Pearson SyndromeNCT05029843
SLSMDS Natural History Study
An observational study of Pearson Syndrome and Single Large Scale Mitochondrial DNA Deletion Syndromes (SLSMDS), run by The Champ Foundation at 2 sites in United States.
Trial summary
The Single Large-Scale mtDNA Deletion Sydrome: Natural History Study (PS-NHS) aims to collect data on standardized clinical outcomes, store data on the Champ Foundation Registry (CFR) and make this data available to researchers, clinicians, and industry partners who are studying SLSMDS to answer questions regarding… Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Pearson Syndrome, Single Large Scale Mitochondrial DNA Deletion Syndromes (SLSMDS)
- How many people
- 30 participants
- Where
- 2 sitesUnited States
- Study dates
- 16 Mar 2021to 16 Oct 2024
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: All patients with confirmed Pearson Syndrome who satisfy the inclusion/exclusion criteria will be offered enrollment into this study.
Who may be able to join
- Have an active account on the Champ Foundation Registry (CFR) or be willing to create an account on the CFR.
- Must have a genetic diagnosis of a single large-scale mitochondrial DNA deletion and must upload their genetic report to the CFR.
- Have a clinical diagnosis or history of Pearson syndrome OR have symptom onset prior to five years of age and a genetic diagnosis of a single large-scale mitochondrial DNA deletion OR in the opinion of the principal investigator the participant is suitable for participating in this study based on clinical presentation.
- Participants may be of any age or gender, and originate from any country.
Who cannot join
None listed.
Trial locations and contacts
2 sites in 1 country.
United States2 sites, 2 recruiting
- Recruiting
Cleveland Clinic
Cleveland, Ohio, 44103
Sumit Parikh, MD
- Recruiting
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104
Marni Falk, MD
About this study
Official title: Single Large-scale mtDNA Deletion Syndrome Natural History Study
The Single Large-Scale mtDNA Deletion Sydrome: Natural History Study (PS-NHS) aims to collect data on standardized clinical outcomes, store data on the Champ Foundation Registry (CFR) and make this data available to researchers, clinicians, and industry partners who are studying SLSMDS to answer questions regarding the disease, including its causes, potential treatments, and other topics. A secondary aim is to analyze the data to understand research questions relating to the natural history of SLSMDS.
Read the detailed description
This study is a prospective, observational, and longitudinal study intended to track the course of Pearson syndrome and single large scale mitochondrial DNA deletion syndromes (SLSMDS) to identify demographic, genetic, environmental, and other variables that correlate with the diseases development and outcomes. If available, retrospective clinical data may be accessed and used in analyses as well.
The PS-NHS will be conducted at two Center of Excellence sites: the Cleveland Clinic and Children's Hospital of Philadelphia (CHOP).
All PS-NHS data will be entered and stored on the CFR. The CFR exists entirely online.
- Medical subject headings
- VLCAD deficiency
What is being measured
The primary outcome is the main question the study is designed to answer.
Columbia Neurological Scale
The Columbia Neurological Scale is a neurological assessment that includes a general medical exam and a general neurological exam. It will take approximately 30 minutes to complete, and that includes evaluation of nerves, muscles and movement. Columbia Neurological Scale ranges from 0 (abnormal exam) to 76 (normal exam).
Measured: 2 years
PEDI-CAT assessment
The PEDI-CAT is a computerized test that will ask participants about daily life tasks. This assessment will be given to patients 0 to 20 years old and will take approximately 15 minutes to complete.
Measured: 2 years
International Pediatric Mitochondrial Disease Scale
The International Pediatric Mitochondrial Disease Scale is designed to monitor general disease progression associated with mitochondrial disease in children 0 to 18 years old. It includes a physical examination and evaluation of symptoms and functioning. The International Pediatric Mitochondrial Disease Scale will include a clinician-administered assessment that involves asking participants questions and evaluating participants' movements and responses, as well as a patient survey. The score is expressed as the percentage of items which were feasible to perform. Asterixes (*) can be scored as well, the total score will change accordingly. E.g. if the parents are not able to indicate the presence of headache, the maximum score of the first domain changes from 103 to 73. If the child is not cooperative during the execution of domain 2 and 3, these items are omitted from the total score.
Measured: 2 years
Scale for Assessment and Rating of Ataxia
the SARA is a physical exam that evaluates symptoms of incoordination. A physician will complete this with exam and it will take approximately 20 minutes to complete.
