NCT01144741

Brief Summary

Freeman-Sheldon syndrome (FSS) is a rare muscle disorder present before birth, involving primarily problems of the face and skull and the hands and feet. This is a study of problems, experiences, helpful treatments, and quality of life focusing on patients with FSS but including patients with Sheldon-Hall syndrome (SHS), distal arthrogryposis type 1 (DA1), and distal arthrogryposis type 3 (DA3), also called Gorden syndrome. These and related disorders are very challenging to treat, partly because the big differences in individual patients and lack of information on previous clinical experience with treatment options. It is hoped the study will identify areas for further research in physiology and therapy. This study will cover all types of treatment \[medical (non-surgical), including psychiatric, and surgical treatments\], even unconventional. It also includes questions about effects on the patient's thoughts, feelings, quality of life, and relationship with siblings, family, and parents' and if any intervention was required or advised. This study will also look for similarities and differences in patients who meet the head and face part of the diagnostic criteria but do not meet all other parts and patients who met the full diagnostic criteria. There will be questions about problems or experiences to investigate if both groups of patients may have the same syndrome. Treatment success depends on getting a correct diagnosis.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
2

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Feb 2010

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
terminated

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

February 1, 2010

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

June 14, 2010

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 16, 2010

Completed
12 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 14, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 14, 2022

Completed
Last Updated

June 21, 2022

Status Verified

June 1, 2022

Enrollment Period

12.4 years

First QC Date

June 14, 2010

Last Update Submit

June 15, 2022

Conditions

Keywords

rehabilitationsurgerytherapyQuality Of LifeHealth-Related Quality Of LifeHealth StatusDepressive SymptomsSituational Depression

Outcome Measures

Primary Outcomes (1)

  • Physical Findings and Complications of Physical Findings

    The frequency to which certain features of the syndromes contribute to mortality or morbidity, especially life-long functional impairment.

    during a single study interview, which lasts 1-2 hours

Secondary Outcomes (1)

  • Posttraumatic Stress and Depressive Symptoms

    at study enrolment and during a single study interview, which lasts 1-2 hours

Other Outcomes (5)

  • Intervention-Related Outcome

    during a single study interview, which lasts 1-2 hours

  • Quality of Life Status

    at enrolment and during a single study interview, which lasts 1-2 hours

  • Educational attainment

    during a single study interview, which lasts 1-2 hours

  • +2 more other outcomes

Study Arms (6)

Freeman-Sheldon syndrome Classic Type

Patients who have all features required by the Stevenson criteria, including: very small mouth (microstomia); whistling-face appearance (pursed lips); "H" or "V" shaped chin dimple; very obvious down-slanting crease from the nostril to the corners of the mouth (nasolabial creases); and restricted movement in joints (contractures) of two or more body areas, often hands and feet, with fingers and toes frequently overlapping.

Other: PTSD Checklist-Civilian (PCL-C)Other: Modified Flanagan Quality of Life ScaleOther: Center for Epidemiologic Studies Depression Scale (CES-D)Other: Functional Enquiry (or Review of Systems) FormOther: Study of Therapeutic Outcomes and Practices in Freeman-Sheldon Syndrome (STOP-FSS) QuestionnaireOther: FSRG Semi-Structured Quality of Life Interview (FSRG SSQLI)Other: Medical Records Review

Freeman-Sheldon syndrome Craniofacial Type

Patients who have only the face and skull physical findings required by the Stevenson criteria, including: very small mouth (microstomia), whistling-face appearance (pursed lips), "H" or "V" shaped chin dimple, very obvious down-slanting crease from the nostril to the corners of the mouth (nasolabial creases).

Other: PTSD Checklist-Civilian (PCL-C)Other: Modified Flanagan Quality of Life ScaleOther: Center for Epidemiologic Studies Depression Scale (CES-D)Other: Functional Enquiry (or Review of Systems) FormOther: Study of Therapeutic Outcomes and Practices in Freeman-Sheldon Syndrome (STOP-FSS) QuestionnaireOther: FSRG Semi-Structured Quality of Life Interview (FSRG SSQLI)Other: Medical Records Review

Freeman-Sheldon syndrome Mixed Type

Patients who have the face and skull physical findings required by the Stevenson criteria and some but not all required joint problems.

