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TreatHSP Platform: Adaptive Natural History Platform for Ataxias, HSPs, and Spastic Ataxias (TreatHSP)

28 de agosto de 2026 actualizado por: Rebecca Schuele, Heidelberg University

TreatHSP/SPAX Master Protocol: Adaptive Platform for Longitudinal Progression, Biomarkers and Pathophysiology in Ataxias, Hereditary Spastic Paraplegias and Spastic Ataxias (TreatHSP/SPAX)

Ataxias, hereditary spastic paraplegias (HSP), and spastic ataxias (collectively referred to as SPAX diseases) are rare neurological conditions that cause progressive problems with walking, balance, coordination, and daily activities. Although many SPAX diseases are caused by specific genetic changes, there is still limited knowledge about how symptoms develop over time, how fast the diseases progress, and which clinical or biological measures best reflect meaningful changes for patients.

The TreatHSP Master Protocol establishes an adaptive natural history study platform designed to improve the understanding of SPAX diseases across all ages and disease stages. Within this platform, the TreatHSP/SPAX study serves as the core natural history study, providing a shared framework for long-term clinical follow-up, standardized outcome assessments, and biosample collection.

Participants enrolled in TreatHSP/SPAX are followed over time to document disease progression using clinical examinations, patient- and caregiver-reported outcomes, digital movement measures, imaging, and biological samples. In addition to this core dataset, the TreatHSP Platform allows optional, disease- or hypothesis-specific substudies to be added over time in selected participant groups. These additional assessments are introduced under the same master protocol, without creating separate stand-alone studies.

The overall goal of the TreatHSP Master Protocol is to generate high-quality natural history data, identify sensitive and patient-relevant outcome measures, and support the development of future therapies for ataxias, hereditary spastic paraplegias, and spastic ataxias.

Descripción general del estudio

Estado

Reclutamiento

Condiciones

Descripción detallada

Overview and Objectives: The TreatHSP Protocol defines an adaptive observational study platform for natural history research, outcome development, and biomarker discovery in ataxias, hereditary spastic paraplegias (HSP), and spastic ataxias (SPAX diseases). The platform is designed to support longitudinal, regulatory-grade data collection across genetically and clinically heterogeneous rare neurological disorders.

Within the TreatHSP platform, TreatHSP/SPAX represents the core natural history study. All participants are enrolled into TreatHSP/SPAX and undergo a standardized set of core assessments, forming the backbone of the platform. Additional disease- or hypothesis-specific investigations may be conducted within the same platform framework.

The primary objectives of the TreatHSP platform are to:

Characterize the longitudinal clinical course of SPAX diseases across genotypes, ages, and disease stages.

Identify, develop, and validate patient-relevant clinical outcome assessments. Discover and validate molecular, imaging, digital, and functional biomarkers relevant for disease progression, prognosis, and therapy development.

Establish a harmonized data and biosample resource to support clinical trial readiness and secondary research.

Adaptive Platform Design: The TreatHSP Master Protocol follows design principles analogous to interventional platform trials, adapted for observational research. A single master protocol governs all study activities, including governance, ethics, consent, data protection, and quality assurance.

The TreatHSP/SPAX core natural history study defines:

Core eligibility principles Mandatory clinical, functional, and patient-reported assessments Standardized biosample collection Common data elements and anchor outcome measures

Within this framework, additional adaptive Natural History Study appendices may be introduced as protocol amendments. These appendices add optional assessments (e.g. digital mobility monitoring, advanced imaging, biomarker studies) in predefined participant subsets, while preserving the integrity of the core cohort and dataset.

This adaptive design enables parallel investigation of multiple disease subgroups and research questions under a single, continuously evolving protocol.

Study Population:

The platform includes:

Individuals of all ages with a clinical or genetic diagnosis of an ataxia, hereditary spastic paraplegia, or spastic ataxia, including presymptomatic mutation carriers.

Selected affected or unaffected family members. Healthy unrelated control participants for selected analyses.

Registry Procedures and Quality Assurance:

The TreatHSP/SPAX core study functions as a structured patient registry within the TreatHSP Platform and follows predefined quality standards.

