Skip to main content
OpenTrials
Completed

NCT Number: NCT04628364

The Natural History of Metachromatic Leukodystrophy Study (HOME Study)

The primary aims of the HOME Study are to:

* Design and implement a natural history study for metachromatic leukodystrophy to serve as a source of external control data, to augment or replace concurrent controls in clinical trials; * Pilot test and develop guidance on how to design, conduct, and analyze the data from a natural history study to support adaptive trial designs for regulatory use; * Reduce burden of participation in trials and provide a potential solution to patient recruitment challenges, particularly for RCT's; and * Design approaches that support remote participation in studies.

Completed

Looking for future studies?

Notify Me

Key information

About this study

The HOME Study is a web-based natural history study for patients with metachromatic leukodystrophy. It is hosted by the National Organization for Rare Disorders (NORD); an independent non-profit patient advocacy organization dedicated to individuals with rare diseases and the organizations who serve them.

The study collects information from participants (or their authorized respondents, heretofore referred to collectively as "participants") who are affected by metachromatic leukodystrophy.

Data are collected at pre-baseline, baseline, 3, 6, 9, and 12 months through online surveys, telephone Interviews, web-based virtual assessments with a clinical study coordinator, and a (optional - only for U.S. residents) mobile application. Data entered into this study includes name, date of birth, diagnosis, treatments, medical history, family history, quality of life, disease progression, treatment - past and proposed, general medical information, genetic test results and mutations, blood level results, upload of medical records.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

The study is open to English speaking individuals of all ages who have a diagnosis consistent with metachromatic leukodystrophy (MLD). MLD is defined as:

  • Mutations in the ASA and PSAP genes identified by genetic testing;
  • A diagnosis of MLD by MRI of the brain; or
  • Sulfatase enzyme activity and urinary sulfatide excretion identified by biochemical testing.

Exclusion criteria

Patients will be excluded from the study if they do not meet inclusion criteria.

  • Non-English speaking individuals
  • No confirmed diagnosis of metachromatic leukodystrophy.

Treatment and study plan

Primary outcomes

  1. Change in Gross Motor Function Classification System - Metachromatic Leukodystrophy (GMFC-MLD)

    Time frame: Baseline, 3, 6, 9, 12 months

    The GMFC-MLD consists of seven levels and is applicable from the age of 18 months. It represents all clinically relevant stages from normal (level 0) to loss of all gross motor function (level 6).

Secondary outcomes

  1. Change in Expressive Language Function Classification - Metachromatic Leukodystrophy (ELFC-MLD)

    Time frame: Baseline, 3, 6, 9, 12 months

    Describes expressive language.

  2. Change in WHO Motor Milestone

    Time frame: Baseline, 3, 6, 9, 12 months

    Assessment of six milestones that are fundamental to acquiring self-sufficient, erect locomotion.

Sponsors and collaborators

Lead sponsor

National Organization for Rare Disorders

Other

Collaborators

  • Food and Drug Administration (FDA)

Registry information

Official study title

A Systems-based Approach to Patient-focused Rare Disease Research and Product Development

Important dates

Study start
2020
Primary completion
2024
Study completion
2025
First posted
Nov 13, 2020
Registry last updated
Jun 8, 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.

Published trials that share one or more normalized conditions with this study.