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Susac SyndromeCARESS CohorteNCT06881368

Phenotypic and Etiological Characterization of Susac Syndrome

An observational study of Susac Syndrome, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

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

SUSAC's Syndrome (SS) is characterized by the clinical triad of encephalopathy, hearing loss, and retinal artery branch occlusions. Since the first description of SS in 1979, hundreds of patients with SS, mostly young women, have been reported. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Susac Syndrome
How many people
180 participants
Where
1 siteFrance
Study dates
1 Jul 2025to 15 Feb 2045
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The population to be studied will be patients with defined Susac syndrome, presenting with at least two of the signs of the clinical triad, having compatible complementary examinations and after elimination of differential diagnoses (see inclusion and non-inclusion criteria below). Patients will be included prospectively. The existence of an associated pathology (autoimmune, tumour, metabolic, etc.) is not a criterion for exclusion.

Who may be able to join

  • Patient over 18 years of age
  • Patient presenting with at least two of the signs of the clinical triad: encephalopathy, cochlear damage authenticated by an audiogram (uni- or bilateral, predominantly in the middle or low frequencies), retinal artery occlusion assessed by fundoscopy or fluorescein retinal angiography.

Who cannot join

  • Patient having been individually informed and objecting to the use of his/her data
  • Patient under legal protection (guardianship or curatorship)
  • Differential diagnosis established: multiple sclerosis, mitochondriopathy, CADASIL, primary tumour of the central nervous system, Lyme disease.

Trial locations and contacts

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

Karim Sacre, MD, PHD contact

+33140258705

karim.sacre@aphp.fr

Thomas Papo, MD, PHD contact

thomas.papo@aphp.fr

France1 site, 1 recruiting
  • Hôpital Bichat

    Paris, 75018

    Karim Sacre, MD, PHD, +33140258705, karim.sacre@aphp.fr

    Recruiting

Other trials in France

About this study

SUSAC's Syndrome (SS) is characterized by the clinical triad of encephalopathy, hearing loss, and retinal artery branch occlusions. Since the first description of SS in 1979, hundreds of patients with SS, mostly young women, have been reported. However, comprehensive epidemiological, clinical and etiological features of SS have never been specifically addressed so far.

Read the detailed description

Susac's Syndrome (SS) is characterized by the clinical triad of encephalopathy, hearing loss, and retinal artery branch occlusions. Since the first description of SS in 1979, hundreds of patients with SS, mostly young women, have been reported. However, comprehensive epidemiological, clinical and etiological features of SS have never been specifically addressed so far.

The diagnosis of SS is difficult because its characteristic signs often do not occur simultaneously or may be too subtle for the patient to notice. Neurological features of SS may occur several months prior to other symptoms. The retinal artery branch occlusion, by occurring in the peripheral portion of the retina, may remain asymptomatic. Sensorineural hearing loss may also be asymptomatic and disclosed only by audiogram. Besides mild pleocytosis in cerebro-spinal fluid, all performed biological tests are virtually negative. No infectious agent, consistent autoimmune marker, or coagulopathy has been disclosed. Changes seen on brain MRI are well characterized although not specific. The only site from which biopsy material is available for pathological analysis is the brain. The most common finding in brain biopsies is the presence of microinfarcts but brain biopsy is not currently performed.

Although the treatment of SS has not been studied in controlled trials, most patients have a good response to treatment with glucocorticoids, with the addition of antithrobomtic therapy and, for cases in which the disease is refractory to steroids, intravenous immune globulin or cyclophosphamide. The clinical course is characterized by recurrent attacks involving 1 or more components of the triad that characterize the active phase of the disease. Remission usually occurs after the active phase but some patients show residual mild to moderate dementia or gait disturbance, and impaired hearing and vision.

Susac's Syndrome is a vasculopathy causing small infarcts in the cochlea, retina and brain. Proposed explanations include a hypercoagulable state, vasospasm, and vasculitis, none of which are supported by laboratory results or findings on brain biopsies. The unique distribution of arteriolar disease affecting the brain, the retina, and the cochlea suggests selective vulnerability of these three structures. The brain, retina, and cochlea all have a blood-tissue barrier, and the endothelium in these sites shares a common embryologic origin and unique structural and antigenic characteristics. It has therefore been proposed that SS is an autoimmune disease in which the endothelium is the primary target, and damage to the endothelium triggers arteriolar occlusion and microinfarcts. However, the pathogenesis remains unknown.