Data Collection and Validation:

Data are collected using standardized electronic case report forms. Automated data checks are applied to ensure validity, plausibility, and internal consistency. Queries are generated and resolved by trained study personnel.

Source Data Verification:

Data entered into the registry may be verified against source documents (e.g. medical records, imaging reports, laboratory data) using a risk-based and sample-based approach.

Data Dictionary:

A comprehensive data dictionary defines all variables collected within the platform, including variable definitions, data sources, coding standards (e.g. Human Phenotype Ontology, MedDRA where applicable), and reference ranges when relevant.

Standard Operating Procedures:

Standard Operating Procedures govern patient recruitment, informed consent, data collection, data management, biosample handling, quality control, statistical analysis, reporting, and change management for adaptive protocol amendments.

Monitoring and Auditing:

Central data monitoring and periodic site-level reviews are conducted to ensure data quality, protocol adherence, and compliance with ethical and regulatory requirements.

Sample Size and Statistical Considerations:

Due to the rarity and heterogeneity of SPAX diseases, the TreatHSP Platform does not define a fixed sample size. Enrollment is open-ended to ensure broad representation across disease subtypes. Statistical analyses are primarily longitudinal and descriptive, with detailed analysis plans defined for specific substudies as needed.

Handling of Missing Data:

Missing data are explicitly documented and categorized. Statistical analyses account for missing data using appropriate longitudinal methods and sensitivity analyses, depending on the research question.

Data Protection and Governance:

All data are pseudonymized and handled in accordance with applicable data protection regulations. Access to identifiable information is restricted to authorized personnel. Data sharing for secondary research is governed by defined access procedures and ethical approvals.

Tipo de estudio

De observación

Inscripción (Estimado)

