Genetic Diseases Clinical Trial
— MENDELOfficial title:
Mutation Exploration in Non-acquired, Genetic Disorders and Its Impact on Health Economy and Life Quality
Verified date | January 2018 |
Source | Charite University, Berlin, Germany |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The MENDEL-study will investigate whether the use of gene panel or whole genome sequencing
(WGS) will:
1. improve the rate of diagnosis and through this compare the performance of the two
diagnostic approaches (gene panel vs. WGS),
2. investigate whether use of said sequencing approaches early in the diagnostic process
results in reduced health care spending, and
3. result in an improved quality of life for the patients and their parents.
Status | Completed |
Enrollment | 200 |
Est. completion date | December 31, 2017 |
Est. primary completion date | June 30, 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A to 18 Years |
Eligibility |
Inclusion Criteria: 1. Diagnosis: Suspicion of genetic disease. (Only one of the following criteria is required.) [1.1] Family member(s) with similar phenotype OR [1.2] At least two affected organ systems OR [1.3] One affected organ system that is known to be associated with multiple disease causing genes (e.g. long QT syndrome) OR [1.4] Multiple birth defects 2. Both parents must be available for blood draw in order to confirm phase (segregation analysis) or in order to perform WGS of the trio at a later time point. 3. Age: from birth up until age 18 years 4. Gender: Both sexes will be included Exclusion Criteria: 1. Suspicion that the phenotype is due to an acquired disease 2. Missing informed consent from both parents or from all legal guardians for genetic testing in the setting of a clinical trial. 3. Clinical diagnosis of a disease with a known monogenic cause, e.g. Phenylketonuria or Cystic fibrosis. |
Country | Name | City | State |
---|---|---|---|
Germany | Department of General Pediatrics, Charité-Universitätsmedizin | Berlin | |
Germany | Department of Neuropediatrics, Charité-Universitätsmedizin | Berlin | |
Germany | Institute of Medical Genetics and Human Genetics, Charité-Universitätsmedizin | Berlin |
Lead Sponsor | Collaborator |
---|---|
Charite University, Berlin, Germany | German Federal Ministry of Education and Research |
Germany,
Zemojtel T, Köhler S, Mackenroth L, Jäger M, Hecht J, Krawitz P, Graul-Neumann L, Doelken S, Ehmke N, Spielmann M, Oien NC, Schweiger MR, Krüger U, Frommer G, Fischer B, Kornak U, Flöttmann R, Ardeshirdavani A, Moreau Y, Lewis SE, Haendel M, Smedley D, Horn D, Mundlos S, Robinson PN. Effective diagnosis of genetic disease by computational phenotype analysis of the disease-associated genome. Sci Transl Med. 2014 Sep 3;6(252):252ra123. doi: 10.1126/scitranslmed.3009262. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Diagnostic yield through gene panel sequencing of 3089 known disease genes. | The number of confirmed disease causing mutations that can be identified in 200 patients following gene panel sequencing and analysis with the PhenIX software. | 6 months. | |
Secondary | Quality of Life | Assessment of the parents' quality of life before and after molecular diagnostics and reception of a molecular genetic diagnosis. | 2 years | |
Secondary | Manageability of a next generation sequencing (NGS) pipeline in routine clinical diagnostics | Calculation of the duration [months] between recruitment of a family and the final genetic counselling. | 2 years | |
Secondary | Health economy of NGS | Comparison of the cost of "standard diagnostics" versus the use of gene panel sequencing or WGS at an early stage in the diagnostic process. Health economic analysis of the costs incurred for each patient through "the standard diagnostic approach" in comparison to costs incurred through the use of gene panel sequencing/WGS. | 2 years |
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