- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07443449
International SBMA Project (KDA) (KDA)
Connecting SBMA National Registries/Databases: a Retrospective Study
Study Overview
Status
Conditions
Detailed Description
Several groups have collected important data over the years on different national series of SBMA affected subjects in national databases and registries. Such data on hundreds of patients represent an invaluable collection of information that can be pooled together to gain broad knowledge of the disease. Both baseline and follow up data have been collected, thus potentially allowing either a cross-sectional analysis and a longitudinal study on disease progression. Therefore, we propose a retrospective study collating together data from the different populations into a very large international series. Such study would allow a better understanding of the clinical and laboratory characteristics of the disease, a comparison of the disease across different countries, and an analysis of the evolution of the disease according to the different outcome measures along the years. In the preliminary study preparation, we have collected the adhesion of centres from UK, US, Japan, France, Korea, Germany, Finland, Greece, Canada and Turkey. We have also compared the information that every centre collects. We have subsequently prepared a list of items (clinical history, milestones, symptoms and signs, laboratory data) to be filled by each centre with the help of the coordinating centre in Milan and sent back to Milan for centralized analysis. Anonymized data will be shared by the participating centres with the Milan coordinating centre. In the data analyses, we will focus on SBMA clinical and laboratory characteristics, disease course over time, responsiveness of outcome measures, differences and similarities between populations. Based on the updated adhesions to the current project, we will be able to collect and analyze data on about 700 SBMA patients overall, in a both cross-sectional and longitudinal retrospective study. Such project, with the largest SBMA cohort ever analyzed, will result in an increased knowledge on the characteristics and phenotype of the disease. It will improve clinical trial readiness and will be useful for future clinical trials.
Collaborators for this project are the following: Azienda Ospedale-Università di Padova (Dr Sorarù); Centro clinico NEMO Adulti, Roma (Dr Amelia Conte/Dr Mario Sabatelli); MRC Centre for Neuromuscular Disease UCL Institute of Neurology, London (Dr Pietro Fratta); Department of Neurology, Kyungpook National University Chilgok Hospital Daegu, Republic of Korea (Dr Jin-Sung Park); Hôpital Pitié-Salpêtrière, Paris, France (Dr Pierre-François Pradat, Giorgia Querin); Inherited Neuromuscolar Diseases Unit, Bethesda MD, USA (Christopher Grunseich, Dr Kenneth Fischbeck); Nagoya University Graduate School of Medicine, Department of Neurology, Nagoya Japan (Dr. Masahisa Katsuno); Department of Neurodegenerative Diseases and Gerontopsychiatry, University of Bonn, Germany (Dr Patrick Weydt); Neuromuscular Research Center, Tampere University, Finland (Dr Manu Jokela and Johanna Palmio); Neurogenetics Unit, Department of Neurology, National and Kapodistrian University of Athens, Greece (Dr Georgios Koutsis); Hotchkiss Brain Institute, Department of Clinical Neurosciences, University of Calgary, Alberta, Canada (Dr Gerald Pfeffer); Department of Neurology, Istanbul Faculty of Medicine, Turkey (Dr Yesim Parman and Arman Cakar).
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Milan, Italy, 20133
- Fondazione IRCCS Istituto Neurologico Carlo Besta
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Individuals affected by SBMA for whom clinical data have been historically collected by the referral centres
Exclusion Criteria:
- na
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Spinal and Bulbar Muscular Atrophy Functional Rating Scale (SBMAFRS)
Time Frame: 3 years
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Change in total score of the Spinal and Bulbar Muscular Atrophy Functional Rating Scale (SBMAFRS), a disease-specific functional scale assessing bulbar, spinal, trunk, and respiratory function.
The SBMAFRS total score ranges from 0 to 56 points.
Higher scores indicate better functional status.
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3 years
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Six-Minute Walk Test (6MWT) Distance
Time Frame: 3 years
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Change in distance walked during the Six-Minute Walk Test (6MWT).
The 6MWT measures the total distance (in meters) that a participant is able to walk on a flat surface in six minutes.
Greater distance indicates better ambulatory and endurance capacity.
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3 years
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Age at Onset of First SBMA Symptoms
Time Frame: assessed once
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Age (in years) at onset of first reported SBMA-related symptom (hand tremor/cramps/muscular weakness, dysarthria, dysphagia, handrail requirement, use of support/wheelchair, development of pneumonia)
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assessed once
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Creatine Phosphokinase (CPK) Serum Levels
Time Frame: 3 years
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Change in serum creatine phosphokinase (CPK) levels
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3 years
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Sensory Signs and Symptoms
Time Frame: 3 years
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Presence and severity of sensory signs and symptoms assessed by clinical neurological examination (reduced vibration sense, paresthesia).
Recorded as present/absent and, when applicable, graded according to standardized neurological assessment.
