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Phenotypes, Biomarkers and Pathophysiology in Hereditary Spastic Paraplegias and Related Disorders

Doctors and researchers are trying to better understand Hereditary Spastic Paraplegia (HSP) and related conditions. This ongoing study will look at how HSP affects people over time, tracking their symptoms and how the illness progresses. They'll also search for special markers in the body or on scans that could help diagnose the condition earlier and lead to new ways of treating it. Additionally, the study will investigate the genetic causes and the underlying problems in the body that lead to HSP. This research is important for improving our understanding, diagnosis, and future development of effective treatments for HSP.

At a glance

Status
Recruiting
Sponsor
Dr. Rebecca Schule
Enrolment target
2,000
Start
14 Oct 2019
Estimated completion
01 Aug 2041

What is this study about?

This research study is about understanding a group of conditions called Hereditary Spastic Paraplegias (HSPs) and other similar disorders. These are typically genetic conditions that can affect movement, often causing stiffness and weakness in the legs. The main goal is to find out more about how these conditions affect people, how they change over time, and what specific signs or measurements in the body might help in diagnosing them and developing new treatments.

The researchers will follow people with HSP and related conditions over a period of time. They will carefully observe and record symptoms, and look for specific 'biomarkers'. These biomarkers could be anything from changes seen on scans, to certain substances in blood or urine, or even patterns in how a person moves. By studying these, the team hopes to find reliable ways to tell what's happening in the body related to HSP.

Another important part of this study is looking into the genes involved. Many HSPs are caused by faulty genes. By studying the genetic makeup of people with these conditions, researchers hope to understand exactly what goes wrong at a tiny level in the body. All this information together will help doctors diagnose HSP more accurately, understand its causes better, and ultimately guide the development of new and more effective treatments for those living with these conditions.

Key takeaways

  • It's a study to better understand HSP and similar conditions.
  • Participation involves yearly visits for check-ups and assessments.
  • Optional blood and other samples can help find disease markers.
  • Genetic testing might be offered if you don't have a diagnosis.
  • The goal is to improve diagnosis and develop future treatments for HSP.

Who may be eligible?

To be part of this study, you would generally fall into one of three groups. You might have been diagnosed with Hereditary Spastic Paraplegia (HSP) or a closely related condition, either based on your symptoms or a genetic test. We also welcome close family members (like parents, children, or siblings) of someone with HSP, even if they don't have the condition themselves.

Alternatively, you could join as a healthy volunteer who doesn't have HSP or similar conditions. These healthy volunteers help researchers compare results and understand what's typical. Whichever group you're in, you'll need to be able to understand the study and agree to take part.

There are also a few reasons why someone might not be able to join. For example, if a healthy volunteer shows signs of another brain or movement disorder, or if anyone is unable to understand or agree to join the study, they wouldn't be able to participate.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Do I have a diagnosis of Hereditary Spastic Paraplegia (HSP) or a related condition?
  2. Am I a close family member (parent, child, sibling) of someone with HSP?
  3. Am I a healthy person who wants to help with research?
  4. Am I able to understand what the study involves and agree to take part?
  5. Am I able to consistently attend yearly visits for check-ups?
Answer every question to see your result.

What does participation involve?

If you decide to take part in this study, you would visit the study centre once a year. During these visits, doctors would perform a standard check-up and assess your condition using special scales designed to measure symptoms. All this information would be added to a secure database for HSP research.

You would also be asked if you'd be willing to provide some samples, such as blood, urine, or even a small skin sample (this is completely optional, and you can choose which, if any, you'd like to provide). For some participants, depending on their individual situation, there might be extra assessments like scans, detailed movement analysis, memory tests, or in-depth molecular tests.

If you don't have a genetic diagnosis for your condition yet, the researchers might also offer to perform a special genetic test called 'next-generation sequencing' to look for potential genetic causes. There's no specific end date mentioned for how long you'd be followed, as it's designed to track progression over time.

Potential risks and benefits

Taking part in this study may not directly benefit you personally, but the information gathered will be very important for improving understanding, diagnosis, and future treatments for Hereditary Spastic Paraplegia. The main risks involve the procedures during your visits, such as giving blood samples, which might cause minor discomfort or bruising. All optional procedures, like skin biopsies, carry their own small risks which will be fully explained. You are completely free to withdraw from the study at any time, for any reason, without it affecting your medical care.

Locations (13)

  • University Innsbruck
    Verified postcode
    Innsbruck, Austria· Recruiting
  • German Center for Neurodegenerative Diseases (DZNE) Bonn
    Verified postcode
    Bonn, Germany· Recruiting
  • University of Erlangen
    Verified postcode
    Erlangen, Germany· Recruiting
  • University Medicine Essen
    Verified postcode
    Essen, Germany· Recruiting
  • University Göttingen
    Verified postcode
    Göttingen, Germany· Recruiting
  • University Heidelberg
    Verified postcode
    Heidelberg, Germany· Not yet recruiting
  • University of Lübeck
    Verified postcode
    Lübeck, Germany· Not yet recruiting
  • German Center for Neurogedenerative Diseases (DZNE) Magdeburg
    Verified postcode
    Magdeburg, Germany· Recruiting
  • German Center for Neurodegenerative Diseases (DZNE) München
    Verified postcode
    München, Germany· Recruiting
  • University of Regensburg
    Verified postcode
    Regensburg, Germany· Not yet recruiting
  • German Center for Neurodegenerative Diseases (DZNE) Rostock
    Verified postcode
    Rostock, Germany· Not yet recruiting
  • University of Tübingen and German Center for Neurodegenerative Diseases (DZNE) Tübingen
    Verified postcode
    Tübingen, Germany· Recruiting

Common questions

What is Hereditary Spastic Paraplegia (HSP)?

HSP is a group of inherited conditions that mostly cause stiffness and weakness in the legs, making it difficult to walk.

Is this a drug trial?

No, this is not a drug trial. It's a 'natural history' study, meaning it observes how a condition progresses over time and looks for clues (biomarkers), rather than testing a specific treatment.

Do I have to give blood samples?

Providing samples like blood or urine is optional. You can choose whether you want to provide them or not, and this won't affect your ability to participate in other aspects of the study.

How long will I be in the study?

The study aims to follow people annually to track how the condition progresses over time, so there isn't a fixed short duration mentioned.

Will I get my genetic test results?

If genetic testing is performed and yields medically relevant findings, these would typically be shared with you through your doctor, but specific details should be confirmed with the study team.

How to find out more

Rebecca Schüle, PD Dr.

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "Phenotypes, Biomarkers and Pathophysiology in Hereditary Spa…" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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