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New Genes Involved in Molecular Etiology of Rett Syndrome Through DNA Microarray Comparative Genomic Hybridization (RETT)

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ClinicalTrials.gov Identifier: NCT02885090
Recruitment Status : Completed
First Posted : August 31, 2016
Last Update Posted : August 31, 2016
Sponsor:
Information provided by (Responsible Party):
Central Hospital, Nancy, France

Brief Summary:

Rett syndrome (RTT) is a genetic encephalopathy and the typical form is caused by mutations in the gene MECP2. It is a genetically heterogeneous pathology. CDKL5 and FOXG1 have been recently discovered being involved in other forms of RTT. However, at least 5% of typical forms and more other atypical forms are not linked to any of 3 genes known to be involved in the disease.

The purpose of this study is to identify new genes involved in molecular etiology of typical and atypical forms of RTT.


Condition or disease Intervention/treatment Phase
Rett Syndrome Procedure: Blood sampling Not Applicable

Detailed Description:

Search for pathogenic chromosomal imbalance through comparative genomic hybridization (aCGH) on DNA microarrays will be done in a group of patients having typical or atypical forms of RTT without known mutations in MECP2, CDKL5 et FOXG1B genes.

After imbalance confirmation by qPCR, the pathogenic potential of the segmental aneusomy will be assigned according to the interpretation of aCGH technique-dedicated DECEPHER, BACH and GVD databases. Analysis of parents will allow distinguishing between inherited polymorphic variants and potentially deleterious new imbalances.

In case of a new imbalance, a bioinformatics approach will look for candidate genes that will be possibly confirmed by classic mutation screening (sequencing and PCR) in all typical and atypical cases of RTT present in the cohort.

The identification of new genes involved in RTT will ameliorate the molecular diagnosis of the disease and genetic counseling for families. This project will allow progression in comprehension of physiopathological mechanisms of cerebral development abnormalities

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 17 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Basic Science
Official Title: Search for New Genes Involved in Molecular Etiology of Rett Syndrome Through Comparative Genomic Hybridization on DNA Microarrays
Study Start Date : February 2010
Actual Primary Completion Date : May 2011
Actual Study Completion Date : May 2011

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: RTT patient
Blood sampling
Procedure: Blood sampling
In children: 2 EDTA tubes of 7 ml, 1 Heparin Li tube of 5 ml and 2 PAXgene tubes of 2.5 ml (max 0.8-0.9 ml blood/kg) In parents: 2 EDTA tubes of 7 ml, 1 Heparin Li tube of 5 ml.

Experimental: Parents
Blood sampling. To distinguish between inherited polymorphic variants and potentially deleterious new imbalances.
Procedure: Blood sampling
In children: 2 EDTA tubes of 7 ml, 1 Heparin Li tube of 5 ml and 2 PAXgene tubes of 2.5 ml (max 0.8-0.9 ml blood/kg) In parents: 2 EDTA tubes of 7 ml, 1 Heparin Li tube of 5 ml.




Primary Outcome Measures :
  1. Analysis of chromosomal imbalances through comparative genomic hybridization on DNA microarrays [ Time Frame: up to 12 months ]
    Search for pathogenic chromosomal imbalance



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Patients: RETT syndrome
  • Patients: Female
  • Parents: parent of a patients

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02885090


Locations
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France
Handicaps de l'Enfant - Pavillon Ste Marie, CHU St Jacques
Besançon, France
Service de Neuropédiatrie, Hôpital St Jacques, CHU de Besançon
Besançon, France
Unité de génétique, Groupe hospitalier Hôpital Flaubert
Caen, France
Centre de Génétique Hôpital d'Enfants, CHU de Dijon
Dijon, France
Service de neuropédiatrie, CHU Hôpital Gui de Chauliac
Montpellier, France
Laboratoire de Génétique chromosomique, CHU Hôpital l'Archet 2
Nice, France
Service de génétique médicale, CHU Hôpital Purpan
Nice, France
Service de génétique médicale, CHU Hôpital Purpan, CHU de Toulouse
Toulouse, France
Laboratoire de Génétique, Hôpitaux de Brabois, CHU de Nancy
Vandoeuvre les Nancy, France
Sponsors and Collaborators
Central Hospital, Nancy, France
Investigators
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Principal Investigator: Christophe PHILIPPE, Laboratoire de Génétique Médicale, Rue du Morvan, 54511 Vandoeuvre-Les-Nancy Cédex
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Responsible Party: Central Hospital, Nancy, France
ClinicalTrials.gov Identifier: NCT02885090    
Other Study ID Numbers: 2009-A01147-50
First Posted: August 31, 2016    Key Record Dates
Last Update Posted: August 31, 2016
Last Verified: August 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Additional relevant MeSH terms:
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Rett Syndrome
Syndrome
Disease
Pathologic Processes
Mental Retardation, X-Linked
Intellectual Disability
Neurobehavioral Manifestations
Neurologic Manifestations
Nervous System Diseases
Genetic Diseases, X-Linked
Genetic Diseases, Inborn
Heredodegenerative Disorders, Nervous System