Microcephaly Genetic Deficiency in Neural Progenitors (MICROFANC)
Microcephaly Genetic Deficiency in Neural Progenitors: Genotyping, Phenotyping and Functional Neuro-anatomy and Neurobiology Comparative Primitive Microcephaly (MCPH) and the Fanconi Anemia (FA)
The purpose of this study is to:
I. Compare neuroradiological phenotype and cognitive functioning of MCPH patients caused by ASPM mutations already characterized and published (Passemard et al. 2009a) with other MCPH-related patients (patients with MCPH1, WDR62, CDK5RAP2, CEP 152, CENPJ, STIL, or PCNT mutations)
II. Describe the neuro-radiological and cognitive phenotype of microcephalic patients suffering from Fanconi anemia, and compared them to subjects with:
- Fanconi anemia but normal OFC (head circumference)
- MCPH patients
- Healthy control subjects Our hypothesis is that mutations in genes responsible of microcephaly impact differentially cortical brain development and functioning
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
Phenotyping study on 2 different cohorts of rare disease affected patients:
- Group1: MCPH (including different MCPH subtypes)
- Group2: Fanconi Anemia (with or without microcephaly)
Inclusion criteria:
Common to each group:
- Age > 3 years
- Access to french "Social Security"
- No contraindication for MRI
Group1:
- Primary microcephaly without gross malformation within or extra nervous central system
- OFC < -2SD at birth and < -3 SD after age 6months
- Mutation in one MCPH gene
Group2:
Proven Fanconi Anemia with:
- Positive chromosome breakage blood test
- One of the 3 following elements:
FANCD2 positive test Fibroblast sensitivity to mitomycin Mutation in one FANC gene
Control subjects:
- No antecedent
- Normal education
Aims:
- Description of neurological, neuropsychological and radiological phenotype for each group
Phenotype comparison:
- groups 1&2
- group1 or 2 with control subjects
- different MCPH subtypes within group1
- with or without microcephaly within group2
- Epidemiological data on these rare diseases in our population
Protocol:
Patients from both groups and control subjects will be evaluated in CIC for 1 day ½. They will be examined by a child neurologist and a geneticist. All of them will have cranial MRI (1.5Tesla). Neuropsychological assessment will be performed (Wechsler scales) for patients and control subjects.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
-
Paris, France, 75019
- Robert Debré Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Group1:
- Primary microcephaly without gross malformation within or extra nervous central system
- OFC < -2SD at birth and < -3 SD after age 6months
- Mutation in one MCPH gene
Group2:
Proven Fanconi Anemia with:
- Positive chromosome breakage blood test
- One of the 3 following elements:
FANCD2 positive test Fibroblast sensitivity to mitomycine Mutation in one FANC gene
Description
Inclusion Criteria:
Patients aged ≥ 3 years:
- Microcephalic phenotype consistent with MCPH (recruitment already done as part of a network GIS-Rare Diseases Institute). MCPH patients have already been selected in the cohort "Robert Debré."
- Holders of a Fanconi anemia characterized in terms of cytogenetics, enzyme and/or molecular (patients in the cohort "Saint Louis" followed by the KRC rare aplastic anemia)
- Healthy controls aged ≥ 5 years siblings of patients with Fanconi Anemia
Exclusion Criteria:
Patients with Fanconi anemia:
- bone marrow < 3 years
- Post-transplantation neurological complications
- developmental, genetic or environmental additional pathology
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Control
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
|---|
|
Microcephaly
Microcephaly Intellectual abilities Cranial MRI
|
|
FANCONI ANEMIA
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Compare neuroradiological phenotype and cognitive functioning with other MCPH-related patients
Time Frame: 3 years
|
The purpose of this study is to: Compare neuroradiological phenotype and cognitive functioning of MCPH patients caused by ASPM mutations already characterized and published (Passemard et al. 2009a) with other MCPH-related patients (patients with MCPH1, WDR62, CDK5RAP2, CEP 152, CENPJ, STIL, or PCNT mutations) |
3 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Establish a clear organizational chart for the diagnosis of primary microcephaly
Time Frame: 3 years
|
I. Establish a clear organizational chart for the diagnosis of primary microcephaly from the detailed description of the patient's phenotype II. Establish epidemiological data on the molecular genetic causes involved in human primary microcephaly |
3 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Alain VERLOES, PU-PH, Assistance Publique - Hôpitaux de Parsi
Publications and helpful links
General Publications
- Ruaud L, Drunat S, Elmaleh-Bergès M, Ernault A, Guilmin Crepon S; MCPH Consortium, El Ghouzzi V, Auvin S, Verloes A, Passemard S. Neurological outcome in WDR62 primary microcephaly. Dev Med Child Neurol. 2022 Apr;64(4):509-517. doi: 10.1111/dmcn.15060. Epub 2021 Sep 25.
- Nasser H, Vera L, Elmaleh-Berges M, Steindl K, Letard P, Teissier N, Ernault A, Guimiot F, Afenjar A, Moutard ML, Heron D, Alembik Y, Momtchilova M, Milani P, Kubis N, Pouvreau N, Zollino M, Guilmin Crepon S, Kaguelidou F, Gressens P, Verloes A, Rauch A, El Ghouzzi V, Drunat S, Passemard S. CDK5RAP2 primary microcephaly is associated with hypothalamic, retinal and cochlear developmental defects. J Med Genet. 2020 Jun;57(6):389-399. doi: 10.1136/jmedgenet-2019-106474. Epub 2020 Feb 3.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Additional Relevant MeSH Terms
- Metabolic Diseases
- Nervous System Diseases
- Congenital Abnormalities
- Bone Marrow Diseases
- Hematologic Diseases
- Genetic Diseases, Inborn
- Musculoskeletal Diseases
- Anemia
- DNA Repair-Deficiency Disorders
- Craniofacial Abnormalities
- Musculoskeletal Abnormalities
- Anemia, Hypoplastic, Congenital
- Anemia, Aplastic
- Congenital Bone Marrow Failure Syndromes
- Bone Marrow Failure Disorders
- Malformations of Cortical Development, Group I
- Malformations of Cortical Development
- Nervous System Malformations
- Microcephaly
- Fanconi Anemia
Other Study ID Numbers
Other Study ID Numbers
- P 100128
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