Measured: 2 years
Balance test
Standing balance test. May assessed with an accelerometer. Measured as time in seconds.
Measured: 2 years
Coordination test
9-hold peg test. Measured as time in seconds.
Measured: 2 years
2 or 6 minute walk test
2-minute walk test (2MWT) ages 3-6 yrs. or 6MWT (ages 6+). Measured as distance in meters.
Measured: 2 years
Strength test
Hand grip with Dynamometer. Measured as average value of lbs of grip strength.
Measured: 2 years
Hearing testing
Assessing hearing frequency in both ears.
Measured: 2 years
EKG rhythm
Measured: 2 years
EKG PR interval
Measured: 2 years
EKG QRS interval
Measured: 2 years
Echo
Assessing valve abnormalities
Measured: 2 years
BNP
Measured as pg/ml
Measured: 2 years
Lipid panel
Total cholesterol, HDL-C, LDL-C, triglycerides. Measured as mg/dL.
Measured: 2 years
Cortisol
Measured mcg/dL
Measured: 2 years
PTH
Measured as pg/mL
Measured: 2 years
Calcium
Measured as pg/mL
Measured: 2 years
Vitamin D
Measured ng/mL
Measured: 2 years
Growth hormone
Measured ng/mL
Measured: 2 years
IGF1
Measured ng/mL
Measured: 2 years
TSH
Measured uIUg/mL
Measured: 2 years
FT4 and T3
Measured ng/dL
Measured: 2 years
HbA1c
Measured as a percentage
Measured: 2 years
C-peptide
Measured ng/mL
Measured: 2 years
Fasting Plasma Glucose (FPG)
Measured mg/dL
Measured: 2 years
Fructosamine
Measured mcmol/L
Measured: 2 years
Amylase
Measured U/L
Measured: 2 years
Comprehensive Metabolic Panel
Electrolytes, transaminases, TP/Albumin, bilirubin, alk phos, creatinine, BUN, GFR. Measured mmol/L.
Measured: 2 years
Lipase
Measured U/L
Measured: 2 years
PT/PTT
Measured in seconds
Measured: 2 years
Stool elastase
ug Elastase/g stool
Measured: 2 years
Height
Assessed in cm
Measured: 2 years
Weight
Assessed in kg
Measured: 2 years
Orbitofrontal cortex (OFC)
Assessed in cm
Measured: 2 years
Complete blood count with differential
Measured: 2 years
Ferritin
Measured in ng/mL
Measured: 2 years
Iron
Measured ug/dL
Measured: 2 years
Reticulocytes
Count (x10^9/uL)
Measured: 2 years
Reticulocytes
Percentage
Measured: 2 years
Number of transfusions
Frequency count of number of red blood transfusions and platelet transfusions
Measured: 2 years
Acylcarnitines (plasma)
Measured as mcmol/L
Measured: 2 years
Amino acids (plasma and urine)
Interpretation recorded.
Measured: 2 years
Organic acids (urine)
Interpretation recorded.
Measured: 2 years
Lactate
measured mmol/L
Measured: 2 years
Glutathione
Measured uM
Measured: 2 years
GDF15
pg/mL
Measured: 2 years
Visual exam
Assessing palpebral fissure in mm; distance in mm; eye movement in mm
Measured: 2 years
ERG/OCT
Assessed as normal or abnormal
Measured: 2 years
Ptosis/ophthalmoplegia
Assessed in mm
Measured: 2 years
Cystatin C
Measured mg/dL
Measured: 2 years
Magnesium
Measured mg/dL
Measured: 2 years
Phosphate
Measured mg/dL
Measured: 2 years
Urine Electrolytes
Measured mg/dL
Measured: 2 years
Urine protein
Measured mg/dL
Measured: 2 years
Urine amino acids
Measured: 2 years
Facial dysmorphology assessment
Assessed with facial photography. Assessing ptosis and/or prominent cheeks/jowls.
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Sep 2021
- Study start16 Mar 2021
- Primary completion16 Oct 2024 (estimated)
- Study completion16 Oct 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pearson SyndromeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- The Champ Foundation
- Sponsor type
- University, hospital or other
- Collaborators
- Children's Hospital of Philadelphia, The Cleveland Clinic
- Responsible party
- Sponsor
- Investigators
- Sumit Parikh, MD, Principal investigator, The Cleveland ClinicMarni Falk, MD, Principal investigator, Children's Hospital of Philadelphia
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05029843
- Sponsor's protocol ID
- CFR-02
- Status last verified
- Feb 2023
- First submitted
- 11 Aug 2021
- Last updated
- 8 Feb 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The data obtained during the study may be available on reasonable request.
