Defining Clinical Endpoints in Limb Girdle Muscular Dystrophy (LGMD)

NCT ID: NCT03981289

Last Updated: 2025-08-06

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

COMPLETED

Total Enrollment

116 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-06-14

Study Completion Date

2025-06-30

Brief Summary

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Limb Girdle Muscular Dystrophy comprise a group of disorders made up of over 30 mutations which share a common phenotype of progressive weakness of the shoulder and hip girdle muscles. While the individual genetic mutations are rare, as a cohort, LGMDs are one of the four most common muscular dystrophies. The overall goal of project 1 is to define the key phenotypes as measured by standard clinical outcome assessments (COAs) for limb girdle muscular dystrophies (LGMD) to hasten therapeutic development.

Detailed Description

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The genetic heterogeneity has been a barrier to broad natural history efforts, with prior investigations often limited to single gene mutations. Much attention is paid to the variability within individual mutations (e.g. distal presentations), as opposed to defining the best strategy for measuring change in overall LGMD disease burden. This presents a major dilemma for LGMD rare disease research: how to balance diverse genes leading to overlapping phenotypes, versus variants in the same gene leading to divergent phenotypes. What is clear, is as a group, LGMDs are chronic and progressive leading to significant lifetime morbidity and represent a large unmet clinical need.

Recent developments in the investigator's genetic understanding of LGMD and molecular approaches to therapy have led to proposed gene replacement therapies for at least three of the LGMD mutations. Several of these gene replacement therapies are currently in pre-clinical/phase 1 testing, leading to an urgent need for natural history data. In addition, non-specific therapies which target muscle mass or function are being tested in other muscular dystrophies and may prove beneficial for LGMD.

Conditions

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Limb Girdle Muscular Dystrophy Muscular Dystrophies

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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CAPN3 (LGMD2A)

Clinical Assessments, Biomarkers

No interventions assigned to this group

DYSF (LGMD2B)

Clinical Assessments, Biomarkers

No interventions assigned to this group

ANO5 (LGMD2L)

Clinical Assessments, Biomarkers

No interventions assigned to this group

DNAJB6 (LGMD1D)

Clinical Assessments, Biomarkers

No interventions assigned to this group

Sarcoglycan (LGMD2D) (LGMD2E) (LGMD2C) (LGMD2F)

Clinical assessments

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Age between 4-65 at enrollment
* Clinically affected (defined as weakness on bedside evaluation in either a limb-girdle pattern, or in a distal extremity)
* A genetically or functionally confirmed mutation in ANO5, CAPN3, DYSF, DNAJB6 or SGCA-G.
* Willing and able to give informed consent and follow all study procedures and requirements


* Age between 4-65 at enrollment
* Clinically affected (defined as weakness on bedside evaluation in either a limb-girdle pattern, or in a distal extremity)
* a genetically confirmed mutation in SGCA-G
* Willing and able to give informed consent and follow all study procedures and requirements

Exclusion Criteria

* Any other illness that would interfere with the ability to undergo safe testing or would interfere with interpretation of the results in the opinion of the site investigator.
* History of a bleeding disorder, platelet count \<50,000, current use of an anticoagulant.
* Positive pregnancy test at time any timepoint during the trial.


* Any other illness that would interfere with the ability to undergo safe testing or would interfere with interpretation of the results in the opinion of the site investigator.
* History of a bleeding disorder, platelet count \<50,000, current use of an anticoagulant
* Positive pregnancy test at time any timepoint during the trial.
Minimum Eligible Age

4 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Newcastle University

OTHER

Sponsor Role collaborator

Nationwide Children's Hospital

OTHER

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role collaborator

University of Iowa

OTHER

Sponsor Role collaborator

University of Minnesota

OTHER

Sponsor Role collaborator

University of California, Irvine

OTHER

Sponsor Role collaborator

Hugo W. Moser Research Institute at Kennedy Krieger, Inc.

OTHER

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role collaborator

University of Kansas Medical Center

OTHER

Sponsor Role collaborator

Virginia Commonwealth University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nicholas Johnson, MD

Role: PRINCIPAL_INVESTIGATOR

Virginia Commonwealth University

Locations

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University of California Irvine

Irvine, California, United States

Site Status

The University of Colorado Anschutz Medical Campus

Aurora, Colorado, United States

Site Status

University of Iowa

Iowa City, Iowa, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Kennedy Krieger Institute

Baltimore, Maryland, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Nationwide Children's Hospital

Columbus, Ohio, United States

Site Status

Virginia Commonwealth University

Richmond, Virginia, United States

Site Status

John Walton Muscular Dystrophy Research Centre (Newcastle Upon Tyne)

Newcastle, , United Kingdom

Site Status

Countries

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United States United Kingdom

References

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Doody A, Alfano L, Diaz-Manera J, Lowes L, Mozaffar T, Mathews KD, Weihl CC, Wicklund M, Hung M, Statland J, Johnson NE; GRASP-LGMD Consortium. Defining clinical endpoints in limb girdle muscular dystrophy: a GRASP-LGMD study. BMC Neurol. 2024 Mar 15;24(1):96. doi: 10.1186/s12883-024-03588-1.

Reference Type DERIVED
PMID: 38491364 (View on PubMed)

Doody A, Alfano L, Diaz-Manera J, Lowes L, Mozaffar T, Mathews K, Weihl CC, Wicklund M, Statland J, Johnson NE; GRASP-LGMD Consortium. Defining Clinical Endpoints in Limb Girdle Muscular Dystrophy: A GRASP-LGMD study. Res Sq [Preprint]. 2023 Oct 6:rs.3.rs-3370395. doi: 10.21203/rs.3.rs-3370395/v1.

Reference Type DERIVED
PMID: 37886601 (View on PubMed)

Other Identifiers

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GRASP-LGMD

Identifier Type: OTHER

Identifier Source: secondary_id

HM20018721

Identifier Type: -

Identifier Source: org_study_id

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