NCT00677768

Brief Summary

The purpose of this study is to collect 650 blood and 300 cerebrospinal fluid (CSF) samples from people with amyotrophic lateral sclerosis (ALS), pure lower or upper motor neuron diseases, as well as other neurodegenerative diseases and from people with no neurological disorder. Through comparison of these samples, the researchers hope to learn more about the underlying cause of ALS, as well as find unique biological markers, which could be used to diagnose ALS and monitor disease progression. Additionally, up to 600 blood samples will be collected for a sub-study for DNA analysis. Studying components of the blood, such as DNA, may help us understand what happens when genes function abnormally and how it might be related to disease.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
475

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 2008

Longer than P75 for all trials

Geographic Reach
2 countries

30 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2008

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

May 9, 2008

Completed
5 days until next milestone

First Posted

Study publicly available on registry

May 14, 2008

Completed
7.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2015

Completed
Last Updated

June 3, 2016

Status Verified

June 1, 2016

Enrollment Period

7.6 years

First QC Date

May 9, 2008

Last Update Submit

June 2, 2016

Conditions

Keywords

BiomarkersPlasmaCerebrospinal FluidDNASerum

Outcome Measures

Primary Outcomes (1)

  • ALS Functional Rating Scale (ALSFRS-R)

    The ALSFRS-R is a quickly administered (5 min) ordinal rating scale used to determine a subject's assessment of their capability and independence in 12 functional activities. There are 12 questions, graded by the subject 0-4 (4 is normal). Score of 0 (worst) to 48 (best). Reflects speech and swallowing, fine motor skills, large motor skills, and breathing.

    Every 6 months

Study Arms (4)

Early ALS

Other: No intervention

Suspected ALS

Other: No intervention

Disease Mimics of ALS

Other: No intervention

Healthy Controls

Other: No intervention

Interventions

Sample collection

Disease Mimics of ALSEarly ALSHealthy ControlsSuspected ALS

Eligibility Criteria

Age30 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Volunteers will be invited to participate in this study by their neurologists either in clinic or at a regular scheduled appointment visit.

You may qualify if:

  • Diagnosis of possible (excluding volunteers with UMN signs ONLY), probable, probable-laboratory supported, or definite ALS, either sporadic or familial according to revised El Escorial criteria
  • Disease duration of less than or equal to two years from symptom onset
  • Age 30-80 years at the time of disease onset
  • Ability to provide informed consent
  • Ability to comply with study procedures
  • Medically safe to have lumbar puncture (lumbar puncture volunteers only)

You may not qualify if:

  • Clinical evidence of chronic liver or renal failure
  • Presence of a bleeding disorder, problems with CSF pressure, allergy to local anesthetics, or a topical or other skin infection at the LP site (lumbar puncture volunteers only)
  • Use of any anti-platelet or anticoagulant drugs, such as plavix, aggrenox, ticlid, warfarin or coumadin (lumbar puncture volunteers only)
  • Suspected ALS (PMND) Volunteers
  • Diagnosis of suspected ALS defined as presence of UMN or LMN signs alone and the diagnosis of Clinically Probably Laboratory-Supported ALS CANNOT be proven by evidence in clinical grounds in conjunction with electrodiagnostic, neurophysiologic, neuroimaging or clinically laboratory studies
  • Disease duration of less than or equal to four years from symptom onset
  • Age 30-80 years at time of disease onset
  • Ability to provide informed consent
  • Ability to comply with study procedures
  • Medically safe to have lumbar puncture (lumbar puncture volunteers only)
  • Clinical evidence of chronic liver or renal failure
  • Genetically confirmed diagnosis of hereditary spastic paraparesis or spinal motor atrophy (SMA) disease
  • Presence of a bleeding disorder, problems with CSF pressure, allergy to local anesthetics, or a topical or other skin infection at the LP site (lumbar puncture volunteers only)
  • Use of any anti-platelet or anticoagulant drugs, such as plavix, aggrenox, ticlid, warfarin or coumadin (lumbar puncture volunteers only)
  • Neurological Disease Mimic Volunteers
  • +36 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (30)

Phoenix Neurological Associates, Ltd.

