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Movement DisorderNextGen-SENCT02588638

Next Generation Sequencing Diagnostics - On the Road to Rapid Diagnostics for Rare Diseases

An observational study of Movement Disorder and Cognitive Decline, run by University Hospital Tuebingen at 1 site in Germany.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

In the study, NextGen SE are on-hand a cohort comprising each 50 pediatric and 50 adult patients, and in which there are an unclear movement disorder or an unclear cognitive disorder, examines the following questions : Primary: Number of diagnoses made by NGS Secondary: 1. Read more about this study

Who is it for?
Any age
Conditions the study is for
Movement Disorder, Cognitive Decline
How many people
100 participants
Where
1 siteGermany
Study dates
Dec 2015to Sep 2023
How long will I take part?
1 Day
Phase
Observational
Are there results?
None posted in the registry

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
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients with unclear diagnoses

Who may be able to join

  • For patients> 18 years
  • Unclear movement disorder
  • o Progressive ataxia after minimal exclusion diagnostics: magnetic resonance tomography (MRT) (structural lesions such as cerebellar tumor, malformation) Laboratory (Vitamin B12, thyroid peroxidase (TPO) antibodies, glutamate decarboxylase (GAD) II-antibodies (AK) In medullary lesions: Liquor exclusion Friedreich ataxia (FRDA) and spinocerebellar ataxia type (SCA)1-2-3-6
  • o Progressive para-spasticity by minimal exclusion diagnostics: MRT neuro axis (structural lesions such as cervical myelopathy) Laboratory (Vitamin B12, human T-cell lymphotrophic virus ((HTLV)-AK) In medullary lesions: Liquor
  • Unclear cognitive decline o After minimal exclusion diagnosis MRT (intracranial pressure, focal brain lesions explanatory) laboratory (Thyroid-stimulating hormone (TSH), TPO-AK, antibody profile limbic encephalitis) Liquor (inflammation, meningitis) Electroencephalography (EEG) (Status) Exclusion chromosome 9 open reading frame 72 (C9orf72)
  • For patients <18 years Patients with (penetrating) suspected cerebral neurogenetic diseases
Show all 9Show fewer
  • Unclear movement disorder (spasticity, ataxia, dyskinesia)
  • Unclear cognitive disorder with probability of monogenic origin
  • Fragile X Syndrome (Fra-X) at mentally retarded boy, Friedreich ataxia (FRDA) with ataxia should be genetically excluded

Who cannot join

  • For patients > 18 years
  • Lack of consent
  • symptom onset > 40 years of age
  • Sudden, abrupt beginning
  • As early as previous history of genetic diagnosis using next-generation sequencing (NGS), also in the form of a panel
  • For patients <18 years
Show all 15Show fewer
  • injury brain disorders
  • On the basis of imaging
  • On the basis of medical history (premature baby, hypoxic-ischemic encephalopathy)
  • Inflammatory brain disorders
  • On the basis of imaging
  • On the basis of laboratory parameters (Oligoclonal fractions, cerebrospinal fluid (CSF) cell count increased)
  • Light, isolated mental developmental disorder or behavioral disorder (rare monogenetic) - (less than 2 standard deviartion of normal or - < 6 year olds - less than 1 year in development history back)
  • Sudden , abrupt beginning
  • Next-generation sequencing (NGS) also in the form of a panel

Trial locations and contacts

1 site in 1 country.

Germany1 site, 1 recruiting
  • University Hospital

    Tübingen, Baden-Wurttemberg, 72076

    Ludger Schöls, Prof. Dr., +49 7071 29 80445, ludger.schoels@uni-tuebingen.de

    Janine Magg, Dr., +49 7071 29 80445, janine.magg@med.uni-tuebingen.de

    Recruiting

Other trials in Germany

About this study

In the study, NextGen SE are on-hand a cohort comprising each 50 pediatric and 50 adult patients, and in which there are an unclear movement disorder or an unclear cognitive disorder, examines the following questions :

Primary:

  • Number of diagnoses made by NGS

Secondary:

  1. restriction of the quality of life by unclear disease
  2. Cost of not purposeful preliminary diagnostics ( beyond the minimal diagnostic data set )
  3. Impact of the diagnosis to therapy and follow-up examinations
  4. Time to diagnosis
Read the detailed description

In the study NextGen SE (single-center, prospective, open diagnostic study) are on-hand a cohort comprising each 50 pediatric and 50 adult patients, and in which there are an unclear movement disorder or an unclear cognitive disorder, examines the following questions:

Primary:

  • Number of diagnoses made by next-generation sequencing (NGS)

Secondary:

  1. Restriction of the quality of life by unclear disease
  2. Cost of not purposeful preliminary diagnostics (beyond the minimal diagnostic data of the diagnosis to therapy and follow-up examinations
  3. Time to diagnosis
Keywords
NGS, Quality of life, Diagnosis, Rare disease, Next-generation sequencing
Medical subject headings
Movement Disorders, Cognitive Dysfunction, Disease, Rare Diseases

What participants receive

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

Study groups in NCT02588638
Study groupRoleWhat they receive
Adult patientsUnclear movement disorder, unclear cognitive decline
Patients < 18 yearsPatients with (penetrating) suspected cerebral neurogenetic diseases

What is being measured

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

  1. Number of diagnoses made by next gereration sequency (NGS)

    Measured: Within the study period of 18 months

Secondary outcomes (3)
  1. Restriction of the quality of life by unclear disease measured rated by Quality of Life Questionnaire (EQ5D), Depression Questionnaire (PHQ)

    EQ-5D: Calculation preference value PHQ: Categorical analysis carried out by modified evaluation algorithms of the Diagnostic and Statistical Manual of Mental Disorders (DSM) -IV B

    Measured: At day 1

  2. Cost of not purposeful preliminary diagnostics rated by questionnaire on costs (number of outpatient performances, stationary investigations, repetition 's imaging, genetic single diagnostics, high-priced diagnostic

    Measured: At day 1

  3. Time to diagnosis

    For patients whose diagnosis can be made by NGS

    Measured: At day 1

Timeline

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

  1. First posted28 Oct 2015 (estimated)
  2. Study startDec 2015
  3. Primary completionJun 2022 (estimated)
  4. Study completionSep 2023 (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
100 participants (estimated)
Target duration
1 Day
IDs, dates and publications
ClinicalTrials.gov ID
NCT02588638
Sponsor's protocol ID
NextGen-SE
Acronym
NextGen-SE
Status last verified
Nov 2020
First submitted
15 Oct 2015
Last updated
13 Nov 2020
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Movement Disorder and Cognitive Decline, run by University Hospital Tuebingen at 1 site in Germany.

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 9 inclusion and 15 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: status not confirmed, as of the sponsor's last update on 13 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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?

Results are not available in the source record.

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

Contact Ludger Schöls, Prof. Dr. (+49 7071 29-80445, ludger.schoels@uni-tuebingen.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of diagnoses made by next gereration sequency (NGS) (time frame: Within the study period of 18 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 13 Nov 2020.

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