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Adolescent Idiopathic ScoliosisEARLYBIRDNCT05924347

Early Scoliotic Changes in Children at Increased Risk for Scoliosis Development

An observational study of Adolescent Idiopathic Scoliosis and 22q11.2 Deletion Syndrome, run by UMC Utrecht at 1 site in Netherlands.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Rationale: Despite several decades of research, the exact etiology of adolescent idiopathic scoliosis (AIS) remains unclear. In AIS, spine curvature begins with and progresses during the adolescent growth spurt. Read more about this study

Who is it for?
Ages 8 to 11 years
What is being tested?
MRI, Scolioscan and Skeletal maturity assessment
How many people
120 participants
Where
1 siteNetherlands
Study dates
16 Jun 2023to 1 May 2032
Phase
Observational
Are there results?
Not yet: the study is under way

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 8 to 11 years
  • All sexes
  • No healthy volunteers
  • Child

Study population: Cohort 1: 60 adolescent girls (8-10 years old) at increased risk for idiopathic scoliosis development (an older sibling or parent diagnosed with idiopathic scoliosis) Cohort 2: 60 adolescent girls or boys with the 22q11.2DS with increased risk for idiopathic-like scoliosis development.

Who may be able to join

  • Cohort 1:
  • Female,
  • 8, 9 or 10 years old
  • An older sibling, twin or parent diagnosed with AIS
  • Cohort 2:
  • Diagnosed with 22q11.2DS
Show all 11Show fewer
  • Girls: 8, 9 or 10 years old.
  • Boys: 9, 10 or 11 years old.
  • All
  • No clinical signs of scoliosis at inclusion (physical examination by forward bending test and Bunnell Scoliometer assessment with a cut-off value of 7°.
  • Written informed consent of parents/legal representatives.

Who cannot join

  • Contraindications for MR imaging
  • Early-onset scoliosis or other spinal deformities
  • Other syndromes or neuromuscular disease associated with scoliosis
  • Clinical signs of >1cm leg length discrepancy
  • Other diseases or injuries, that are related to abnormal spinal growth, posture, activity levels, or scoliosis development.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Netherlands1 site, 1 recruiting
  • UMC Utrecht

    Utrecht, 3584 CX

    Tom Schlösser, MD, PhD, t.p.c.schlosser@umcutrecht.nl

    Recruiting

Other trials in Netherlands

About this study

Official title: Longitudinal MRI Study to Catch EARLY Scoliotic Changes of the Bone and Intervertebral Disc in Younger Sisters and Daughters of Adolescent Idiopathic Scoliosis Patients and the 22q11.2DS Population.

Rationale: Despite several decades of research, the exact etiology of adolescent idiopathic scoliosis (AIS) remains unclear. In AIS, spine curvature begins with and progresses during the adolescent growth spurt. Previous studies are only performed on populations with already established scoliosis and normal spinal growth (of bone and IVD tissue) during adolescence has also not been defined. Growth pattern differences may exist between scoliotic and nonscoliotic subjects. Previous studies support the hypothesis that AIS is a spinal deformity that starts with decompensation in the IVD and is linked to sagittal spinal alignment. However, to understand its cause and pathogenic mechanism, the changes to the adolescent spine must be assessed longitudinally during the growth period coinciding with the period prior to and during the onset of AIS. Ideally this should include a cohort who do and do not develop AIS and their assessment must be minimally harmful, without radiation exposure. Certain populations are at increased risk for scoliosis development (i.e. girls with family members with scoliosis and 22q11.2DS patients). New imaging modalities (boneMRI, 3D spinal ultrasound) allow for non-radiographic monitoring of spinal growth.

Read the detailed description

Objective: The primary objectives is: To longitudinally evaluate the substantial differences in anatomical changes in the spine during adolescent growth in girls, at increased risk for scoliosis development, and in adolescent 22q11.2DS patients, that do and do not develop AIS.

The secondary objectives are:

  • To develop spine specific (IVD/endplates) maturity assessment grading.
  • To implement radiation-free imaging methods for spinal monitoring in adolescent patients at risk for scoliosis development.
  • To create a longitudinal dataset for patient specific spinal biomechanical assessment.

Study design: Prospective observational cohort study

Study population: 60 adolescent girls (8-10 years old) at increased risk for idiopathic scoliosis development (an older sibling or parent diagnosed with idiopathic scoliosis) (Cohort-1) and 60 adolescent girls and boys with 22q11.2DS with increased risk for idiopathic-like scoliosis development (Cohort-2).

Intervention: none

Main study parameters/endpoints: Spinal MR imaging of the thoracic and lumbar spine will be performed at 5 time points between 8 or 9 and 15 or 16 for girls and boys respectively to evaluate possible changes in the 3D anatomy of the spine. The main study parameter will be the longitudinal changes in segmental axial rotation on boneMRI of the thoracolumbar spine in subjects that do and do not develop AIS.

