Study and Follow-up of Multiple Endocrine Neoplasia Type 1

  • STATUS
    Recruiting
  • End date
    Jul 21, 2031
  • participants needed
    2000
  • sponsor
    Centre Hospitalier Universitaire Dijon
Updated on 21 January 2021

Summary

Multiple Endocrine Neoplasia type I (MEN1) or Wermer syndrome is an autosomal dominant disease that predisposes patients to the development of endocrine tumours, principally parathyroid, pituitary or duodenal-pancreatic tumours. It is due to mutations that abolish the function of the MEN1 gene, which contributes to tumour regulation. It is a rare disease, with an estimated prevalence in the general population of 1/30,000. Penetrance of the disease is late but very high (almost 100% at 50 years of age). The first clinical manifestations usually appear after the age of 30 or 40 years.

The three cardinal endocrine characteristics of MEN1 are secreting tumours of the parathyroid, the pituitary gland and the pancreas. Tumours of the adrenal glands, bronchial or thymic endocrine tumours, ependymoma and meningioma of the central nervous system, visceral leiomyomas, and certain cutaneous tumours can also be found as well as these cardinal tumours.

The diagnosis of MEN1 is essential to ensure 1) appropriate therapeutic management of the proven endocrine manifestations 2) screening for other endocrine and non-endocrine tumours (lesions), 3) family screening of affected relatives whether they are symptomatic or not 4) the surveillance of thus diagnosed patients. Studies on mortality in MEN1 have shown that the causes of death are mainly due to the disease. The non-diagnosis of MEN1 is a cause of therapeutic failure in the management of the endocrine lesions. For the success of the surgical treatment of an isolated endocrine lesion it is important for patients to be oriented towards a diagnosis of MEN1 as the management is different from that in usual situations. Detection is thus of major importance, as early diagnosis can improve the management.

Even though the syndrome was discovered in 1903 by Erdheim and correctly documented in 1954 by Wermer, it was only in the 1970s that we became aware of the variety of clinical forms and attempted to codify its treatment. Nonetheless, published studies are fragmented and concern selected populations of few patients. They only partially answer questions arising in clinical practice concerning the prognosis and optimal management of patients. The natural history of the disease in all of its clinical forms is still poorly understood. Although advances in genetics have helped in the diagnosis of MEN1, some clinical forms are still difficult to associate with the syndrome: atypical forms, forms with hardly any symptoms and no genetic diagnosis (10%). These clinical forms need to be clarified to ensure optimal care. Only a large cohort will make it possible to describe the different forms of this disease and to clarify its prognosis

Details
Condition Hereditary Neoplastic Syndrome, Hereditary Cancer Syndromes, Multiple Endocrine Neoplasia, Hereditary Cancer Syndromes, meas
Treatment survey for long-term follow-up of the disease
Clinical Study IdentifierNCT03348501
SponsorCentre Hospitalier Universitaire Dijon
Last Modified on21 January 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Symptomatic individuals with a confirmed diagnosis of MEN1 and who live in France
Patients with the following characteristics will also be included in the
cohort
At least two of the three cardinal clinical lesions (parathyroid, pancreas, pituitary)
OR an isolated known lesion of the disease, cardinal or not (parathyroid, pancreas, pituitary, adrenal, thymus, bronchus, tumour of the central nervous system) associated with a mutation of the MEN1 locus on chromosome 11q13
OR an isolated lesion, cardinal or not (parathyroid, pancreas, pituitary, adrenal, thymus, bronchus, tumour of the central nervous system) in an individual with a confirmed family history of MEN1
asymptomatic patients who carry a characteristic mutation of MEN1. Current
knowledge suggests that these patients will develop symptoms during their
follow-up

Exclusion Criteria

patients who present a single-organ genetic endocrine disease associated with
another genetic syndrome (familial isolated pituitary adenoma FIPA, familial
isolated hyperparathyroidism FIHP)
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