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NCT Number: NCT06955624

Use of Omics Methods to Classify Variations of Uncertain Significance and Improve Diagnosis of Neurogenetic Diseases

Many neurological disorders show a strong genetic basis, from hereditary diseases caused by a single mutation in a given gene, to diseases caused by combinations of strong genetic risk factors. However, even after the sequencing of the appropriate genes, a large proportion of patients remains undiagnosed, either because there is no candidate mutation observed, or in case of identification of a candidate mutation with insufficient knowledge to consider it as pathogenic or not.

The aim of this project is to identify the cause of neurogenetic diseases in patients in situations of diagnostic wandering or dead ends by proposing the analysis of RNA and/or proteins from different tissues.

Recruiting

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

For this project, the inclusion of 3 participant profiles is required:

  • 1a. Patient, major or minor, with a neurological disease affecting the central nervous system, who has already benefited from a genomic analysis (panel, exome or genome sequencing) as part of routine care, with inconclusive analysis because the result was either a variation of uncertain significance or the absence of a variant of interest (patients with inconclusive genomic results).
  • 1b. Patient with neurological disease affecting the central nervous system, of confirmed monogenic or probable oligogenic cause (positive controls).
  • A relative of a type 1a. or 1b. patient with no symptoms of the disease, after the expected age of onset of symptoms in the patient's own family (healthy relatives).

For all 3 groups:

  • Affiliation with a social security scheme
  • Agreement to take part in the study with signature of a specific informed consent form for the study.

Exclusion criteria

For patients with inconclusive results: Patient with a neurological disease not suspected of a monogenic or oligogenic cause

For healthy relatives: existence of a neurological disease (other than uncomplicated migraine) or psychiatric disease (other than simple anxiety stable under treatment).

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Treatment and study plan

RNA and/or DNA methylation and/or protein analysis

Genetic

RNA and/or DNA methylation and/or protein analysis from a blood sample or another tissue including dedifferenciation into induced pluripotent stem cells

Primary outcomes

  1. number and proportion of patients

    Time frame: through study completion, an average of 5 years

    number and proportion of patients in the "Patients with inconclusive results" group for whom a final diagnosis can be made at the end of this research.

Secondary outcomes

  1. Inclusion

    Time frame: through study completion, an average of 5 years

    Inclusion of at least 50 participants with successful implementation of at least two procedures (see below, list of procedures)

  2. Identification of at least one candidate biomarker linked to one or more abnormalities of a gene or group of genes.

    Time frame: through study completion, an average of 5 years

    Identification of at least one candidate biomarker linked to one or more abnormalities of a gene or group of genes.

Study contacts

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

Gaël Nicolas, MD, PhD

CONTACT

[email protected]

0033232888747

Sponsors and collaborators

Lead sponsor

University Hospital, Rouen

Other

Collaborators

  • Groupe Hospitalier Pitie-Salpetriere
  • University Hospital, Lille

Registry information

Acronym: OMID-NEURO

Important dates

Study start
2025
Primary completion
2030
Study completion
2031
First posted
May 2, 2025
Registry last updated
May 2, 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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