Chromosome 18 Clinical Research Center (Chromosome18)

  • STATUS
    Recruiting
  • End date
    Dec 30, 2040
  • participants needed
    4000
  • sponsor
    The University of Texas Health Science Center at San Antonio
Updated on 23 January 2022
Accepts healthy volunteers

Summary

Our vision, that of the researchers at the University of Texas Health Science Center at San Antonio, is that every person with a chromosome 18 abnormality will have an autonomous and healthy life. Our mission is to provide families affected by chromosome 18 abnormalities with comprehensive medical and educational information. Our goals are to provide definitive medical and education resources for the families of individuals with chromosome 18 abnormalities; perform and facilitate groundbreaking clinical and basic research relating to the syndromes of chromosome 18; and to provide treatments to help these individuals overcome the effects of their chromosome abnormality.

Description

Protocol Summary:

The hypotheses are:

  1. growth hormone (GH) deficiency in children with chromosome 18 deletions is accompanied by cognitive and microstructural abnormalities of the brain that can be ameliorated by GH treatment; and
  2. the physical and behavioral findings in individuals with abnormalities of chromosome 18 are due to the genes that present in a non-diploid number.

Therefore, correlation of the physical and behavioral findings with the extent of the deletion will help identify the genes involved. An understanding of the molecular mechanisms of the phenotype will provide the insight necessary to devise appropriate therapies.

Our goals are:

  1. to be the international medical and education resource for the families of individuals with chromosome 18 abnormalities;
  2. to perform and facilitate both clinical and basic research relating to the disorders of chromosome 18; and
  3. to devise treatments to help these individuals overcome the negative effects of their chromosome abnormality.

To attain these goals, the study has the following specific aims:

  1. perform genotypic molecular analysis on the DNA of the subjects and their biological parents to determine the genotype of the affected individual;
  2. gather comprehensive clinical data on individuals with chromosome 18 abnormalities
    including
  3. determination of growth hormone levels;
  4. measurement of corticotrophin, thyroid and sex hormones;
  5. psychiatric and neuropsychological evaluations;
  6. audiology and ENT testing;
  7. brain MRI scan;
  8. genetic dysmorphology examination;
  9. neurology exam;
  10. dental exam;
  11. speech pathology evaluation;
  12. gastrointestinal exam;
  13. orthopedic exam;
  14. ophthalmology exam.

The phenotypical assessment will be longitudinal; therefore, the participants will have a wide age range. This extensive range plus the fact that some participants will be assessed multiple times means that not all components of the clinical studies will be appropriate for every subject at every visit.

Details
Condition Chromosome Aberrations, Growth Hormone Deficiency, Hypomyelination
Treatment Determination of growth hormone status, Measurement of growth, thyroid and sex hormone levels, Behavior and neuropsychometric evaluations, Audiological and ear, nose and throat examination, Magnetic resonance imaging of the brain, Dysmorphology evaluation, Neurology examination, Dental evaluation, Speech pathology evaluation, Psychiatric evaluation, Orthopedic evaluation, Ophthalmologic evaluation, Gastrointestinal evaluation
Clinical Study IdentifierNCT00227253
SponsorThe University of Texas Health Science Center at San Antonio
Last Modified on23 January 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Must have a confirmed diagnosis of Chromosome 18 or be the parent/guardian of a child with Chromosome 18
Subject must be at least one year of age to participate in the clinical examination aspect of the study (due to issues of venous access and blood volume required to complete studies)
General health status: good

Exclusion Criteria

Pregnant women
Dead fetuses
Prisoners
Non-viable neonates or neonates of uncertain viability
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  • You can expect the study team to contact you via email or phone in the next few days.
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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