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Completed

NCT Number: NCT05671107

Development and Validation of an Online Neurobehavioral Evaluation Tool for PTEN Patients

The purpose of this study is to develop a survey completed by parents, caregivers, or other informants that evaluates several important domains of functioning relevant to individuals with neurodevelopmental disorders, including autism spectrum disorder and people with genetic syndromes. Participation in this research will include assisting the research team in the development of the survey measures.

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Key information

Age range

3 year–45 year

Sex eligibility

All sexes

Study type

Observational

Primary location

University Hospital South Hampton, Hampton, Southampton, United Kingdom

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About this study

With greater understanding of the biology of PTEN Hamartoma Tumor Syndrome (PHTS), including patients with and without neurodevelopmental disorder (NDD) phenotypes, there is potential to develop novel personalized therapeutics. Given the recent observation that many PHTS patients with and without NDD have significant neurobehavioral manifestations, it will be crucial to broadly track a range of neurobehavioral domains as part of future trials. Unfortunately, there are few well-validated measures that would be appropriate for the full range of presentations in the PHTS population. Further, as a rare genetic syndrome, PHTS patients are geographically distributed making frequent data collection during research very difficult. Thus, the overarching aim of this proposal is to develop and validate an online neurobehavioral evaluation tool (NET) with caregiver-report survey scales and patient-completed webcam-collected performance measures that captures key neurobehavioral information. In partnership with patients, caregivers, and scientist-clinician experts, the study will develop, pilot test, and validate NET survey and performance measures. Specifically, at least 240 caregiver-patient pairs will be recruited (patient ages 4-24) from PHTS without NDD, PHTS with NDD, and controls (sibling and unrelated healthy controls). NET data will be collected at baseline, 1-month, and 4-month follow-up. Aim 1 will focus on the development and validation of brief, psychometrically-sound NET survey scales. Aim 2 will conduct group comparisons on NET measures. Aim 3 will use longitudinal data to evaluate short-term stability of NET survey scales and describe neurobehavioral change within and across study groups. The project will also explore the feasibility of performance measure collection, provide initial psychometric evaluation, and conduct a group comparison of performance measures. If the project aims are achieved, and future validation supports research and clinical use, the NET will be an efficient, reliable, valid, co-normed, multi-modal instrument, that, by virtue of online (at-home) administration, will decrease patient and family burden and increase the temporal resolution and power of future longitudinal studies and clinical trials.

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Has a PTEN Hamartoma Tumor Syndrome diagnosis with or without a neurodevelopment disorder
  • Access to a tablet (10+ inch screen), laptop, or desktop computer
  • Access to reliable internet
  • Able to attend to short videos (30 plus seconds)
  • Able to hear audio from a computer device
  • Able to see without corrective lenses

Treatment and study plan

NET

Diagnostic Test

Online survey measuring a variety of developmental domains including anxiety, motor, daily living skills, challenging behaviors, social communication, restrictive and repetitive behaviors, ADHD, executive functioning, mood, quality of life, and sleep

Primary outcomes

  1. Social Communication Interaction

    Time frame: Baseline

    Develop survey questions and scales related content areas for Social Communication Interactions. Social communication refers to the emergence of verbal and nonverbal skills, social interaction, and social cognition

  2. Social Communication Interaction

    Time frame: One month follow up

    Develop survey questions and scales related content areas for Social Communication Interactions. Social communication refers to the emergence of verbal and nonverbal skills, social interaction, and social cognition

  3. Social Communication Interaction

    Time frame: Four month follow up

    Develop survey questions and scales related content areas for Social Communication Interactions. Social communication refers to the emergence of verbal and nonverbal skills, social interaction, and social cognition

  4. Daily Living Skills

    Time frame: Baseline

    Develop questions and survey scales related to content areas of activities of daily living. Activities of daily living are activities related to personal care. They include bathing or showering, dressing, getting in and out of bed or a chair, walking, using the toilet, and eating.

  5. Daily Living Skills

    Time frame: One month follow up

    Develop questions and survey scales related to content areas of activities of daily living. Activities of daily living are activities related to personal care. They include bathing or showering, dressing, getting in and out of bed or a chair, walking, using the toilet, and eating.

  6. Daily Living Skills

    Time frame: Four months later

    Develop questions and survey scales related to content areas of activities of daily living. Activities of daily living are activities related to personal care. They include bathing or showering, dressing, getting in and out of bed or a chair, walking, using the toilet, and eating.

Secondary outcomes

  1. Restrictive and Repetitive Behaviors

    Time frame: Baseline

    Develop survey and rating scales related to content areas for restrictive and repetitive behaviors. Restricted and repetitive behaviors and interests are among the three core symptoms of autism. They include repetitive movements with objects, repeated body movements such as rocking and hand-flapping, ritualistic behavior, sensory sensitivities and circumscribed interests

  2. Restrictive and Repetitive Behaviors

    Time frame: One month follow up

    Develop survey and rating scales related to content areas for restrictive and repetitive behaviors. Restricted and repetitive behaviors and interests are among the three core symptoms of autism. They include repetitive movements with objects, repeated body movements such as rocking and hand-flapping, ritualistic behavior, sensory sensitivities and circumscribed interests

  3. Restrictive and Repetitive Behaviors

    Time frame: Four month follow up

    Develop survey and rating scales related to content areas for restrictive and repetitive behaviors. Restricted and repetitive behaviors and interests are among the three core symptoms of autism. They include repetitive movements with objects, repeated body movements such as rocking and hand-flapping, ritualistic behavior, sensory sensitivities and circumscribed interests

