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Ryanodine Receptor 1-Related MyopathyNCT06287762

A Natural History Study of RYR1-Related Disorders

An observational study of Ryanodine Receptor 1-Related Myopathy and Ryanodine Receptor 1 Related Disorders, run by National Institutes of Health Clinical Center (CC) at 1 site 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

Background: Congenital myopathies (CM) are genetic disorders that can cause decreased muscle tone and muscle weakness. Most CMs in the United States are related to the ryanodine receptor 1 (RYR1) gene. Researchers need more natural history data to learn about these CMs in children and adults. Read more about this study

Who is it for?
Ages 7 to 100 years
How many people
150 participants
Where
1 siteUnited States
Study dates
11 Mar 2025to 30 Dec 2031
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 7 to 100 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: A total of 150 clinically stable adults and children (7 years of age or older) with genetically confirmed RYR1-RD.

Who may be able to join

  • Stated willingness to comply with all study procedures, availability for the duration of the study, and submission of medical records to research team prior to screening.
  • Male or female, aged >=7 years of age.
  • Genetically confirmed RYR1-related disorder, evidenced by pathogenic or likely pathogenic variants identified by CLIA testing (whole genome, exome, targeted, partial or full RYR1 sequencing) OR variant of uncertain significance with supporting clinical phenotype.
  • Agreement to adhere to Lifestyle Considerations throughout study duration.
  • Ability of subject to communicate their understanding of the purpose of the study, and willingness to provide assent and/or to sign a written informed consent document.
  • Resides in the United States.
Show all 11Show fewer
  • Stated willingness to comply with all study procedures, availability for the duration of the study, and submission of medical records to research team prior to screening.
  • Male or female, aged > 7 years of age.
  • Genetically confirmed RYR1-related disorder, evidenced by pathogenic or likely pathogenic variants identified by CLIA testing (whole genome, exome, targeted, partial or full RYR1 sequencing) OR variant of uncertain significance with supporting clinical phenotype.
  • Ability of subject to communicate their understanding of the purpose of the study, and willingness to provide assent and/or sign a written informed consent document.
  • Resides in the United States

Who cannot join

  • Participation in an IND, IDE, or equivalent clinical study in the past six months
  • Severe disability or mobility issues (inability to walk 10 meters with or without assistance)
  • Requires mechanical ventilation or tracheotomy
  • Other neuromuscular diseases resulting in muscle weakness
  • Ongoing medical condition that is deemed by the Principal Investigator to interfere with the conduct or assessments of the study (e.g. active infection) or safety of the subject.
  • Participation in an IND, IDE, or equivalent clinical study in the past six months
  • Other neuromuscular diseases resulting in muscle weakness
  • Ongoing medical condition that is deemed by the Principal Investigator to interfere with the conduct or assessments of the study (e.g. active infection) or safety of the subject

Trial locations and contacts

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

Irene C Chrismer, R.N. contact

(240) 856-9808

irene.chrismer@nih.gov

Tokunbor A Lawal, C.R.N.P. contact

(301) 451-5951

lawalt@mail.nih.gov

United States1 site, 1 recruiting
  • National Institutes of Health Clinical Center

    Bethesda, Maryland, 20892

    Irene Chrismer, 240-856-9808, irene.chrismer@nih.gov

    NIH Clinical Center Office of Patient Recruitment (OPR), (800) 411-1222 ext. TTY dial 711, ccopr@nih.gov

    Recruiting

Other trials in United States

About this study

Official title: A Single-Center Prospective Natural History Study of RYR1-Related Disorders

Background:

Congenital myopathies (CM) are genetic disorders that can cause decreased muscle tone and muscle weakness. Most CMs in the United States are related to the ryanodine receptor 1 (RYR1) gene. Researchers need more natural history data to learn about these CMs in children and adults.

Read more

Objective:

To learn more about the signs, symptoms, and course of RYR1-related disorders.

Eligibility:

People aged 7 years and older with an RYR1-related disorder.

Design:

Ambulatory participants will come to the Clinical Center and non-ambulatory participants will visit via telehealth.

Visits will be once a year for 3 or 5 years. Clinical Center visits will take 2 to 3 days.

All participants will undergo tests including:

Photos and videos. These will be taken to document the participant s condition.

Blood and urine tests.

Activity Tracker. Participants will wear a device to record their activity.

Questionnaires. Participants will answer questions about their health, pain, fatigue, stress, quality of life, and other topics.

Participants who visit the Clinical Center will also undergo:

Tests of heart and lung function.

Motor skills and strength tests. Participants will walk, climb stairs, kneel, crawl, stand up, and perform other movements to test their strength and abilities. They will squeeze and pinch a handheld device to test their grip.

Imaging scans.

Skin biopsy. Adult participants may opt to have a sample of skin taken (one time only).

