NCT05555225

Brief Summary

Some limb malformations are known to be sporadic (non hereditary). For these malformations, no molecular cause was identified, even after whole genome sequencing. Methylation of CpG islands is an epigenetic process which is usually not transmitted to the descents. We hypothesize that sporadic limb malformations may be due to a methylation anomaly. This study will include patients with Amelia or Femur Fibula Ulna Syndrome. With patients consent, we will study the methylome on DNA samples already available in our laboratory. Each patient sample will be paired to a control of same tissue, age and sex. By bioinformatics comparison, we will identify differentially methylated candidate regions.

Trial Health

65
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Trial Health Score

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

Enrollment
48

participants targeted

Target at P25-P50 for all trials

Timeline
2mo left

Started Apr 2025

Status
not yet recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress88%
Apr 2025Jul 2026

First Submitted

Initial submission to the registry

September 23, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

September 26, 2022

Completed
2.5 years until next milestone

Study Start

First participant enrolled

April 1, 2025

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2026

Last Updated

May 16, 2024

Status Verified

May 1, 2024

Enrollment Period

1.2 years

First QC Date

September 23, 2022

Last Update Submit

May 14, 2024

Conditions

Keywords

AmeliaFemur-Fibula-Ulna SyndromeMethylationLimb developmentGene regulation

Outcome Measures

Primary Outcomes (1)

  • Differentially Methylated Regions

    through study completion an average of 3 years

Study Arms (3)

Patients with amelia

Patients with severe hypoplasia or agenesia of at least two limbs who gave their consent for the research and for whom a DNA sample is available in our laboratory

Other: Methylome

Patients with Femur-Fibula-Ulna Syndrome

Patients with anomaly of at least one femur, one fibula and with oligodactyly who gave their consent for the research and for whom a DNA sample is available in our laboratory.

Other: Methylome

Healthy subjects

Healthy subjects used as controls, who gave their consent for the research and for whom a DNA sample is available in our laboratory.

Other: Methylome

Interventions

Epigenetic study : analysis of DNA methylation

Healthy subjectsPatients with Femur-Fibula-Ulna SyndromePatients with amelia

Eligibility Criteria

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

DNA samples were obtained from the molecular biology laboratory of Lille university hospital. All patients exhibiting amelia or Femur-Fibula-Ulna Syndrome and with enough DNA available in the lab could be included.

You may qualify if:

  • Specific consent for this study
  • DNA available in the laboratory
  • For amelia : agenesia of 2 or 4 limbs
  • For Femur-Fibula-Ulna Syndrome : hypoplasia or agenesia of the femur uni or bilateral with hypoplasia or agenesia or bowing of the fibula and/or of the ulna

You may not qualify if:

  • No consent
  • No available DNA or poor quality of the DNA sample
  • Patient under tutorship
  • Pregnancy or nursing mother
  • Patient non covered by the French social security

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

EctromeliaFemur fibula ulna syndrome

Interventions

Epigenome

Condition Hierarchy (Ancestors)

Limb Deformities, CongenitalMusculoskeletal AbnormalitiesMusculoskeletal DiseasesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

GenomeGenetic StructuresGenetic Phenomena

Study Officials

  • Perrine BRUNELLE, MD

    University Hospital, Lille

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Perrine BRUNELLE, MD

CONTACT

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 23, 2022

First Posted

September 26, 2022

Study Start

April 1, 2025

Primary Completion (Estimated)

July 1, 2026

Study Completion (Estimated)

July 1, 2026

Last Updated

May 16, 2024

Record last verified: 2024-05