Ignite Creation Date:
2025-12-26 @ 10:46 PM
Ignite Modification Date:
2025-12-26 @ 10:46 PM
Study NCT ID:
NCT06137612
Status:
UNKNOWN
Last Update Posted:
2023-11-18
First Post:
2023-11-08
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
Spinal Cord Gray Matter Imaging in Spinal Muscular Atrophy
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D014897', 'term': 'Spinal Muscular Atrophies of Childhood'}], 'ancestors': [{'id': 'D009134', 'term': 'Muscular Atrophy, Spinal'}, {'id': 'D013118', 'term': 'Spinal Cord Diseases'}, {'id': 'D002493', 'term': 'Central Nervous System Diseases'}, {'id': 'D009422', 'term': 'Nervous System Diseases'}, {'id': 'D020271', 'term': 'Heredodegenerative Disorders, Nervous System'}, {'id': 'D019636', 'term': 'Neurodegenerative Diseases'}, {'id': 'D016472', 'term': 'Motor Neuron Disease'}, {'id': 'D009468', 'term': 'Neuromuscular Diseases'}, {'id': 'D030342', 'term': 'Genetic Diseases, Inborn'}, {'id': 'D009358', 'term': 'Congenital, Hereditary, and Neonatal Diseases and Abnormalities'}]}}, 'protocolSection': {'designModule': {'bioSpec': {'retention': 'SAMPLES_WITH_DNA', 'description': 'Blood Samples'}, 'studyType': 'OBSERVATIONAL', 'designInfo': {'timePerspective': 'PROSPECTIVE', 'observationalModel': 'COHORT'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 52}, 'patientRegistry': False}, 'statusModule': {'overallStatus': 'UNKNOWN', 'lastKnownStatus': 'ENROLLING_BY_INVITATION', 'startDateStruct': {'date': '2020-08-17', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2023-11', 'completionDateStruct': {'date': '2025-09-15', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2023-11-15', 'studyFirstSubmitDate': '2023-11-08', 'studyFirstSubmitQcDate': '2023-11-15', 'lastUpdatePostDateStruct': {'date': '2023-11-18', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2023-11-18', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2024-12-31', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Spinal cord gray matter atrophy', 'timeFrame': 'baseline', 'description': 'Difference in spinal cord gray matter (GM) cross-sectional area in mm2 between SMA patients and age and sex matched HC subjects'}], 'secondaryOutcomes': [{'measure': 'Associations', 'timeFrame': 'baseline', 'description': 'Cross-sectional associations between spinal cord GM areas (in mm2) and segmental quantitative muscle force (in Newton) in SMA patients'}, {'measure': 'Associations', 'timeFrame': 'baseline', 'description': 'Cross-sectional associations between spinal cord GM areas (in mm2) and SMA-FRS-R Score in SMA patients'}, {'measure': 'Associations', 'timeFrame': 'baseline', 'description': 'Cross-sectional associations between spinal cord GM areas (in mm2) and RULM Score in SMA patients'}, {'measure': 'Associations', 'timeFrame': 'baseline', 'description': 'Cross-sectional associations between spinal cord GM areas (in mm2) and HFSME Score in SMA patients'}, {'measure': 'Associations', 'timeFrame': 'baseline', 'description': 'Cross-sectional associations between spinal cord GM areas (in mm2) and MFM Score in SMA patients'}, {'measure': 'Associations', 'timeFrame': 'baseline', 'description': 'Cross-sectional associations between spinal cord GM areas (in mm2) and serum NfL(pg/ml)'}, {'measure': 'Associations', 'timeFrame': 'baseline', 'description': 'Cross-sectional associations between spinal cord GM areas (in mm2) and MUNIX (Index)'}, {'measure': 'Associations', 'timeFrame': 'baseline', 'description': 'Cross-sectional associations between spinal cord GM areas (in mm2) and 6MWT'}, {'measure': 'Associations', 'timeFrame': 'baseline', 'description': 'Cross-sectional associations between spinal cord GM areas (in mm2) and time to rise from the floor'}]}, 'oversightModule': {'oversightHasDmc': True, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'conditions': ['Spinal Muscular Atrophy Type III', 'Spinal Muscular Atrophy Type II']}, 'descriptionModule': {'briefSummary': 'This study aims to measure the spinal cord gray matter in patients with spinal muscular atrophy (SMA) type II and III in comparison with age- and sex-matched healthy controls (HC) using rAMIRA (radially sampled averaged magnetization inversion recovery acquisitions) imaging, a novel MRI (Magnetic Resonance Imaging) method. Patient and HC undergo MRI examinations, clinical/neurological (handheld dynamometry) and electrophysiological investigations (MUNIX, Motor Unit Number Index). Serum markers of neuro-axonal and astrocytic injury are also assessed.', 'detailedDescription': 'Patients with the diagnosis of 5q-SMA (spinal muscular atrophy) types II or III (confirmed by genetic testing) will be recruited. Healthy age and sex-matched controls will also be investigated.\n\nPatients will be neurologically investigated at the Neurology Policlinic, University Hospital Basel, including standard muscle force measurements on the British Medical Council (BMC) grade, and quantitative muscle force tests by hand held dynamometer of selected muscles.\n\nAll patients will also complete the SMA functional rating scale (SMA-FRS). Age and sex matched healthy controls will also undergo a standardized neurological examination to ensure that no other neurological condition is present that could potentially interfere with the test results.\n\nAll participants will be scanned on the same 3 Tesla MR-Scanner (Magnetom PRISMA, Siemens Healthineers) at the University Hospital Basel. The protocol includes axial 2D rAMIRA imaging at selected levels of cervical and thoracic spinal cord at the intervertebral disc levels perpendicular to the spinal cord, and diffusion tensor imaging (DTI) at selected positions, a standard diagnostic high-resolution T2w sequence of the spinal cord and a high-resolution T1w structural imaging of the brain for cortical/subcortical volumetry.\n\nSerum biomarkers will also be evaluated including serum neurofilament light chain (NfL) levels .\n\nMUNIX is an electrophysiological method that is used in clinical routine in many neuromuscular centers to quantitate the number of functioning motor units. Patients and controls will undergo MUNIX testing .\n\nPatients will be examined by a professional physiotherapist to assess the Motor Function Measure (MFM), Revised Hammersmith Scale for SMA, Revised Upper Limb Module, time to rise from the floor, and 6 minutes walk test.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['CHILD', 'ADULT', 'OLDER_ADULT'], 'minimumAge': '11 Years', 'samplingMethod': 'NON_PROBABILITY_SAMPLE', 'studyPopulation': 'Patients with the diagnosis of 5q-SMA II or III (confirmed by genetic testing) will be recruited. Healthy age and sex-matched controls will also be investigated.', 'healthyVolunteers': True, 'eligibilityCriteria': 'Inclusion Criteria (patients)\n\n1. 11 years or older\n2. Informed consent by the participants or, in children below the age of legal consent, by a legally authorized representative\n3. genetically confirmed diagnosis of 5q-SMA (Types II or III)\n\nExclusion Criteria (patients):\n\n1. active other neurological or neuromuscular condition explaining the symptoms or a significant part of it\n2. other neurological or neuromuscular conditions interfering with the examinations\n3. other severe chronic disease\n4. pregnancy\n5. general contraindications against MRI scanning (e.g. pacemakers)\n6. not able to understand the patient information due to language barriers\n7. In the event of a participant incapable of judgment, symptoms showing that the participant is unwilling to participate in the study will result in the participant being excluded from participation\n\nInclusion Criteria (healthy volunteers)\n\n1. participants will be selected to be age-and sex-matched to the patients\n2. 11 years or older\n3. Informed consent by the participants or, in children below the age of legal consent, by a legally authorized representative\n\nExclusion Criteria (healthy volunteers):\n\n1. active neurological or neuromuscular condition\n2. other neurological or neuromuscular conditions interfering with the examinations\n3. other severe chronic disease\n4. pregnancy\n5. general contraindications against MRI scanning (e.g. pacemakers)\n6. not able to understand the patient information due to language barriers\n7. In the event of a participant incapable of judgment, symptoms showing that the participant is unwilling to participate in the study will result in the participant being excluded from participation'}, 'identificationModule': {'nctId': 'NCT06137612', 'briefTitle': 'Spinal Cord Gray Matter Imaging in Spinal Muscular Atrophy', 'organization': {'class': 'OTHER', 'fullName': 'University Hospital, Basel, Switzerland'}, 'officialTitle': 'Spinal Cord Gray Matter Imaging - a Novel Biomarker for Spinal Muscular Atrophy - a Pilot Study', 'orgStudyIdInfo': {'id': 'SMA_SC_Imaging_1'}}, 'armsInterventionsModule': {'armGroups': [{'label': 'Patients with SMA', 'description': 'Patients with SMA type II and III', 'interventionNames': ['Diagnostic Test: MRI']}, {'label': 'Healthy controls', 'description': 'Age- and sex-matched HC', 'interventionNames': ['Diagnostic Test: MRI']}], 'interventions': [{'name': 'MRI', 'type': 'DIAGNOSTIC_TEST', 'description': 'axial 2D rAMIRA (radially sampled averaged magnetization inversion recovery acquisitions) imaging at selected levels of cervical and thoracic spinal cord at the intervertebral disc levels perpendicular to the spinal cord.', 'armGroupLabels': ['Healthy controls', 'Patients with SMA']}]}, 'contactsLocationsModule': {'locations': [{'zip': '4031', 'city': 'Basel', 'state': 'Canton of Basel-City', 'country': 'Switzerland', 'facility': 'University Hospital Basel', 'geoPoint': {'lat': 47.55839, 'lon': 7.57327}}]}, 'ipdSharingStatementModule': {'ipdSharing': 'UNDECIDED'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'University Hospital, Basel, Switzerland', 'class': 'OTHER'}, 'responsibleParty': {'type': 'SPONSOR'}}}}