4000

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Ubicaciones de estudio

  • Alemania
      • Bochum, Alemania, 44801
        • Reclutamiento
        • Ruhr University Bochum, Institute for Neuroinformatics (INI)
        • Contacto:
        • Investigador principal:
          • Xenia Kobeleva, Prof. Dr.
      • Bonn, Alemania, 53127
        • Reclutamiento
        • German Center for Neurodegenerative Diseases (DZNE) Bonn University Hospital Bonn Clinic for Parkinson's, sleep and movement disorders
        • Contacto:
          • Jennifer Faber, PD Dr.
          • Número de teléfono: +49 (0)228 287-15736
          • Correo electrónico: Jennifer.Faber@dnze.de
        • Investigador principal:
          • Jennifer Faber, PD Dr.
        • Sub-Investigador:
          • Sarah Bernsen, Dr.
        • Sub-Investigador:
          • Okka Kimmich, Dr.
        • Sub-Investigador:
          • Dennis deConnick, Dr.
      • Dresden, Alemania, 01307
        • Reclutamiento
        • German Center for Neurodegenerative Diseases (DZNE) Dresden; University Hospital Carl Gustav Carus Clinic and Polyclinic for Neurology
        • Contacto:
        • Investigador principal:
          • Björn Falkenburger, Prof. Dr.
        • Sub-Investigador:
          • Hanna-Sophie Lapp, Dr.
      • Erlangen, Alemania, 91054
        • Reclutamiento
        • University Hospital Erlangen, Department of Neurology
        • Contacto:
        • Investigador principal:
          • Martin Regensburger, Prof. Dr.
        • Investigador principal:
          • Jürgen Winkler, Prof. Dr.
        • Sub-Investigador:
          • Heiko Gaßner, Dr.
        • Sub-Investigador:
          • Beate Winner, Prof. Dr.
        • Sub-Investigador:
          • Jelena Jukic, Dr.
        • Sub-Investigador:
          • Patrick Süß, Dr.
        • Sub-Investigador:
          • Christina Matlok, Dr.
      • Essen, Alemania, 45147
        • Reclutamiento
        • University Hospital Essen, Department of Pediatric Neurology / Institute of Human Genetics
        • Contacto:
        • Investigador principal:
          • Bilge Albayrak, Dr.
        • Investigador principal:
          • Frederik Braun, Dr.
        • Sub-Investigador:
          • Ulrike Schara-Schmidt, Prof. Dr.
      • Göttingen, Alemania, 37075
        • Reclutamiento
        • German Center for Neurodegenerative Diseases (DZNE) Göttingen
        • Contacto:
        • Investigador principal:
          • Christoph van Riesen, Dr. med
      • Göttingen, Alemania, 37075
        • Reclutamiento
        • University Hospital Göttingen, Department of Neurology
        • Contacto:
        • Investigador principal:
          • Michael Sereda, Prof. Dr.
        • Sub-Investigador:
          • Ahmad Beschad, Dr.
      • Göttingen, Alemania, 37075
        • Reclutamiento
        • University Medical Centre Göttingen, Clinic for Paediatric and Adolescent Medicine
        • Contacto:
        • Investigador principal:
          • Lara Marten, Dr.
      • Heidelberg, Alemania, 69120
        • Reclutamiento
        • University Hospital Heidelberg, Department of Neurology
        • Contacto:
        • Investigador principal:
          • Rebecca Schuele, Prof. Dr. med.
        • Sub-Investigador:
          • Hanna Boelting, Dr. med.
        • Sub-Investigador:
          • Mirlinda Ademi, Dr. med. univ., PhD
        • Sub-Investigador:
          • Vanessa Crncovic, Dr. med.
      • Heidelberg, Alemania, 69124
        • Reclutamiento
        • Heidelberg University Hospital, Center for Child and Adolescent Medicine
        • Contacto:
        • Investigador principal:
          • Afshin Saffari, Dr.
        • Sub-Investigador:
          • Birgit Assmann, PD Dr.
      • Kiel, Alemania, 24105
        • Reclutamiento
        • University Hospital Schleswig-Holstein , Department of Neurology
        • Contacto:
          • Beate Lengl-Janssen, Dr. rer. nat.
          • Número de teléfono: +49 (0) 431 500-24011
          • Correo electrónico: lotsinzsne.kiel@uksh.de
        • Investigador principal:
          • Tim W. Rattay, PD. Dr. med.
      • Magdeburg, Alemania, 39120
        • Reclutamiento