Study at a glance
From the registry record, last updated by the sponsor on 8 Feb 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Single Large-scale mtDNA Deletion Syndrome Natural History Study
- ClinicalTrials.gov ID
- NCT05029843
- Acronym / sponsor ID
- CFR-02
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- The Champ FoundationUniversity, hospital or other
- Collaborators
- Children's Hospital of Philadelphia, The Cleveland Clinic
- Study start
- 16 Mar 2021 (actual)
- Primary completion
- 16 Oct 2024 (estimated)
- Study completion
- 16 Oct 2024 (estimated)
- First posted
- 1 Sep 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The Single Large-Scale mtDNA Deletion Sydrome: Natural History Study (PS-NHS) aims to collect data on standardized clinical outcomes, store data on the Champ Foundation Registry (CFR) and make this data available to researchers, clinicians, and industry partners who are studying SLSMDS to answer questions regarding the disease, including its causes, potential treatments, and other topics. A secondary aim is to analyze the data to understand research questions relating to the natural history of SLSMDS.
Detailed description
This study is a prospective, observational, and longitudinal study intended to track the course of Pearson syndrome and single large scale mitochondrial DNA deletion syndromes (SLSMDS) to identify demographic, genetic, environmental, and other variables that correlate with the diseases development and outcomes. If available, retrospective clinical data may be accessed and used in analyses as well.
The PS-NHS will be conducted at two Center of Excellence sites: the Cleveland Clinic and Children's Hospital of Philadelphia (CHOP).
All PS-NHS data will be entered and stored on the CFR. The CFR exists entirely online.
Study design
- Observational model
- Cohort
- Time perspective
- Cross-sectional
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- All patients with confirmed Pearson Syndrome who satisfy the inclusion/exclusion criteria will be offered enrollment into this study.
Key inclusion criteria (4 listed)
- Have an active account on the Champ Foundation Registry (CFR) or be willing to create an account on the CFR.
- Must have a genetic diagnosis of a single large-scale mitochondrial DNA deletion and must upload their genetic report to the CFR.
- Have a clinical diagnosis or history of Pearson syndrome OR have symptom onset prior to five years of age and a genetic diagnosis of a single large-scale mitochondrial DNA deletion OR in the opinion of the principal investigator the participant is suitable for participating in this study based on clinical presentation.
- Participants may be of any age or gender, and originate from any country.
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Columbia Neurological Scale
Time frame: 2 years
The Columbia Neurological Scale is a neurological assessment that includes a general medical exam and a general neurological exam. It will take approximately 30 minutes to complete, and that includes evaluation of nerves, muscles and movement. Columbia Neurological Scale ranges from 0 (abnormal exam) to 76 (normal exam).
PEDI-CAT assessment
Time frame: 2 years
The PEDI-CAT is a computerized test that will ask participants about daily life tasks. This assessment will be given to patients 0 to 20 years old and will take approximately 15 minutes to complete.
International Pediatric Mitochondrial Disease Scale
Time frame: 2 years
The International Pediatric Mitochondrial Disease Scale is designed to monitor general disease progression associated with mitochondrial disease in children 0 to 18 years old. It includes a physical examination and evaluation of symptoms and functioning. The International Pediatric Mitochondrial Disease Scale will include a clinician-administered assessment that involves asking participants questions and evaluating participants' movements and responses, as well as a patient survey. The score is expressed as the percentage of items which were feasible to perform. Asterixes (*) can be scored as well, the total score will change accordingly. E.g. if the parents are not able to indicate the presence of headache, the maximum score of the first domain changes from 103 to 73. If the child is not cooperative during the execution of domain 2 and 3, these items are omitted from the total score.
Scale for Assessment and Rating of Ataxia
Time frame: 2 years
the SARA is a physical exam that evaluates symptoms of incoordination. A physician will complete this with exam and it will take approximately 20 minutes to complete.
Balance test
Time frame: 2 years
Standing balance test. May assessed with an accelerometer. Measured as time in seconds.
Coordination test
Time frame: 2 years
9-hold peg test. Measured as time in seconds.
2 or 6 minute walk test
Time frame: 2 years
2-minute walk test (2MWT) ages 3-6 yrs. or 6MWT (ages 6+). Measured as distance in meters.