Eye exam

Read the detailed description

STUDY DESCRIPTION:

This prospective natural history study seeks to characterize the clinical manifestations and course of Ryanodine Receptor 1 -related disorders (RYR1-RD). RYR1-RD include a wide range of rare congenital and adult-onset neuromuscular phenotypes that are typically slowly progressive. The study is observational and comprises a primary data collection phase (Years 1-3) and extended follow-up phase (Years 4-5), stratified into centralized (ambulatory) and decentralized (non-ambulatory) arms. During each phase, there will be one visit per year. The study will enhance the foundational knowledge of RYR1-RD and support clinical trial readiness.

OBJECTIVE:

Primary:

Characterize phenotype and disease course over a three-year period

Secondary:

Characterize phenotype and disease course over an extended (2-year) period (total 5 years)

Exploratory:

  1. Investigate potential biomarkers of disease status and progression
  2. Explore clinical meaningfulness thresholds for research assessments
  3. Extract common data elements from existing medical records (real-world evidence) ENDPOINTS: Primary: Change from baseline to Year 3 in: Motor function and performance
  • Motor Function Measure (MFM) sub-domains (percent of maximum score)
  • Six-minute walk test (meters travelled with percent predicted)
  • Timed functional tests (ascend four stairs, descend four stairs, supine to stand) (seconds)
  • Grip and pinch strength (kg and percent predicted)
  • Performance of Upper Limb (PUL)
  • Accelerometry (wearable sensor)
  • Quantitative muscle assessment
  • Brooke and Vignos assessment Pulmonary function
  • Forced vital capacity (percent reference norm)
  • Forced expiratory volume at 1 second (percent reference norm)
  • Slow vital capacity (Liters)
  • Maximal voluntary ventilation (Liters)
  • Maximum inspiratory pressure (MIP)
  • Maximum expiratory pressure (MEP) Patient-reported outcomes
  • PROMIS-57 Profile (subscale and overall t-scores); adults - depression, anxiety, physical function, pain interference, fatigue, sleep disturbance, and satisfaction with participation in social roles
  • PROMIS Ped-25 Profile (subscale and overall t-scores); 8 - 17 y
  • PROMIS Parent Proxy 25 Profile - Fatigue, physical stress experiences, positive affect and wellbeing, psychological stress experiences, anxiety/fear, physical function, pain; 5 - 7 y
  • PROMIS Upper Extremity - Short Form 7a
  • PROMIS Pediatric Upper Extremity - Short Form 8a
  • PROMIS Parent Proxy Upper Extremity - Short Form 8a
  • Physical Activity Questionnaire for Children (PAQ-C); 8 - 13 y
  • Physical Activity Questionnaire for Adolescents (PAQ-A); 14 - 17 y
  • International physical activity questionnaire (IPAQ); adults Ophthalmology
  • Visual acuity
  • Dilated ophthalmology exam at baseline only
  • Extraocular motility assessment
  • Marginal reflex distance (Ptosis)
  • Optical Coherence Tomography
  • Ancillary testing, imaging, and repeat dilated exams as indicated, based on assessment and discretion of clinician Secondary: Change from baseline to Year 5 in: Motor function and performance
  • Motor Function Measure (MFM) sub-domains (percent of maximum score)
  • Six-minute walk test (meters travelled with percent predicted)
  • Timed functional tests (ascend four stairs, descend four stairs, supine to stand) (seconds)
  • Grip and pinch strength (kg and percent predicted)
  • Performance of Upper Limb (PUL)
  • Accelerometry (wearable sensor)
  • Quantitative muscle assessment
  • Brooke and Vignos assessment Pulmonary function
  • Forced vital capacity (percent reference norm)
  • Forced expiratory volume at 1 second (percent reference norm)
  • Slow vital capacity (Liters)
  • Maximal voluntary ventilation (Liters)
  • Maximum inspiratory pressure (MIP)
  • Maximum expiratory pressure (MEP) Patient-reported outcomes
  • PROMIS-57 Profile (subscale and overall t-scores); adults - depression, anxiety, physical function, pain interference, fatigue, sleep disturbance, and satisfaction with participation in social roles
  • PROMIS Ped-25 Profile (subscale and overall t-scores); 8 - 17 y
  • PROMIS Parent Proxy -25 Profile Fatigue, physical stress experiences, positive affect and wellbeing, psychological stress experiences, anxiety/fear, physical function, pain; 5 - 7 y
  • PROMIS Upper Extremity - Short Form 7a
  • PROMIS Pediatric Upper Extremity - Short Form 8a
  • PROMIS Parent Proxy Upper Extremity - Short Form 8a
  • Physical Activity Questionnaire for Children (PAQ-C); 8 - 13 y
  • Physical Activity Questionnaire for Adolescents (PAQ-A); 14 - 17 y
  • International physical activity questionnaire (IPAQ); adults Ophthalmology
  • Visual acuity
  • Dilated ophthalmology exam at baseline only
  • Extraocular motility assessment
  • Marginal reflex distance (Ptosis)
  • Optical Coherence Tomography
  • Ancillary testing, imaging, and repeat dilated exams as indicated, based on assessment and discretion of clinician Exploratory: Biomarkers Including but not limited to:
  • Plasma NAD plus, NADH
  • Plasma GSH, GSSG
  • Plasma cytokines
  • Serum creatine phosphokinase
  • Urine and plasma 15-F2t isoprostane
  • Urine 8OHdG
  • PBMC (Peripheral Blood Mononuclear Cell)
  • Near infrared spectroscopy (muscle tissue oxygenation)
  • Dixon MRI of lower extremity
  • Optional skin punch biopsy (fibroblast culture)
  • Muscle ultrasound
  • Electrical impedance myography (EIM)
Keywords
RYR1, Muscle Disease, Natural History, Congenital Myopathy
Medical subject headings
Muscular Diseases, Myotonia Congenita

