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CompletedObservational

Early diagnosis of Stickler syndrome using a screening tool in children with Perthes disease

This study is developing a simple screening tool to help doctors find Stickler syndrome sooner in children. Stickler syndrome is a genetic condition that can lead to problems with eyes, joints, and hearing. Critically, it can cause sight loss, but there's a treatment available if diagnosed early enough. The researchers will create a checklist based on medical and family history. They will test this checklist on children known to have Stickler syndrome and then use it on children with Perthes disease, a different hip condition. The goal is to see if any of these children might also have Stickler syndrome, allowing them to get important eye treatment before their sight is affected.

At a glance

Status
Completed
Sponsor
Cambridge University Hospitals NHS Foundation Trust and University of Cambridge
Enrolment target
300
Start
01 Mar 2025
Estimated completion
01 Jun 2026

What is this study about?

This study is all about helping children get an early diagnosis of a condition called Stickler syndrome. Stickler syndrome is a condition passed down through families that affects a protein in the body called collagen. Collagen is really important because it helps keep our body's connective tissues strong – these are the tissues that support our joints, eyes, ears, and the roof of our mouth. If someone has Stickler syndrome, they might have problems with their joints, hearing, or eyes. One of the most serious problems it can cause is with the eyes, where the light-sensitive layer at the back of the eye (called the retina) can come loose. This can lead to sight loss and even blindness.

The good news is that there's a treatment that can help prevent this sight loss if it's given early enough. However, many people don't know they have Stickler syndrome until much later. So, this study wants to create a simple way for doctors to spot it earlier. They plan to develop a special checklist based on information about a child's health history and their family's health. They will first test this checklist on children already diagnosed with Stickler syndrome and also on children without the condition to make sure it works well.

After that, they will use this new checklist on children who have Perthes disease. Perthes disease is a different, rare condition that affects the hip joint in children. The researchers want to see if any children with Perthes disease also show signs that they might have Stickler syndrome. If this screening tool is successful, it could help many children get diagnosed with Stickler syndrome earlier, allowing them to receive important eye treatments that could save their sight.

Key takeaways

  • The study aims for earlier Stickler syndrome diagnosis.
  • Early diagnosis can prevent serious sight loss.
  • A simple checklist will be developed and tested.
  • Children with Perthes disease will be screened.
  • Taking part involves a short questionnaire and physical check.
  • The risks are minimal, mainly for a blood test.

Who may be eligible?

This study is designed in different stages, and who can take part depends on which stage they are looking at. Firstly, to help design the checklist, they are working with existing patients who have Stickler syndrome, including those who also have Perthes disease. They are also getting information from the Stickler Syndrome UK charity.

To check if the checklist works well, they will include children aged 4 to 10 who have Stickler syndrome, and also children of the same age who do not have the condition. For the main part of the study, where they test the checklist on children with Perthes disease, they will be inviting all children who attend the children's orthopaedic clinics for Perthes disease.

Generally, you wouldn't be able to join if you're already known to have Stickler syndrome for the stage where they are screening Perthes patients, or if you're already being checked for other similar conditions. The study includes children from birth up to 99 years old, and anyone can take part regardless of their sex.

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. Are you/your child aged between 0 and 99 years old?
  2. Does your child have Perthes disease and attend a specialist clinic?
  3. Do you already know you/your child have Stickler syndrome? (If yes, you may not be eligible for the Perthes screening part)
  4. Are you part of Stickler Syndrome UK? (for an earlier stage of the study)
  5. Are you currently being investigated for another connective tissue disorder (like Stickler syndrome)? (If yes, you may not be eligible for the control groups)
Answer every question to see your result.

What does participation involve?

If you or your child take part in this study, you will be asked to complete a screening tool. This is like a short questionnaire or checklist about your/your child's medical and family health history. This usually takes about 10 minutes to complete. A doctor or nurse will also do a quick check of your child's mouth and joints. If your child has Perthes disease and is taking part in that specific part of the study, they will also have a blood test. This blood test is looking for a specific genetic change that causes a common type of Stickler syndrome. The study is expected to run from October 2024 to October 2026.

Potential risks and benefits

The main goal of this study is to help future patients by finding Stickler syndrome earlier so they can get sight-saving treatment. For children with Perthes disease who join the study, a benefit could be an early diagnosis of Stickler syndrome, which would lead to urgent checks and treatment to protect their eyesight. The risks of taking part are very small. The screening tool and physical check are not invasive, meaning nothing goes into the body. The blood test has the usual small risks, like feeling a little upset or getting a small bruise where the blood was taken. You are always free to leave the study at any time without giving a reason, and this will not affect your child's medical care.

Locations (2)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Cambridge University Hospitals NHS Foundation Trust
    City only
    Cambridge, United Kingdom
  • Alder Hey Children's NHS Foundation Trust
    City only
    Liverpool, United Kingdom

Common questions

What is Stickler syndrome?

Stickler syndrome is a condition passed down in families that can affect joints, eyes, ears, and the roof of the mouth, potentially leading to sight problems.

What is Perthes disease?

Perthes disease is a separate, rare condition that affects the hip joint in children.

Why are they studying children with Perthes disease?

The researchers want to see if children with Perthes disease might also have undiagnosed Stickler syndrome, which could put their sight at risk.

What does a 'screening tool' mean?

It's like a simple checklist or questionnaire based on health information that helps doctors quickly decide if someone might have a particular condition.

Will my child need any new medicines for this study?

No, this study does not involve new medicines. It's about finding a condition earlier using a checklist and, for some, a blood test.

How to find out more

Robert Smyth

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

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