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3 years
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Presence of Gynecomastia
Time Frame: 3 years
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Presence or absence of gynecomastia as assessed by clinical examination
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3 years
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Collaborators and Investigators
Investigators
- Principal Investigator: Silvia Fenu, MD, Fondazione IRCCS Istituto Neurologico Carlo Besta
Publications and helpful links
General Publications
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- Rhodes LE, Freeman BK, Auh S, Kokkinis AD, La Pean A, Chen C, Lehky TJ, Shrader JA, Levy EW, Harris-Love M, Di Prospero NA, Fischbeck KH. Clinical features of spinal and bulbar muscular atrophy. Brain. 2009 Dec;132(Pt 12):3242-51. doi: 10.1093/brain/awp258.
- Atsuta N, Watanabe H, Ito M, Banno H, Suzuki K, Katsuno M, Tanaka F, Tamakoshi A, Sobue G. Natural history of spinal and bulbar muscular atrophy (SBMA): a study of 223 Japanese patients. Brain. 2006 Jun;129(Pt 6):1446-55. doi: 10.1093/brain/awl096. Epub 2006 Apr 18.
- Querin G, DaRe E, Martinelli I, Bello L, Bertolin C, Pareyson D, Mariotti C, Pegoraro E, Soraru G. Validation of the Italian version of the SBMA Functional Rating Scale as outcome measure. Neurol Sci. 2016 Nov;37(11):1815-1821. doi: 10.1007/s10072-016-2666-y. Epub 2016 Jul 21.
- Steinmetz K, Rudic B, Borggrefe M, Muller K, Siebert R, Rottbauer W, Ludolph A, Buckert D, Rosenbohm A. J wave syndromes in patients with spinal and bulbar muscular atrophy. J Neurol. 2022 Jul;269(7):3690-3699. doi: 10.1007/s00415-022-10992-5. Epub 2022 Feb 7.
- Araki A, Katsuno M, Suzuki K, Banno H, Suga N, Hashizume A, Mano T, Hijikata Y, Nakatsuji H, Watanabe H, Yamamoto M, Makiyama T, Ohno S, Fukuyama M, Morimoto S, Horie M, Sobue G. Brugada syndrome in spinal and bulbar muscular atrophy. Neurology. 2014 May 20;82(20):1813-21. doi: 10.1212/WNL.0000000000000434. Epub 2014 Apr 23.
- Koutsis G, Kladi A, Breza M, Karadima G, Panas M. Spinobulbar muscular atrophy (Kennedy's disease): A rare diagnosis in the Greek population. J Neurol Sci. 2015 Dec 15;359(1-2):450-1. doi: 10.1016/j.jns.2015.10.021. Epub 2015 Oct 21. No abstract available.
- Cho HJ, Shin JH, Park YE, Sohn E, Nam TS, Kang MG, Park JM, Park D, Park JS. Characteristics of spinal and bulbar muscular atrophy in South Korea: a cross-sectional study of 157 patients. Brain. 2023 Mar 1;146(3):1083-1092. doi: 10.1093/brain/awac198.
- Fratta P, Nirmalananthan N, Masset L, Skorupinska I, Collins T, Cortese A, Pemble S, Malaspina A, Fisher EM, Greensmith L, Hanna MG. Correlation of clinical and molecular features in spinal bulbar muscular atrophy. Neurology. 2014 Jun 10;82(23):2077-84. doi: 10.1212/WNL.0000000000000507. Epub 2014 May 9.
- Plante M, Corcos J, Gregoire I, Belanger MF, Brock G, Rossingol M. The international prostate symptom score: physician versus self-administration in the quantification of symptomatology. Urology. 1996 Mar;47(3):326-8. doi: 10.1016/s0090-4295(99)80447-6.
- Harris-Love MO, Fernandez-Rhodes L, Joe G, Shrader JA, Kokkinis A, La Pean Kirschner A, Auh S, Chen C, Li L, Levy E, Davenport TE, Di Prospero NA, Fischbeck KH. Assessing function and endurance in adults with spinal and bulbar muscular atrophy: validity of the adult myopathy assessment tool. Rehabil Res Pract. 2014;2014:873872. doi: 10.1155/2014/873872. Epub 2014 May 5.
- Hashizume A, Katsuno M, Suzuki K, Banno H, Suga N, Mano T, Araki A, Hijikata Y, Grunseich C, Kokkinis A, Hirakawa A, Watanabe H, Yamamoto M, Fischbeck KH, Sobue G. A functional scale for spinal and bulbar muscular atrophy: Cross-sectional and longitudinal study. Neuromuscul Disord. 2015 Jul;25(7):554-62. doi: 10.1016/j.nmd.2015.03.008. Epub 2015 Mar 20.
- Takeuchi Y, Katsuno M, Banno H, Suzuki K, Kawashima M, Atsuta N, Ito M, Watanabe H, Tanaka F, Sobue G. Walking capacity evaluated by the 6-minute walk test in spinal and bulbar muscular atrophy. Muscle Nerve. 2008 Aug;38(2):964-71. doi: 10.1002/mus.21077.
- Pennuto M, Greensmith L, Pradat PF, Soraru G; European SBMA Consortium. 210th ENMC International Workshop: Research and clinical management of patients with spinal and bulbar muscular atrophy, 27-29 March, 2015, Naarden, The Netherlands. Neuromuscul Disord. 2015 Oct;25(10):802-12. doi: 10.1016/j.nmd.2015.06.462. Epub 2015 Jun 19. No abstract available.