  4. Anxiety

    Time frame: Baseline

    Develop survey questions and scales related to content areas for anxiety. Anxiety is what we feel when we are worried, tense or afraid - particularly about things that are about to happen, or which we think could happen in the future

  5. Anxiety

    Time frame: One month follow up

    Develop survey questions and scales related to content areas for anxiety. Anxiety is what we feel when we are worried, tense or afraid - particularly about things that are about to happen, or which we think could happen in the future

  6. Anxiety

    Time frame: Four month follow up

    Develop survey questions and scales related to content areas for anxiety. Anxiety is what we feel when we are worried, tense or afraid - particularly about things that are about to happen, or which we think could happen in the future

  7. Motor Skills

    Time frame: Baseline

    Develop survey questions and scales related to content areas for motor skills.A motor skill is a function that involves specific movements of the body's muscles to perform a certain task. These tasks could include walking, running, or riding a bike. In order to perform this skill, the body's nervous system, muscles, and brain have

  8. Motor Skills

    Time frame: One month follow up

    Develop survey questions and scales related to content areas for motor skills.A motor skill is a function that involves specific movements of the body's muscles to perform a certain task. These tasks could include walking, running, or riding a bike. In order to perform this skill, the body's nervous system, muscles, and brain have

  9. Motor Skills

    Time frame: Four month follow up

    Develop survey questions and scales related to content areas for motor skills.A motor skill is a function that involves specific movements of the body's muscles to perform a certain task. These tasks could include walking, running, or riding a bike. In order to perform this skill, the body's nervous system, muscles, and brain have

  10. Challenging Behaviors

    Time frame: Baseline

    Develop survey questions and rating scales related to content areas for challenging behaviors.A person's behaviour can be defined as "challenging" if it puts them or those around them (such as their carer) at risk, or leads to a poorer quality of life. It can also impact their ability to join in everyday activities. Challenging behaviour can include: aggression. self-harm.

  11. Challenging Behaviors

    Time frame: One month follow up

    Develop survey questions and rating scales related to content areas for challenging behaviors.A person's behaviour can be defined as "challenging" if it puts them or those around them (such as their carer) at risk, or leads to a poorer quality of life. It can also impact their ability to join in everyday activities. Challenging behaviour can include: aggression. self-harm.

  12. Challenging Behaviors

    Time frame: Four month follow up

    Develop survey questions and rating scales related to content areas for challenging behaviors.A person's behaviour can be defined as "challenging" if it puts them or those around them (such as their carer) at risk, or leads to a poorer quality of life. It can also impact their ability to join in everyday activities. Challenging behaviour can include: aggression. self-harm.

  13. ADHD

    Time frame: Baseline

    Develop survey questions and rating scales related to content areas for ADHD. Refers to the ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development.

  14. ADHD

    Time frame: One month follow up

    Develop survey questions and rating scales related to content areas for ADHD. Refers to the ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development.

  15. ADHD

    Time frame: Four month follow up

    Develop survey questions and rating scales related to content areas for ADHD. Refers to the ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development.

  16. Executive Functioning

    Time frame: Baseline

    Develop survey questions and rating scales related to content areas for executive functioning. Executive functioning and self-regulation skills are the mental processes that enable us to plan, focus attention, remember instructions, and juggle multiple tasks successfully.

  17. Executive Functioning

    Time frame: One month follow up

    Develop survey questions and rating scales related to content areas for executive functioning. Executive functioning and self-regulation skills are the mental processes that enable us to plan, focus attention, remember instructions, and juggle multiple tasks successfully.

  18. Executive Functioning

    Time frame: Four month follow up

    Develop survey questions and rating scales related to content areas for executive functioning. Executive functioning and self-regulation skills are the mental processes that enable us to plan, focus attention, remember instructions, and juggle multiple tasks successfully.

  19. Mood

    Time frame: Baseline

    Develop survey questions and rating scales related to content areas for mood. Focusing on particular feelings or a state of mind.

  20. Mood

    Time frame: One month follow up

    Develop survey questions and rating scales related to content areas for mood. Focusing on particular feelings or a state of mind.

  21. Mood

    Time frame: Four month follow up

    Develop survey questions and rating scales related to content areas for mood. Focusing on particular feelings or a state of mind.

  22. Quality of Life

    Time frame: Baseline

    Develop survey questions and rating scales related to content areas for quality of life including family, financial, etc.

  23. Quality of Life

    Time frame: One month follow up

    Develop survey questions and rating scales related to content areas for quality of life including family, financial, etc.

  24. Quality of Life

    Time frame: Four month follow up

    Develop survey questions and rating scales related to content areas for quality of life including family, financial, etc.

  25. Sleep

    Time frame: Baseline

    Develop survey questions and rating scales related to content areas for sleep patterns and behaviors.

  26. Sleep

    Time frame: One month follow up

    Develop survey questions and rating scales related to content areas for sleep patterns and behaviors.

  27. Sleep

    Time frame: Four month follow up

    Develop survey questions and rating scales related to content areas for sleep patterns and behaviors.

Sponsors and collaborators

Lead sponsor

John Carroll University

Other

Collaborators

  • University Hospital Southampton NHS Foundation Trust

Registry information

Official study title

Development and Validation of an Online Neurobehavioral Evaluation Tool for PTEN Hamartoma Tumor Syndrome (PHTS)

Important dates

Study start
2021
Primary completion
2024
Study completion
2024
First posted
Jan 4, 2023
Registry last updated
Sep 19, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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