Secondary endpoints: Changes in bone and intervertebral disc morphology, lateral shift of the nucleus pulposus. These will be correlated to assessments of growth, skeletal maturity and spinal alignment.

Being tested
MRI, Scolioscan, Skeletal maturity assessment
Medical subject headings
DiGeorge Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MRIDiagnostic test

    Longitudinal MRI examination of the thoracic and lumbar spine (T2, T2w, sCT)

  • ScolioscanDiagnostic test

    3D ultrasound of the spine

  • Skeletal maturity assessmentDiagnostic test

    At one timepoint, a Hand radiograph is taken for digital skeletal maturity assessment

Study groups in NCT05924347
Study groupRoleWhat they receive
Cohort 160 adolescent girls (8-10 years old) at increased risk for idiopathic scoliosis development (an older sibling or parent diagnosed with idiopathic scoliosis)
Receives: Diagnostic Test: MRI; Diagnostic Test: Scolioscan; Diagnostic Test: Skeletal maturity assessment
Cohort 260 adolescent girls or boys with the 22q11.2DS with increased risk for idiopathic-like scoliosis development.
Receives: Diagnostic Test: MRI; Diagnostic Test: Scolioscan; Diagnostic Test: Skeletal maturity assessment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Spinal MR Imaging of the thoracic and lumbar spine

