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Infantile-onset ascending hereditary spastic paralysis

IAHSP; spastic paralysis, infantile onset ascending


Clinical Trial: SPATAX

This study is currently recruiting patients.
Verified by Institut National de la Santé Et de la Recherche Médicale, France August 2005

Sponsors and Collaborators: Institut National de la Santé Et de la Recherche Médicale, France
Institut des Maladies Rares
Information provided by: Institut National de la Santé Et de la Recherche Médicale, France
ClinicalTrials.gov Identifier: NCT00140829

Purpose

Cerebellar ataxias (CA) and spastic paraplegias (SP) are genetically and clinically very heterogeneous. More than 40 loci are already known but the number of phenotypes is even greater suggesting further genetic heterogeneity. These progressive disorders are often severe and fatal, due to the absence of specific therapy. The SPATAX network combines the experience of European clinicians and scientists working on these groups of diseases. Over the past year, they have assembled the largest collection of families and achieved a number of tasks (initiation of a clinical and genetic database, distribution of DNA to participating laboratories, mapping of three new loci, refinement of several loci). In addition to clinicians from Europe and Mediterranean countries, who play a major role in collecting families according to evaluation tools developed and validated by the SPATAX members, the group includes major European laboratories devoted to the elucidation of the molecular basis of these disorders. Each laboratory will centralize all families with a subtype of autosomal recessive (AR) CA (n=116) or SP (n=207) in order to efficiently map and identify the responsible gene(s). Genome-wide scans are already underway in 61 families. Given the expertise of the participants, we expect to map and identify several genes during the course of this project. The spectrum of mutations and phenotype/genotype correlations will be analysed thanks to this unique series of patients with various phenotypes. The knowledge gained will be immediately applicable to patients in terms of improved positive diagnosis, follow-up and appropriate genetic counselling. In the long term, models for genetic entity will be developed in order to understand the pathophysiology and to identify new targets for treatment. The series of patients assembled and the precise knowledge of natural history will facilitate the implantation of therapeutic trials based on rational approaches.
Condition Phase
Cerebellar Ataxias
Spastic Paraplegias
Phase I

MedlinePlus related topics:  Degenerative Nerve Diseases;   Movement Disorders;   Paralysis

Study Type: Observational
Study Design: Screening, Longitudinal, Case Control, Prospective Study

Official Title: Clinical and Genetic Analysis of Autosomal Recessive Forms of Cerebellar Ataxias and Spastic Paraplegias

Further Study Details: 

Expected Total Enrollment:  6000

Study start: July 2003;  Expected completion: December 2005
Last follow-up: October 2005;  Data entry closure: October 2005

Eligibility

Ages Eligible for Study:  2 Years   -   70 Years,  Genders Eligible for Study:  Both

Accepts Healthy Volunteers

Criteria

Inclusion Criteria:

- progressive ataxia or paraplegia

Exclusion Criteria:

- Lack of signed informed consent

Location and Contact Information

Please refer to this study by ClinicalTrials.gov identifier  NCT00140829

Alexandra Dürr, MD, PhD      0033142162182    durr@ccr.jussieu.fr

Algeria
      CHU Mustapha, Algiers,  16000,  Algeria; Recruiting
Miriem Tazir, MD, PhD  0021321235640    meriemtazir@yahoo.com 
Miriem Tazir, MD, PhD,  Principal Investigator

Denmark
      The Panum Institute, Copenhagen,  2200,  Denmark; Recruiting
Jorgen E Nielsen, MD, PhD  004535527816    jnielsen@imbg.ku.dk 
Jorgen E Nielsen, MD, PhD,  Principal Investigator
Kristin Husby Scheuer, MD,  Sub-Investigator

France
      Pitié-Salpêtrière Hospital, Paris,  75013,  France; Recruiting
Alexandra Dürr, MD, PhD  0033142162182    durr@ccr.jussieu.fr 
Alexandra Dürr, MD, PhD,  Principal Investigator
Alexis Brice, MD,  Sub-Investigator
Bertrand Fontaine, MD, PhD,  Sub-Investigator

      CHU d''''Angers, Angers,  49000,  France; Recruiting
Christophe Verny, MD  003241354613    chverny@chu-angers.fr 
Christophe Verny, MD,  Principal Investigator

      Hôpital Charles Nicolle, Rouen,  76000,  France; Recruiting
Didier Hannequin, MD, PhD  0033232888170    Didier.hannequin@chu-rouen.fr 
Didier Hannequin, MD, PhD,  Principal Investigator

      Hôpital Armand Trousseau, Paris,  75012,  France; Recruiting
Diana Rodriguez, MD   diana.rodriguez@trs.ap-hop-paris.fr 
Diana Rodriguez, MD,  Principal Investigator

      Hôpital de la Timone, Marseille,  13000,  France; Recruiting
Jean-Philippe Azulay, MD, PhD  0033491386579    jean-philippe.azulay@mail.ap-hm.fr 
Jean-Philippe Azulay, MD, PhD,  Principal Investigator

