The GENOME + project will enroll patients (n = ca. 100) and their healthy parents with unclear molecular cause of the disease, suspected genetic cause of the disease and previous detailed molecular analysis like Whole Exome Sequencing (WES) did not lead to the identification of the disease causing mechanism. As well healthy parents of those affected for trio analysis (exception of one parent is not available for the study).
In the GENOME+ study (monocentric, prospective, open-label diagnostic study), patients with molecularly undiagnosed diseases will diagnostically be analyzed by means of omics technologies or re-analyzed using existing datasets. The following questions will be leading the study: Primary: • Identification of the molecular causes of unclear rare diseases Secondary: * Improve number of diagnoses for patients with rare diseases * Further characterization of the identified putative disease causes * Increase number of patients receiving appropriate therapy after successful diagnosis. In addition, healthy parents of the subjects may be included in the study to perform parent-child (trio) analyses. In addition, phenotype and omics data will be shared within the University Hospital Tübingen, Germany and with external collaborators to improve the diagnostic rate of the patients included in the study. Storage of blood or tissue samples is not primary goal of this project, but may be necessary for further analyses.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
100
Blood sampling, shot clinical characterization, WGS based trio sequencing, NGS analysis and other omics analysis (transcriptomics, proteomics, metabolomics), functional cell biology studies (for example in fibroblast cultures), RNA Sequencing (RNA-seq).
Hair including root will be collected from the scalp (\~15-20) and transferred to cultivation medium for the organoid cultivation
University Hospital Tübingen
Tübingen, Germany
NOT_YET_RECRUITINGUniversity Hospital Tübingen
Tübingen, Germany
RECRUITINGIdentification of the molecular causes of unclear rare diseases
Number of molecular causes
Time frame: Day 1
Diagnoses for patients with rare diseases
Number of diagnoses for patients with rare diseases
Time frame: Day 1
Molecular characterization of putative disease causes
Identify molecular characterization of the putative disease causes
Time frame: Day 1
Patients receiving appropriate therapy after successful diagnosis
Number of patients receiving appropriate therapy after successful diagnosis
Time frame: Day 1
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