The objective of this study is to characterize the epidemiological, clinical, and etiological features of Susac's Syndrome. In this aim, we will constitute a national clinical-based cohort including all SS new cases prospectively observed. French Society of Neurology, Ophtalmology and Internal Medicine will be asked to collaborate.The exhaustive and systematic analysis of each case will help to better define different aspects of the disease such as the incidence and prevalence, the clinical presentation, the diagnostic modalities and the impact of treatments.

Because Susac's syndrome is a rare disease, we expect to include 180 patients in this cohort. The constitution of the cohort will last for 19 years (9 years of inclusion and 10 years of follow-up.

The conclusion of the study, based on statistical analysis done once all patients will be included in the cohort, should allow new recommendations in the diagnosis strategy and give new understandings of the therapeutic management of the disease. The result of this study may also give rise to hypothesis for an interventional study.

Conditions
Susac Syndrome
Medical subject headings
Susac Syndrome

What is being measured

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

  1. To characterize the epidemiological Susac's Syndrome

    Variables collected at inclusion: Date of birth

    Measured: 10 years

  2. 1. To characterize the epidemiological of Susac's Syndrome

    Variables collected at inclusion:

    • Place of birth

    Measured: 10 years

  3. 1. To characterize the epidemiological of Susac's Syndrome

    • Variables collected at inclusion: Sex

    Measured: 10 years

  4. 1. To characterize the epidemiological of Susac's Syndrome

    • Variables collected at inclusion : Date of first symptom

    Measured: 10 years

  5. 1. To characterize the epidemiological of Susac's Syndrome

    • Variables collected at inclusion: Date of diagnosis

    Measured: 10 years

  6. 2. To characterize the etiological of Susac's Syndrome

    Variables collected at inclusion :

    • Personal medical history

    Measured: 10 years

  7. 2. To characterize the etiological of Susac's Syndrome

    Variables collected at inclusion :

    • Gynaecological history

    Measured: 10 years

  8. 2. To characterize the etiological of Susac's Syndrome

    Variables collected at inclusion :

    • Surgical history

    Measured: 10 years

  9. 2. To characterize the etiological of Susac's Syndrome

    Variables collected at inclusion :

    • Family history

    Measured: 10 years

  10. 2. To characterize the etiological of Susac's Syndrome

    • Variables collected at inclusion : Previous travel and vaccination status

    Measured: 10 years

  11. 2. To characterize the etiological of Susac's Syndrome

    Variables collected at inclusion :

    • Any symptoms (flu-like illness, fever)

    Measured: 10 years

  12. 2. To characterize the etiological of Susac's Syndrome

    Variables collected at each visit :

    • - Weight in kilograms

    Measured: 10 years

  13. 2. To characterize the etiological of Susac's Syndrome

    Variables collected at each visit :

    • - Tobacco consumption

    Measured: 10 years

  14. 2. To characterize the etiological of Susac's Syndrome

    Variables collected at each visit :

    • - Use of oestroprogestogenic contraception

    Measured: 10 years

  15. 2. To characterize the etiological of Susac's Syndrome

    Variables collected at each visit :

    • - Alcohol consumption

    Measured: 10 years

  16. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset : Headache

    Measured: 10 years

  17. 3. To characterize the clinical of Susac's Syndrome

    Neurology: Neurological symptoms: present / absent / date of onset :

    • Sensory disturbance

    Measured: 10 years

  18. 3. To characterize the clinical of Susac's Syndrome

    Neurology: Neurological symptoms: present / absent / date of onset :

    • Motor deficit

    Measured: 10 years

  19. 3. To characterize the clinical of Susac's Syndrome

    Neurology: Neurological symptoms: present / absent / date of onset :

    • Osteotendinous pyramidal reflexes

    Measured: 10 years

  20. 3. To characterize the clinical of Susac's Syndrome

    Neurology: Neurological symptoms: present / absent / date of onset :

    • Babinski sign

    Measured: 10 years

  21. 3. To characterize the clinical of Susac's Syndrome

    Neurology: Neurological symptoms: present / absent / date of onset :

    • Hoffman's sign

    Measured: 10 years

  22. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset :
    • Tact sensitivity disorder

    Measured: 10 years

  23. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset :
    • Thermoal sensitivity deficit

    Measured: 10 years

  24. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset :

    Proprioceptive disorder :

    • If yes, specify :
    • Ataxia

    Measured: 10 years

  25. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset :

    Proprioceptive disorder :

    • If yes, specify :
    • Anomaly of the sense of position of the big toe

    Measured: 10 years

  26. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset :
    • Paresthesias

    Measured: 10 years

  27. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset :
    • Encephalopathy, If yes, specify the signs present:
    • Confusion