    MRI images

    Measured: Girls: Baseline

  2. Spinal MR Imaging of the thoracic and lumbar spine

    MRI images

    Measured: Girls: 11year

  3. Spinal MR Imaging of the thoracic and lumbar spine

    MRI images

    Measured: Girls: 12year

  4. Spinal MR Imaging of the thoracic and lumbar spine

    MRI images

    Measured: Girls: 13year

  5. Spinal MR Imaging of the thoracic and lumbar spine

    MRI images

    Measured: Girls: 15year

  6. Spinal MR Imaging of the thoracic and lumbar spine

    MRI images

    Measured: Boys: Baseline

  7. Spinal MR Imaging of the thoracic and lumbar spine

    MRI images

    Measured: Boys: 12year

  8. Spinal MR Imaging of the thoracic and lumbar spine

    MRI images

    Measured: Boys: 13year

  9. Spinal MR Imaging of the thoracic and lumbar spine

    MRI images

    Measured: Boys: 14year

  10. Spinal MR Imaging of the thoracic and lumbar spine

    MRI images

    Measured: Boys: 16year

Secondary outcomes (62)
  1. A-P ratio vertebrae and disc

    Ratio anterior and posterior height

    Measured: Girls: Baseline

  2. A-P ratio vertebrae and disc

    Ratio anterior and posterior height

    Measured: Girls: 11year

  3. A-P ratio vertebrae and disc

    Ratio anterior and posterior height

    Measured: Girls: 12year

  4. A-P ratio vertebrae and disc

    Ratio anterior and posterior height

    Measured: Girls: 13year

  5. A-P ratio vertebrae and disc

    Ratio anterior and posterior height

    Measured: Girls: 15year

  6. A-P ratio vertebrae and disc

    Ratio anterior and posterior height

    Measured: Boys: Baseline

  7. A-P ratio vertebrae and disc

    Ratio anterior and posterior height

    Measured: Boys: 12year

  8. A-P ratio vertebrae and disc

    Ratio anterior and posterior height

    Measured: Boys: 13year

  9. A-P ratio vertebrae and disc

    Ratio anterior and posterior height

    Measured: Boys: 14year

  10. A-P ratio vertebrae

    Ratio anterior and posterior height

    Measured: Boys: 16year

  11. Left-right ratio

    Ratio left and right height

    Measured: Girls: Baseline

  12. Left-right ratio

    Ratio left and right height

    Measured: Girls: 11year

  13. Left-right ratio

    Ratio left and right height

    Measured: Girls: 12year

  14. Left-right ratio

    Ratio left and right height

    Measured: Girls: 13year

  15. Left-right ratio

    Ratio left and right height

    Measured: Girls: 15year

  16. Left-right ratio

    Ratio left and right height

    Measured: Boys: Baseline

  17. Left-right ratio

    Ratio left and right height

    Measured: Boys: 12year

  18. Left-right ratio

    Ratio left and right height

    Measured: Boys: 13year

  19. Left-right ratio

    Ratio left and right height

    Measured: Boys: 14year

  20. Left-right ratio

    Ratio left and right height

    Measured: Boys: 16year

  21. Torsion

    Difference in axial rotation between 2 subsequent endplates

    Measured: Girls: Baseline

  22. Torsion

    Difference in axial rotation between 2 subsequent endplates

    Measured: Girls: 11year

  23. Torsion

    Difference in axial rotation between 2 subsequent endplates

    Measured: Girls: 12year

  24. Torsion

    Difference in axial rotation between 2 subsequent endplates

    Measured: Girls: 13year

  25. Torsion

    Difference in axial rotation between 2 subsequent endplates

    Measured: Girls: 15year

  26. Torsion

    Difference in axial rotation between 2 subsequent endplates

    Measured: Boys: Baseline

  27. Torsion

    Difference in axial rotation between 2 subsequent endplates

    Measured: Boys: 12year

  28. Torsion

    Difference in axial rotation between 2 subsequent endplates

    Measured: Boys: 13year

  29. Torsion

    Difference in axial rotation between 2 subsequent endplates

    Measured: Boys: 14year

  30. Torsion

    Difference in axial rotation between 2 subsequent endplates

    Measured: Boys: 16year

  31. Volumes disc

    Volumes disc

    Measured: Girls: Baseline

  32. Volumes disc

    Volumes disc

    Measured: Girls: 11year

  33. Volumes disc

    Volumes disc

    Measured: Girls: 12year

  34. Volumes disc

    Volumes disc

    Measured: Girls: 13year

  35. Volumes disc

    Volumes disc

    Measured: Girls: 15year

  36. Volumes disc

    Volumes disc

    Measured: Boys: Baseline

  37. Volumes disc

    Volumes disc

    Measured: Boys: 12year

  38. Volumes disc

    Volumes disc

    Measured: Boys: 13year

  39. Volumes disc

    Volumes disc

    Measured: Boys: 14year

  40. Volumes disc

    Volumes disc

    Measured: Boys: 16year

  41. Volumes vertebrae

    Volumes vertebrae

    Measured: Girls: Baseline

  42. Volumes vertebrae

    Volumes vertebrae

    Measured: Girls: 11year

  43. Volumes vertebrae

    Volumes vertebrae

    Measured: Girls: 12year

  44. Volumes vertebrae

    Volumes vertebrae

    Measured: Girls: 13year

  45. Volumes vertebrae

    Volumes vertebrae

    Measured: Girls: 15year

  46. Volumes vertebrae

    Volumes vertebrae

    Measured: Boys: Baseline

  47. Volumes vertebrae

    Volumes vertebrae

    Measured: Boys: 12year

  48. Volumes vertebrae

    Volumes vertebrae

    Measured: Boys: 13year

  49. Volumes vertebrae

    Volumes vertebrae

    Measured: Boys: 14year

  50. Volumes vertebrae

    Volumes vertebrae

    Measured: Boys: 16year

  51. Shift nucleus pulposis

    Position of nucleus pulposus in discus

    Measured: Girls: Baseline

  52. Shift nucleus pulposis

    Position of nucleus pulposus in discus

    Measured: Girls: 11year

  53. Shift nucleus pulposis

    Position of nucleus pulposus in discus

    Measured: Girls: 12year

  54. Shift nucleus pulposis

    Position of nucleus pulposus in discus

    Measured: Girls: 13year

  55. Shift nucleus pulposis

    Position of nucleus pulposus in discus

    Measured: Girls: 15year

  56. Shift nucleus pulposis

    Position of nucleus pulposus in discus

    Measured: Boys: Baseline

  57. Shift nucleus pulposis

    Position of nucleus pulposus in discus

    Measured: Boys: 12year

  58. Shift nucleus pulposis

    Position of nucleus pulposus in discus

    Measured: Boys: 13year

  59. Shift nucleus pulposis

    Position of nucleus pulposus in discus

    Measured: Boys: 14y

  60. Shift nucleus pulposis

    Position of nucleus pulposus in discus

    Measured: Boys: 16year

  61. Changes in spinal alignment during growth

    Scan for changes over growth

    Measured: Girls: Baseline-15years, Boys: Baseline-15years

  62. Spine specific maturity assessment grading

    See if it is possible to create a spine specific maturity assessment

    Measured: Girls: Baseline-15years, Boys: Baseline-15years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jun 2023
  2. Study start16 Jun 2023
  3. Primary completionMay 2032 (estimated)
  4. Study completion1 May 2032 (estimated)

Resources

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
Prospective
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05924347
Sponsor's protocol ID
NL82419.041.22
Acronym
EARLYBIRD
Status last verified
Jun 2023
First submitted
26 Jan 2023
Last updated
29 Jun 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Lafranca PPG, Stempels HW, de Reuver S, Houben ML, Kok J, Kruyt MC, Castelein RM, Seevinck PR, van der Velden T, Shcherbakova YM, Ito K, Schlosser TPC. EARLYBIRD: catching the earliest changes of the bone and intervertebral discs in children at increased risk for scoliosis development with MRI - study protocol of a prospective observational cohort study. BMJ Open. 2025 Jun 26;15(6):e098929. doi: 10.1136/bmjopen-2025-098929.

    PubMed 40578865

Questions about this trial

What is this clinical trial studying?

An observational study of Adolescent Idiopathic Scoliosis and 22q11.2 Deletion Syndrome, run by UMC Utrecht at 1 site in Netherlands.

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 11 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 29 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Tom Schlosser (+31 88 75 53602, t.p.c.schlosser@umcutrecht.nl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Spinal MR Imaging of the thoracic and lumbar spine (time frame: Girls: Baseline). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05924347, which also lists 1 linked publication.

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 29 Jun 2023.

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