Natural History and Longitudinal Clinical Assessments in NCL / Batten Disease, the International DEM-CHILD Database

NCT ID: NCT04613089

Last Updated: 2021-10-29

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

RECRUITING

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-04-08

Study Completion Date

2050-04-08

Brief Summary

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This is an observational study that aims at assessing the natural history of NCL diseases as part of the international DEM-CHILD Database.

1. Patient data are collected from medical records, patient questionnaires and routine follow up clinical examinations with focus on assessing progression in key areas of disease such as motor, language, cognition, seizures, vision, and behavior.
2. A local biorepository of samples from genetically defined NCL patients will be established as well as a virtual biorepository within the DEM-CHILD DB to be able to easily localize international availability of patient samples.

Detailed Description

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NCLs (Neuronal Ceroid Lipofuscinoses) are a group of rare, inherited, neurodegenerative disorders, also known as Batten disease. Until now, 13 different genes causing different subtypes of disease are known. The genetic mutations cause a symptom complex of progressive loss of acquired skills in the domains of motor function, cognition and visual function, leading to ataxia, movement disorder, dementia, blindness and seizures. In the area of genetic testing, variable clinical phenotypes become more and more prevalent. The disease-mechanisms as well as the exact clinical course of the diseases are currently still not fully understood and documented. Although descriptions of the clinical spectrums exist, the natural history needs to be defined as accurately as possible. These data are urgently needed as clinical control data helping to test the therapeutic efficacy of emerging experimental therapies.

Since samples of genetically defined patients are rare and therefore limited for research, there is an urgent need for researchers to localize and access samples internationally. With the establishment of a local NCL-biorepository and virtual sample localization internationally, scientists worldwide may have a faster way to access needed samples for advancing research.

Any NCL patient with a confirmed molecular diagnosis can join the retrospective and prospective natural history data collection. It is also possible for families with already deceased patients to participate in the retrospective analysis part of the data collection if the genetic mutation is known.

Conditions

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Neuronal Ceroid Lipofuscinosis Batten Disease CLN1 Disease CLN2 Disease CLN3 Disease CLN4 Disease CLN5 Disease CLN6 Disease CLN7 Disease CLN8 Disease CLN10 Disease CLN11 Disease CLN12 Disease CLN13 Disease CLN14 Disease

Keywords

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INCL LINCL VLINCL JNCL ANCL NCL CLN Batten Childhood Dementia Lysosomal Storage Diseases Neurodegenerative Diseases Neurodegenerative Disorders Metabolic Disorders PME EPMR SCAR7 SGSH PPT1 Haltia-Santavuori Disease TPP1 Jansky-Bielschowsky Disease Spielmeyer-Vogt-Sjögren-Batten Disease DNAJC5 Parry Disease Kufs Disease Type A MFSD8 CTSD GRN ATP13A2 Kufor-Rakeb Syndrome CTSF Kufs Disease Type B KCTD7

Study Design

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Observational Model Type

OTHER

Study Time Perspective

OTHER

Study Groups

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CLN1 Disease, Haltia-Santavuori Disease

Patients with genetic mutations in the CLN1/PPT1 gene, causing a lysosomal enzyme deficiency of PPT1.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN2 Disease, Jansky-Bielschowsky Disease

Patients with genetic mutations in the CLN2/TPP1 gene, causing a lysosomal enzyme deficiency of TTP1.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN2 Disease - ERT (Brineura) treated

Patients with genetic mutations in the CLN2/TPP1 gene, causing a lysosomal enzyme deficiency of TTP1, previously and/or currently receiving enzyme-replacement therapy (ERT) with Cerliponase alpha (Brineura).

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN3 Disease, Spielmeyer-Vogt-Sjögren-Batten Disease

Patients with genetic mutations in the CLN3 gene.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN4 disease, Parry disease

Patients with genetic mutations in the CLN4/DNAJC5 gene.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN5 Disease

Patients with genetic mutations in the CLN5 gene.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN6 Disease, Kufs Disease Type A

Patients with genetic mutations in the CLN6 gene.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN7 Disease

Patients with genetic mutations in the CLN7/MFSD8 gene.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN8 Disease

Patients with genetic mutations in the CLN8 gene.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN10 Disease

Patients with genetic mutations in the CLN10/CTSD gene, causing a lysosomal enzyme deficiency of Cathepsin D.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN11 Disease

Patients with genetic mutations in the CLN11/GRN gene.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN12 Disease

Patients with genetic mutations in the CLN12/ATP13A2 gene.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN13 Disease, Kufs Disease Type B

Patients with genetic mutations in the CLN13/CTSF gene, causing a lysosomal enzyme deficiency of Cathepsin F.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

CLN14 Disease

Patients with genetic mutations in the CLN14/KCTD7 gene.

Natural History

Intervention Type OTHER

Natural History and Clinical Follow Up.

Interventions

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Natural History

Natural History and Clinical Follow Up.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

\- Patients with a confirmed molecular diagnosis of a form of NCL Disease


* Documented diagnosis of TPP1 deficiency
* Previous or current treatment with intracerebroventricular ERT with cerliponase alpha
* Patients that are currently participating in post-marketing studies will be allowed to participate.

