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Completed

NCT Number: NCT05545774

Neuromuscular Characterisation in Late Adolescent and Adult Cystinosis Patients

The primary objective of the study is to evaluate the change in motor function of patients with cystinosis.

The secondary objectives of the study:

* assessment of the respiratory function; * assessment of the muscle function; * assessment of swallowing disorders; * assessment radiologically of the muscular efficiency; * assessment of lean mass / fat mass ratio; * assessment of sleeping disorders; * annual assessment of evolution of above functions.

All patients will be examined by experienced neuromuscular specialist (Pr Pascal Laforêt) and pulmonologist specialized in neuromuscular disorders (Pr Hélène Prigent). All evaluations will be performed in Raymond-Poincaré hospital (Teaching hospital of Assistance Publique - Hopitaux de Paris (APHP) and University of Paris-Saclay) neuromuscular center, coordinated by Pr Pascal Laforêt.

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Key information

About this study

This is a monocentric study. The enrollment will be performed as routine care in the department of neurology - neuromuscular center of Raymond Poincaré hospital (APHP).

Patients with cystinosis will be consecutively invited to participate in the study until 20 patients are included. This will avoid selection bias if any. For eligible non included patients, a specific non-identifying registry will be set-up with a very restricted number of variables indicative of disease severity at baseline, allowing for a comparison of included and non-included patients.

Participating cystinosis patients will be proposed to attend a one-day hospitalization. Evaluations will be performed during stable state upon baseline and during a follow-up visit 12 months later.

The study expected duration is 30 months with 18 months for patients' inclusion and 12 month-follow-up.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients aged ≥ 16 years;
  • Genetically confirmed diagnosis of cystinosis;
  • Presenting motor deficiency of at least one muscle;
  • Covered by health insurance.

Exclusion criteria

  • Patient refusal;
  • Foreign patients under AME health schema;
  • Patients under legal protection;
  • Pregnancy or breast-feeding.

Treatment and study plan

Primary outcomes

  1. Change in motor function

    Time frame: 12 months

    By the Motor Function Measure (MFM) quantitative scale to measure the functional capacities of motors (0-100%, higher scores mean better capacities).

Secondary outcomes

  1. Change in motor strength

    Time frame: 12 months

    By Manual Muscle Testing (MMT). Higher scores mean better outcome.

  2. Change in walking capacity

    Time frame: 12 months

    by the 6-minutes walking test. Higher scores mean better outcome.

  3. Change in the time to stand test

    Time frame: 12 months

    by the time to stand test. Higher scores mean better outcome.

  4. Change in the the Box and block test

    Time frame: 12 months

    by the Box and block test. Higher scores mean better outcome.

  5. Change in the Nine hole peg test

    Time frame: 12 months

    by the Nine hole peg test. Higher scores mean better outcome.

  6. Change in Perdue pegboard test

    Time frame: 12 months

    by Perdue pegboard test. Higher scores mean better outcome.

  7. Change in Kapanji test

    Time frame: 12 months

    by Kapanji test. Higher scores mean better outcome.

  8. Change in pinch strength

    Time frame: 12 months

    by myopinch test. Higher value mean better outcome.

  9. Change in grip strength

    Time frame: 12 months

    by myogrip test. Higher value mean better outcome.

  10. Change in vital capacity

    Time frame: 12 months

    By spirometry. Higher value mean better outcome.

  11. Change in inspiratory muscles function

    Time frame: 12 months

    By inspiratory maximal pressure. Higher value mean better outcome.

  12. Change in expiratory muscles function

    Time frame: 12 months

    By expiratory maximal pressure. Higher value mean better outcome.

  13. Change in diaphragmatic performance

    Time frame: 12 months

    By transdiaphragmatic pressures measurements. Higher value mean better outcome.

  14. Incidence of breathing disorders during sleep

    Time frame: 12 months

    Detection by a polysomnography associated to capnography.

  15. Change in ratio of fat mass/lean mass

    Time frame: 12 months

    By osteodensitometry

  16. Change in swallowing function - Sidney Swallow questionnaire

    Time frame: 12 months

    By the Sidney Swallow questionnaire. Higher scores mean better outcome.

  17. Change in swallowing function - Salassa and McHorney scores

    Time frame: 12 months

    By the Salassa and McHorney scores. Higher scores mean better outcome.

  18. Change in swallowing function - time of swallowing

    Time frame: 12 months

    By the time of swallowing 80 ml of water (normal = 3-4 sec). Higher values mean worse outcome.

Sponsors and collaborators

Lead sponsor

Assistance Publique - Hôpitaux de Paris

Other

Collaborators

  • Cystinosis Research Foundation

Registry information

Official study title

Characterization of Neuromuscular Involvement in Late Adolescent and Adult Cystinosis Patients

Acronym: Cystinose

Important dates

Study start
2022
Primary completion
2025
Study completion
2025
First posted
Sep 19, 2022
Registry last updated
Nov 24, 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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