        • German Center for Neurodegenerative Diseases (DZNE) Magdeburg, University Hospital Magdeburg, Department of Neurology
        • Contacto:
          • Deike Hartmann, Study Coordination
          • Número de teléfono: +49 (0) 391/67-24535
          • Correo electrónico: deike.hartmann@dzne.de
        • Investigador principal:
          • Michaela Butryn, Dr.
        • Sub-Investigador:
          • Wenzel Glanz, Dr.
      • München, Alemania, 80336
        • Reclutamiento
        • German Center for Neurodegenerative Diseases (DZNE) Munich, Munich University Hospital LMU, Department of Neurology
        • Investigador principal:
          • Thomas Klopstock, Prof. Dr.
        • Contacto:
        • Sub-Investigador:
          • Leopold Zeng, Dr.
        • Sub-Investigador:
          • Almut Bischoff, Dr.
      • Recklinghausen, Alemania, 45657
        • Reclutamiento
        • Klinikum Vest GmbH, Treatment Center Knappschafts Hospital Recklinghausen, NeuroCentrum - Department of Neurology, Stroke Unit and Early Rehabilitation
        • Investigador principal:
          • Stephan Klebe, Prof. Dr.
        • Contacto:
      • Tübingen, Alemania, 72076
        • Reclutamiento
        • University Hospital and Faculty of Medicine Tübingen, Clinic for Paediatrics and Adolescent Medicine
        • Contacto:
        • Investigador principal:
          • Hendrik Rosenwich, Prof. Dr.
        • Sub-Investigador:
          • Marion Doebler-Neumann, Dr.
      • Tübingen, Alemania, 72076
        • Reclutamiento
        • University Hospital and Faculty of Medicine Tübingen, Neurology with a Focus on Neurodegenerative Diseases
        • Investigador principal:
          • Ludger Schöls, Prof. Dr.
        • Contacto:
        • Sub-Investigador:
          • Lena Zelter, Dr.
        • Sub-Investigador:
          • Zofia Fleszar, Dr.
        • Sub-Investigador:
          • Johanna Roller, Dr.
  • Austria
      • Innsbruck, Austria, 6020
        • Reclutamiento
        • Medical University Innsbruck, Department of Neurology
        • Contacto:
        • Investigador principal:
          • Sylivia Boesch, MSc, Priv. Doz. Dr.
        • Sub-Investigador:
          • Matthias Amprosi, PhD, Dr.
  • Chequia
      • Prague, Chequia, 150 00
        • Reclutamiento
        • Centre of Hereditary Ataxias, Department of Neurology and Department of Pediatric Neurology, 2nd Faculty of Medicine, Charles University and Motol and Homolka University Hospital
        • Contacto:
        • Investigador principal:
          • Jaroslava Paulasová Schwabova, M.D., Ph.D.
        • Sub-Investigador:
          • Ludmilla Novotá, M.D.
        • Sub-Investigador:
          • Anna Uhrová Mészárosová, M.D.
        • Sub-Investigador:
          • Dana Šafka Brožková, M.D.
        • Sub-Investigador:
          • Emílie Vyhnálková, M.D.
        • Sub-Investigador:
          • Lukáš Martinkovič, M.D.
        • Sub-Investigador:
          • Martin Vyhnálek, M.D.
  • España
      • Barcelona, España, 08950
        • Reclutamiento
        • Hospital Sant Joan de Déu Barcelona, Neuromuscular Diseases Unit
        • Contacto:
          • Laura Carrera Garcia, Dr.
          • Número de teléfono: +34 (0) 93 253 21 00
          • Correo electrónico: laura.carrera@sjd.es
        • Investigador principal:
          • Laura Carrera Garcia, Dr.
        • Sub-Investigador:
          • Carlos I Ortez González, Dr.
        • Sub-Investigador:
          • Alejandra Darling, Dr.
        • Sub-Investigador:
          • Julita Medina, Dr.
      • Barcelona, España
        • Reclutamiento
        • Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebron University Hospital - Neurology Department
        • Contacto:
        • Investigador principal:
          • Alfons Macaya, Prof. Dr.
        • Investigador principal:
          • Maria Victoria González Martinez, Dr.
        • Sub-Investigador:
          • Paula Arranz-Horno, Dr.
        • Sub-Investigador:
          • Natalia Espandin-Hüter, Dr.
      • Santander, España, 39008
        • Reclutamiento
        • University Hospital Marqués de Valdecilla-IDIVAL, Department of Neurology
        • Contacto:
        • Investigador principal:
          • Jon Infante, MD, PhD
        • Sub-Investigador:
          • Leire Manrique, Dr.
        • Sub-Investigador:
          • Raquel Martinez, Dr.
  • Francia
      • Paris, Francia, 75646
        • Reclutamiento
        • Paris Brain Institute ICM CRMR Neurogénétique, Hôpital de la Pitié-Salpêtrière Sorbonne Université UM75 Inserm U1127 CNRS UMR 7225 47 boulevard de l'Hôpital, CS21414
        • Contacto:
        • Investigador principal:
          • Alexandra Dürr, Prof. Dr.
        • Sub-Investigador:
          • Giulia Coarelli, Dr.
  • Irlanda
      • Dublin, Irlanda, Dublin 24
        • Reclutamiento
        • Tallaght University Hospital, Neurology
        • Contacto:
          • Sinead Murphy, MD, Prof.
          • Número de teléfono: +353 1 414 4061
          • Correo electrónico: Sinead.Murphy@tuh.ie
        • Investigador principal:
          • Sinead Murphy, MD, Prof.
        • Investigador principal:
          • Petya Bogdanova-Mihaylova, Dr.
        • Investigador principal:
          • Richard Walsh, Dr.
        • Sub-Investigador:
          • Eva Tallon, Dr.
  • Italia
      • Pisa, Italia, 56126
        • Reclutamiento
        • University of Pisa, Azienda Ospedaliero Universitaria Pisana, Neurology
        • Contacto:
        • Investigador principal:
          • Michelangelo Mancuso, Prof. Dr.
        • Sub-Investigador:
          • Adriana Meli, Dr.
        • Sub-Investigador:
          • Clara Bernardini, Dr.
        • Sub-Investigador:
          • Vicenzo Montano, Dr.
        • Sub-Investigador:
          • Piervito Lopriore, Dr.
      • Roma, Italia, 00146
        • Reclutamiento
        • IRCCS Istituto Ospedale Pediatrico Bambino Gesù, Translational Pediatrics and Clinical Genetics
        • Contacto:
        • Investigador principal:
          • Enrico S Bertini, Prof. Dr.
        • Sub-Investigador:
          • Francesco Nicita, Dr.
        • Sub-Investigador:
          • Jacopo Sartorelli, Dr.
        • Sub-Investigador:
          • Gessica Vasco, Dr.
        • Sub-Investigador:
          • Andrea Sancesario, Dr.
      • Roma, Italia, 00168
        • Reclutamiento
        • Università Cattolica del Sacro Cuore, Department of Neuroscience
        • Contacto:
        • Investigador principal:
          • Gabriella Silvestri, Prof. Dr.
        • Sub-Investigador:
          • Salvatore Rossi, Dr.
    • Pisa
      • Calambrone, Pisa, Italia, 56018
        • Reclutamiento
        • IRCCS Fondazione Stella Maris, MEDMOL - Molecular Medicine, Neurogenetics and Neuromuscular Diseases
        • Sub-Investigador:
          • Sara Satolli, MD
        • Contacto:
          • Filippo Santorelli, Prof. Dr.
          • Número de teléfono: +39 (0) 50 886238
          • Correo electrónico: filippo3364@gmail.com
        • Investigador principal:
          • Filippo Santorelli, Prof. Dr.
        • Sub-Investigador:
          • Ilaria D Donato, MD
        • Sub-Investigador:
          • Gianmarco Dalla Zanna, MD
        • Sub-Investigador:
          • Nunzio Setola, MD
    • TV
      • Conegliano, TV, Italia, 31015
        • Reclutamiento
        • Associazione La Nostra Famiglia - IRCCS Eugenio Medea
        • Contacto:
        • Investigador principal:
          • Andrea Martinuzzi, Prof. Dr.
        • Sub-Investigador:
          • Elena Carrero, Dr.
        • Sub-Investigador:
          • Leonardo Boccuni, Dr.
        • Sub-Investigador:
          • Francesca Oppia, Dr.
        • Sub-Investigador:
          • Gabriella Paparella, Dr.
  • Países Bajos
      • Nijmegen, Países Bajos, 6525 GA
        • Reclutamiento
        • Radboud university medical center - Radboundumc, University Medical Center
        • Contacto:
        • Investigador principal:
          • Bart van de Warrenburg, Prof. Dr.
        • Sub-Investigador:
          • Jorik Nonnekes, Dr.
        • Sub-Investigador:
          • Lotte van de Venis, Dr.
  • Polonia
      • Krakow, Polonia, 30-688
        • Reclutamiento
        • University Hospital in Kraków, Neurology Clinical Department
        • Contacto:
          • Joanna Pera, Prof. Dr.
          • Número de teléfono: +48 (0) 12 424 86 15
          • Correo electrónico: pera@su.krakow.pl
        • Investigador principal:
          • Joanna Pera, Prof. Dr.

