Genotype-phenotype Correlation Study of Presymptomatic and Symptomatic DFNA9 Patients

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorJessa Hospital

About this trial

DFNA9 (Deafness Autosomal Dominant 9) is an autosomal dominant hereditary hearing loss which is associated with vestibular deterioration. The most recent genotype-phenotype correlation studies have been conducted more than 15 years ago. Meanwhile, emerging and valuable vestibular tests have been added to the vestibular test battery. These tests were not available at the time of the correlation studies. The aim of this study is to carry out a prospective cross-sectional study on symptomatic and presymptomatic affected carriers of the Pro51Ser (P51S) Coagulation Factor C Homology (COCH) mutation in order to correlate vestibular data using the complete vestibular test battery with the known data on hearing and vestibular function in relation to age.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

subject must be 18 year of older

subject is a family member of the family pedigree's proband(s) carrying a P51S COCH mutation

Disqualifiers

subject is younger than 18 years

subject is not a family member of the pedigree's proband(s) carrying a P51S

subject cannot undergo investigations (medical and/or mental reasons)

subject is not willing to be enrolled into the study

Trial population

all family pedigree in which at least one proband is carrying the Pr51Ser (P51S) mutation in the COCH gene that are known in three tertiary referral centers: University Hospital Antwerp, Maastricht University Medical Centre and Jessa Hospital Hasselt.

Trial design

Design model

Case-control

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

70 Participants
are grouped into 2 trial groups
Group A: P51S+ group
Group B: P51S- group (healthy control)

Trial outcomes

Primary outcomes

1

hearing threshold

pure tone audiometry, decibel hearing loss (dB HL)

Time frame
1 year
2

video HIT

video Head Impulse test, gain (eye movement versus head movement)

Time frame
1 year

Secondary outcomes

1

VEMP

c- and o-VEMP tests (vestibular-evoked myogenic potentials): threshold (decibel sound pressure level: dB SPL or dB HL)

Time frame
1 year
2

DHI questionnaire

DHI (dizziness handicap index): scores the degree of imbalance perception of the patient, the higher the score, the higher the imbalance perception; normative score below 10

Time frame
1 year
3

OS questionnaire

A questionnaire assessing oscillopsia severity for patients with bilateral vestibulopathy and patients with unilateral vestibular lesions. Oscillopsia was defined as a "sensation that the visual environment is moving when it's not." The 9-item questionnaire investigates oscillopsia frequency in different situations encountered in daily life. Each item was scored 1 (never), 2 (seldom), 3 (sometimes), 4 (often), or 5 (always). Scores were averaged to provide an oscillopsia severity score ranging from 1 to 5. A mean score higher than 3 is considered to indicate moderate to extreme oscillopsia severity.

Time frame
1 year
4

ABC questionnaire

ABC activities specific balance confidence scale to asses individual's confidence in performing daily activities , scores from 0-100%, normative values \>80%

Time frame
1 year

Other outcomes

Sponsors and contacts

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Jessa Hospital

Lead sponsor

University Hospital, Antwerp

Collaborator

Maastricht University Medical Center

Collaborator