ataxia disorder of coordination
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Participants have to be 16 years or older; • Patients need to have a proven mutation in the SCA1 gene (patient cohort only); • Participant is able and willing to sign the informed consent.
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study: • Prior history of any neurological disorder, or another disease that significantly influences gait; • General contraindications for MRI. For those participants who consider to consent for a lumbar puncture, the following exclusion criteria, which will be checked prior to lumbar puncture, apply: • allergy to local anesthetic agents; • medical history of compression of spinal cord, spinal surgery, skin infection, developmental abnormalities in lower spine; • use of blood coagulopathy and/or anticoagulant medication; • clinical (or previous MRI) evidence of structural (space occupying) cerebral abnormalities that are not compatible with the performance of an LP including malignancies, abscess or obstructive hydrocephalus. • Another brain disorder, besides SCA1.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main objective of this study is to identify (a combined set of) clinical and non-clinical markers most sensitive to disease progression in Dutch SCA1 mutation carriers. In line with this objective, the main study endpoint is defined as: • Annual change of validated clinical scales and patient-reported outcome measures that capture the relevant disease characteristics of SCA1. | — |
Secondary
| Measure | Time frame |
|---|---|
| As we also want to explore the potential of novel biomarkers for disease progression in SCA1 mutation carriers, the following secondary endpoints are defined: • Features extracted from automated speech analysis; • Structural MRI and MR spectroscopy parameters; • Disease protein ataxin-1 in CSF, with a to-be developed ataxin-1 assay using TR-FRET, as described for ataxin-3 (Nguyen et al., 2013); • Total tau, neurofilament light chain (NFL) and GFAP in CSF, tear fluid, and/or blood with assays operational in the CSF lab. • Features extracted from analysis of walk/balance performance performed with opal-sensors. | — |
Countries
Netherlands