Other: PTSD Checklist-Civilian (PCL-C)Other: Modified Flanagan Quality of Life ScaleOther: Center for Epidemiologic Studies Depression Scale (CES-D)Other: Functional Enquiry (or Review of Systems) FormOther: Study of Therapeutic Outcomes and Practices in Freeman-Sheldon Syndrome (STOP-FSS) QuestionnaireOther: FSRG Semi-Structured Quality of Life Interview (FSRG SSQLI)Other: Medical Records Review

Sheldon-Hall syndrome

Patients who have all features required by the Stevenson criteria, including: small mouth (not microstomia); neck webbing (pterygium colli); small but prominent chin; very obvious down-slanting crease from the nostril to the corners of the mouth (nasolabial creases); and restricted movement in joints (contractures) of two or more body areas, often hands and feet, with fingers and toes frequently overlapping.

Other: PTSD Checklist-Civilian (PCL-C)Other: Modified Flanagan Quality of Life ScaleOther: Center for Epidemiologic Studies Depression Scale (CES-D)Other: Functional Enquiry (or Review of Systems) FormOther: Study of Therapeutic Outcomes and Practices in Freeman-Sheldon Syndrome (STOP-FSS) QuestionnaireOther: FSRG Semi-Structured Quality of Life Interview (FSRG SSQLI)Other: Medical Records Review

Distal Arthrogryposis Type 1

Patients with features consistent with this diagnosis, including restricted movement in joints (contractures) of two or more body areas, often hands and feet, with fingers and toes frequently overlapping.

Other: PTSD Checklist-Civilian (PCL-C)Other: Modified Flanagan Quality of Life ScaleOther: Center for Epidemiologic Studies Depression Scale (CES-D)Other: Functional Enquiry (or Review of Systems) FormOther: Study of Therapeutic Outcomes and Practices in Freeman-Sheldon Syndrome (STOP-FSS) QuestionnaireOther: FSRG Semi-Structured Quality of Life Interview (FSRG SSQLI)Other: Medical Records Review

Distal Arthrogryposis Type 3

Patients with features consistent with this diagnosis, including: gap in the roof of the mouth (cleft palate); drooping eyelid (blepharoptosis); and backbones curve problems; and restricted movement in joints (contractures) of two or more body areas, often hands and feet, with fingers and toes frequently overlapping.

Other: PTSD Checklist-Civilian (PCL-C)Other: Modified Flanagan Quality of Life ScaleOther: Center for Epidemiologic Studies Depression Scale (CES-D)Other: Functional Enquiry (or Review of Systems) FormOther: Study of Therapeutic Outcomes and Practices in Freeman-Sheldon Syndrome (STOP-FSS) QuestionnaireOther: FSRG Semi-Structured Quality of Life Interview (FSRG SSQLI)Other: Medical Records Review

Interventions

Completed by patients before the interview; it is a 17-item survey listing of symptoms of posttraumatic stress disorder.

Distal Arthrogryposis Type 1Distal Arthrogryposis Type 3Freeman-Sheldon syndrome Classic TypeFreeman-Sheldon syndrome Craniofacial TypeFreeman-Sheldon syndrome Mixed TypeSheldon-Hall syndrome

Completed by patients before the interview; it is a 16-item survey designed for use in persons with chronic illness.

Also known as: Quality of Life Scale, Quality of Life Instrument, Quality of Life Measure
Distal Arthrogryposis Type 1Distal Arthrogryposis Type 3Freeman-Sheldon syndrome Classic TypeFreeman-Sheldon syndrome Craniofacial TypeFreeman-Sheldon syndrome Mixed TypeSheldon-Hall syndrome

Completed by patients before the interview; it is a 20-item survey that asks about depressive feelings and behaviours in the past week.

Distal Arthrogryposis Type 1Distal Arthrogryposis Type 3Freeman-Sheldon syndrome Classic TypeFreeman-Sheldon syndrome Craniofacial TypeFreeman-Sheldon syndrome Mixed TypeSheldon-Hall syndrome

Completed during the interview; it is a checklist of medical problems.

Also known as: Health History, Systems Review, Medical History
Distal Arthrogryposis Type 1Distal Arthrogryposis Type 3Freeman-Sheldon syndrome Classic TypeFreeman-Sheldon syndrome Craniofacial TypeFreeman-Sheldon syndrome Mixed TypeSheldon-Hall syndrome

The STOP Questionnaire is a guided interview form that will be used to assess diagnosis, problems, treatments, and outcomes.

