The purpose of this study is to assess rates of decline in motor and cognitive functional measures, and to assess potential biomarkers, in order to identify potential outcome measure appropriate for use in therapeutic clinical trials.
Mucopolysaccharidosis (MPS) type III (Sanfilippo syndrome) is a group of four devastating genetic diseases that result in the abnormal accumulation of glycosaminoglycans in body tissues. In MPSIII the predominant symptoms occur due to accumulation within the central nervous system (CNS), including the brain and spinal cord, resulting in cognitive decline, motor dysfunction, and eventual death. In anticipation for future therapeutic studies for MPSIIIA and MPSIIIB, we are performing a natural history study to identify the following: 1. Individual rates of decline in motor and cognitive function in a cohort of potential clinical trial patients 2. The natural history of outcome measures in order to assess their appropriateness as outcomes in an eventual trial 3. Baseline functional data in patients who will be potential candidates for an eventual trial 4. Biomarkers of disease progression over a 12-month interval, including changes in brain MRI and in cerebrospinal fluid Patients in this study will need to come to Nationwide Children's Hospital in Columbus, Ohio, three times. At each of these three time points, cognitive outcome measures will be assessed: at baseline (visit 1), 6 months (visit 2), and at 12 months (visit 3). At baseline (visit 1) and 12 months (visit 3), an MRI and a lumbar puncture will be performed.
Study Type
OBSERVATIONAL
Enrollment
25
Nationwide Children's Hospital
Columbus, Ohio, United States
Cognitive function
Assessed using the Leiter International Performance assessment, a non-verbal assessment of cognitive function.
Time frame: up to 12 months
Adaptive functioning
Parental assessment of adaptive functioning using the Adaptive Behavioral Assessment System
Time frame: Months 0, 6, and 12
Emotional/behavioral function
Assessment of emotional/behavioral problems using the Child Behavioral Checklist
Time frame: Months 0, 6, and 12
White and grey matter brain volumes
Assessment of brain volumes by MRI. MRI will be performed under sedation.
Time frame: Months 0 and 12
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