    Measured: 10 years

  28. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset :
    • Encephalopathy, If yes, specify the signs present:
    • Obnubilation

    Measured: 10 years

  29. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset :
    • Encephalopathy, If yes, specify the signs present:
    • Coma

    Measured: 10 years

  30. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset :
    • Encephalopathy, If yes, specify the signs present:
    • Agitation

    Measured: 10 years

  31. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset :
    • Encephalopathy, If yes, specify the signs present:
    • Temporo-spatial disorientation

    Measured: 10 years

  32. 3. To characterize the clinical of Susac's Syndrome

    1. Neurology: Neurological symptoms: present / absent / date of onset :
    • Encephalopathy, If yes, specify the signs present:
    • Fluctuating memory disorders

    Measured: 10 years

  33. 3. To characterize the clinical of Susac's Syndrome

    • Any sequelae : Results of neurocognitive assessment : BREF

    Measured: 10 years

  34. 3. To characterize the clinical of Susac's Syndrome

    Any sequelae : • Results of neurocognitive assessment: MMS

    Measured: 10 years

  35. 3. To characterize the clinical of Susac's Syndrome

    Any sequelae : For mood disorders and quality of life: DSMIV criteria for depression

    Measured: 10 years

  36. 3. To characterize the clinical of Susac's Syndrome

    Any sequelae : For mood disorders and quality of life: SF36

    Measured: 10 years

  37. 3. To characterize the clinical of Susac's Syndrome

    Any sequelae : • For disability : Barthel Index

    Measured: 10 years

  38. 3. To characterize the clinical of Susac's Syndrome

    • Any sequelae : For disability : Rankin score

    Measured: 10 years

  39. 3. To characterize the clinical of Susac's Syndrome

    Ophthalmology

    • Ophthalmological examination results : Fundus

    Measured: 10 years

  40. 3. To characterize the clinical of Susac's Syndrome

    Ophthalmology

    • Ophthalmological examination results : Visual field

    Measured: 10 years

  41. 3. To characterize the clinical of Susac's Syndrome

    Ophthalmology

    • Ophthalmological examination results : o Angiography

    Measured: 10 years

  42. 3. To characterize the clinical of Susac's Syndrome

    • Ophthalmology Ophthalmological symptoms: scotoma

    Measured: 10 years

  43. 3. To characterize the clinical of Susac's Syndrome

    Ophthalmology : Ophthalmological symptoms: decrease in visual acuity

    Measured: 10 years

  44. 3. To characterize the clinical of Susac's Syndrome

    Ophtalmology : Evolution of retinal arterial occlusions: improvement

    Measured: 10 years

  45. 3. To characterize the clinical of Susac's Syndrome

    Ophthalmology : Evolution of retinal arterial occlusions: stability

    Measured: 10 years

  46. 3. To characterize the clinical of Susac's Syndrome

    Ophthalmology : Evolution of retinal arterial occlusions: worsening

    Measured: 10 years

  47. 3. To characterize the clinical of Susac's Syndrome

    • Ophthalmology : Sequelae

    Measured: 10 years

  48. 3. To characterize the clinical of Susac's Syndrome

    ENT :

    • Cochlear symptoms: vertigo, tinnitus, ataxia, hearing loss

    Measured: 10 years

  49. 3. To characterize the clinical of Susac's Syndrome

    ENT:

    • Audiogram results

    Measured: 10 years

  50. 3. To characterize the clinical of Susac's Syndrome

    ENT

    • Results of vestibular examinations

    Measured: 10 years

  51. 3. To characterize the clinical of Susac's Syndrome

    ENT

    • Course of deafness: improvement, stability, worsening

    Measured: 10 years

  52. 3. To characterize the clinical of Susac's Syndrome

    ENT :

    • Possible sequelae (functional discomfort, psycho-social repercussions, follow-up audiograms)

    Measured: 10 years

Timeline

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

  1. First posted18 Mar 2025
  2. Study start1 Jul 2025
  3. Primary completion30 Nov 2044 (estimated)
  4. Study completion15 Feb 2045 (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
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06881368
Sponsor's protocol ID
APHP241173
Other IDs
2025-A00214-45
Acronym
CARESS Cohorte
Status last verified
Apr 2026
First submitted
29 Jan 2025
Last updated
7 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Susac Syndrome, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

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 2 inclusion and 3 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 7 May 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 France. 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 Karim Sacre, MD, PHD (+33140258705, karim.sacre@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To characterize the epidemiological Susac's Syndrome (time frame: 10 years). The study lists 52 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 7 May 2026.

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