DIACCIMEX

Неинвазивная пренатальная диагностика (НИПД) по циркулирующим трофобластическим клеткам плода (ЦТКП) при заболеваниях тройничного повтора

Завершено

ПОДРОБНЕЕ ОБ ЭТОМ

СПОНСОР

Университетская клиника, г. Монпелье

КОЛИЧЕСТВО УЧАСТНИКОВ

60

Основной целью DIACCIMEX является разработка и проверка аналитического и клинического теста неинвазивной пренатальной диагностики (NIPD) заболеваний  триплетных повторов путем анализа изолированных циркулирующих фетальных трофобластических клеток (ЦФТК) из материнской крови, поиск семейной мутации в семьях с риском возникновения одного из следующих заболеваний с триплетными повторами: Болезнь Гентингтона, миотоническая дистрофия Штайнерта, синдром умственной отсталости, спиноцеребеллярная атаксия (СЦА) 1, 2 и 3.

Дата завершения: 1 апреля 2020 года

Возраст, подходящий для исследования:

18 лет и старше

Пол, допущенный к исследованию:

Женский

Принимает здоровых добровольцев:

Да

Критерии включения

  • старше 18 лет
  • беременность на сроке от 9 до 34 недель гестации
  • Пара с риском (на основании семейного анамнеза или результатов УЗИ) развития одного из следующих заболеваний: болезнь Гентингтона, миотоническая дистрофия Штайнерта синдром умственной отсталости, спиноцеребеллярная атаксия (СЦА) 1, 2 и 3.
  • Было получено письменное информированное согласие на проведение исследования
  • Пренатальная диагностика запрограммирована на текущую беременность, во время которой производится забор материнской крови
  • Результаты молекулярной диагностики пары для одного из следующих заболеваний Болезнь Гентингтона, миотоническая дистрофия Штайнерта, синдром умственной отсталости, спиноцеребеллярная атаксия (СЦА) 1, 2 и 3.

Критерии исключения

  • Геномная ДНК пары недоступна
  • Субъекты, подверженные риску передачи семейного заболевания, но не желающие знать свой молекулярный статус
  • лица, находящиеся под опекой по решению суда

Страны

Франция

TRIAL SITE:
CHU Bordeaux

Address: Bordeaux, France, 33076

CONTACT
Cyrile Goizet
Tel.:+335 56 79 59 52
cyril.goizet@chu-bordeaux.fr 

TRIAL SITE: 
CHU Montpellier

Address: Montpellier, France, 34295

CONTACT
Christine Coubes
Tel: +334 67 33 65 64 
c-coubes@chu-montpellier.fr  

 

TRIAL SITE: 
CHU Nice

Address: Nice, France, 06202

CONTACT
Cécile Rouzier, MD 
Tel: 334 92 03 62 43
rouzier.c@chu-nice.fr

TRIAL SITE:
CHU Nîmes

Address: Nîmes, France, 30029

CONTACT
Philippe Khau Van Kien, MD
philippe.KHAUVANKIEN@chu-nimes.fr 

TRIAL SITE: 
CHU Rennes

Address: Rennes, France, 35203

CONTACT
Mélanie Fradin
Tel: +332 99 26 58 51
Melanie.FRADIN@chu-rennes.fr

TRIAL SITE: 
CHU Saint Brieuc

Address: Saint Brieuc, France, 22027

 

TRIAL SITE:
CHU Strasbourg

Address: Schiltigheim, France, 67303

CONTACT
Romain Favre, MD-PHD
Tel.:+333 69 55 34 15
main.favre3@gmail.com 

TRIAL SITE: 
CHU Toulouse

Address: Toulouse, France, 31059

CONTACT
Patrick Calvas
Tel.:+335 61 77 90 79
calvas.p@chu-toulouse.fr  

 

new FB feed (19)

dictionary:

SNP-single nucleotide polymorphisms

a single-letter spelling difference in a gene. SNPs, pronounced ‘snips’, are common and most don’t change the function of the gene.

 
new FB feed (19)

dictionary:

at risk

You do not know if you carry the genetic mutation for HD gene 

 
new FB feed (19)

dictionary:

TFC-total functional capacity

A standardized rating scale for function in HD, used to assess capacity to work, handle finances, perform domestic chores and self-care tasks.
Scores range from 0 to 13, with higher scores indicating better functional capacity. 

 
new FB feed (19)

dictionary:

Double-blinded

 means that neither the participant nor the clinical trial doctor can choose or know the group the participant is in until the trial is over. This approach helps to prevent bias.

new FB feed (19)

dictionary:

Open label

A trial in which the patient and doctor know what drug is being used. Open label trials are susceptible to bias through placebo effects.

