Screening for Chromosomal Microarrangements by CGH-array in Developmental Anomalies of the Skin Suggestive of Mosaicism. National Multicentre Descriptive Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 315
- 试验地点
- 2
- 主要终点
- Presence or not of inframicroscopic chromosomal rearrangements
研究概览
简要总结
The principal result expected is the discovery of inframicroscopic chromosomal rearrangements in regions of the genome not yet known to be involved, or mutations in known candidate genes;
The identification of such a mosaic rearrangement in an affected infant would lead to improved genetic counselling. Indeed, as this mosaicism is a consequence of a genetic event occurring at an early stage of embryogenesis, it would be possible to confirm the sporadic nature of the observed disorder and therefore to predict a very low or even negligible risk of recurrence for the couple concerned. For the affected infant, the risk for his/her own offspring will be assessed according to the nature of the genetic anomaly discovered. For medical practice, investigators hope that this study will lead to a clearer definition of the screening modalities for mosaicism in the disorders concerned. In particular, they hope to determine whether or not it is possible to dispense with a skin biopsy, which is more invasive than a blood sample.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 盲法
- None
入排标准
- 年龄范围
- 37 Weeks 至 —(Child, Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Persons who have provided written informed consent
- •Lower age limit: infant born at more than 37 WA
- •Sporadic disorder
- •Patients presenting at least two skin criteria, or one skin criterion and one non-skin criterion
- •Skin criteria: 1- extensive epidermal or sebaceous naevus, 2- Extensive "segmental" haemangioma, 3- Flat angioma or extensive complex vascular malformation, 4-Pigmentary disorders with patterns suggesting mosaicism (Blaschko lines)
- •Non-skin criteria: Cerebral, ocular, cardiac or genito-urinary malformation, asymmetric body, segmental hypertrophy of a limb, spinal dysraphism (only when associated with haemangioma)
排除标准
- •Persons not covered by the national health insurance scheme
- •Mendelian disorders: CM-AVM syndrome, glomangiomatosis, Cowden or Bannayan syndrome, type 1 neurofibromatosis, incontinentia pigmenti, CHILD syndrome, Happle-type chondrodysplasia punctata
- •Mendelian mosaic disorders: epidermal or epidermolytic, comedo or dyskeratotic nevus.
- •Family history of one of these disorders
- •Suspicion or an autosomal dominant disease
- •Patient and/or parent under guardianship or ward of court
研究组 & 干预措施
infant
干预措施: Peripheral blood samples in EDTA tubes (Biological)
infant
干预措施: Skin biopsies (Procedure)
Parents
2 parents of child
干预措施: Peripheral blood samples in EDTA tubes (Biological)
结局指标
主要结局
Presence or not of inframicroscopic chromosomal rearrangements
时间窗: baselines
次要结局
- Rate of detection of a chromosomal anomaly(baselines)