Phoenix, Arizona, 85018, United States

Location

University of California Irvine

Orange, California, 92868, United States

Location

Mayo Clinic Neurology

Jacksonville, Florida, 32224, United States

Location

University of Miami

Miami, Florida, 33136, United States

Location

Emory University

Atlanta, Georgia, 30322, United States

Location

University of Chicago

Chicago, Illinois, 60637, United States

Location

Johns Hopkins University

Baltimore, Maryland, 21205, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02129, United States

Location

Lahey Clinic

Burlington, Massachusetts, 01805, United States

Location

Saint Mary's Healthcare

Grand Rapids, Michigan, 49503, United States

Location

Hennepin County Medical Center

Minneapolis, Minnesota, 55404, United States

Location

Saint Louis University

St Louis, Missouri, 63104, United States

Location

Washington University

St Louis, Missouri, 63110, United States

Location

Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, 03756, United States

Location

Robert Wood Johnson/UMDNJ

New Brunswick, New Jersey, 08901, United States

Location

Upstate Clinical Research, LLC

Albany, New York, 12205, United States

Location

Beth Israel Medical Center, PACC

New York, New York, 10003, United States

Location

SUNY Upstate Medical University

Syracuse, New York, 13210, United States

Location

Carolinas Health Care

Charlotte, North Carolina, 28207, United States

Location

Duke University Medical Center

Durham, North Carolina, 27705, United States

Location

Wake Forest University

Winston-Salem, North Carolina, 27157, United States

Location

OSU Medical Center

Columbus, Ohio, 43210, United States

Location

Providence ALS Clinic

Portland, Oregon, 97213, United States

Location

Oregon Health & Science University

Portland, Oregon, 97233, United States

Location

Pennsylvania State University

Hershey, Pennsylvania, 17033, United States

Location

Drexel University College of Medicine

Philadelphia, Pennsylvania, 19107, United States

Location

University of Pittsburgh

Pittsburgh, Pennsylvania, 15213, United States

Location

Methodist Neurological Institute

Houston, Texas, 77030, United States

Location

University of Utah

Salt Lake City, Utah, 84132, United States

Location

Montreal Neurological Institute

Montreal, Quebec, H3A 2B4, Canada

Location

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

650 blood samples (plasma and serum)will be collected from four groups: ALS volunteers diagnosed with ALS, volunteers with pure lower or pure upper motor neuron diseases, volunteers with other neurological diseases and healthy control volunteers. 300 cerebrospinal fluid (CSF) samples will be collected from all four groups: ALS volunteers diagnosed with ALS, volunteers with pure lower or pure upper motor neuron diseases, volunteers with other neurological diseases and healthy control volunteers. Up to 600 DNA samples will also be collected from all 4 groups: ALS volunteers diagnosed with ALS, volunteers with pure lower or pure upper motor neuron diseases, volunteers with other neurological diseases and healthy control volunteers.

MeSH Terms

Conditions

Amyotrophic Lateral SclerosisMotor Neuron DiseaseNervous System DiseasesSpastic Paraplegia, Hereditary

Condition Hierarchy (Ancestors)

Spinal Cord DiseasesCentral Nervous System DiseasesNeurodegenerative DiseasesTDP-43 ProteinopathiesNeuromuscular DiseasesProteostasis DeficienciesMetabolic DiseasesNutritional and Metabolic DiseasesHereditary Sensory and Motor NeuropathyNervous System MalformationsHeredodegenerative Disorders, Nervous SystemPolyneuropathiesPeripheral Nervous System DiseasesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesGenetic Diseases, Inborn

Study Officials

  • James D. Berry, MD, MPH

    Massachusetts General Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

May 9, 2008

First Posted

May 14, 2008

Study Start

April 1, 2008

Primary Completion

November 1, 2015

Study Completion

November 1, 2015

Last Updated

June 3, 2016

Record last verified: 2016-06

Locations