new FB feed (19)

dictionary:

Gene therapy

a technique that aims to treat or prevent diseases by modifying a person’s genes. It involves introducing, removing, or changing genetic material (DNA or RNA) within a patient’s cells.

new FB feed (19)

dictionary:

UHDRS- Unified Huntington Disease Rating Scale

A standardized neurological examination that aims to provide a uniform assessment of the clinical features of HD

new FB feed (19)

dictionary:

CAG repeat

The stretch of DNA at the beginning of the HD gene, which contains the sequence CAG repeated many times, and is abnormally long in people who will develop HD

new FB feed (19)

dictionary:

Wild-type

the opposite of ‘mutant’. Wild-type huntingtin, for example, is the ‘normal’, ‘healthy’ protein

new FB feed (19)

dictionary:

Tolerabilty

How well a person can handle a treatment without having serious or uncomfortable side effects.

new FB feed (19)

dictionary:

Striatum

Part of the brain that  coordinates multiple aspects of cognition, including both motor and action planning, decision-making, motivation, reinforcement, and reward system.

new FB feed (19)

dictionary:

Randomized allocation

A type of allocation strategy in which participants are assigned to the arms of a clinical trial by chance.

new FB feed (19)

dictionary:

Radioligand

a radioactive substance that binds to a specific target in the body, allowing visualization of that target’s distribution and activity

new FB feed (19)

dictionary:

Protein

Protein builds, maintains, and replaces the tissues in your body. The building blocks of life.

new FB feed (19)

dictionary:

Premanifest / Prodromal

Prior to onset or diagnosis of movement symptoms.

new FB feed (19)

dictionary:

Placebo

A placebo is a dummy medicine containing no active ingredients. The placebo effect is a psychological effect that causes people to feel better even if they’re taking a pill that doesn’t work.

new FB feed (19)

dictionary:

PK - Pharmacokinetics

The movement of drugs through the body

new FB feed (19)

dictionary:

PD - Pharmacodynamics

The body’s biological response to drugs

new FB feed (19)

dictionary:

PET scan

Positron emission tomography which produces detailed 3-dimensional images of the inside of the body.

new FB feed (19)

dictionary:

Neuron

Brain cells that store and transmit information

new FB feed (19)

dictionary:

MRI

Magentic resonance imaging: A technique using powerful magnetic fields to produce detailed images and visualizes the structure of organs, tissues, and bones 

new FB feed (19)

dictionary:

mHTT

Mutant huntingtin protein. The protein produced by the faulty HD gene.

new FB feed (19)

dictionary:

Manifest

after HD diagnosis, or when symptoms are already showing

new FB feed (19)

dictionary:

Longitudinal study

A study where each participant is looked at several times over a time period – unlike a cross-sectional study, where each participant is looked at only once

new FB feed (19)

dictionary:

HTT

one abbreviation for the gene that causes Huntington’s disease. The same gene is also called HD and IT-15

new FB feed (19)

dictionary:

fMRI

functional MRI:As with MRI, a technique using powerful magnetic fields  but focusing on brain function by measuring and mapping changes in blood flow, revealing which areas of the brain are active during specific tasks or cognitive processes

new FB feed (19)

dictionary:

CSF - cerebrospinal fluid

A clear fluid produced by the brain, which surrounds and supports the brain and spinal cord.

new FB feed (19)

dictionary:

Efficacy

A measure of whether a treatment works or not

new FB feed (19)

dictionary:

ASO(Antisense oligonucleotides)

A type of gene silencing treatment in which specially designed DNA molecules are used to switch off a gene

new FB feed (19)

dictionary:

Biomarker

a test of any kind – including blood tests, thinking tests and brain scans – that can measure or predict the progression of a disease like HD. Biomarkers may make clinical trials of new drugs quicker and more reliable

new FB feed (19)

dictionary:

BDNF

Brain-derived neurotrophic factor: a growth factor that may be able to protect neurons in HD.

new FB feed (19)

dictionary:

Allele

one of the two copies of a gene

new FB feed (19)

dictionary:

Plasma

Liquid component of the blood.

new FB feed (19)

dictionary:

Gene

The basic unit of heredity passed from parent to child. Genes are made up of sequences of DNA and are arranged, one after another, at specific locations on chromosomes in the nucleus of cells.

new FB feed (19)

dictionary:

Phase

Clinical trial phases are different stages of research that assess the safety and effectiveness of a new medical treatment or intervention in humans.

Each phase has a specific goal and involves a different number of participants. Generally, there are 4 phases (I-IV), with Phase I focusing on safety and dosage, Phase II on efficacy and side effects, Phase III on comparing the new treatment with standard treatments, and Phase IV on long-term safety monitoring.