NCT05029232

Brief Summary

Muscular dystrophies are a heterogenous group of inherited muscular disorders characterized by progressive muscle weakness. Historically, these disorders are difficult to treat. In the last three decades, there is a great progress in molecular and genetic basis of these disorders; early diagnosis is achievable with proper clinical recognition and advanced genetic testing .Duchenne Muscular Dystrophy (DMD) is a neuromuscular muscular X-linked recessive disorders that belong to a group of disorders known as dystrophinopathies. DMD characterized by a progressive degeneration of skeletal muscles, with symptoms that manifest early, at around 3 years, causing loss of ambulation within the 13 years of life, followed by cardiac complication (e.g., dilated cardiomyopathy and arrhythmia) and respiratory disorders, including chronic respiratory failure. The unique medical treatment available is steroid therapy, which appears to prolong walking capacity by at least two years. Thus, besides medical treatment, the physical therapy in multidisciplinary care is imperative for alleviating muscle atrophy, skeletal deformities, and motor function deterioration.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Oct 2021

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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

First Submitted

Initial submission to the registry

July 14, 2021

Completed
2 months until next milestone

First Posted

Study publicly available on registry

August 31, 2021

Completed
1 month until next milestone

Study Start

First participant enrolled

October 1, 2021

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2022

Completed
1.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2023

Completed
Last Updated

August 31, 2021

Status Verified

August 1, 2021

Enrollment Period

4 months

First QC Date

July 14, 2021

Last Update Submit

August 29, 2021

Conditions

Outcome Measures

Primary Outcomes (5)

  • change in dystrophine gene mutation

    MLPA test

    within six months

  • change in MRI findings in DMX patient from normal

    by MRI brain

    within six months

  • change in cardiac function in DMD patient

    by Echocardiography to detect EF, FS

    within six months

  • change in thyroid function in DMD patient

    by thyroid function test

    within six months

  • change in cognitive function in DMD patients

    by Stanford IQ test

    within six months

Study Arms (2)

ambulant patient with DMD

ACTIVE COMPARATOR

patient that walk alone or with minor assist

Diagnostic Test: MLPA for duchenne

non ambulant patient with DMD

ACTIVE COMPARATOR

patient need wheel chair

Diagnostic Test: MLPA for duchenne

Interventions

MLPA for duchenneDIAGNOSTIC_TEST

MLPA test for genetic testing to detect gene affection in DMD , and other tests for confirmation and follow up

Also known as: muscle enzymes, thyroid function, EMG , nerve conduction for limbs, echocardiography , MRI brain , IQ test
ambulant patient with DMDnon ambulant patient with DMD

Eligibility Criteria

Age3 Years - 18 Years
Sexmale(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • age of onset between 3- and 18-year-old
  • typical clinical manifestation of Duchenne muscular dystrophy
  • clinical manifestation confirmed by specific biochemical analysis or by genetic testing who presented to pediatric department and neurology outpatient clinic during the period of study.

You may not qualify if:

  • children with another congenital muscular dystrophy
  • children with other types of myopathies
  • presence of CNS disorders such as brain insult \& spinal muscular atrophy
  • female gender

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sohag University Hospital

Sohag, Egypt

Location

Related Publications (3)

  • Birnkrant DJ, Bushby K, Bann CM, Apkon SD, Blackwell A, Brumbaugh D, Case LE, Clemens PR, Hadjiyannakis S, Pandya S, Street N, Tomezsko J, Wagner KR, Ward LM, Weber DR; DMD Care Considerations Working Group. Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management. Lancet Neurol. 2018 Mar;17(3):251-267. doi: 10.1016/S1474-4422(18)30024-3. Epub 2018 Feb 3.

    PMID: 29395989BACKGROUND
  • Birnkrant DJ, Bushby K, Bann CM, Alman BA, Apkon SD, Blackwell A, Case LE, Cripe L, Hadjiyannakis S, Olson AK, Sheehan DW, Bolen J, Weber DR, Ward LM; DMD Care Considerations Working Group. Diagnosis and management of Duchenne muscular dystrophy, part 2: respiratory, cardiac, bone health, and orthopaedic management. Lancet Neurol. 2018 Apr;17(4):347-361. doi: 10.1016/S1474-4422(18)30025-5. Epub 2018 Feb 3.

    PMID: 29395990BACKGROUND
  • Giliberto F, Radic CP, Luce L, Ferreiro V, de Brasi C, Szijan I. Symptomatic female carriers of Duchenne muscular dystrophy (DMD): genetic and clinical characterization. J Neurol Sci. 2014 Jan 15;336(1-2):36-41. doi: 10.1016/j.jns.2013.09.036. Epub 2013 Oct 5.

    PMID: 24135430BACKGROUND

MeSH Terms

Conditions

Muscular Dystrophy, Duchenne

Interventions

Thyroid Function TestsElectromyographyNeural ConductionEchocardiography

Condition Hierarchy (Ancestors)

Muscular DystrophiesMuscular Disorders, AtrophicMuscular DiseasesMusculoskeletal DiseasesNeuromuscular DiseasesNervous System DiseasesGenetic Diseases, X-LinkedGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

Diagnostic Techniques, EndocrineDiagnostic Techniques and ProceduresDiagnosisElectrodiagnosisMyographyElectrophysiological PhenomenaPhysiological PhenomenaNervous System Physiological PhenomenaMusculoskeletal and Neural Physiological PhenomenaCardiac Imaging TechniquesDiagnostic ImagingUltrasonographyHeart Function TestsDiagnostic Techniques, Cardiovascular

Central Study Contacts

nehal s abdel magoud, assistant lecturer

CONTACT

abdel rahim A sadek, professor

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SCREENING
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant lecturer of pediatric. sohag university hospitals

Study Record Dates

First Submitted

July 14, 2021

First Posted

August 31, 2021

Study Start

October 1, 2021

Primary Completion

February 1, 2022

Study Completion

August 1, 2023

Last Updated

August 31, 2021

Record last verified: 2021-08

Data Sharing

IPD Sharing
Will share

Locations