Observation Study in Patients Age 0-5 Years With LAMA2-related Congenital Muscular Dystrophy

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeUp to 5
SponsorNationwide Children's Hospital

About this trial

The goal of this observational study is to understand how young children with LAMA2-related dystrophy move and change over time. We will also learn about how this condition impacts other body systems.

Participants will undergo:

* Neuromuscular assessments * Blood collections * Swallowing and breathing assessments * Questionnaires

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Signed informed consent by the subject, parent(s) or legally authorized representative (LAR) and/or assent by the subject (when applicable).

Subject must be aged birth to less than 5.0 years of age at time of consent.

Absence of another confirmed genetic disease.

Willingness to maintain current exercise and/or physical therapy regimen for the duration of the clinical study.

Disqualifiers

Acute medical illness or hospitalization within 30 days prior to informed consent.

Participation in a previous trial of any investigational agent for LAMA2-RD within 1 month prior to informed consent, or use of any other investigational therapy (including off-label use of Losartan) within 30 days prior to informed consent, or participation in other clinical studies, within 30 days (or 3 half-lives, whichever is longer) prior to informed consent, which in the opinion of the PI, may potentially confound results from this study.

Other significant medical condition, which in the opinion of the site Principal Investigator may confound interpretation of the clinical course of LAMA2- RD.

Trial population

Study population will be neuromuscular clinic patients of site principal investigators, as well as individuals identified by our genetic counselor.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Validate the change over 24 months using the Neuromuscular Gross Motor Outcome

The Neuromuscular GRO is a 50-item assessment that measures a child's gross motor function when lying down, sitting, crawling, walking, jumping, and climbing stairs.

Time frame
24 months
2

Validate the change over 24 months using the Bayley Scales of Infant and Toddler Development™ 4th Ed (BayleyTM-4)

The Bayley assess four areas of development: Gross Motor, Fine Motor, Speech and Language, and Social. These results are compared to typically developing children ages 15 days to 42 months. The entire assessment takes between 1 and 3 hours, with breaks.

Time frame
24 months
3

Validate the change over 24 months using the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders

The CHOP-Intend includes 16-items to measure a child's ability to move their body in a lying down position, supported sitting, and assisted rolling.

Time frame
24 months
4

Validate the change over 24 months using the Motor Function Measure Scale-Short Form

The MFM-20 contains 20 items to assess a child's motor function in sitting, lying down, standing, and completing tabletop activities.

Time frame
24 months

Secondary outcomes

Other outcomes

1

Validate CK Biomarkers

Blood will be drawn at each in-person visit to test Creatine Kinase, a muscle enzyme, and to store biomarkers for future research.

Time frame
From enrollment to the end of observation at 2 years.
2

Muscle Ultrasound

Biceps or Quadriceps thickness will be measured in the middle of the muscle using standard ultrasound guidance.

Time frame
24 months

Sponsors and contacts

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

Nationwide Children's Hospital

Lead sponsor

National Institute of Neurological Disorders and Stroke (NINDS)

Collaborator

Ann & Robert H Lurie Children's Hospital of Chicago

Collaborator

Children's Hospital Medical Center, Cincinnati

Collaborator

University of Iowa

Collaborator

Washington University School of Medicine

Collaborator

Stanford University

Collaborator

University of Utah

Collaborator

University of Rochester

Collaborator

University of Pittsburgh

Collaborator

University of Texas, Southwestern Medical Center at Dallas

Collaborator

University of Minnesota

Collaborator

University of California, Los Angeles

Collaborator

Boston Children's Hospital

Collaborator