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Niño
  • Adulto
  • Adulto Mayor

Acepta Voluntarios Saludables

Sí

Método de muestreo

Muestra no probabilística

Población de estudio

Children, adolescents, and adults aged 5 years and older are recruited through multicenter, international participation from specialized neurology and genetics clinics, patient registries, affected families, and the general community. The study includes individuals with ataxia, spastic ataxia, hereditary spastic paraplegia, or related phenotypes; presymptomatic mutation carriers; first- or second-degree relatives of affected individuals; and neurologically healthy community controls.

Descripción

Inclusion Criteria:

General inclusion criteria:

- Age 5 or older

Cohort 1: Affected

  • Clinical diagnosis of neurodevelopmental or neurodegenerative ataxia, spastic ataxia, HSP or related phenotype AND
  • Alternative causes of phenotype excluded

Cohort 2: Presymptomatic mutation carriers

- Premanifest mutation carrier of (likely) pathogenic variant(s) in a disease gene associated with ataxia, spastic ataxia, HSP or related phenotype

Cohort 3: Family controls - 1st or 2nd degree relative of a person with a clinical or genetic diagnosis of ataxia, spastic ataxia, HSP or related phenotype

Cohort 4: Community controls

- Healthy individual unrelated to a person with neurodevelopmental or neurodegenerative ataxia, spastic ataxia, HSP or related phenotype

Exclusion Criteria:

  • Presence of an alternative neurological or systemic condition that sufficiently explains the phenotype and is incompatible with ataxia, spastic ataxia, hereditary spastic paraplegia, or a related disorder.
  • Severe comorbidity or unstable medical condition that substantially interferes with study participation or interpretation of neurological and functional assessments.
  • Inability to comply with study procedures or follow-up requirements.
  • Lack of informed consent, including absence of consent by a legally authorized representative where required.
  • Current participation in an interventional clinical trial that may interfere with the objectives or outcome assessments of this observational study.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

Cohortes e Intervenciones

Grupo / Cohorte
Affected
Clinical diagnosis of neurodevelopmental or neurodegenerative ataxia, spastic ataxia, HSP and alternative cause of phenotype excluded
Presymptomatic mutation carrier
Premanifest mutation carrier of (likely) pathogenic variant(s) in a disease gene associated with ataxia, spastic ataxia, HSP or related phenotype
Family control
1st or 2nd degree relative of a person with a clinical or genetic diagnosis of ataxia, spastic ataxia, HSP or related phenotype (group: Affected)
Community control
Healthy individual unrelated to a person with neurodevelopmental or neurodegenerative ataxia, spastic ataxia, HSP or related phenotype

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Modified Spastic Paraplegia Rating Scale
Periodo de tiempo: Through study completion, an average of 5 years, measured annually

The modified Spastic Paraplegia Rating Scale (mSPRS) is a clinician-reported outcome measure assessing disease severity in hereditary spastic paraplegia and related spastic movement disorders. It evaluates functional mobility, spasticity, muscle strength, pain and bladder function. The mSPRS is adapted from the original Spastic Paraplegia Rating Scale to improve feasibility and sensitivity to change in longitudinal studies. It can be applied in individuals aged 5 years and older, with higher scores indicating greater disease severity.

The mSPRS serves as the primary outcome measure for the assessment of disease severity in all participants with hereditary spastic paraplegia.
Through study completion, an average of 5 years, measured annually
Scale for the Assessment and Rating of Ataxia (SARA)
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
The Scale for the Assessment and Rating of Ataxia (SARA) is a standardized clinician-reported outcome measure used to quantify the severity of ataxia. It assesses key domains including gait, stance, sitting, speech disturbance, limb coordination, and fine motor control. The SARA provides a global measure of ataxia-related motor impairment and is widely used in both clinical practice and longitudinal research studies. The SARA is applied in study participants aged 8 years and older, with higher scores indicating greater ataxia severity. The SARA serves as the primary outcome measure for the assessment of disease severity in all participants with ataxia.
Through study completion, an average of 5 years, measured annually
SPAX Composite Scale (SPAXCOM)
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
SPAXCOM is a clinician-reported composite outcome measure developed to assess disease severity in individuals with spastic ataxia. It integrates key motor and functional domains relevant to spastic-ataxic phenotypes, including gait and balance, coordination, spasticity, and functional mobility. SPAXCOM is designed to capture the combined contribution of pyramidal and cerebellar dysfunction and to provide a sensitive measure of disease severity and progression in spastic ataxia. Higher scores indicate greater disease severity. SPAXCOM serves as the primary outcome measure for participants with spastic ataxia.
Through study completion, an average of 5 years, measured annually

