The purpose of this study is to comprehensively characterize PMS using standardized medical, cognitive, and behavioral measures and to track the natural history of the syndrome using repeated longitudinal assessments. In addition, this study will be aiming to identify biomarkers using neuroimaging, including diffusion tensor imaging and identify genetic factors which contribute to diverse phenotypes in patients with PMS.
Phelan-McDermid syndrome (PMS) or 22q13 Deletion syndrome, caused by a loss of one copy of the SHANK3 gene, is characterized by global developmental delay/intellectual disability, motor skills deficits, delayed or absent speech, and autism spectrum disorder. The goal of this study is to understand more about the PMS phenotype and the biological pathways associated with ID and ASD in the disorder, and to establish the foundation for future clinical trials in PMS and in other ID/ASD-associated disorders that share signaling pathways with PMS. Individuals with PMS will be asked to participate in this study if they are 18 months or older with pathogenic deletions or mutations of the SHANK3 gene at time of enrollment, as well as healthy controls. Both males and females will be asked to participate. Additionally, to be eligible for study participation, individuals' primary communicative language must be English. Parents and unaffected siblings may also be asked to consent to have blood drawn for analysis. The study involves 3 on site visits over 2 years. Study visits involve a physical exam, medical history questions, blood work and neuropsychological assessments. A subset of participants between the ages of 2 and 11 years old will take part in the EEG portion of the study. Individuals who have a clinically indicated MRI will have an option to provide routine clinical scans for analysis.
Study Type
OBSERVATIONAL
Enrollment
205
Stanford University
Stanford, California, United States
Rush University Medical Center
Chicago, Illinois, United States
National Institutes of Health
Bethesda, Maryland, United States
Boston Children's Hospital
Boston, Massachusetts, United States
Change in global cognitive ability at 12 months
Using Mullen Scales for Early Learning or Stanford Binet-5 to measure global cognitive ability
Time frame: 12 months
Change in adaptive behavior at 12 months
Using Vineland Adaptive Behavior Scales to measure adaptive behavior
Time frame: 12 months
Change in language abilities at 12 months
Using composite of Mullen Subscales, Vineland Subscales and Macarthur Bates Communication Developmental Inventory to measure language
Time frame: 12 months
Change in motor functioning at 12 months
Using composite of Mullen Subscales and Vineland Subscales to measure motor functioning
Time frame: 12 months
Change in autism symptoms at 12 months
Using composite of Autism Diagnostic Observation Schedule and Repetitive Behavior Scales-Revised to measure autism
Time frame: 12 months
Change in global cognitive ability at 24 months
Using Mullen Scales for Early Learning or Stanford Binet-5 to measure global cognitive ability
Time frame: 24 months
Change in adaptive behavior at 24 months
Using Vineland Adaptive Behavior Scales to measure adaptive behavior
Time frame: 24 months
Change is language abilities at 24 months
Using composite of Mullen Subscales, Vineland Subscales and Macarthur Bates Communication Developmental Inventory to measure language
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Icahn School of Medicine at Mount Sinai
New York, New York, United States
Time frame: 24 months
Change in motor functioning at 24 months
Using composite of Mullen Subscales and Vineland Subscales to measure motor functioning
Time frame: 24 months
Change in autism symptoms at 24 months
Using composite of Autism Diagnostic Observation Schedule and Repetitive Behavior Scales-Revised to measure autism
Time frame: 24 months