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CTNNB1 Neurodevelopmental Syndrome - Natural History Study (Dragonfly)

U

University Medical Centre Ljubljana

Status

Enrolling

Conditions

CTNNB1 Neurodevelopmental Syndrome

Treatments

Diagnostic Test: Brain MRI
Diagnostic Test: The Autism Spectrum Quotient Questionnaire -Children's Version
Diagnostic Test: Spastic Paraplegia Rating Scale
Diagnostic Test: PedsQL Core Module
Diagnostic Test: The Vineland Adaptive Behaviour Scales - 3
Diagnostic Test: 10m Walk-Run Test
Diagnostic Test: Wechsler Non-Verbal Scale of Ability
Diagnostic Test: Blood Sample Collection
Diagnostic Test: World Health Organisation (WHO) Motor Milestones
Diagnostic Test: Aberrant Behaviour Checklist -Community
Diagnostic Test: A General Medical and Neurological Assessment
Diagnostic Test: Seizure Diary
Diagnostic Test: Burke-Fahn-Marsden Dystonia Rating Scale
Diagnostic Test: Sleep Disturbance Scale for Children
Diagnostic Test: 5. CTNNB1-Related Neurodevelopmental Disorder (NEDSDV) Cardiac Health Questionnaire
Diagnostic Test: The Nine Hole Peg Test
Diagnostic Test: Optical Coherence Tomography
Diagnostic Test: The Modified Checklist for Autism in Toddlers
Diagnostic Test: 30min EEG Recording
Diagnostic Test: The Autism-Spectrum Quotient (AQ)-Adolescent Version
Diagnostic Test: PedsQL Family Impact Module
Diagnostic Test: Continuous Movement Monitoring (Actimyo/Syde)
Diagnostic Test: The Gross Motor Function Classification System
Diagnostic Test: Bayley Scales of Infant and Toddler Development-4: Fine Motor, Gross Motor, Language, and Cognitive Scales

Study type

Observational

Funder types

Other

Identifiers

NCT07167732
0120-174/2024-2711-8
J7-4537 (Other Grant/Funding Number)

Details and patient eligibility

About

The aim of the Dragonfly study is to characterise and monitor the neurodevelopment of children and adults diagnosed with CTNNB1 syndrome through an international collaborative effort. Gaining comprehensive understanding of the mental, physical and social development of people with CTNNB1 neurodevelopmental syndrome and how their symptoms and abilities change over time will help improve and standardize care for these patients, as well as facilitate future research and clinical trials design.

Full description

CTNNB1 syndrome is a rare debilitating neurodevelopmental disorder caused by mutations in the CTNNB1 gene, which is characterised by developmental delay and intellectual disability. Due to its relatively recent discovery, very little is known about the natural history of the condition. The aim of the Dragonfly study is to characterise and monitor the neurodevelopment of children and adults diagnosed with CTNNB1 syndrome through an international collaborative effort. This study is being conducted across several countries, including Slovenia, Spain, Brazil, the USA, and Australia.

In this natural history study, tinvestigators aim to recruit 150 children or adults of any age and phenotype with a confirmed genetic diagnosis of CTNNB1 syndrome, and their primary carers. Investigators will invite the participant and their carers to attend an annual study visit over a period of 5 years, during which investigators will collect retrospective and prospective clinical data. This will include a clinical neurological examination and assessments of motor and cognitive function, communication, behaviour, vision, sleep, assessment of gait using actimetry, and recordings of brain activity using electroencephalography (EEG). Investigators will also assess results of retinal assessment using Optical Coherence Tomography, and structural brain assessments using magnetic resonance imaging (MRI) - these diagnostic procedures will be performed in the participant's home county and not on site. Blood tests will be performed to reconfirm the underlying mutations in the CTNNB1 gene and investigate biomarkers of the condition. Carers will also be invited to complete questionnaires exploring their child's/dependent's abilities and the impact of the condition on their family's quality of life.

There is currently no curative treatment available for CTNNB1 syndrome. However, pre-clinical studies have been successfully completed with promising results and genetic therapies are currently in development. A comprehensive understanding of the natural progression of the condition is essential prior to commencing clinical trials of potential treatments. By improving our understanding of CTNNB1 syndrome, this study aims to lay the foundation for future clinical trials and the development of targeted treatments.

Enrollment

250 estimated patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Clinically and genetically confirmed diagnosis of CTNNB1 syndrome.
  • Age 0-99 years.
  • Written informed consent/online consent to participate in study from a primary carer (parent or legal guardian).

Exclusion criteria

  • Child/adult with CTNNB1 syndrome participating in a clinical trial of a potential treatment for the syndrome.

Trial design

250 participants in 1 patient group

Children and Adults with CTNNB1 Neurodevelopmental Syndrome
Treatment:
Diagnostic Test: Seizure Diary
Diagnostic Test: Bayley Scales of Infant and Toddler Development-4: Fine Motor, Gross Motor, Language, and Cognitive Scales
Diagnostic Test: A General Medical and Neurological Assessment
Diagnostic Test: Continuous Movement Monitoring (Actimyo/Syde)
Diagnostic Test: Aberrant Behaviour Checklist -Community
Diagnostic Test: The Gross Motor Function Classification System
Diagnostic Test: World Health Organisation (WHO) Motor Milestones
Diagnostic Test: PedsQL Family Impact Module
Diagnostic Test: The Autism-Spectrum Quotient (AQ)-Adolescent Version
Diagnostic Test: Blood Sample Collection
Diagnostic Test: 30min EEG Recording
Diagnostic Test: Wechsler Non-Verbal Scale of Ability
Diagnostic Test: Optical Coherence Tomography
Diagnostic Test: The Modified Checklist for Autism in Toddlers
Diagnostic Test: The Nine Hole Peg Test
Diagnostic Test: 10m Walk-Run Test
Diagnostic Test: 5. CTNNB1-Related Neurodevelopmental Disorder (NEDSDV) Cardiac Health Questionnaire
Diagnostic Test: Sleep Disturbance Scale for Children
Diagnostic Test: The Vineland Adaptive Behaviour Scales - 3
Diagnostic Test: PedsQL Core Module
Diagnostic Test: Spastic Paraplegia Rating Scale
Diagnostic Test: The Autism Spectrum Quotient Questionnaire -Children's Version
Diagnostic Test: Burke-Fahn-Marsden Dystonia Rating Scale
Diagnostic Test: Brain MRI

Trial contacts and locations

2

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Central trial contact

Damjan Osredkar, MD, PhD

Data sourced from clinicaltrials.gov

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