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Friedreich Ataxia Rating Scale - Activities of Daily Living (FARS-ADL)
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
The Friedreich Ataxia Rating Scale - Activities of Daily Living (FARS-ADL) assesses the impact of neurological impairment on everyday functioning, including walking, balance, speech, hand function, and self-care. In this study, both a clinician-reported (ClinRO) version and a patient-reported (PROM) version of the FARS-ADL are used to capture functional limitations from complementary perspectives and are applied in study participants aged 8 years and older. Although originally developed for Friedreich ataxia, the FARS-ADL is applicable across a range of ataxic and spastic movement disorders. Higher scores indicate greater functional impairment and reduced independence in daily activities.
Through study completion, an average of 5 years, measured annually
Inventory of Non-Ataxia Signs - PLUS (INAS-PLUS)
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
INAS-PLUS is a clinician-reported inventory, derived from the original Inventory of Non-Ataxia Signs (INAS) and expanded by additional items, used to quantify the burden of neurological signs beyond core ataxia features in spastic and spastic-ataxic disorders.
Through study completion, an average of 5 years, measured annually
MRC Sum Score for Muscle Strength
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
The Medical Research Council (MRC) Sum Score is a clinician-reported measure of global muscle strength based on standardized manual muscle testing across selected muscle groups. Individual muscle grades are summed to provide an overall estimate of muscle strength, with lower scores indicating greater weakness.
Through study completion, an average of 5 years, measured annually
TreatHSP Quality of Life (TreatHSP-QoL)
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
The TreatHSP Quality of Life (TreatHSP-QoL) questionnaire is a disease-specific patient-reported outcome measure assessing health-related quality of life, including physical, functional, and psychosocial aspects, and is used in adults aged 18 years and older with hereditary spastic paraplegia and spastic ataxia.
Through study completion, an average of 5 years, measured annually
Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD)
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
The Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) is a caregiver-reported outcome measure developed for children and adolescents with motor disabilities. In this study, the CPCHILD is applied in all children aged 5 to 12 years, as well as in older individuals with cognitive impairment who are unable to reliably complete self-reported questionnaires.
Through study completion, an average of 5 years, measured annually

Otras medidas de resultado

Medida de resultado
Medida Descripción
Periodo de tiempo
FARS Functional Staging
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
The Friedreich Ataxia Rating Scale - Functional Staging (FARS-FS) is an ordinal measure of functional disease severity based on mobility and independence in activities of daily living. In this study, both a clinician-reported (ClinRO) version and a patient-reported (PROM) version of the FARS-FS are used to capture functional status from complementary perspectives. The FARS-FS serves as an anchor measure to support the determination and interpretation of clinically meaningful change in primary and secondary outcome measures over time.
Through study completion, an average of 5 years, measured annually
SPATAX Disability Stage
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
SPATAX Disability Stage is a clinician-reported ordinal staging system that categorizes overall disability based on mobility and functional dependence. It provides a global measure of disease severity and is used in this study as an anchor measure to support the interpretation of clinically meaningful change in primary and secondary outcomes.
Through study completion, an average of 5 years, measured annually
Clinical Global and Domain-Specific Impression of Severity and Change (CGI-S/CGI-C)
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
Clinical Global and Domain-Specific Impression of Severity and Change are clinician-reported assessments capturing overall disease severity and longitudinal change, as well as change within specific functional domains. The selected domains reflect disease impacts prioritized by individuals with SPAX diseases for their relevance to everyday life. These measures are used as anchor measures to contextualize and determine meaningful change in primary and secondary outcome measures.
Through study completion, an average of 5 years, measured annually
Patient-reported Global and Domain-Specific Impression of Severity and Change (PGI-S / PGI-C)
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
Patient-reported Global and Domain-Specific Impression of Severity and Change are self-reported assessments capturing overall disease severity and longitudinal change, as well as change within specific functional domains. The selected domains reflect disease impacts prioritized by individuals with SPAX diseases for their relevance to everyday life. These patient-reported measures are used as anchor measures to support the interpretation and determination of clinically meaningful change in primary and secondary outcome measures.
Through study completion, an average of 5 years, measured annually
Functional Mobility Scale (FMS)
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
The Functional Mobility Scale (FMS) is a clinician-reported measure of functional walking ability that classifies mobility across different distances and everyday environments. It provides an ordinal assessment of functional mobility and is used in this study as an anchor measure to support the interpretation of clinically meaningful change in primary and secondary outcome measures.
Through study completion, an average of 5 years, measured annually
The Gross Motor Function Classification - MLD (GMFC-MLD)
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
The Gross Motor Function Classification - MLD (GMFC-MLD) is a clinician-reported ordinal classification system used to describe gross motor function and mobility limitations in children. It categorizes functional abilities based on age-appropriate motor skills and need for assistance. In this study, the GMFC-MLD is used as an anchor measure to support the interpretation of clinically meaningful change in outcome measures in children aged 5 to 12 years.
Through study completion, an average of 5 years, measured annually
TreatHSP Mobility Questionnaire
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
The Mobility Change Questionnaire is a patient- or observer-reported anchor measure assessing perceived change in walking ability over the preceding week compared with the previous study visit. It captures mobility-related domains including walking distance and speed, effort, balance confidence, fear of falling, and overall walking ability. Depending on age and cognitive status, the questionnaire is completed by the participant or an observer and is used to support the interpretation of clinically meaningful change in primary and secondary outcome measures.
Through study completion, an average of 5 years, measured annually
Achievement of developmental milestones
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
Achievement of key developmental motor milestones (unsupported sitting, unsupported standing, assisted walking, unsupported walking) will be assessed via caregiver/patient report. For each milestone, achievement status will be recorded as yes/no/unknown. Age at achievement will be reported in months for milestones confirmed as achieved. Where an exact age cannot be recalled, this will be noted as either delayed-but-unrecalled or achieved-at-normal-age-but-unrecalled.
Through study completion, an average of 5 years, measured annually
Milestone regression
Periodo de tiempo: Through study completion, an average of 5 years, measured annually
Loss of previously achieved motor function will be assessed via caregiver/patient report across four regression milestones: new requirement for sitting support, new requirement for standing support, new requirement for a walking aid (used for >50% of walking activity), and new requirement for a wheelchair (used for >50% of locomotion). For each milestone, status will be recorded as yes/no/unknown, with the calendar year of onset documented where applicable.
Through study completion, an average of 5 years, measured annually

