this trial

What is this clinical trial studying?

An observational study of Chromosome Aberrations and Growth Hormone Deficiency, run by The University of Texas Health Science Center at San Antonio at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 6 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jannine D. Cody, Ph.D. (210-567-9220, cody@uthscsa.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Primary (time frame: Ongoing). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00227253, which also lists 25 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jan 2026.

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