PUER ("Previously Unrecognized Emerging Risks") Life Clinical Study (PUER) in Ages 6 Through 18
A Prospective, Non-Randomized, Multi-Center Observational Study to Establish a Physical Baseline Profile for Individual Study Subjects Using Various Modalities and Identify Deviations Via Longitudinal Monitoring for Participants Ages 6 Through 18
1 other identifier
observational
10,000
1 country
1
Brief Summary
The goal of this observational study is to learn about changes in health in children that develop over time that may impact overall health and a healthy lifespan. The main questions it aims to answer are:
- What are the changes in health that impact overall health and lifespan in children; and
- What test(s) are best at finding changes in health in children?
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Sep 2025
Longer than P75 for all trials
1 active site
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
January 25, 2025
CompletedFirst Posted
Study publicly available on registry
January 30, 2025
CompletedStudy Start
First participant enrolled
September 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2030
August 7, 2025
August 1, 2025
4.3 years
January 25, 2025
August 4, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
New deviations: 12 months
The number of new deviations from a study subject's baseline profile 12 months after enrollment that were previously not known at time of enrollment.
12 months
New deviations: 6 months
The number of new deviations, not known at the time of enrollment, at 6 months after enrollment.
6 months
New deviations: 18 months
The number of new deviations, not known at the time of enrollment, at 18 months after enrollment.
18 months
New deviations: 24 months
The number of new deviations, not known at the time of enrollment, at 24 months after enrollment.
24 months
New deviations: 36 months
The number of new deviations, not known at the time of enrollment, at 36 months after enrollment.
36 months
Other Outcomes (2)
Medications
6 months, 12 months, 18 months, 24 months, and 36 months after enrollment.
Dietary supplements
6 months, 12 months, 18 months, 24 months, and 36 months after enrollment.
Interventions
Laboratory blood analysis
Eligibility Criteria
Male or non-pregnant female; age 6 to less than 18.
You may qualify if:
- To participate in the study, patients must meet the following criteria:
- Male or non-pregnant female; age 6 to less than 18.
- Females of childbearing potential (WOCBP) must have a negative urine pregnancy test (UPT) at all visits.
- Presence of
- At least one pathogenic genetic variant in a biological parent, which is annotated as pathogenic in at least one public database, such as dbSNP, ClinVar, VEP (variant effect predictor), etc.; OR
- Presence of unexplained disease, illness, trait, or phenotype.
- Approval is at the sole discretion of the sponsor.
You may not qualify if:
- Patients who meet any of the following criteria will be excluded from study participation:
- Unwillingness or inability to participate in the study.
- WOCBP a with positive pregnancy test at enrollment or at any visit.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Puer Research, LLC
Atlanta, Georgia, 30350, United States
Related Publications (6)
Amendola LM, Dorschner MO, Robertson PD, Salama JS, Hart R, Shirts BH, Murray ML, Tokita MJ, Gallego CJ, Kim DS, Bennett JT, Crosslin DR, Ranchalis J, Jones KL, Rosenthal EA, Jarvik ER, Itsara A, Turner EH, Herman DS, Schleit J, Burt A, Jamal SM, Abrudan JL, Johnson AD, Conlin LK, Dulik MC, Santani A, Metterville DR, Kelly M, Foreman AK, Lee K, Taylor KD, Guo X, Crooks K, Kiedrowski LA, Raffel LJ, Gordon O, Machini K, Desnick RJ, Biesecker LG, Lubitz SA, Mulchandani S, Cooper GM, Joffe S, Richards CS, Yang Y, Rotter JI, Rich SS, O'Donnell CJ, Berg JS, Spinner NB, Evans JP, Fullerton SM, Leppig KA, Bennett RL, Bird T, Sybert VP, Grady WM, Tabor HK, Kim JH, Bamshad MJ, Wilfond B, Motulsky AG, Scott CR, Pritchard CC, Walsh TD, Burke W, Raskind WH, Byers P, Hisama FM, Rehm H, Nickerson DA, Jarvik GP. Actionable exomic incidental findings in 6503 participants: challenges of variant classification. Genome Res. 2015 Mar;25(3):305-15. doi: 10.1101/gr.183483.114. Epub 2015 Jan 30.
PMID: 25637381BACKGROUNDBromberg Y. Building a genome analysis pipeline to predict disease risk and prevent disease. J Mol Biol. 2013 Nov 1;425(21):3993-4005. doi: 10.1016/j.jmb.2013.07.038. Epub 2013 Aug 5.
PMID: 23928561BACKGROUNDDorschner MO, Amendola LM, Turner EH, Robertson PD, Shirts BH, Gallego CJ, Bennett RL, Jones KL, Tokita MJ, Bennett JT, Kim JH, Rosenthal EA, Kim DS; National Heart, Lung, and Blood Institute Grand Opportunity Exome Sequencing Project; Tabor HK, Bamshad MJ, Motulsky AG, Scott CR, Pritchard CC, Walsh T, Burke W, Raskind WH, Byers P, Hisama FM, Nickerson DA, Jarvik GP. Actionable, pathogenic incidental findings in 1,000 participants' exomes. Am J Hum Genet. 2013 Oct 3;93(4):631-40. doi: 10.1016/j.ajhg.2013.08.006. Epub 2013 Sep 19.
PMID: 24055113BACKGROUNDHan X, Aslanian A, Yates JR 3rd. Mass spectrometry for proteomics. Curr Opin Chem Biol. 2008 Oct;12(5):483-90. doi: 10.1016/j.cbpa.2008.07.024.
PMID: 18718552BACKGROUNDScaria V. Personal genomes, participatory genomics and the anonymity-privacy conundrum. J Genet. 2014 Dec;93(3):917-20. doi: 10.1007/s12041-014-0451-3. No abstract available.
PMID: 25572254BACKGROUNDSchork NJ. Personalized medicine: Time for one-person trials. Nature. 2015 Apr 30;520(7549):609-11. doi: 10.1038/520609a. No abstract available.
PMID: 25925459BACKGROUND
Biospecimen
Whole Genome Sequencing Analysis
Study Officials
- PRINCIPAL INVESTIGATOR
Szilard Voros, MD
Principal Investigator
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 25, 2025
First Posted
January 30, 2025
Study Start
September 1, 2025
Primary Completion (Estimated)
December 31, 2029
Study Completion (Estimated)
December 31, 2030
Last Updated
August 7, 2025
Record last verified: 2025-08