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NCT Number: NCT05867979

Search for Structural Variants in Patients With DSD and Inconclusive Molecular Diagnosis

The goal of this clinical trial is to identify structural variants by Optical Genome Mapping (OGM) in the described participant population.

The main questions it aims to answer are:

* Identify constitutional structural variants by OGM of DNA extracted from blood leukocytes of patients with DSD for which the molecular diagnosis is inconclusive. * Identify mosaic structural variants (present in a subpopulation of somatic cells only) by OGM of DNA extracted from blood leukocytes of patients with DSD for which the molecular diagnosis is inconclusive. * Compare the diagnostic yields of OGM and of Comparative Genome Hybridization Array (CGH array) methods. * Compare the diagnostic yields of the OGM and of Whole Genome Sequencing (National Sequencing Program), only if performed.

Participants will be required to:

* a follow-up interview with a physician to review their own and family medical and surgical history, with a focusing on DSD. * An interview to assess their exposure to environmental pollutants during fetal life, using a validated questionnaire. * a blood test with a 5mL tube to perform optical genome mapping analysis.

Recruiting

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Key information

Age range

6 month and older

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

University Hospital Montpellier

Montpellier, 34000, France

Location status: Recruiting

Location contact

Anne BERGOUGNOUX, PharmD PhD

CONTACT

Franck PELLESTOR, PUPH

SUB_INVESTIGATOR

Jacques PUECHBERTY, MD PhD

SUB_INVESTIGATOR

Nicolas KALFA, MD PhD

SUB_INVESTIGATOR

Vincent GATINOIS, MD

SUB_INVESTIGATOR

About this study

Patients with severe or moderate disorder of sex development (DSD) with a inconclusive molecular diagnosis will benefit from optical genome mapping analysis.

A venous blood sample on ethylenediaminetetraacetic acid (EDTA) tube (5mL) will be taken in order to extract the DNA that will be used for the optical genome mapping analysis.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • homogeneous XY male karyotype.
  • patient at least 6 months old
  • severe to moderate DSD (Prader 1 to 5) for which the molecular diagnosis is inconclusive after a gene panel analysis.

Exclusion criteria

  • subject with a homogeneous or mosaic XX, or monosomal X karyotype.
  • subject with an aneuploidy.
  • subject with a conclusive molecular diagnosis explaining the observed DSD (i.e. carrier of a causal genotype already well characterized by functional studies)

Treatment and study plan

Identify structural variants by Optical Genome Mapping of DNA extracted from blood leukocytes

Diagnostic Test

The one arm of the study will have a venous blood draw as part of the research. 1 EDTA tube of 5mL will be collected.

Primary outcomes

  1. Number of Participants with a constitutional structural variants detected by OGM

    Time frame: Day of inclusion

    A structural variant, present at the constitutional state in leukocyte DNA, and considered as likely pathogenic or pathogenic, identified by OGM in at least one of the included patients.

Secondary outcomes

  1. Number of Participants with mosaic structural variants detected by OGM

    Time frame: Day of inclusion

    A structural variant, present at the mosaic state in leukocyte DNA (i.e. allelic imbalance less than 0.40), and considered as likely pathogenic or pathogenic, identified by OGM in at least one of the included patients.

Study contacts

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

Anne BERGOUGNOUX, PharmD PhD

CONTACT

[email protected]

+33411759879

Françoise PARIS, MD PhD

CONTACT

[email protected]

+33615106371

Sponsors and collaborators

Lead sponsor

University Hospital, Montpellier

Other

Registry information

Official study title

Search for Structural Variants in Patients With Disorders of Sex Development (DSD) and Inconclusive Molecular Diagnosis GENEXPLOR-DSD

Acronym: GENEXPLOR

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
May 22, 2023
Registry last updated
Sep 30, 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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