Limb Girdle Muscular Dystrophy R2 (LGMDR2, Dysferlinopathy) Musculoskeletal Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Genetically confirmed recessive Dysferlinopathy (LGMDR2), proven by two pathogenic or likely pathogenic variants in the DYSF gene 2. Pre-symptomatic or early-symptomatic individuals (able to stand on tiptoes on both feet and hop with foot clearance) 3. Able to perform all study assessments including muscle MRI and gait analysis 4. Able to attend scheduled annual visits and follow study procedures
Exclusion criteria
Exclusion criteria: 1. Current or planned medical or other interventions that could interfere with study assessments 2. Presence of another condition that could affect participation or study results, as judged by the investigator 3. Participation in a clinical trial that could alter the natural course of the disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Muscle strength, function, and pathology measured using North Star Assessment for Limb Girdle Muscular Dystrophies (NSAD), timed functional tests (e.g., 100-metre walk/run), handheld dynamometry, and quantitative muscle MRI (3-point Dixon fat fraction and T2 mapping) at baseline and annually for up to 5 years | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Gait parameters (velocity, step length, symmetry, and muscle activation) measured using instrumented gait analysis with motion capture and surface electromyography at baseline and annually for up to 5 years 2. Activity limitation and participation measured using ACTIVLIM questionnaire at baseline and annually for up to 5 years 3. Fatigue and pain levels measured using Fatigue Severity Scale (FSS), PROMIS Fatigue, and Short-Form McGill Pain Questionnaire (SF-MPQ) at baseline and annually for up to 5 years 4. Respiratory function measured using Forced Vital Capacity (FVC) and FEV1 in sitting and lying positions at baseline and annually for up to 5 years | — |
Countries
England, United Kingdom