About this trial
The goal of this study is to establish a research network to help define the natural disease history and clinical outcome measures for Nemaline Myopathy (NM).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
0-18 years of age at recruitment
Confirmation of Nemaline Myopathy (pathogenic or likely pathogenic mutations in ACTA1 (AD) or NEB (AR)
Patient and/or parent or legal guardian must be willing and able to provide informed consent
Disqualifiers
Clinically significant medical finding on the physical examination, other than NM, that the Investigator deems unsuitable for participation in and/or completion of the study procedures
Any confirmed chronic or acute condition or disease affecting any system(s), which could interfere with the results of the study and/or the compliance with the study procedures. This will be subject to the clinical judgement of the Principal Investigator (PI)
Participants of ongoing (interventional) clinical trials that assess the efficacy of potential treatments will be excluded
Safety concerns
Trial population
Participants will be identified through several sources. The primary source will be through our NM-CRN MDA care center network. Participants will also be recruited through the CMDIR and the Beggs Laboratory. Information regarding the study will be disseminated to all MDA clinics through the MDA website and via email to clinic directors. In addition, the study will advertised to families through A Foundation Building Strength, which maintains a patient information website and newsletter.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Validate the change over 36 months using the Alberta Infant Motor Scale (AIMS) Score
The AIMS is a standardized tool used to assess a child's gross motor development in four positions: prone, supine, sitting, and standing. Percentile scores are given from 0-100, with higher percentiles representing higher motor function.
Validate the change over 36 months using the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND)
The CHOP-INTEND assesses a child's ability to move their body in a lying down position, supported sitting, and assisted rolling through 16 items.
Validate the change over 36 months using the Hammersmith Infant Neurological Examination Section 2 (HINE-2)
This is a 37-item measure of infant developmental motor milestones divided into the following categories: neurological examination, developmental milestones and behavioral scale, and state of consciousness. Scores for individual categories will be combined into a composite score.This will be performed in participants aged 0-24months. Scores are interpreted in relation to optimality scores and cut-off scores for the participant's age. Higher scores represented higher function.
Validate the change in 32-item Motor Function Measure (MFM32) Scale Score
This motor function assessment consists of 32 items organized in three dimensions: standing position and transfers, axial and limb proximal motor function, and limb distal motor function. Total scores are given between 0-100, with 0 indicating severe functional impairment and 100 indicating no functional impairment.
Secondary outcomes
Change in muscle thickness of lower extremity muscles over 36 months as measured by muscle ultrasound.
This will be conducted in a subset of participants aged \>5 years.
Skin Biopsy (optional)
This optional outcome measure involves a one-time removal of three to four 2mm pieces of skin from one body site.
Sponsors and contacts
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Stanford University
Lead sponsor
A Foundation Building Strength
Collaborator
This trial is not recruiting at the moment. You can still explore other options: