MedPath

A Prospective and Retrospective Cohort Study in Patients With Chronic Forms of Acid Sphingomyelinase Deficiency (ASMD)

Not Applicable
Completed
Conditions
Sphingomyelin Lipidosis
Interventions
Procedure: Investigational Procedures
Registration Number
NCT04106544
Lead Sponsor
Sanofi
Brief Summary

Primary Objective:

* To describe the clinical features and their severity at the time of diagnosis and their evolution over time in patients with confirmed chronic visceral and chronic neurovisceral forms of ASMD

* To describe Clinician-Reported Outcomes (ClinROs) and Patient-Reported Outcomes (PROs) at enrollment and their evolution over time; disease severity at the time of diagnosis and its evolution over time

Secondary Objectives:

* To describe abnormal values in laboratory parameters and all values of specific clinical and imaging assessments at the time of diagnosis and their evolution over time

* To study the use and applicability towards validation of a newly developed ASMD disease severity scoring system

* To study the use and applicability towards validation of a newly developed ASMD PRO tool

* To describe ASMD-related disease burden among patients with ASMD, caregivers, and healthcare resource utilization

* To describe the association between patient demographics (eg, age, gender, race, Ashkenazi ancestry) and genotype with selected clinical features in patients with confirmed chronic visceral and chronic neurovisceral forms of ASMD

Detailed Description

Estimated average of study duration (for each patient) is 2 years

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
84
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Acid Sphingomyelinase Deficiency (ASMD) CohortInvestigational ProceduresPatients across the full spectrum of chronic ASMD who have fulfilled the eligibility criteria and who have performed the inclusion visit
Primary Outcome Measures
NameTimeMethod
Time of first occurrence and recurrence of the clinical features and medical interventions related to chronic ASMDMinimum 2 years
Clinician-Reported Outcomes (ClinROs) depending on participant's age, local regulation, local availability and investigator's discretionUp to 2 years

Clinical Global Impression rating scale (CGI, modified), Neuropathy Symptoms Score (NSS) , Neuropathy Disability Score(NDS), Brief Ataxia Rating Scale (BARS), The Essential Tremor Rating Assessment Scale (TETRAS), Wechsler Preschool and Primary Scale of Intelligence - Fourth Edition (WPPSI™ - IV) , Wechsler Intelligence Scale for Children - Fifth Edition (WISC®-V) and Mini-Mental State Examination (MMSE)

Number of patients with at least one clinical feature and highest severity grade at the time of diagnosis and over timeMinimum 2 years
Patient-Reported Outcomes (PROs) depending on participant's age, local regulation, local availability and investigator's discretionUp to 2 years

EuroQol-5D-5L , EQ-5D-Y, Pediatric Quality of Life Inventory (PedsQL) core module, 36-Item Short Form Health Survey (SF-36) version 2 , MMRC dyspnea score, PedsQL Multidimensional Fatigue Scale, PedsQL Pediatric Pain Questionnaire, splenomegaly-related symptoms (SRS) v3, Patient Global Impression of Change (PGIC), Patient Global Impression of Symptom Severity (PGIS)

Secondary Outcome Measures
NameTimeMethod
Liver volumeMinimum 2 years
Association of oxygen therapy with age, gender, race, Ashkenazi ancestry and genotypeMinimum 2 years
Forced expiratory volume in the first second of the maneuver (FEV1)Minimum 2 years
Forced vital capacity (FVC) level over time since the time of diagnosisMinimum 2 years
Liver stiffness scoreMinimum 2 years
Association of splenomegaly with age, gender, race, Ashkenazi ancestry and genotypeMinimum 2 years
Association of hospitalization with age, gender, race, Ashkenazi ancestry and genotypeMinimum 2 years
Pulse Oximetry: Saturation of Peripheral Oxygen (SpO2)Minimum 2 years
Number of patients with at least one abnormal value in laboratory parametersMinimum 2 years
Total lung capacity (TLC)Minimum 2 years
Diffusion capacity of CO (DLCO) TestMinimum 2 years
Spleen volumeMinimum 2 years
Optimization and validation of ASMD disease severity scoring system (DS3)Up to 2 years
Bone maturation for age (pediatric patients only)Minimum 2 years
Age appropriate Z-score deviation for height and weight (children only)Minimum 2 years
Body mass index (BMI) for adults onlyMinimum 2 years
Validation of ASMD PRO instruments (24h and 7-day recall)UP to 2 years
Health-related Productivity QuestionnaireUP to 2 years
Association of hepatomegaly with age, gender, race, Ashkenazi ancestry and genotypeMinimum 2 years
Association of lower respiratory tract infection with age, gender, race, Ashkenazi ancestry and genotypeMinimum 2 years
Association of external bleeding episode with age, gender, race, Ashkenazi ancestry and genotypeMinimum 2 years
Association of myocardial infarction with age, gender, race, Ashkenazi ancestry and genotypeMinimum 2 years
Niemann-Pick B Health Assessment QuestionnaireUP to 2 years
Association of respiratory distress with age, gender, race, Ashkenazi ancestry and genotypeMinimum 2 years
Association of cerebrovascular accident with age, gender, race, Ashkenazi ancestry and genotypeMinimum 2 years

Trial Locations

Locations (28)

Investigational Site Number :0760001

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Investigational Site Number :0320002

🇦🇷

Caba, Argentina

Investigational Site Number :7920001

🇹🇷

Izmir, Turkey

Investigational Site Number :2500003

🇫🇷

Paris, France

Investigational Site Number :2030001

🇨🇿

Praha 2, Czechia

Investigational Site Number :0760002

🇧🇷

São Paulo, Brazil

Investigational Site Number :7240005

🇪🇸

Barcelona, Spain

Investigational Site Number :152002

🇨🇱

Santiago, Chile

Investigational Site Number :380002

🇮🇹

Napoli, Italy

Investigational Site Number :380001

🇮🇹

Udine, Italy

Investigational Site Number :2500001

🇫🇷

Paris, France

Investigational Site Number :7920005

🇹🇷

Adana, Turkey

Investigational Site Number :7920003

🇹🇷

Istanbul, Turkey

Investigational Site Number :7240001

🇪🇸

Madrid, Spain

Investigational Site Number :2760005

🇩🇪

Mainz, Germany

Investigational Site Number :7240004

🇪🇸

Sevilla, Spain

Investigational Site Number :2760002

🇩🇪

Gießen, Germany

Investigational Site Number :0560001

🇧🇪

Leuven, Belgium

Investigational Site Number :0320001

🇦🇷

Córdoba, Argentina

Investigational Site Number :0760006

🇧🇷

São Paulo, Brazil

Investigational Site Number :2500002

🇫🇷

ANGERS Cedex 01, France

Investigational Site Number :6200001

🇵🇹

Porto, Portugal

Investigational Site Number :6420001

🇷🇴

Timisoara, Romania

Investigational Site Number :152001

🇨🇱

Santiago, Chile

Investigational Site Number :6200002

🇵🇹

Porto, Portugal

Investigational Site Number :8400002

🇺🇸

Atlanta, Georgia, United States

Investigational Site Number :8400003

🇺🇸

Bronx, New York, United States

Investigational Site Number :8400001

🇺🇸

Valhalla, New York, United States

© Copyright 2025. All Rights Reserved by MedPath