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Facioscapulohumeral Dystrophy in Children

Completed
Conditions
Pediatric Disorder
Facioscapulohumeral Muscular Dystrophy
Neurological Observations
Registration Number
NCT02625662
Lead Sponsor
University Medical Center Nijmegen
Brief Summary

This study will focus on the symptoms, natural history and clinical impact of facioscapulohumeral muscular dystrophy (FSHD) in children.

Symptoms of classical FSHD start in adulthood. However, a small subgroup of FSHD patients have an early, childhood onset. This early onset is associated with faster progression and other symptoms like hearing loss and epilepsy.

The symptoms, natural history and clinical impact of FSHD in children are largely unknown.

The results of this study will be vital for adequate symptomatic management and trial-readiness.

Detailed Description

FSHD is a hereditary muscle disease with slowly progressive muscle weakness. In children it is a very heterogenic disease ranging from severely affected infants to mildly affected adolescents. Symptoms can include muscle weakness, pain, fatigue, epilepsy, hearing loss, vision loss, mental retardation and spinal deformities. The prevalence of these symptoms and the adequate follow-up of these symptoms is unknown. Moreover the clinical impact and social functioning of children with FSHD is under exposed.

Therefore this study will focus on the total spectrum of FSHD in children.

In addition, an extensive genetic screening will be conducted, searching for (epi)genetic disease modifiers and severity predictors.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria
  • aged 0-17 years
  • symptoms of facial, scapulohumeral or peroneal weakness
  • genetically proven FSHD1 or FSHD2
  • living in the Netherlands
Exclusion Criteria
  • no informed consent

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Motor Function Measure2 years

Global motor functioning

Secondary Outcome Measures
NameTimeMethod
ICH Body functioning: visual acuity2 years

Snellen card

ICH Body functioning: hearing2 years

Tone- and voice audiometry

ICH Body functioning: Pain2 years

Faces scale pain.

ICH Body functioning: 6 Minute Walk test2 years

Walking Distance in 6 minutes.

ICH Body functioning: respiratory functioning2 years

Upright sitting spirometry measuring vital capacity and forced expiratory volume.

ICH Body functioning: cardiac functioning2 years

12 lead Electrocardiogram.

ICH Body structure: eye structure2 years

Dilated fundoscopy, optical coherence tomography, slit lamp examination

ICH Body functioning: Manual Muscle Testing2 years

Manual Muscle Testing using the 5-point scale of the Medical Research Council.

ICH Body functioning: Denver II developmental screening test2 years

Developmental level.

ICH Body functioning: muscle functions2 years

FSHD-evaluation score, Ricci score.

ICH Body functioning: mental functioning2 years

Electro-encephalography performed in clinically suspected epilepsy.

ICH Body structure: muscle ultrasonography2 years

Quantitative muscle ultrasonography of 20 skeletal muscles.

ICF: Activities and participation: SEV2 years

SEV questionnaire: social-emotional functioning.

(Epi)genetic disease-modifying factors2 years

Genetic profiling (DNA and RNA).

ICH Body functioning: ingestion functions2 years

TOMASS-C test.Neuromuscular disease swallowing status scale.

ICF: Activities and participation: Kidscreen2 years

Kidscreen-52.

ICF: Activities and participation: NeuroQol2 years

NeuroQol fatigue domain, qualitative anamnesis.

Prevalance estimation2 years

Nationwide recruitment, prevalence estimation.

Trial Locations

Locations (1)

Radboud University Medical Center

🇳🇱

Nijmegen, Gelderland, Netherlands

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