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NCT Number: NCT06807723

Further Delineation of the De Santo Shinawi Syndrome Phenotype Using a Series of Individuals Carrying a Pathogenic Variant of the WAC Gene

The aim of this retrospective, multicenter study would be to extend the phenotypic spectrum of DeSanto Shinawi Syndrome and improve the knowledge of its evolution. To this end, the investigators would like to issue a call for international collaboration in order to create a series of new genetically diagnosed patients, not yet described in previous publications, and with a larger number of individuals evaluated in a single study. One of the aims would be to establish a set of standardized clinical and paraclinical examinations to be carried out at diagnosis and for follow-up of affected patients. This would enable patients, their families and the caregivers involved to better anticipate future management.

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Key information

Sex eligibility

All sexes

Study type

Observational

Primary location

About this study

Main objective :

Update clinical and paraclinical knowledge of DeSanto-Shinawi syndrome.

Secondary objectives:

  • Inventory the clinical signs of the syndrome described to date and look for recurrence between patients.
  • Select a set of standardized clinical and paraclinical examinations for diagnosis.
  • Establish appropriate management and follow-up.
  • To compare the phenotype of patients with DESSH due to a pathogenic point variation in the WAC gene and those with a microdeletion involving the WAC gene.

Main inclusion criteria:

Children and adults of any age. Molecular diagnosis of a pathogenic variant involving the WAC gene (SNV, CNV, SV).

Main non-inclusion criteria:

Patients with a molecular diagnosis of another VP (SNV) of a gene responsible for a neurodevelopmental disorder.

Patient having already participated in a DESSH study with published data. No patient data available.

Primary endpoint:

The data collected will enable the investigators to meet the objective, namely to expand clinical and paraclinical knowledge of DeSanto-Shinawi syndrome.

Main secondary endpoints: NA (descriptive study) Statistics: NA (descriptive study)

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Children and adults of any age.
  • Molecular diagnosis of a pathogenic (or likely pathogenic) variant involving the WAC gene (SNV, CNV, SV).

Exclusion criteria

  • Patients with a molecular diagnosis of another VP (SNV) of a gene responsible for a neurodevelopmental disorder.
  • Patient having already participated in a DESSH study with published data.
  • No patient data available.

Treatment and study plan

Primary outcomes

  1. Clinical knowledge

    Time frame: Through study completion, an average of 2 years

    Morphologic description with photos (optional) at a specified date (front and side of the face, hands-feet : plant and palm) using HPO terms

  2. Clinical knowledge

    Time frame: Through study completion, an average of 2 years

    Overall clinical examination and interrogatory at the last medical consultation (neurologic, cardiologic, gastroenterologic, pulmonary, urinary, global development, etc.) : data collected using a redcap form.

  3. Clinical knowledge

    Time frame: Through study completion, an average of 2 years

    Height, weight and head circumferance at birth and at last visit

  4. Paraclinical knowledge

    Time frame: Through study completion, an average of 2 years

    Any psychometric scale performed during lifetime : Language delay, Motor delay, ADHD, IQ, ASD

  5. Paraclinical knowledge

    Time frame: Through study completion, an average of 2 years

    Any exams performed during lifetime : EEG, neuroMRI, abdominal echography, cardiac echography

Secondary outcomes

  1. Recurrence of clinical signs

    Time frame: Through study completion, an average of 2 years

    Inventory the clinical signs of the syndrome described to date and mesure concordance or not

  2. Standardized examinations

    Time frame: Through study completion, an average of 2 years

    Using concordance of signs, mesure the clinical and paraclinical necessary at diagnosis

  3. Management & Follow-up

    Time frame: Through study completion, an average of 2 years

    Using concordance of signs at different ages, establish appropriate management and follow-up.

  4. Genotype phenotype correlation

    Time frame: Through study completion, an average of 2 years

    Compare the phenotype of DESSH patients with pathogenic point variation in the WAC gene and those with microdeletion involving the WAC gene

Study contacts

Contact information is provided by the study sponsor or research team.

Lise LACLAUTRE

CONTACT

[email protected]

334.73.754.963

Sponsors and collaborators

Lead sponsor

University Hospital, Clermont-Ferrand

Other

Registry information

Acronym: 2024-CF366

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Feb 4, 2025
Registry last updated
Feb 4, 2025

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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