An Observational Study of Pediatric Subjects With Globoid Cell Leukodystrophy (GLD)
A Multicenter, Prospective, Longitudinal, Observational Study of Pediatric Subjects With Globoid Cell Leukodystrophy (Krabbe Disease)
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
Study Type
Study Type
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
Subjects must meet all of the following criteria to be considered eligible for this study:
- The subject has a documented diagnosis of GLD as evidenced by GALC enzyme activity or a GALC genotype that is predictive of GLD.
The subject must have clinical signs and symptoms consistent with the diagnosis of infantile GLD including at least 2 of the following:
- Chronic difficulty with feeding or unexplained irritability or "fisting" or other signs of abnormal increased tone
- CT or MRI imaging, if performed during diagnostic evaluation prior to enrollment, consistent with GLD
- Failure to meet at least 2 age-specific developmental milestones consistent with GLD
- Loss of deep tendon reflexes or abnormal visual fixation or optic atrophy
- The subject has documented onset of signs and symptoms consistent with GLD at <12 months of age and is <21 months of age at time of study entry.
- The subject was born at a gestational age of 35-41 weeks.
- The subject had a birth weight of ≥2 kg.
- At study entry, the subject must be able to maintain oral nutrition and hydration without the use of supportive measures, defined as use of a feeding tube.
- At study entry, the subject must be able to maintain ventilation without the use of invasive supportive measures, defined as use of a breathing tube.
- The subject must be able, in the opinion of the Investigator, to accommodate the protocol requirements, including feasibility of study visits.
- The subject's parent(s) or legal guardian must have voluntarily signed an Institutional Review Board/Independent Ethics Committee-approved informed consent form after all relevant aspects of the study have been explained and discussed with the subject's parent(s), or legal guardian.
Exclusion Criteria: Subjects who meet any of the following criteria are not eligible for this study:
- The subject has neurologic, hearing or vision impairment, difficulty swallowing or feeding, respiratory complications, behavioral disturbances, or other medical conditions that are not due to GLD and are likely to confound the scientific integrity or interpretation of study assessments, as determined by the Investigator.
- The subject has received treatment with any investigational drug or a device within the 30 days prior to study enrollment through study completion.
- The subject has received a cord blood or bone marrow transplant or is planning to receive one during the study.
- The subject's parent(s) or legal guardian is unable to understand the nature, scope, and possible consequences of the study, or does not agree to comply with the protocol defined schedule of assessments.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To measure the change from baseline in growth parameters (eg, weight gain, linear growth, head circumference).
Time Frame: 1 year
|
1 year
|
|
To determine the onset date of inadequate oral nutrition, hydration, and/or ventilation as a biomarker for survival
Time Frame: 1 year
|
1 year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To assess the change from baseline in clinical parameters of GLD disease progression from a standardized infant neurological examination and infant distress scales.
Time Frame: 1 year
|
1 year
|
|
To assess the change from baseline in clinical parameters described in Hagberg's clinical staging.
Time Frame: 1 year
|
1 year
|
|
To measure the time to absolute survival
Time Frame: 1 year
|
1 year
|
|
To assess the AE experience in this patient population
Time Frame: 1 year
|
1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Anticipated)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
- Krabbe Disease
- Leukodystrophy, Globoid Cell
- Classic Globoid Cell Leukodystrophy
- Early-Onset Globoid Cell Leukodystrophy
- Globoid Cell Leukodystrophy
- Globoid Cell Leukoencephalopathy
- Infantile Globoid Cell Leukodystrophy
- Late-Onset Globoid Cell Leukodystrophy
- Leukodystrophy, Globoid Cell, Classic
- Leukodystrophy, Globoid Cell, Early-Onset
- Leukodystrophy, Globoid Cell, Infantile
- Leukodystrophy, Globoid Cell, Late-Onset
- Psychosine
- galactosylsphingosine (psychosine) beta-galactosidase
- Psychosine-UDP galactosyltransferase
- Krabbe Leukodystrophy
- Krabbe's Disease
- Krabbe's Leukodystrophy
Additional Relevant MeSH Terms
- Metabolic Diseases
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Demyelinating Diseases
- Genetic Diseases, Inborn
- Metabolism, Inborn Errors
- Lysosomal Storage Diseases
- Lipid Metabolism Disorders
- Brain Diseases, Metabolic
- Brain Diseases, Metabolic, Inborn
- Sphingolipidoses
- Lysosomal Storage Diseases, Nervous System
- Lipidoses
- Lipid Metabolism, Inborn Errors
- Leukoencephalopathies
- Hereditary Central Nervous System Demyelinating Diseases
- Leukodystrophy, Globoid Cell
Other Study ID Numbers
Other Study ID Numbers
- HGT-GLD-056
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