MNGIE Natural History Study

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorUniversity of Cambridge

About this trial

The MNGIE Retrospective Natural History Study is a collaborative study between the University of Cambridge and the University of Bologna. The aim of this study is to better understand the natural history and progression of Mitochondrial Neurogastrointestinal Encephalomyopathy (MNGIE).

New treatment strategies for MNGIE, including gene therapies, enzyme replacement therapy, and other advanced treatments, are currently being developed and may soon be tested in clinical trials. A comprehensive and up-to-date natural history study of MNGIE is therefore very important to help inform the design of these clinical trials and to identify appropriate clinical and biochemical outcome measure.

This international natural history study aims to include as many patients with MNGIE (living or deceased) as possible, worldwide. This study will collect anonymised clinical information through a secure online REDcap database hosted at the University of Cambridge. Focus will be on describing clinical progression, and identifying biochemical, molecular, histological, and histochemical parameters that can help in early diagnosis, improve prognosis, and better understand therapeutic outcomes.

The study is funded by Pierrepont Therapeutics Inc, and has received ethical approval from the University of Cambridge Human Biology Research Ethics Committee. Clinicians caring for MNGIE patients, are invited to contact the study team, and will then receive a direct link to the survey. Patients are asked to share information about the study with their treating clinician, if they would like their (anonymous) clinical information to be included in the study.

More information and contact details are available online (https://mitocamb.medschl.cam.ac.uk/our-research/research-studies/understanding-studies/a-retrospective-natural-history-study-of-subjects-affected-by-mitochondrial-neurogastrointestinal-encephalomyopathy-mngie/).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

any age or stage of disease; living or deceased

both previously published and unpublished patients

symptomatic and asymptomatic patients

Homozygous or compound heterozygous pathogenic or likely pathogenic mutations in the TYMP gene; and/or

Disqualifiers

There are no formal exclusion criteria for this retrospective observational study.

Trial population

The minimum required data for inclusion, and to allow verification of duplicate patients, will include year of birth, sex, and method of biochemical or genetic diagnosis of MNGIE as defined under the inclusion criteria. Patients may be living or deceased.

Trial design

Design model

Other

Time perspective

Retrospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Survival time

Time frame
At enrollment

Secondary outcomes

Other outcomes

1

Demographics

Previously published in literature (if applicable refence DOI and patient number) Year and month of birth Current age Gender Ethnic Group Country of origin/birth Year at diagnosis (or, if not known, approximate age interval) Year at symptom onset Family history positive for MNGIE (if yes: to provide the number of family members with MNGIE, and study ID if data entered by same clinician)

Time frame
At enrollment
2

Genetic diagnosis

Year at the time of genetic testing Type and date of genetic testing (WES, WGS, mtDNA fully sequenced, mtDNA panel, mtDNA tested by RFLP/Sanger, Panel sequencing, Single gene sequencing, Real-time PCR, Long-range PCR, Southern blot, Other) Mutation type Mutation at the cDNA level Mutation at the protein level (NM and NP)

Time frame
At enrollment
3

Major clinical events

Age at the time of clinical events Bowel pseudo-obstructions Loss of ambulation Seizures Stroke-like episodes Surgeries Mechanical ventilation (hours of ventilation needed per day) Dependency on parental nutrition (type of parental feeding, amount of daily calories provided) Other

Time frame
At enrollment
4

Collection of relevant medical history

Human Phenotype Ontology terms of medical history and clinical features (retrospective)

Time frame
At enrollment

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Cambridge

Lead sponsor

University of Bologna

Collaborator