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NCT Number: NCT04463316

GROWing Up With Rare GENEtic Syndromes

Introduction Rare complex syndromes Patients with complex genetic syndromes, by definition, have combined medical problems affecting multiple organ systems, and intellectual disability is often part of the syndrome. During childhood, patients with rare genetic syndromes receive multidisciplinary and specialized medical care; they usually receive medical care from 3-4 medical specialists.

Increased life expectancy Although many genetic syndromes used to cause premature death, improvement of medical care has improved life expectancy. More and more patients are now reaching adult age, and the complexity of the syndrome persists into adulthood. However, until recently, multidisciplinary care was not available for adults with rare genetic syndromes. Ideally, active and well-coordinated health management is provided to prevent, detect, and treat comorbidities that are part of the syndrome. However, after transition from pediatric to adult medical care, patients and their parents often report fragmented poor quality care instead of adequate and integrated health management. Therefore, pediatricians express the urgent need for adequate, multidisciplinary adult follow up of their pediatric patients with rare genetic syndromes.

Medical guidelines for adults not exist and the literature on health problems in these adults is scarce. Although there is a clear explanation for the absence of adult guidelines (i.e. the fact that in the past patients with rare genetic syndromes often died before reaching adult age), there is an urgent need for an overview of medical issues at adult age, for 'best practice' and, if possible, for medical guidelines.

The aim of this study is to get an overview of medical needs of adults with rare genetic syndromes, including:

1. comorbidities 2. medical and their impact on quality of life 3. medication use 4. the need for adaption of medication dose according to each syndrome

Methods and Results This is a retrospective file study. Analysis will be performed using SPSS version 23 and R version 3.6.0.

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Key information

Conditions

Prader-Willi Syndrome 17p- Deletiesyndrome 1q25-32 Deletie 22q11 Deletion Syndrome 46, XY DSD Abnormalities, Multiple Acrocephalosyndactylia Adrenal Gland Diseases Adrenal Hyperplasia, Congenital Adrenogenital Syndrome Albright Hereditaire Osteodystrofie Allan-Herndon-Dudley Syndrome Aortic Stenosis, Supravalvular Aortic Valve Disease Aortic Valve Stenosis Bardet Biedl Syndrome Bardet-Biedl Syndrome Blepharophimosis syndrome Ohdo type Blindness Blood Platelet Disorders Bone Diseases Bone Diseases, Developmental Brain Diseases CHARGE Syndrome Cardiovascular Abnormalities Cardiovascular Diseases Central Nervous System Diseases Chromosome Disorders Ciliopathies Coloboma Congenital Abnormalities Congenital Adrenal Hyperplasia Congenital Hypopituitarism Congenital, Hereditary, and Neonatal Diseases and Abnormalities Connective Tissue Diseases Cornelia de Lange Syndrome Craniofacial Abnormalities Craniosynostoses Cytopenia De Lange Syndrome Deaf-Blind Disorders Deafness DiGeorge Syndrome Disorder of Sex Development, 46,XY Disorders of Sex Development Dysostoses Ear Diseases Endocrine System Diseases Eye Diseases Eye Diseases, Hereditary Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Genetic Diseases, Inborn Genetic Diseases, X-Linked Gonadal Disorders Gonadal Dysgenesis Hamartoma Hearing Disorders Hearing Loss Heart Defects, Congenital Heart Diseases Heart Valve Diseases Hematologic Diseases Hemic and Lymphatic Diseases Heredodegenerative Disorders, Nervous System Hypogonadism Hypoparathyroidism Hypothalamic Diseases Imprinting Disorders Intellectual Disability Jacobsen Distal 11q Deletion Syndrome Jacobsen Syndrome / 11 q Syndrome Kallmann Syndrome Klinefelter (XXY-)Syndrome Klinefelter Syndrome Limb Deformities, Congenital Lymphatic Abnormalities Lymphatic Diseases Male Urogenital Diseases Malformations of Cortical Development Malformations of Cortical Development, Group I Metabolic Diseases Metabolism, Inborn Errors Musculoskeletal Abnormalities Musculoskeletal Diseases Myrhe Syndrome Neoplasms Neoplasms by Histologic Type Neoplasms, Multiple Primary Neoplasms, Nerve Tissue Neoplastic Syndromes, Hereditary Nerve Sheath Neoplasms Nervous System Diseases Nervous System Malformations Neurobehavioral Manifestations Neurocutaneous Syndromes Neurodegenerative Diseases Neurofibroma Neurofibromatoses Neurofibromatosis Neurologic Manifestations Noonan Syndrome Nutrition Disorders Nutritional and Metabolic Diseases Obesity Ohdo Syndrome Otorhinolaryngologic Diseases Overnutrition Overweight POLR3A Mutatie PWS-like Syndrome Parathyroid Diseases Pathological Conditions, Signs and Symptoms Rare Bone Disorders Retinitis Pigmentosa Rett Syndrome Saethre-Chotzen Syndrome Sensation Disorders Sex Chromosome Disorders Sex Chromosome Disorders of Sex Development Signs and Symptoms Silver Russel Syndrome Skin and Connective Tissue Diseases Steroid Metabolism, Inborn Errors Syndactyly Synostosis Tetrasomy X Thrombocytopenia Tuberous Sclerosis Turner Syndrome Urogenital Abnormalities Urogenital Diseases VCF Syndrome Vision Disorders Williams Syndrome Williams-Beuren Syndrome X-Linked Intellectual Disability XXXX Syndrome (Tetra-X Syndrome) XXXXY Syndrome Xxyy Syndrome

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Erasmus Medical Center

Rotterdam, South Holland, 3015 GD, Netherlands

Location status: Recruiting

Location contact

Laura CG de Graaff, MD, PhD

CONTACT

[email protected]

+31618843010

Sabine E Hannema

SUB_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients with rare syndromes or rare congenital diseases visiting the multidisciplinary outpatient clinic for patients with rare diseases at the department of endocrinology, internal medicine, Erasmus Medical Center.

Exclusion criteria

  • None

Treatment and study plan

Retrospective file studies

Diagnostic Test

No intevention, retrospective file study: medical history, laboratory values, additional tests, physical and psychological complaints.

Primary outcomes

  1. Presence of physical health problems

    Time frame: 1 year

    For example: presence of hypertension, diabetes mellitus, hypercholesterolemia, scoliosis, sleep apnea, hypothyroidism, obesity, psychosis etc.

  2. Laboratory values

    Time frame: 1 year

    For example: glucose, hemoglobin, hematocrit, thyroid hormone, TSH, estrogen, testosterone, LH, FSH, LDL-cholesterol, triglycerides, ASAT, ALAT, gamma-GT, etc

  3. Physical and psychological complaints

    Time frame: 1 year

    For example: daytime sleepiness, obstipation, back pain, headache, behavioral problems, fatigue, nycturia, blurry vision, depressive symptoms, etc.

  4. Medication use

    Time frame: 1 year

    Use of all medication

Sponsors and collaborators

Lead sponsor

dr. Laura C. G. de Graaff-Herder

Other

Registry information

Official study title

GROWing Up With Rare GENEtic Syndromes ….When Children With Complex Genetic Syndromes Reach Adult Age

Acronym: GROW UR GENES

Important dates

Study start
2018
Primary completion
2030
Study completion
2030
First posted
Jul 9, 2020
Registry last updated
Sep 6, 2023

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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