The State of Sexual Development in Children With Inherited Epidermolysis Bullosa

• Conditions: Puberty Disorders; Dermatologic Disease; Epidermolysis Bullosa, Junctional; Kindler Syndrome; Hormone Disturbance; Epidermolysis Bullosa; Epidermolysis Bullosa Dystrophica; Epidermolysis Bullosa Simplex

• Registration Number: NCT05033574
• Lead Sponsor: National Medical Research Center for Children's Health, Russian Federation

Brief Summary

The aim of the study is to determine the state of sexual development in patients with inherited epidermolysis bullosa; the study is planned to include boys and girls aged 8 to 18 years with a diagnosis of epidermolysis bullosa simplex, junctional epidermolysis bullosa, Kindler syndrome.

Detailed Description

Determination of sexual development in children with various types of inherited epidermolysis bullosa using clinical, laboratory and instrumental methods for diagnosing the condition.

Phenotyping of patients with inherited epidermolysis bullosa, taking into account their physical and sexual development, indicators of self-attitude and socialization.

Development of algorithms for individual care for patients with inherited epidermolysis bullosa, including an assessment of the psychological state at different age stages (primary school and adolescence), the volume and form of psychological and pedagogical assistance in complex rehabilitation.

Study Timeline

• Study Start: 2020-12-08
• Status Verified: 2021-07
• Study First Submitted: 2021-07-25
• Study First Submitted QC: 2021-08-26
• Last Update Submitted: 2021-08-26
• Study First Posted: 2021-09-05
• Last Update Posted: 2021-09-05
• Primary Completion: 2021-12-01
• Study Completion: 2023-06-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

1. Male and female patients from 8 to 18 years of age with an established diagnosis of epidermolysis bullosa simplex, junctional epidermolysis bullosa, dystrophic epidermolysis bullosa, Kindler syndrome.

Exclusion Criteria

1. Hypergonadotropic hypogonadism;
2. previous treatment with sex steroids or gonadotropins;
3. the presence of endocrine diseases (hypothyroidism, hypercorticism, hyperprolactinemia, diabetes mellitus);
4. the presence of chronic somatic diseases that are not complications of inherited epidermolysis bullosa (bronchopulmonary diseases, cardiovascular diseases, diseases of the urinary system, diseases of the gastrointestinal tract).

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Assessment of the state of sexual development of children with various types of inherited epidermolysis bullosa using the Tanner scale	1 day	The endocrinologist's assessment of pubertal development in boys and girls using the Tanner Scale
Determination of additional hormonal indicators	1 day	Determination of blood levels of adrenocorticotropic hormone, cortisol, dehydroepiandrosterone-sulfate, 17-hydroxyprogesterone, prolactin, insulin, thyrotropic hormone, triiodothyronine and thyroxine.
Functional development and morphometric parameters of the genital glands in children with various types of inherited epidermolysis bullosa by ultrasound diagnostics	1 day	Ultrasound examination of pelvic organs in girls and scrotal organs in boys to determine morphometric indices.
The state of bone age in children with various types of inherited epidermolysis bullosa using X-ray examination of the hands	1 day	Determination of bone and chronological age correspondence by radiography of the left wrist joint.
Determination of the psychological state of children with various types of inherited epidermolysis bullosa using the personality drawing technique of K. Machover	1 day	Determination of the relationship between self-esteem and gender development in children with different types of hereditary epidermolysis bullosa using the personality drawing technique of K. Machover
Determination of the psychological state of children with various types of inherited epidermolysis bullosa using the Pearce-Harris scale	1 day	Determination of the relationship between self-esteem and gender development in children with different types of hereditary epidermolysis bullosa using the Peirce-Harris scale
Determination of the psychological state of children with various types of inherited epidermolysis bullosa using the T. Aachenbach questionnaire	1 day	Determination of the relationship between self-esteem and gender development in children with different types of hereditary epidermolysis bullosa using the T. Aachenbach questionnaire
Determination of the severity of the course of the disease in children with various types of inherited epidermolysis bullosa using EBDASI	1 day	Determination of the severity of the course of the disease in children with various types of inherited epidermolysis bullosa using Epidermolysis Bullosa Disease Activity and Scarring Index (EBDASI)
Determination of the level of intellectual development in children with various types of inherited epidermolysis bullosa using D. Wexler's test	1 day	Determination of the level of intellectual development and its components (verbal and non-verbal intelligence) in children with various types of inherited epidermolysis bullosa
Determination of the state of functional activity of the sex glands in children with various types of inherited epidermplysis bullosa by the method of biochemical study of the level of sex hormones	1 day	Determination of serum levels of sex hormones in patients (luteinizing hormone, follicle-stimulating hormone, estradiol, total testosterone).

Trial Locations

Locations (1)

National Medical Research Center for Children's Health; 🇷🇺 Moscow, Russian Federation