Exclusion Criteria

\- Patients with no confirmed molecular diagnosis of a form of NCL Disease
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitätsklinikum Hamburg-Eppendorf

OTHER

Sponsor Role lead

Responsible Party

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Angela Schulz

MD, PhD, Head of NCL Specialty Clinic

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Angela Schulz, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Head of NCL-Specialty Clinic

Locations

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University Medical Center Hamburg-Eppendorf

Hamburg, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Miriam Nickel, MD

Role: CONTACT

Phone: +4940741020440

Email: [email protected]

Angela Schulz, MD, PhD

Role: CONTACT

Phone: +4940741020440

Email: [email protected]

Facility Contacts

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Miriam Nickel, MD

Role: primary

Angela Schulz, MD, PhD

Role: backup

References

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Rietdorf K, Coode EE, Schulz A, Wibbeler E, Bootman MD, Ostergaard JR. Cardiac pathology in neuronal ceroid lipofuscinoses (NCL): More than a mere co-morbidity. Biochim Biophys Acta Mol Basis Dis. 2020 Sep 1;1866(9):165643. doi: 10.1016/j.bbadis.2019.165643. Epub 2019 Dec 19.

Reference Type BACKGROUND
PMID: 31863828 (View on PubMed)

Nickel M, Simonati A, Jacoby D, Lezius S, Kilian D, Van de Graaf B, Pagovich OE, Kosofsky B, Yohay K, Downs M, Slasor P, Ajayi T, Crystal RG, Kohlschutter A, Sondhi D, Schulz A. Disease characteristics and progression in patients with late-infantile neuronal ceroid lipofuscinosis type 2 (CLN2) disease: an observational cohort study. Lancet Child Adolesc Health. 2018 Aug;2(8):582-590. doi: 10.1016/S2352-4642(18)30179-2. Epub 2018 Jul 2.

Reference Type BACKGROUND
PMID: 30119717 (View on PubMed)

Schulz A, Ajayi T, Specchio N, de Los Reyes E, Gissen P, Ballon D, Dyke JP, Cahan H, Slasor P, Jacoby D, Kohlschutter A; CLN2 Study Group. Study of Intraventricular Cerliponase Alfa for CLN2 Disease. N Engl J Med. 2018 May 17;378(20):1898-1907. doi: 10.1056/NEJMoa1712649. Epub 2018 Apr 24.

Reference Type BACKGROUND
PMID: 29688815 (View on PubMed)

Gardner E, Bailey M, Schulz A, Aristorena M, Miller N, Mole SE. Mutation update: Review of TPP1 gene variants associated with neuronal ceroid lipofuscinosis CLN2 disease. Hum Mutat. 2019 Nov;40(11):1924-1938. doi: 10.1002/humu.23860. Epub 2019 Jul 26.

Reference Type BACKGROUND
PMID: 31283065 (View on PubMed)

Fietz M, AlSayed M, Burke D, Cohen-Pfeffer J, Cooper JD, Dvorakova L, Giugliani R, Izzo E, Jahnova H, Lukacs Z, Mole SE, Noher de Halac I, Pearce DA, Poupetova H, Schulz A, Specchio N, Xin W, Miller N. Diagnosis of neuronal ceroid lipofuscinosis type 2 (CLN2 disease): Expert recommendations for early detection and laboratory diagnosis. Mol Genet Metab. 2016 Sep;119(1-2):160-7. doi: 10.1016/j.ymgme.2016.07.011. Epub 2016 Jul 25.

Reference Type BACKGROUND
PMID: 27553878 (View on PubMed)

Simonati A, Williams RE, Nardocci N, Laine M, Battini R, Schulz A, Garavaglia B, Moro F, Pezzini F, Santorelli FM. Phenotype and natural history of variant late infantile ceroid-lipofuscinosis 5. Dev Med Child Neurol. 2017 Aug;59(8):815-821. doi: 10.1111/dmcn.13473. Epub 2017 May 25.

Reference Type BACKGROUND
PMID: 28542837 (View on PubMed)

Lebrun AH, Storch S, Ruschendorf F, Schmiedt ML, Kyttala A, Mole SE, Kitzmuller C, Saar K, Mewasingh LD, Boda V, Kohlschutter A, Ullrich K, Braulke T, Schulz A. Retention of lysosomal protein CLN5 in the endoplasmic reticulum causes neuronal ceroid lipofuscinosis in Asian sibship. Hum Mutat. 2009 May;30(5):E651-61. doi: 10.1002/humu.21010.

Reference Type BACKGROUND
PMID: 19309691 (View on PubMed)

Williams RE, Adams HR, Blohm M, Cohen-Pfeffer JL, de Los Reyes E, Denecke J, Drago K, Fairhurst C, Frazier M, Guelbert N, Kiss S, Kofler A, Lawson JA, Lehwald L, Leung MA, Mikhaylova S, Mink JW, Nickel M, Shediac R, Sims K, Specchio N, Topcu M, von Lobbecke I, West A, Zernikow B, Schulz A. Management Strategies for CLN2 Disease. Pediatr Neurol. 2017 Apr;69:102-112. doi: 10.1016/j.pediatrneurol.2017.01.034. Epub 2017 Feb 4.

