A Multicenter Phenotype-Genotype Analysis of DM1 Patients in China

NCT ID: NCT06101940

Last Updated: 2025-09-16

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

ENROLLING_BY_INVITATION

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-08-01

Study Completion Date

2032-12-30

Brief Summary

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Myotonic dystrophy 1 (DM1) is an autosomal, dominantly inherited neuromuscular disorder characterized by skeletal muscle weakness, myotonia, cardiac conduction abnormalities, cataracts, and other abnormalities. This disease results from an expansion of a cytosine-thymine-guanine (CTG) trinucleotide repeat in the 3'-untranslated region of the dystrophia myotonica protein kinase (DMPK) gene on chromosome 19. Currently, there is limited phenotype and genotype data available for DM1 patients with Chinese Han ethnicity. Therefore, this study aims to fill this gap and provide complementary data.

Detailed Description

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This multicenter, prospective, observational study investigates the diagnosis and progression of Myotonic Dystrophy Type 1 (DM1) in Chinese patients through comprehensive data collection. The research protocol includes clinical assessments (strength evaluations, cognitive testing), diagnostic studies (genetic analysis, electromyography), imaging modalities (MRI, echocardiography, electrocardiography), functional evaluations (pulmonary function tests, posture and movement video analysis), and biological sampling (blood and muscle specimens). This integrated approach enables systematic characterization of DM1 manifestations across multiple organ systems, facilitating better understanding of disease progression patterns and potential biomarker identification in the Chinese population.

Conditions

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Myotonic Dystrophy 1

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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DM1 patients

Patient cohort

MRI scan

Intervention Type DIAGNOSTIC_TEST

Brain MRI scan to evaluate the integrity of the nervous system; lower limb muscle MRI scan to evaluate fat infiltration in skeletal muscles of the lower limb

Electrocardiography

Intervention Type DIAGNOSTIC_TEST

Standard 12-lead electrocardiography or Holter monitoring performed to assess cardiac conduction abnormalities and arrhythmias in patients with DM1.

Pulmonary function test

Intervention Type DIAGNOSTIC_TEST

Comprehensive pulmonary function testing including spirometry to assess respiratory muscle weakness and restrictive lung disease in DM1 patients.

Interventions

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MRI scan

Brain MRI scan to evaluate the integrity of the nervous system; lower limb muscle MRI scan to evaluate fat infiltration in skeletal muscles of the lower limb

Intervention Type DIAGNOSTIC_TEST

Electrocardiography

Standard 12-lead electrocardiography or Holter monitoring performed to assess cardiac conduction abnormalities and arrhythmias in patients with DM1.

Intervention Type DIAGNOSTIC_TEST

Pulmonary function test

Comprehensive pulmonary function testing including spirometry to assess respiratory muscle weakness and restrictive lung disease in DM1 patients.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Age between 18-80 years
* With enough cognitivie ability to understand the content and sign the informed consent form
* With CTG repeats \>50 in DMPK gene, revealed by PCR test

Exclusion Criteria

* Patients with severe mental illness, or severe anxiety and depression
* With comorbidities such as traumatic brain injury and cranial tumors
* A history of alcoholism, psychotropic substance abuse, etc.
* Patients with severe medical conditions and unstable vital signs that cannot tolerate the tests.
* Female in pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Huashan Hospital

OTHER

Sponsor Role lead

Responsible Party

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Chongbo Zhao

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chongbo Zhao, PhD

Role: STUDY_DIRECTOR

Huashan Hospital

Locations

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Chinese People's Liberation Army General Hospital

Beijing, Beijing Municipality, China

Site Status

Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status

First Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status

Fujian Medical University Union Hospital

Fuzhou, Fujian, China

Site Status

Southern Hospital of Southern Medical University

Guangzhou, Guangdong, China

Site Status

The Third Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

Wuhan University People's Hospital

Wuhan, Hubei, China

Site Status

Zhongda Hospital Southeast University

Nanjing, Jiangsu, China

Site Status

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status

The First People's Hospital of Yancheng

Yancheng, Jiangsu, China

Site Status

The First Affiliated Hospital of Nanchang University)

Nanchang, Jiangxi, China

Site Status

The First Bethune Hospital of Jilin University

Changchun, Jilin, China

Site Status

Chifeng Municipal Hospital

Chifeng, Neimenggu, China

Site Status

Qilu Hospital of Shandong University

Jinan, Shandong, China

Site Status

Children's Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Site Status

First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status

Xi'an Gaoxin Hospital

Xi’an, Shanxi, China

Site Status

Xi'an People's Hospital

Xi’an, Shanxi, China

Site Status

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

Site Status

The General Hospital of Western Theater Command

Chengdu, Sichuan, China

Site Status

Yunnan Provincial People's Hospital

Kunming, Yunnan, China

Site Status

Huashan Hospital

Shanghai, , China

Site Status

Countries

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China

Other Identifiers

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KY2020-008

Identifier Type: -

Identifier Source: org_study_id

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