- Ambrosini A, Calabrese D, Avato FM, Catania F, Cavaletti G, Pera MC, Toscano A, Vita G, Monaco L, Pareyson D. The Italian neuromuscular registry: a coordinated platform where patient organizations and clinicians collaborate for data collection and multiple usage. Orphanet J Rare Dis. 2018 Oct 4;13(1):176. doi: 10.1186/s13023-018-0918-z.
- Querin G, Bertolin C, Da Re E, Volpe M, Zara G, Pegoraro E, Caretta N, Foresta C, Silvano M, Corrado D, Iafrate M, Angelini L, Sartori L, Pennuto M, Gaiani A, Bello L, Semplicini C, Pareyson D, Silani V, Ermani M, Ferlin A, Soraru G; Italian Study Group on Kennedy's disease. Non-neural phenotype of spinal and bulbar muscular atrophy: results from a large cohort of Italian patients. J Neurol Neurosurg Psychiatry. 2016 Aug;87(8):810-6. doi: 10.1136/jnnp-2015-311305. Epub 2015 Oct 26.
- Pareyson D, Fratta P, Pradat PF, Soraru G, Finsterer J, Vissing J, Jokela ME, Udd B, Ludolph AC, Sagnelli A, Weydt P. Towards a European Registry and Biorepository for Patients with Spinal and Bulbar Muscular Atrophy. J Mol Neurosci. 2016 Mar;58(3):394-400. doi: 10.1007/s12031-015-0704-5. Epub 2016 Jan 7.
- Weydt P, Sagnelli A, Rosenbohm A, Fratta P, Pradat PF, Ludolph AC, Pareyson D. Clinical Trials in Spinal and Bulbar Muscular Atrophy-Past, Present, and Future. J Mol Neurosci. 2016 Mar;58(3):379-87. doi: 10.1007/s12031-015-0682-7. Epub 2015 Nov 14.
- Schmidt BJ, Greenberg CR, Allingham-Hawkins DJ, Spriggs EL. Expression of X-linked bulbospinal muscular atrophy (Kennedy disease) in two homozygous women. Neurology. 2002 Sep 10;59(5):770-2. doi: 10.1212/wnl.59.5.770.
- Hashizume A, Fischbeck KH, Pennuto M, Fratta P, Katsuno M. Disease mechanism, biomarker and therapeutics for spinal and bulbar muscular atrophy (SBMA). J Neurol Neurosurg Psychiatry. 2020 Oct;91(10):1085-1091. doi: 10.1136/jnnp-2020-322949.
- Cortes CJ, La Spada AR. X-Linked Spinal and Bulbar Muscular Atrophy: From Clinical Genetic Features and Molecular Pathology to Mechanisms Underlying Disease Toxicity. Adv Exp Med Biol. 2018;1049:103-133. doi: 10.1007/978-3-319-71779-1_5.
- Poletti A. The polyglutamine tract of androgen receptor: from functions to dysfunctions in motor neurons. Front Neuroendocrinol. 2004 Apr;25(1):1-26. doi: 10.1016/j.yfrne.2004.03.001.
- Grunseich C, Rinaldi C, Fischbeck KH. Spinal and bulbar muscular atrophy: pathogenesis and clinical management. Oral Dis. 2014 Jan;20(1):6-9. doi: 10.1111/odi.12121. Epub 2013 May 9.
- La Spada AR, Wilson EM, Lubahn DB, Harding AE, Fischbeck KH. Androgen receptor gene mutations in X-linked spinal and bulbar muscular atrophy. Nature. 1991 Jul 4;352(6330):77-9. doi: 10.1038/352077a0.
- Soraru G, D'Ascenzo C, Polo A, Palmieri A, Baggio L, Vergani L, Gellera C, Moretto G, Pegoraro E, Angelini C. Spinal and bulbar muscular atrophy: skeletal muscle pathology in male patients and heterozygous females. J Neurol Sci. 2008 Jan 15;264(1-2):100-5. doi: 10.1016/j.jns.2007.08.012. Epub 2007 Sep 12.
- Jordan CL, Lieberman AP. Spinal and bulbar muscular atrophy: a motoneuron or muscle disease? Curr Opin Pharmacol. 2008 Dec;8(6):752-8. doi: 10.1016/j.coph.2008.08.006. Epub 2008 Sep 18.
- Fischbeck KH. Kennedy disease. J Inherit Metab Dis. 1997 Jun;20(2):152-8. doi: 10.1023/a:1005344403603.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Central Nervous System Diseases
- Nervous System Diseases
- Neuromuscular Diseases
- Genetic Diseases, Inborn
- Neurodegenerative Diseases
- Heredodegenerative Disorders, Nervous System
- Genetic Diseases, X-Linked
- Spinal Cord Diseases
- Motor Neuron Disease
- Muscular Atrophy, Spinal
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Bulbo-Spinal Atrophy, X-Linked
Other Study ID Numbers
- Linking National SBMA Database
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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