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Heidelberg University

Colaboradores

National Institute of Neurological Disorders and Stroke (NINDS)
University Hospital Heidelberg
Horizon Europe
Bundesministerium für Forschung, Technologie und Raumfahrt (BMFTR)
European Reference Network for Rare Neurological Diseases (ERN-RND)

Investigadores

  • Investigador principal: Rebecca Schuele, Prof. Dr. med., Heidelberg University Hospital and Heidelberg Faculty of Medicine

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Enlaces Útiles

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

16 de julio de 2024

Finalización primaria (Estimado)

31 de diciembre de 2035

Finalización del estudio (Estimado)

31 de diciembre de 2035

Fechas de registro del estudio

Enviado por primera vez

30 de diciembre de 2025

Primero enviado que cumplió con los criterios de control de calidad

28 de agosto de 2026

Publicado por primera vez (Actual)

1 de septiembre de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

1 de septiembre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

28 de agosto de 2026

Última verificación

1 de agosto de 2026

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • S-317/2024 TreatHSP
  • 2R01NS072248 (Subvención/contrato del NIH de EE. UU.)
  • TreatHSP Registry (Identificador de registro: TreatHSP Registry)

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

SÍ

Descripción del plan IPD

De-identified individual participant data collected within the TreatHSP Master Protocol may be shared for secondary research purposes. Data eligible for sharing include selected clinical, functional, patient-reported, digital, imaging, and biomarker data generated within the TreatHSP/SPAX core study and approved adaptive substudies. Data sharing is subject to approval through the TreatHSP governance framework and requires submission of a scientific proposal, review by the Steering Committee, and execution of a data use agreement. Only pseudonymized data will be shared, and access will be limited to the minimum dataset necessary to address the approved research question. Data sharing will occur in compliance with applicable data protection regulations and participant consent.

Marco de tiempo para compartir IPD

Beginning January 2026 with no end date.

Criterios de acceso compartido de IPD

Access requests must be submitted as a research proposal describing the planned analyses and required data elements. Requests are reviewed by the TreatHSP Steering Committee or a delegated data access body based on scientific merit, feasibility, and compliance with ethical and data protection requirements. Approved requests require a data use agreement, and access is limited to the minimum dataset necessary for the approved analyses.

Tipo de información de apoyo para compartir IPD

  • PROTOCOLO DE ESTUDIO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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