Strength test
Time frame: 2 years
Hand grip with Dynamometer. Measured as average value of lbs of grip strength.
Hearing testing
Time frame: 2 years
Assessing hearing frequency in both ears.
EKG rhythm
Time frame: 2 years
EKG PR interval
Time frame: 2 years
EKG QRS interval
Time frame: 2 years
Echo
Time frame: 2 years
Assessing valve abnormalities
BNP
Time frame: 2 years
Measured as pg/ml
Lipid panel
Time frame: 2 years
Total cholesterol, HDL-C, LDL-C, triglycerides. Measured as mg/dL.
Cortisol
Time frame: 2 years
Measured mcg/dL
PTH
Time frame: 2 years
Measured as pg/mL
Calcium
Time frame: 2 years
Measured as pg/mL
Vitamin D
Time frame: 2 years
Measured ng/mL
Growth hormone
Time frame: 2 years
Measured ng/mL
IGF1
Time frame: 2 years
Measured ng/mL
TSH
Time frame: 2 years
Measured uIUg/mL
FT4 and T3
Time frame: 2 years
Measured ng/dL
HbA1c
Time frame: 2 years
Measured as a percentage
C-peptide
Time frame: 2 years
Measured ng/mL
Fasting Plasma Glucose (FPG)
Time frame: 2 years
Measured mg/dL
Fructosamine
Time frame: 2 years
Measured mcmol/L
Amylase
Time frame: 2 years
Measured U/L
Comprehensive Metabolic Panel
Time frame: 2 years
Electrolytes, transaminases, TP/Albumin, bilirubin, alk phos, creatinine, BUN, GFR. Measured mmol/L.
Lipase
Time frame: 2 years
Measured U/L
PT/PTT
Time frame: 2 years
Measured in seconds
Stool elastase
Time frame: 2 years
ug Elastase/g stool
Height
Time frame: 2 years
Assessed in cm
Weight
Time frame: 2 years
Assessed in kg
Orbitofrontal cortex (OFC)
Time frame: 2 years
Assessed in cm
Complete blood count with differential
Time frame: 2 years
Ferritin
Time frame: 2 years
Measured in ng/mL
Iron
Time frame: 2 years
Measured ug/dL
Reticulocytes
Time frame: 2 years
Count (x10^9/uL)
Reticulocytes
Time frame: 2 years
Percentage
Number of transfusions
Time frame: 2 years
Frequency count of number of red blood transfusions and platelet transfusions
Acylcarnitines (plasma)
Time frame: 2 years
Measured as mcmol/L
Amino acids (plasma and urine)
Time frame: 2 years
Interpretation recorded.
Organic acids (urine)
Time frame: 2 years
Interpretation recorded.
Lactate
Time frame: 2 years
measured mmol/L
Glutathione
Time frame: 2 years
Measured uM
GDF15
Time frame: 2 years
pg/mL
Visual exam
Time frame: 2 years
Assessing palpebral fissure in mm; distance in mm; eye movement in mm
ERG/OCT
Time frame: 2 years
Assessed as normal or abnormal
Ptosis/ophthalmoplegia
Time frame: 2 years
Assessed in mm
Cystatin C
Time frame: 2 years
Measured mg/dL
Magnesium
Time frame: 2 years
Measured mg/dL
Phosphate
Time frame: 2 years
Measured mg/dL
Urine Electrolytes
Time frame: 2 years
Measured mg/dL
Urine protein
Time frame: 2 years
Measured mg/dL
Urine amino acids
Time frame: 2 years
Facial dysmorphology assessment
Time frame: 2 years
Assessed with facial photography. Assessing ptosis and/or prominent cheeks/jowls.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Feb 2023.
- Individual participant dataSharing planned: No. The data obtained during the study may be available on reasonable request.
Related trials for Pearson Syndrome
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RecruitingObservational study
Global Registry and Natural History Study for Mitochondrial Disorders
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Sumit Parikh, MD principal investigator
The Cleveland Clinic
Marni Falk, MD principal investigator
Children's Hospital of Philadelphia
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Pearson Syndrome and Single Large Scale Mitochondrial DNA Deletion Syndromes (SLSMDS), run by The Champ Foundation at 2 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 8 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Elizabeth Reynolds, PhD (727-612-4606, elizabeth.reynolds@thechampfoundation.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Columbia Neurological Scale (time frame: 2 years). The study lists 57 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Feb 2023.