WiTNNess - TNNT1 Myopathy Natural History Study

NCT ID: NCT06374719

Last Updated: 2025-02-12

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

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-09-23

Study Completion Date

2027-06-01

Brief Summary

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WiTNNess is designed to accurately document the natural course and variation of muscle disease caused by pathogenic changes of the TNNT1 gene. The primary aim of the study is to specify meaningful outcome measures for future clinical trials. WiTNNess is open to children and adults worldwide. Participants can choose to include their information once (cross-sectional cohort) or every few months (prospective cohort).

Detailed Description

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WiTNNess is an observational study that includes prospective and cross-sectional arms, both of which include people diagnosed with autosomal recessive TNNT1-associated muscle disease, commonly described as a form of infantile-onset (NEM5A) or childhood-onset (NEM5B) nemaline rod myopathy. The study's primary objective is to establish the nature and time course of disease outcomes under current treatment, so that these can later be compared to outcomes achieved with novel disease-modifying therapies (i.e., interventional trials).

Participants from all over the world are welcome to enroll in either arm of the WiTNNess study. Following appropriate consent, those in the prospective arm are followed long-term. Recurring assessments are performed at the participant's home, the Clinic for Special Children, or a partnering clinical site, depending on the individual's particular circumstances. Basic assessments include vital signs, a physical exam, documentation of motor milestones, growth measurements, and blood chemistry values. Participant's may also undergo non-invasive ultrasound of the heart (echocardiogram) and one or more chest radiographs.

Participants in the cross-sectional arm are contacted once after consent. Members of the WiTNNess study team partner with healthcare providers and family members to capture pertinent medical history, physical exam findings, growth metrics, and motor milestones at the time of contact.

Conditions

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TNNT1-associated Myopathy Infantile-onset Nemaline Rod Myopathy Myopathies, Nemaline Myopathy Myopathy, Rod Myopathy; Hereditary Amish Nemaline Myopathy Nemaline Myopathy 5 NEM5 Genetic Muscle Disease Recessive Hereditary Disorder (Autosomal) ANM

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Prospective

Participants in the prospective cohort are enrolled during early infancy, shortly after diagnosis, and followed longitudinally with repeated assessments until reaching the primary study outcome.

No interventions assigned to this group

Cross-Sectional

Participants in the cross-sectional cohort enroll at any time after diagnosis and all study data are collected at a single time point.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with biallelic pathogenic variants of TNNT1
* Infantile-onset or childhood-onset proximal weakness without confounding medical conditions that could effect muscle health.

Exclusion Criteria

* Another known or suspected medical condition (genetic or acquired) that could potentially alter the natural disease course or otherwise interfere with completion of study procedures.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Clinic for Special Children

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kevin Strauss, MD

Role: PRINCIPAL_INVESTIGATOR

Clinic for Special Children

Locations

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Clinic for Special Children

Gordonville, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Erin Sweigert

Role: CONTACT

7176879407

Joelle Williamson, MPH

Role: CONTACT

7176879407

Facility Contacts

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Erin Sweigert

Role: primary

717-687-9407

Joelle Wiliamson, MPH

Role: backup

7176879407

Other Identifiers

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WiTNNess

Identifier Type: -

Identifier Source: org_study_id

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