Distal Arthrogryposis Type 1Distal Arthrogryposis Type 3Freeman-Sheldon syndrome Classic TypeFreeman-Sheldon syndrome Craniofacial TypeFreeman-Sheldon syndrome Mixed TypeSheldon-Hall syndrome

Completed after data analysis from the existing surveys, it will be a specific quality of life interview, taking into consideration individual's total health outcome.

Also known as: Quality of Life Assessment, quality of life instrument, quality of life measure
Distal Arthrogryposis Type 1Distal Arthrogryposis Type 3Freeman-Sheldon syndrome Classic TypeFreeman-Sheldon syndrome Craniofacial TypeFreeman-Sheldon syndrome Mixed TypeSheldon-Hall syndrome

Review of medical records will be used, along with STOP-FSS Survey to assess patient histories and outcomes.

Also known as: Treatment Records Review, Review of Patient Notes, Patient Chart Review, Review of Clinical Data
Distal Arthrogryposis Type 1Distal Arthrogryposis Type 3Freeman-Sheldon syndrome Classic TypeFreeman-Sheldon syndrome Craniofacial TypeFreeman-Sheldon syndrome Mixed TypeSheldon-Hall syndrome

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

There are no patient enrollment restrictions based on gender, ethnicity, religion, socio-economic status, geographical location, or clinical setting.

You may qualify if:

  • Patients who have phenotypes consistent with (1) the Stevenson criteria for classic FBS or SHS; (2) one of four tentative FBS subtypes; or (3) DA1A, DA1B, or DA3.
  • Any of the following: (1) patients or parents of minor children willing to give consent, or (2) patients who are deceased or (3) retrospective chart review patients (living or deceased) who have enough clinical data available to establish the diagnosis and satisfy minimum data collection requirements.
  • Persons who speak English, Spanish, German, Russian, or Czech.

You may not qualify if:

  • Patients who do not have phenotypes consistent with (1) the Stevenson criteria for classic FBS or SHS; (2) one of four tentative FBS subtypes; or (3) DA1A, DA1B, or DA3.
  • Any of the following: (1) patients or parents of minor children not willing to give consent, or (2) patients who are deceased or (3) retrospective chart review patients (living or deceased) who do not have enough clinical data available to establish the diagnosis and satisfy minimum data collection requirements.
  • Potentially persons who speak languages other than English, Spanish, German, Russian, or Czech, subject to translator availability

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Freeman-Sheldon Research Group, Inc. Headquarters

Buckhannon, West Virginia, 26201, United States

Location

Related Publications (2)

  • Poling MI, Morales Corado JA, Chamberlain RL. Findings, phenotypes, and outcomes in Freeman-Sheldon and Sheldon-Hall syndromes and distal arthrogryposis types 1 and 3: protocol for systematic review and patient-level data meta-analysis. Syst Rev. 2017 Mar 6;6(1):46. doi: 10.1186/s13643-017-0444-4.

    PMID: 28264711BACKGROUND
  • Chamberlain RL, Poling MI, Portillo AL, Morales A, Ramirez RR, McCormick RJ. Freeman-Sheldon syndrome in a 29-year-old woman presenting with rare and previously undescribed features. BMJ Case Rep. 2015 Oct 22;2015:bcr2015212607. doi: 10.1136/bcr-2015-212607.

Biospecimen

Retention: SAMPLES WITH DNA

Any specimens received as part of records review, such as pathology microscope slides or frozen sections, will be retained as per institutional policy.

MeSH Terms

Conditions

Freeman-Sheldon syndromeDistal arthrogryposis type 2BGordon syndromePseudohypoaldosteronismDigitotalar DysmorphismArthrogryposisCraniofacial AbnormalitiesDepression

Interventions

Multicenter Studies as TopicMetabolismHealth Records, PersonalSurveys and Questionnaires

Condition Hierarchy (Ancestors)

Renal Tubular Transport, Inborn ErrorsKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesJoint DiseasesMusculoskeletal DiseasesMuscular DiseasesMusculoskeletal AbnormalitiesCongenital AbnormalitiesBehavioral SymptomsBehavior

Intervention Hierarchy (Ancestors)

Epidemiologic Study CharacteristicsEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public HealthMedical RecordsRecordsData Collection

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 14, 2010

First Posted

June 16, 2010

Study Start

February 1, 2010

Primary Completion

June 14, 2022

Study Completion

June 14, 2022

Last Updated

June 21, 2022

Record last verified: 2022-06

Data Sharing

IPD Sharing
Will not share

Individual patient data will not be shared, due to concerns involved in masking identities of individuals with such a rare condition.

Locations