      Hôpital Carémeau, Nîmes,  30000,  France; Recruiting
Pierre Labauge, MD, PhD  0033466683263    labauge@hotmail.com 
Pierre Labauge, MD, PhD,  Principal Investigator

      CHU, Grenoble,  38000,  France; Recruiting
Pierre Pollak, MD, PhD  0033476765791    pierre.pollak@ujf-grenoble.fr 

      Hôpitaux de Clermont-Ferrand, Clermont-Ferrand,  63000,  France; Recruiting
Odile Boespflug-Tanguy, MD, PhD  0033473448657    Odile.BOESPFLUG@inserm.u-clermont1.fr 
Odile Boespflug-Tanguy, MD, PhD,  Principal Investigator

Italy
      Dipartimento Di Scienze Neurologiche, Napoli,  80131,  Italy; Recruiting
Alessandro Filla, MD, PhD  00390817462476    afilla@unina.it 
Alessandro Filla, MD, PhD,  Principal Investigator

      Molecular Medicine and Department of Neurosciences, Roma,  00165,  Italy; Recruiting
Enrico Bertini, MD, PhD  00390668592105    ebertini@tin.it 
Enrico Bertini, MD, PhD,  Principal Investigator

Lebanon
      Université Saint-Joseph, Beirut,  1107 2180,  Lebanon; Recruiting
André Mégarbané, MD, PhD  009611614046    megarban@dm.net.lb 
André Mégarbané, MD, PhD,  Principal Investigator

Morocco
      CHU de Rabat, Rabat,  Morocco; Recruiting
Ali Benomar, MD, PhD   ali.benomar@hotmail.com 
Ali Benomar, MD, PhD,  Principal Investigator

Portugal
      Hospital San Sebastião, Santa Maria de Feira,  4520-211,  Portugal; Recruiting
Paula Coutinho, MD, PhD  00351256362847    pcoutinho@hospitalfeira.min-saude.pt 
Paula Coutinho, MD, PhD,  Principal Investigator

Saudi Arabia
      King Khalid University Hospital, Riyadh,  11461,  Saudi Arabia; Recruiting
Mustapha AM Dalih, MD   mustapha@ksu.edu.sa 
Mustapha AM Salih, MD,  Principal Investigator

United Kingdom
      The National Hospital, London,  WC1N 3BG,  United Kingdom; Recruiting
Nicholas W Wood, MD, PhD  00442078373611    nwood@ion.ucl.ac.uk 
Nicholas W Wood, MD, PhD,  Principal Investigator

      Royal Free and University College Medical School, London,  NW3 2PF,  United Kingdom; Recruiting
Thomas T Warner, MD, PhD   TWarner@rfc.ucl.ac.uk 
Thomas T Warner, MD, PhD,  Principal Investigator

Study chairs or principal investigators

Alexandra Dürr, MD, PhD,  Principal Investigator,  Assistance Publique - Hôpitaux de Paris   
Alessandro Filla, MD, PhD,  Principal Investigator,  Università Degli Studi Di Napoli Federico II   
André Mégarbané, MD,  Principal Investigator,  Université Saint-Joseph   
Ali Benomar, MD, PhD,  Principal Investigator,  CHU de Rabat   
Christophe Verny, MD,  Principal Investigator,  CHU d''''Angers   
Didier Hannequin, MD, PhD,  Principal Investigator,  Hôpitaux de Rouen   
Diana Rodriguez, MD,  Principal Investigator,  Assistance Publique - Hôpitaux de Paris   
Enrico Bertini, MD,  Principal Investigator,  Università de Roma   
François Tison, MD, PhD,  Principal Investigator,  Hôpitaux de Bordeaux   
Jorgen E Nielsen, MD, PhD,  Principal Investigator,  The Panum Institute   
Mustapha Salih, MD,  Principal Investigator,  College of Medicine and KKUH   
Miriem Tazir, MD, PhD,  Principal Investigator,  Université d''''Alger   
Nicholas W Wood, MD, PhD,  Principal Investigator,  Institute of Neurology   
Odile Boespflug-Tanguy, MD, PhD,  Principal Investigator,  Hôpitaux de Clermont-Ferrand   
Jean-Philippe Azulay, MD, PhD,  Principal Investigator,  Assistance Publique - Hôpitaux de Marseille   
Paula Coutinho, MD, PhD,  Principal Investigator,  University of Porto   
Pierre Labauge, MD, PhD,  Principal Investigator,  Hôpitaux de Nîmes   
Pierre Pollak, MD, PhD,  Principal Investigator,  Hôpitaux de Grenoble   
Thomas T Warner, MD, PhD,  Principal Investigator,  University College, London   

More Information

Publications that report results of this study

Moreira MC, Klur S, Watanabe M, Nemeth AH, Le Ber I, Moniz JC, Tranchant C, Aubourg P, Tazir M, Schols L, Pandolfo M, Schulz JB, Pouget J, Calvas P, Shizuka-Ikeda M, Shoji M, Tanaka M, Izatt L, Shaw CE, M''''Zahem A, Dunne E, Bomont P, Benhassine T, Bouslam N, Stevanin G, Brice A, Guimaraes J, Mendonca P, Barbot C, Coutinho P, Sequeiros J, Durr A, Warter JM, Koenig M. Senataxin, the ortholog of a yeast RNA helicase, is mutant in ataxia-ocular apraxia 2. Nat Genet. 2004 Mar;36(3):225-7. Epub 2004 Feb 8.

