Registry of Relatives and Patients Carrying Pathogenic Germline DDX41 Variants and Emerging New Syndromes (preDDX)

November 4, 2026 updated by: Groupe Francophone des Myelodysplasies

The preDDX registry aims to study germline genetic predispositions to myeloid neoplasms, in particular those associated with pathogenic DDX41 variants and emerging syndromes.

Study Overview

Status

Not yet recruiting

Conditions

Detailed Description

The preDDX registry aims to study germline genetic predispositions to myeloid neoplasms, in particular those associated with pathogenic DDX41 variants and emerging syndromes.

It includes patients and, where applicable, their relatives, with prospective collection of clinical, biological and genetic data.

It is a Category 2 Research Involving the Human Person (RIPH2), based mainly on data from routine care, with no imposed therapeutic intervention. Additional procedures with minimal risks and constraints may be performed if necessary.

The data collected will help to better characterize these predispositions and their evolution in real-world practice.

Study Type

Observational

Enrollment (Estimated)

525

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

      • Argenteuil, France, 95107
        • Centre Hospitalier Argenteuil
        • Contact:
        • Principal Investigator:
          • Benjamin PAPOULAR, MD
      • Bobigny, France, 93000
        • Hôpital Avicenne
        • Contact:
        • Principal Investigator:
          • Ramy RAHME, MD
      • Le Kremlin-Bicêtre, France, 94270
        • Hôpital Bicêtre
        • Contact:
        • Principal Investigator:
          • Marie LE CANN, MD
      • Paris, France, 75012
        • Hôpital Saint-Antoine
        • Contact:
        • Principal Investigator:
          • Pierre HIRSCH, MD
      • Paris, France, 75014
        • Hôpital Cochin
        • Principal Investigator:
          • Lise WILLEMS, MD
        • Contact:
      • Paris, France, 75005
        • Institut Curie
        • Contact:
        • Principal Investigator:
          • Chrystelle COLAS, MD
        • Principal Investigator:
          • Léa VEYRUNE, MD
      • Paris, France, 75010
        • Hôpital Saint Louis
        • Contact:
        • Principal Investigator:
          • Marie SEBERT, MD, PhD
      • Villejuif, France, 94805
        • Institut Gustave Roussy
        • Contact:
        • Principal Investigator:
          • Jean baptiste MICOL, MD

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

The registry includes adult patients carrying a germline variant associated with a predisposition to myeloid neoplasms and their biological relatives, where relevant.

Description

Inclusion Criteria:

  • Male or female
  • Age ≥ 18 years
  • Presence of a germline variant (pathogenic, likely pathogenic or in a candidate gene)
  • Followed in a participating center
  • Able and willing to provide written informed consent

Exclusion Criteria:

  • No identified or suspected genetic predisposition
  • No consent

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: COHORT
  • Time Perspectives: PROSPECTIVE

Cohorts and Interventions

Group / Cohort
Main cohort

Patients and carriers of pathogenic DDX41 variants: cohort dedicated to the study of patients and relatives carrying DDX41 variants.

Exploratory cohort

Cohort dedicated to the study of candidate genes and new predisposition syndromes

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Age- and sex-specific cumulative incidence of myeloid neoplasms in asymptomatic carriers of a germline DDX41 variant (Main cohort)
Time Frame: From inclusion up to 5 years (end of registry)

Hematological penetrance, estimated as the cumulative risk of developing a myeloid neoplasm (in particular MDS or AML) according to age and sex, using family-based methods that correct for ascertainment bias

From inclusion up to 5 years (end of registry)
Number of new hereditary syndromes predisposing to myeloid neoplasms identified and characterized (Exploratory cohort)
Time Frame: Through registry completion, up to 5 years

Identification and clinical, biological and genetic characterization of new germline predisposition syndromes, based on variants in candidate genes classified according to ACMG criteria

Through registry completion, up to 5 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Factors associated with onset and progression of myeloid neoplasms in germline DDX41 variant carriers (Main cohort)
Time Frame: From inclusion up to 5 years

Association between clinical characteristics (age, sex, comorbidities), exposures, associated germline variants and somatic events, and the occurrence or progression of myeloid neoplasms, with death as a competing event.

From inclusion up to 5 years
Frequency of hematological and extra-hematological manifestations in germline DDX41 variant carriers (Main cohort)
Time Frame: At inclusion and up to 5 years

Proportion of participants with each phenotype: myeloid neoplasms, extra-hematological manifestations and other associated entities

At inclusion and up to 5 years
Response to treatment and overall survival in patients with DDX41-associated MDS or AML Main cohort)
Time Frame: From inclusion up to 5 years

Response rates according to standard disease-specific response criteria, and overall survival

From inclusion up to 5 years
Penetrance of germline variants identified in candidate genes (Exploratory cohort)
Time Frame: From inclusion up to 5 years

Age-specific cumulative risk of myeloid neoplasms among carriers of variants in candidate genes

From inclusion up to 5 years
Clonal evolution in carriers of germline variants in candidate genes (Exploratory cohort)
Time Frame: From inclusion up to 5 years

Description of tumor evolution and trajectories: type and timing of acquired somatic and cytogenetic events and progression to MDS/AML

From inclusion up to 5 years
Proportion of candidate-gene variants with functional evidence of pathogenicity (Exploratory cohort)
Time Frame: Through registry completion, up to 5 years

Functional significance of variants assessed by biological analyses and functional assays

Through registry completion, up to 5 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Marie SEBERT, Pr, Hôpital Saint Louis

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

November 15, 2026

Primary Completion (Estimated)

November 1, 2031

Study Completion (Estimated)

November 15, 2031

Study Registration Dates

First Submitted

November 4, 2026

First Submitted That Met QC Criteria

November 4, 2026

First Posted (Actual)

November 9, 2026

Study Record Updates

Last Update Posted (Actual)

November 9, 2026

Last Update Submitted That Met QC Criteria

November 4, 2026

Last Verified

October 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • PreDDX Registry
  • 2026-A01030-51 (Registry Identifier: preDDX)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

IPD Plan Description

Sharing of pseudonymized individual data may be considered on reasoned request to the sponsor, subject to scientific review, GDPR compliance and applicable French regulations.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.