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Investigations of Juvenile Neuronal Ceroid Lipofuscinosis

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スポンサー
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

キーワード

概要

Background:
CLN3, or Batten disease, is a genetic disorder. This deadly disease leads to decline of brain and nervous system functions. Symptoms of CLN3 typically occur between 4 and 7 years of age. They include changes in how a person sees, thinks, and moves. CLN3 can also cause seizures. No effective treatments for the disease are yet known. There is limited testing of potential therapies. Researchers want to study CLN3 more so they can improve future therapies.
Objective:
To identify clinical or biochemical markers that can be used as therapeutic outcome measures for CLN3.
Eligibility:
People with CLN3. It must be based on
Two CLN3 mutations OR
One CLN3 mutation AND findings seen with a powerful microscope
Family members of a person with CLN3.
Design:
Participants will have already been referred to NIH for CLN3 evaluation.
If participants agree to do the study, they will:
1. give spinal fluid, blood, urine, and skin samples. They may provide other samples if they were already collected. These may include cells, surgical specimens, and DNA.
2. will be seen by multiple healthcare specialists.
Participants may provide medical records or photos. Participants will sign a release of medical records form.P
Researchers may send samples or clinical data to other investigators. For research testing, the samples will not include the participant s name. For a test in a clinical lab, researchers will include the participant s name. These results will become part of the clinical record at NIH.

説明

Juvenile Neuronal Ceroid Lipofuscinosis (Batten Disease, CLN3) is a recessive, fatal, lysosomal storage disease that results in progressive neurodegeneration. In aggregate, the 13 disorders of neuronal ceroid lipofuscinosis are considered the most common neurodegenerative disorders in children with incidence estimates ranging from 1/12,500 to 1/100,000 in European and USA populations. Neurological symptoms of CLN3 typically manifest between 4 and 7 years of age. The initial clinical presentation is progressive vision loss and cognitive impairment, followed by insidious progression of motor dysfunction and onset of seizures. Affected individuals generally succumb to the disease in young adulthood. There is no effective treatment for CLN3. A major impediment to the testing of potential therapeutic interventions is the lack of well-defined outcome measures. The purpose of this protocol is to obtain both baseline and rate of progression data on clinical and biochemical markers that may later be used as an outcome measure in a clinical trial, and to establish a biorepository of samples from CLN3 participants. For comparisons, focused clinical data and relevant evaluations and biospecimens will also be collected from individuals with Neuronal Ceroids Lipofuscinosis (NCL) of other types and from family members of all affected individuals.

日付

最終確認済み: 06/22/2020
最初に提出された: 10/06/2017
提出された推定登録数: 10/09/2017
最初の投稿: 10/10/2017
最終更新が送信されました: 06/26/2020
最終更新日: 06/29/2020
実際の研究開始日: 11/26/2017
一次完了予定日: 12/30/2030
研究完了予定日: 12/30/2030

状態または病気

Juvenile Neuronal Ceroid Lipofuscinosis (CLN3, Batten Disease)
Batten Disease

段階

-

アームグループ

介入/治療
Family members
Unaffected family members of individuals diagnosed with CLN3-Batten
Proband/Affected Individuals
Individuals diagnosed with CLN3-Batten

適格基準

研究に適格な性別All
サンプリング方法Non-Probability Sample
健康なボランティアを受け入れるはい
基準

- INCLUSION CRITERIA:

Main Study:

Individuals with a diagnosis of CLN3

-Diagnosis of CLN3 determined by one of the following:

- a. Two CLN3 mutations

- b. One CLN3 mutation AND

- clinical presentation suggestive of CLN3, OR

- characteristic electron microscopy (EM) findings (such as curvilinear body, fingerprint profile, granular osmiophilic deposits)

Sub-Study A:

Individuals with a diagnosis of CLN3

-Diagnosis of CLN3 determined by one of the following:

- a. Two CLN3 mutations

- b. One CLN3 mutation AND

- clinical presentation suggestive of CLN3, OR

- characteristic electron microscopy (EM) findings (such as curvilinear body, fingerprint profile, granular osmiophilic deposits)

OR

Individuals who have family member(s) diagnosed with CLN3

Sub-Study B:

Individuals with a clinical diagnosis of CLN3 or NCL.

OR

Individuals who have family member(s) diagnosed with CLN3 or NCL.

EXCLUSION CRITERIA:

Main Study:

- Individuals who cannot travel to the NIH because of their medical condition.

- Individuals who, in the opinion of the Investigator, are unable to comply with the protocol or have medical conditions that would potentially increase the risk of participation.

Sub-Study:

-Individuals who, in the opinion of the Investigator, are unable to comply with the protocol or have medical conditions that would potentially increase the risk of participation.

結果

主な結果の測定

1. Identify clinical or biochemical markers that can be used as a therapeutic outcome measures for CLN3. [Ongoing]

Identification of biomarkers

2. Evaluate clinical aspects of CLN3 to provide tools for future therapeutic trials. [Ongoing]

Evaluation of clinical signs and symptoms

二次的な結果の測定

1. Establish a biorepository of samples from wellcharacterized CLN3 patients for future research related to CLN3 [Ongoing]

Collection of biospecimens

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