X-linked Myotubular Myopathy
Conditions
Keywords
myotubular myopathy, respiratory muscles, natural history
Brief summary
This study is a longitudinal study evaluating the severity and progression of respiratory muscle function in patients with X-Linked Myotubular Myopathy (XLMTM) aged 0-14.
Detailed description
Subjects aged 0-7 will be evaluated every six months for a total of three evaluations (Baseline, Six-Month Visit, Twelve-Month Visit). Subjects aged 8-14 will be evaluated every twelve months for a total of two evaluations (Baseline, Twelve-Month Visit). Evaluations include medical history, physical exam, respiratory muscle tests, a qualitative interview related to the child's function and use of respiratory aids, and quality of life assessments.
Interventions
Subjects' breathing patterns will be evaluated at rest and at reduced/eliminated ventilator support.
Subjects' strongest inspiratory and expiratory pressures will be measured.
Subjects will undergo a physical exam and medical history review, including review of genetic test results.
Subjects' strongest coughs will be measured.
Assesses the functional capabilities of children with disabilities.
Assesses general fatigue, sleep/rest fatigue, and cognitive fatigue.
Subjects's use of mechanical ventilation reviewed by the study team.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who have centronuclear myopathy resulting from an MTM1 genetic mutation. * Patients who are between 0 and 14 years of age.
Exclusion criteria
* Patients without a confirmed genetic mutation. * Patients unable to travel to the site for the study. * Patients participating in an interventional treatment study for XLMTM at the time of enrollment. * Patients who are unable to complete study procedures. * Patients who have a condition that, in the opinion of the investigator, would make participation in this study unsafe.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in baseline visit off-ventilator tolerance at 6 month visit and 12 month visit. | Change in baseline visit, at 6 month visit and 12 month visit |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in baseline visit maximal respiratory pressures at 6 month visit, and 12 month visit. | Change in baseline visit, at 6 month visit and 12 month visit | Subject's maximal inspiratory and expiratory pressures. |
| Change in baseline peak cough flow at 6 month visit and 12 month visit. | Change in baseline visit, at 6 month visit and 12 month visit | Subjects will be assessed on the ability to generate a cough and the strength of that cough. |
| Change in baseline tidal breathing at 6 month visit and 12 month visit. | Change in baseline visit, at 6 month visit and 12 month visit | Subject's resting breathing pattern will be assessed. |
Countries
United States