Le Ber I, Bouslam N, Rivaud-Pechoux S, Guimaraes J, Benomar A, Chamayou C, Goizet C, Moreira MC, Klur S, Yahyaoui M, Agid Y, Koenig M, Stevanin G, Brice A, Durr A. Frequency and phenotypic spectrum of ataxia with oculomotor apraxia 2: a clinical and genetic study in 18 patients. Brain. 2004 Apr;127(Pt 4):759-67. Epub 2004 Jan 21.

Le Ber I, Moreira MC, Rivaud-Pechoux S, Chamayou C, Ochsner F, Kuntzer T, Tardieu M, Said G, Habert MO, Demarquay G, Tannier C, Beis JM, Brice A, Koenig M, Durr A. Cerebellar ataxia with oculomotor apraxia type 1: clinical and genetic studies. Brain. 2003 Dec;126(Pt 12):2761-72. Epub 2003 Sep 23.

Le Ber I, Camuzat A, Castelnovo G, Azulay JP, Genton P, Gastaut JL, Broglin D, Labauge P, Brice A, Durr A. Prevalence of dentatorubral-pallidoluysian atrophy in a large series of white patients with cerebellar ataxia. Arch Neurol. 2003 Aug;60(8):1097-9.

Bouslam N, Benomar A, Azzedine H, Bouhouche A, Namekawa M, Klebe S, Charon C, Durr A, Ruberg M, Brice A, Yahyaoui M, Stevanin G. Mapping of a new form of pure autosomal recessive spastic paraplegia (SPG28). Ann Neurol. 2005 Apr;57(4):567-71.

Durr A, Camuzat A, Colin E, Tallaksen C, Hannequin D, Coutinho P, Fontaine B, Rossi A, Gil R, Rousselle C, Ruberg M, Stevanin G, Brice A. Atlastin1 mutations are frequent in young-onset autosomal dominant spastic paraplegia. Arch Neurol. 2004 Dec;61(12):1867-72.

Stevanin G, Durr A, Dussert C, Penet C, Brice A. Mutations in the FGF14 gene are not a major cause of spinocerebellar ataxia in Caucasians. Neurology. 2004 Sep 14;63(5):936. No abstract available.

Stevanin G, Hahn V, Lohmann E, Bouslam N, Gouttard M, Soumphonphakdy C, Welter ML, Ollagnon-Roman E, Lemainque A, Ruberg M, Brice A, Durr A. Mutation in the catalytic domain of protein kinase C gamma and extension of the phenotype associated with spinocerebellar ataxia type 14. Arch Neurol. 2004 Aug;61(8):1242-8.

Depienne C, Tallaksen C, Lephay JY, Bricka B, Poea-Guyon S, Fontaine B, Labauge P, Brice A, Durr A. Spastin mutations are frequent in sporadic spastic paraparesis and their spectrum is different from the one observed in familial cases. J Med Genet. 2005 Jul 31; [Epub ahead of print]

Stevanin G, Bouslam N, Thobois S, Azzedine H, Ravaux L, Boland A, Schalling M, Broussolle E, Durr A, Brice A. Spinocerebellar ataxia with sensory neuropathy (SCA25) maps to chromosome 2p. Ann Neurol. 2004 Jan;55(1):97-104.

Tallaksen CM, Guichart-Gomez E, Verpillat P, Hahn-Barma V, Ruberg M, Fontaine B, Brice A, Dubois B, Durr A. Subtle cognitive impairment but no dementia in patients with spastin mutations. Arch Neurol. 2003 Aug;60(8):1113-8.

Fernet M, Gribaa M, Salih MA, Seidahmed MZ, Hall J, Koenig M. Identification and functional consequences of a novel MRE11 mutation affecting 10 Saudi Arabian patients with the ataxia telangiectasia-like disorder. Hum Mol Genet. 2005 Jan 15;14(2):307-18. Epub 2004 Dec 1.

Study ID Numbers:  A02191DS
Last Updated:  August 31, 2005
Record first received:  August 25, 2005
ClinicalTrials.gov Identifier:  NCT00140829
Health Authority: France: Ministry of Health
ClinicalTrials.gov processed this record on 2005-09-06


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Page Updated: September 6, 2005
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