Whole Genome Sequencing in the Detection of Rare Undiagnosed Genetic Diseases in Children in China

NCT ID: NCT03424772

Last Updated: 2018-02-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-01-18

Study Completion Date

2019-03-31

Brief Summary

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To assess the indications and diagnostic efficiency of whole genome sequencing (WGS) in pediatric patients with unexplained intellectual disability/developmental delay, multiple congenital abnormalities and other rare and undiagnosed diseases

Detailed Description

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This project will recruit 100 rare, undiagnosed pediatric genetic disease families (core families: patients, patients' parents, immediate family members such as brothers and sisters, all of them can be enrolled whether they have disease or not, so generally 3, for a few cases 4 or 5) all over the country. The expert team will review the clinical materials, the molecular team will review the experimental process, and the bioinformatics team will review the chip, the analysis of whole exome sequencing data and screen the samples all over the country;

Whole-genome sequencing of 100 rare, undiagnosed pediatric genetic disease families (Illumina NovaSeq High-throughput Sequencer);

The study will provide preliminarily performance data on the comparison of whole exome data and whole genome data. In addition, it will generate the Chinese Consensus on Clinical Applications of Whole-genome sequencing in the Diagnosis of Birth Defects and Undiagnosed Rare Genetic Diseases in Children based on the statistical analysis of clinical phenotype and genotype association, which could guide the clinical application of pediatrics, laboratory testing and reporting.

Construction of the Chinese detection genome database of genetic disease

Conditions

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Intellectual Disability Multiple Congenital Anomaly Rare Diseases

Study Design

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Observational Model Type

FAMILY_BASED

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with unexplained DD/ID

Whole genome sequencing will be performed on pediatric patients with unexplained developmental delay(DD)/intellectual disability(ID), multiple congenital abnormalities and other rare and undiagnosed diseases.

Whole genome sequencing

Intervention Type DIAGNOSTIC_TEST

WGS will be performed for the trio

Interventions

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Whole genome sequencing

WGS will be performed for the trio

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Intelligence tests results of less than 40 (patients \<3 years old using the Gesell Developmental Scale for screening; patients of 3-6 years old using Little Wechsler Intelligence Scale for screening; patients \>6 years old using Old Wechsler Intelligence Scale for screening).
2. Neurodevelopmental defects can be expressed as mental retardation, motor development retardation, language delay, epilepsy, etc. May have or not have Multiple congenital abnormalities, families with more than one affected patient will be enrolled priority
3. Families went through at least one of the high throughput technology(WES or CMA) and receive the negative result

Exclusion Criteria

1. Intellectual disability caused by pregnancy, perinatal infection, ischemia, and hypoxia and other non-hereditary causes,
2. Obvious genetic metabolic diseases (such as different types of genetic metabolic diseases, bone disease, fragile X syndrome, etc.);
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Xinhua Hospital, Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Yongguo Yu

Associate chief physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yongguo Yu, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Specify Unaffiliated

Locations

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Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Children's Hospital, Capital Institute of Pediatrics

Beijing, Beijing Municipality, China

Site Status RECRUITING

Department of Pediatrics, Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

The Maternal & Child Health Hospital, The Children's Hospital, The Obstetrics & Gynecology Hospital of Guangxi Zhuang Autonomous Region

Nanning, Guangxi, China

Site Status RECRUITING

The Maternal and Child Health Hospital of Hunan Province

Changsha, Hunan, China

Site Status RECRUITING

Xiangya Hospital, Central-south University / Hunan Jiahui genetics hospital

Changsha, Hunan, China

Site Status RECRUITING

Hunan Children's Hospital

Changsha, Hunan, China

Site Status RECRUITING

Nanjing maternal and children hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Ruijin Hospital affiliated to Shanghai Jiaotong University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Children's Hospital of Shanghai

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Institute for Pediatric Research

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Xin Hua Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Children's Medical Center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Wenzhou Central Hospital

Wenzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yu Sun, PhD

Role: CONTACT

+86-25-25076466

Xiaomei Luo, Ms

Role: CONTACT

+86-25-25076466

Facility Contacts

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Zhengqing Qiu, PhD

Role: primary

Xiaoli Chen, PhD

Role: primary

Yuwu Jiang, PhD

Role: primary

Yiping Shen, PhD

Role: primary

Hua Wang, PhD

Role: primary

Lingqian Wu, PhD

Role: primary

0731-84805252

Jing Peng, PhD

Role: primary

Zhengfeng Xu, PhD

Role: primary

Wei Wang, PhD

Role: primary

Pin Li, PhD

Role: primary

Xiaomei Luo, MD, PhD

Role: primary

+86-21-25076466

Xuefan Gu, MD, PhD

Role: primary

Fei Li, PhD

Role: primary

Shaohua Tang, PhD

Role: primary

References

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Park ST, Kim J. Trends in Next-Generation Sequencing and a New Era for Whole Genome Sequencing. Int Neurourol J. 2016 Nov;20(Suppl 2):S76-83. doi: 10.5213/inj.1632742.371. Epub 2016 Nov 22.

Reference Type BACKGROUND
PMID: 27915479 (View on PubMed)

Related Links

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https://www.ncbi.nlm.nih.gov/pubmed/27915479

Trends in Next-Generation Sequencing and a New Era for Whole Genome Sequencing.

Other Identifiers

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XH-18-001

Identifier Type: -

Identifier Source: org_study_id

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