Becker Muscular Dystrophy
Conditions
Keywords
Becker, MNR, Brain, Muscle, Neuropsycology, Natural history
Brief summary
Monitoring patients with neuromuscular disorders is crucial but doesn't always allow for a sufficiently specific approach to all aspects of the condition. However, in the event of future treatment, it is essential for clinical and research teams to have as much information as possible about the disease, particularly regarding its physical, physiological, biological, and neurological aspects. In this context, it was consider as vital to investigate in greater depth the links between the presence of certain dystrophin isoforms in patients and their potential impacts on cognitive, neurological, and muscular function. The results of this study could serve as a reference for future research and improve the understanding and management of this disease. All of this data will allow for a precise evaluation of the effects of a potential treatment on the progression of the disease.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Genetically confirmed diagnosis of Becker muscular dystrophy * Ambulant * Signed ICF
Exclusion criteria
* Individuals presenting contraindications to MRI * History of allergy to contrast product * Individuals with history of neurological diseases interfering with the study * Individuals with concomitant medical conditions that could interfere with the study outcomes * subjects who suffer from any type of cancer (or on cancer treatment) * obese subjects: BMI\>35 * subjects with cardiac (left-ventricular ejection fraction \<40%) and/or respiratory insufficiency (forced vital capacity \< 50%) and/or normal ECG * Individuals who are not yet or insufficiently stabilized on psychiatric medication * Any medical and social condition that may interfere with the study at the discretion of the medical coordinator * Guardianship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Brain volume | 2 years | Measurement of grey and white matter volume (in mm3) using brain MRI sequences. |
| Brain cortical thickness | 2 years | Measurement of cortical thickness (in mm) using brain MRI sequences. |
| Brain water motion | 2 years | Measurement of diffusion-based values, including apparent diffusion coefficient (in m2/s) and fractional anisotropy (unitless) using diffusion-weighted MRI sequences. |
| Brain iron metabolism | 2 years | Measurement of brain iron metabolism using MRI-based quantitative susceptibility mapping (measured in parts per million). |
| Brain function: resting-state and following task | 2 years | Measurement of resting-state brain function (default-mode-network) using functional MRI. Measurement of brain activation using fMRI following fronto-executive task (Stroop test). |
| Intelligence test | 2 years | Evaluation of intelligence using Wechsler Scale of Intelligence (WAIS-4). |
| Psychological evaluation of depression | 2 years | Psychological evaluation using Beck Depression Inventory-II (BDI-II). |
| Psychological evaluation of anxiety | 2 years | Psychological evaluation using State-Trait Anxiety Inventory-2 (STAI-Y2). |
| Psychological evaluation of ADHD | 2 years | Psychological evaluation using Connors Adult Rating Scale. |
| Neuropsychological evaluation of memory for attention and cognitive processing | 2 years | Neuropsychological cognitive evaluation of memory for attention and cognitive processing using Free and Cued Selective Reminding Test (FCSRT). |
| Neuropsychological evaluation of visual memory and executive function | 2 years | Neuropsychological cognitive evaluation of visual memory and executive function using Rey-Osterrieth Complex Figure Test (ROCF). |
| Neuropsychological evaluation of visual attention and task switching | 2 years | Neuropsychological cognitive evaluation of visual attention and task switching using Trail Making Test. |
| Neuropsychological evaluation of inhibition | 2 years | Neuropsychological cognitive evaluation of inhibition using Stroop Color and Word Test. |
| Neuropsychological evaluation of verbal functioning | 2 years | Neuropsychological cognitive evaluation of verbal functioning using Phonemic verbal fluency test. |
| Neuropsychological evaluation of facial expressions. | 2 years | Neuropsychological cognitive evaluation of facial expressions using Pictures of Facial Affect test. |
| Neuropsychological evaluation of empathy | 2 years | Neuropsychological cognitive evaluation understanding inappropriateness, speaker's intentions/motivations, speaker's belief, empathy (participant's ability to know how the character would feel), and finally story comprehension using Faux pas Recognition Test. Empathy is also evaluated using The Interpersonal Reactivity Index. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of muscle disease progression | 2 years | Evaluation of disease progression based on quantitative assessment of MRI-based muscle fat fraction (FF, in %) and residual muscle (i.e. contractile cross-sectional area, in cm2) in lower limb (individual thigh and leg muscles). |
| Evaluation of muscle disease activity (edema, inflammation, ...) | 2 years | Evaluation of qMRI-biomarkers sensitive to active muscle damage or disease activity such as water T2 and water T1 mapping, expressed in milliseconds (individual thigh and leg muscles). |
| Evaluation of muscle extracellular volume | 2 years | Evaluation of extracellular volume (ECV) in muscle (unitless or %) will be assessed using qMRI-based T1 mapping before and after contrast agent injection (individual thigh and leg muscles). |
| Evaluation of energy metabolism. | 2 years | Evaluation of energy metabolism using qMRI and 31P magnetic resonance spectroscopy. |
| Evaluation of intramuscular pH. | 2 years | Evaluation of intramuscular pH using qMRI and 31P magnetic resonance spectroscopy. |
| Evaluation of gait endurance (timed test) | 2 years | Evaluation of gait endurance using 6-minute walk test (6MWT) and 10-m walking test (10mWT). |
| Evaluation of exertion and dyspnea (timed test) | 2 years | Evaluation of exertion and dyspnea using 30-second sit-to-stand test (30STS). |
| Evaluation of TUG test performance | 2 years | Evaluation of performance at time-up-and-go test (TUG). |
| Motor Function assessment | 2 years | Evaluation of motor function abilities using quantitative Motor Function Measurement (MFM) scale. |
| Muscle strength evaluation | 2 years | Strength evaluation of knee extension/flexion, dorsiflexion/plantarflexion of ankle, hand grip and fingers' pinch strength using dedicated MyoTools. |
| Evaluation of quality of life | 2 years | Evaluation of The "Quality of Life in genetic Neuromuscular Disease" questionnaire (QoL-gNMD). |
| Health assessment | 2 years | Health assessment using the Health Assessment Questionnaire (HAQ). |
| Assessment of individual's activity level | 2 years | Assessment of individual's activity level using Ricci et Gagnon Questionnaire. |
Countries
France