Reference Type BACKGROUND
PMID: 28335910 (View on PubMed)

Kohlschutter A, Schulz A, Bartsch U, Storch S. Current and Emerging Treatment Strategies for Neuronal Ceroid Lipofuscinoses. CNS Drugs. 2019 Apr;33(4):315-325. doi: 10.1007/s40263-019-00620-8.

Reference Type BACKGROUND
PMID: 30877620 (View on PubMed)

Lobel U, Sedlacik J, Nickel M, Lezius S, Fiehler J, Nestrasil I, Kohlschutter A, Schulz A. Volumetric Description of Brain Atrophy in Neuronal Ceroid Lipofuscinosis 2: Supratentorial Gray Matter Shows Uniform Disease Progression. AJNR Am J Neuroradiol. 2016 Oct;37(10):1938-1943. doi: 10.3174/ajnr.A4816. Epub 2016 May 26.

Reference Type BACKGROUND
PMID: 27231226 (View on PubMed)

Dulz S, Wagenfeld L, Nickel M, Richard G, Schwartz R, Bartsch U, Kohlschutter A, Schulz A. Novel morphological macular findings in juvenile CLN3 disease. Br J Ophthalmol. 2016 Jun;100(6):824-8. doi: 10.1136/bjophthalmol-2015-307320. Epub 2015 Oct 20.

Reference Type BACKGROUND
PMID: 26486417 (View on PubMed)

Dulz S, Atiskova Y, Wibbeler E, Wildner J, Wagenfeld L, Schwering C, Nickel M, Bartsch U, Spitzer MS, Schulz A. An Ophthalmic Rating Scale to Assess Ocular Involvement in Juvenile CLN3 Disease. Am J Ophthalmol. 2020 Dec;220:64-71. doi: 10.1016/j.ajo.2020.07.015. Epub 2020 Jul 21.

Reference Type BACKGROUND
PMID: 32707205 (View on PubMed)

Mole SE, Anderson G, Band HA, Berkovic SF, Cooper JD, Kleine Holthaus SM, McKay TR, Medina DL, Rahim AA, Schulz A, Smith AJ. Clinical challenges and future therapeutic approaches for neuronal ceroid lipofuscinosis. Lancet Neurol. 2019 Jan;18(1):107-116. doi: 10.1016/S1474-4422(18)30368-5. Epub 2018 Nov 21.

Reference Type BACKGROUND
PMID: 30470609 (View on PubMed)

Bergholz R, Kohlschutter A, Schulz A, Hubert W, Ruther K. Phenotyping heterozygous carriers of juvenile neuronal ceroid lipofuscinosis with CLN3 mutations. Graefes Arch Clin Exp Ophthalmol. 2015 Aug;253(8):1245-50. doi: 10.1007/s00417-014-2814-0. Epub 2014 Oct 22.

Reference Type BACKGROUND
PMID: 25338278 (View on PubMed)

Schulz A, Kohlschutter A, Mink J, Simonati A, Williams R. NCL diseases - clinical perspectives. Biochim Biophys Acta. 2013 Nov;1832(11):1801-6. doi: 10.1016/j.bbadis.2013.04.008. Epub 2013 Apr 17.

Reference Type BACKGROUND
PMID: 23602993 (View on PubMed)

Paniagua Bravo A, Forkert ND, Schulz A, Lobel U, Fiehler J, Ding X, Sedlacik J, Rosenkranz M, Goebell E. Quantitative t2 measurements in juvenile and late infantile neuronal ceroid lipofuscinosis. Clin Neuroradiol. 2013 Sep;23(3):189-96. doi: 10.1007/s00062-012-0189-3. Epub 2012 Dec 23.

Reference Type BACKGROUND
PMID: 23263384 (View on PubMed)

Kousi M, Anttila V, Schulz A, Calafato S, Jakkula E, Riesch E, Myllykangas L, Kalimo H, Topcu M, Gokben S, Alehan F, Lemke JR, Alber M, Palotie A, Kopra O, Lehesjoki AE. Novel mutations consolidate KCTD7 as a progressive myoclonus epilepsy gene. J Med Genet. 2012 Jun;49(6):391-9. doi: 10.1136/jmedgenet-2012-100859.

Reference Type BACKGROUND
PMID: 22693283 (View on PubMed)

Dulz S, Schwering C, Wildner J, Spartalis C, Schuettauf F, Bartsch U, Wibbeler E, Nickel M, Spitzer MS, Atiskova Y, Schulz A. Ongoing retinal degeneration despite intraventricular enzyme replacement therapy with cerliponase alfa in late-infantile neuronal ceroid lipofuscinosis type 2 (CLN2 disease). Br J Ophthalmol. 2023 Oct;107(10):1478-1483. doi: 10.1136/bjo-2022-321260. Epub 2022 Jun 30.

Reference Type DERIVED
PMID: 35772852 (View on PubMed)

Other Identifiers

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DEM-CHILD2020

Identifier Type: -

Identifier Source: org_study_id