The goal of this study is to to learn more about what assessments would be useful to measure for NM and what normally happens during the lives of people with NM to support future clinical trial development.
Current treatments for people living with nemaline myopathy are supportive only. Several potential therapies are in development which may be available in the next 5-10 years. The barrier to these becoming available is that there is little data available on the natural progression (natural history) of nemaline myopathy. This means that it would be difficult to do a clinical trial of a treatment because it is not known which assessments would be useful to measure or what normally happens during the lives of people with NM.This study aims to better define the natural history and disease specific outcome measures and biomarkers. This study will comprehensively evaluate the natural clinical progression of the disease using medical data and examination findings, scales and questionnaires for the assessment of motor function, breathing, swallow function and Quality of life and fatigue. In addition it will collect data on continuous movement and gait analysis using real world data and wearable sensors (Syde and Maiju), blood samples for future genetic and proteomic analysis and respiratory analysis using ventilatory and thoraco-abdominal pattern for paediatric participants.
Study Type
OBSERVATIONAL
Enrollment
45
Department of Paediatric Neurology - Neuromuscular Service, Evelina Children's Hospital
London, United Kingdom
NOT_YET_RECRUITINGDubowitz Neuromuscular Centre, UCL Great Ormond Street Hospital
London, United Kingdom
NOT_YET_RECRUITINGJohn Walton Muscular Dystrophy Research Centre, Newcastle University
Newcastle, United Kingdom
To observe the natural clinical progression of NM in patients not receiving any disease-modifying intervention
Collection of retrospective and prospective clinical data at baseline visit
Time frame: Baseline, 6 months (age <18 years only), 12months, 18 months (age <18 years only) 24 months, 36 months.
To observe the natural clinical progression of NM in patients not receiving any disease-modifying intervention
Standard Medical and Neurological examination
Time frame: Baseline, 6 months (age <18 years only), 12months, 18 months (age <18 years only) 24 months, 36 months.
To observe the natural clinical progression of NM in patients not receiving any disease-modifying intervention
Questionnaires focusing on quality of life: All ages = PROMIS - 29 profile v2.1
Time frame: Baseline, 6 months (age <18 years only), 12months, 18 months (age <18 years only) 24 months, 36 months.
To observe the natural clinical progression of NM in patients not receiving any disease-modifying intervention
Physio assessment for motor outcome measures and assessment is depend on age: 0-1 years old (dependent on ability) CHOP-INTEND, HINE2, Peabody and MFM32 2-4 years (dependent on ability) MFM32, NSAD, Peabody 5 and over (dependent on ability) MFM32, NSAD, PUL, Myogrip, myopinch, 4SCT, 6MWY, 100mWRT
Time frame: Baseline, 6 months (age <18 years only), 12months, 18 months (age <18 years only) 24 months, 36 months.
To observe the natural clinical progression of NM in patients not receiving any disease-modifying intervention
Respiratory outcome measured dependent on age 0-1 years old (dependent on ability) Time on/off ventilator 2-4 years (dependent on ability) Time on/off ventilator, SNIP 5 and over (dependent on ability) Time on/off ventilator, Spirometry, MIP/MEP, SNIP
Time frame: Baseline, 6 months (age <18 years only), 12months, 18 months (age <18 years only) 24 months, 36 months.
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MDUK Oxford Neuromuscular Centre, University of Oxford
Oxford, United Kingdom
RECRUITINGTo quantify the health economic burden of nemaline myopathy
Health Utilities Index 3 (HUI3)
Time frame: Baseline, 12months, 24 months, 36 months.