hypomyelinating leukodystrophy white matter disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Genetically proven PMD with a clinically relevant mutation in PLP1 (missense mutation or duplication/triplication) and an MRI compatible with the diagnosis. - Present age between 6 months and 8 years of age. - Connatal or classic form of the disease (defined as not being able to sit without support and/or a mutation predicting this form, e.g. PLP1 duplication or higher copy numbers; known missense mutations associated with severe forms).
Exclusion criteria
Exclusion criteria: - important comorbidity as another genetic disease - liver or kidney disease - neutropenia in patient's history - severe iron deficiency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint • Gross motor function: Gross Motor Function Measure (GMFM) and Gross Motor Function Classification System for Metachromatic Leukodystrophy (GMFCS-MLD) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints • Quantitative brain MRI parameters: * Diffusion Tensor Imaging (DTI) * Chemical Shift Imaging (CSI) * Neurite Orientation Dispersion and Density Imaging (NODDI) * Myelin Water Fraction Imaging (MWFI) • Clinical parameters: * General health and quality of life: Health Utility Index (HUI) * Hand function: Manual Ability Classification System (MACS) * Communication: Communication Function Classification System (CFCS) * Swallowing function: Eating and Drinking Ability Classification System (EDACS) * Euro-Quality of Life Instrument 5D, 5 levels (EQ-5D-Y, proxy) * Vineland Adaptive Behavior Scales, 3rd edition (Vineland-3) • Electrophysiological parameters * EEG Exploratory endpoints • Exploratory search for biomarkers in body fluids. • Health economic effect (Institute for Medical Technology Assessment (iMTA) Medical Consumption Questionnaire (iMCQ) and Productivity Cost Questionnaire (iPCQ)) | — |
Countries
Netherlands