What participants receive

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

Study groups in NCT06287762
Study groupRoleWhat they receive
CentralizedVisits are conducted at the NIH clinical center. All participants are ambulatory.
DecentralizedVisits are conducted via telehealth.

What is being measured

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

  1. Adverse and disease-related events

    Serious (21CFR312.32) adverse events:- Narrative description (clinician)- Causality assessment (related or unrelated to disease)- CTCAE system organ class- CTCAE lower-level term- Falls questionnaire; adults

    Measured: 3 years

  2. Medical data review

    • Demographics- Developmental history- Medical history- Social determinants of health (environmental conditions such as economic stability, health care and education access and quality, neighborhood and built environment, and social and community context.- Full physical exam- Review of genetic diagnostic report/results- Prior medical records

    Measured: 3 years

  3. Ophthalmology

    • Marginal reflex distance (Ptosis)- Binocular horizontal visual field test- Optical Coherence Tomography- Goldmann Perimetry Degrees: lateral rectus, superior rectus, inferior oblique, medial rectus, superior oblique, inferior rectus

    Measured: 3 years

  4. Patient-reported outcomes

    • PROMIS-57 Profile (subscale and overall t-scores); adults - depression, anxiety, physical function, pain interference, fatigue, sleep disturbance, and satisfaction with participation in social roles- PROMIS Ped-25 Profile (subscale and overall t-scores); 8 - 17 y- PROMIS Parent Proxy 25 Profile - Fatigue, physical stress experiences, positive affect and wellbeing, psychological stress experiences, anxiety/fear, physical function, pain; 5 - 7 y- PROMIS Upper Extremity - Short Form 7a- PROMIS Pediatric Upper Extremity - Short Form 8a- PROMIS Parent Proxy Upper Extremity - Short Form 8a- Physical Activity Questionnaire for Children (PAQ-C); 8 - 13 y- Physical Activity Questionnaire for Adolescents (PAQ-A); 14 - 17 y- International physical activity questionnaire (IPAQ); adults

    Measured: 3 years

  5. Pulmonary function

    • Forced vital capacity (% reference norm)- Forced expiratory volume at 1 second (% reference norm) - Slow vital capacity (Liters)- Maximal voluntary ventilation (Liters)- Maximum inspiratory pressure (MIP)- Maximum expiratory pressure (MEP)

    Measured: 3 years

  6. Motor function and performance

    • Motor Function Measure (MFM) sub-domains (percent of maximum score)- Six-minute walk test (meters travelled with percent predicted)- Timed functional tests (ascend four stairs, descend four stairs, supine to stand) (seconds)- Grip and pinch strength (kg and percent predicted)- Performance of Upper Limb (PUL)- Accelerometry (wearable sensor)- Quantitative muscle assessment- Brooke and Vignos assessment

    Measured: 3 years

Secondary outcomes (1)
  1. Characterize phenotype and disease course over an extended (2-year) period (total 5 years).Collect exploratory biomarker data.

    (1) Investigate potential biomarkers of disease status and progression(2) Explore clinical meaningfulness thresholds for research assessments(3) Extract common data elements from existing medical records (real-world evidence)

    Measured: 5 years

Timeline

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

  1. First posted1 Mar 2024
  2. Study start11 Mar 2025
  3. Primary completion30 Apr 2031 (estimated)
  4. Study completion30 Dec 2031 (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
Cohort
Time perspective
Prospective
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06287762
Sponsor's protocol ID
10001737
Other IDs
001737-CC
Status last verified
13 Oct 2026
First submitted
29 Feb 2024
Last updated
15 Oct 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Ryanodine Receptor 1-Related Myopathy and Ryanodine Receptor 1 Related Disorders, run by National Institutes of Health Clinical Center (CC) at 1 site 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 11 inclusion and 8 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 15 Oct 2026. 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 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 Irene C Chrismer, R.N. ((240) 856-9808, irene.chrismer@nih.gov), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adverse and disease-related events (time frame: 3 years). The study lists 6 primary outcomes in all. 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 15 Oct 2026.

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