Overview

This trial is active, not recruiting.

Condition x-linked myotubular myopathy
Sponsor Cure CMD
Collaborator Congenital Muscle Disease International Registr
Start date April 2013
End date October 2016
Trial size 75 participants
Trial identifier NCT01840657, CMDIR-002

Summary

X-Linked myotubular myopathy (XLMTM), a form of centronuclear myopathy (CNM) is the result of a mutation in the MTM1 (myotubularin) gene which leads to altered myotubularin. Myotubularin is essential for optimum muscle function. To date, over 100 mutations have been described resulting in a range of disease onset and symptom severity. The early onset form presents with neonatal hypotonia, muscle weakness, respiratory distress and an ongoing requirement for continuous ventilatory support with the inability to maintain a sitting position once placed. Males with both later onset and milder symptoms usually do not require ongoing ventilatory support, achieve a higher maximal motor function with ability to sit when placed and even walk, and have improved survival rates. Males with XLMTM may experience complications (events) at birth and throughout their lifetime. The goal of the study is to identify the number of events over twelve months in males with genetically confirmed XLMTM. Parents or affected individuals over the age of 18 years who are able to access telephone will provide answers to an established event survey to evaluate the frequency and types of events. Emergency department, hospital admissions and mortality will be confirmed by obtaining medical reports.

The investigators hypothesize that there will be no association between the frequency of events and markers of clinical severity including the need for ventilatory support at birth, current level of ventilatory support (no support, support less than 12 hours, support more than 12 hours) and current motor function (walking, sitting without support, inability to sit without support).

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Observational model case-only
Time perspective prospective

Primary Outcomes

Measure
Survey of a defined set of events
time frame: 12 months
Frequency of a predefined set of events related to ventilatory status
time frame: 12 months
Frequency of a predefined set of events related to current motor function
time frame: 12 months

Secondary Outcomes

Measure
Association between event frequency and genotype
time frame: 12 months
Association between event rate and season
time frame: 12 months

Eligibility Criteria

Male participants of any age.

Inclusion Criteria: - males with a confirmed MTM1 mutation OR - males with a muscle biopsy consistent with myotubular myopathy AND family history consistent with X-linked inheritance AND - English-speaking parent/guardian of a living male child or a decisionally impaired adult OR English-speaking affected male over 18 years of age who can access telephone - signed study consent - enrolled in the Congenital Muscle Disease International Registry (CMDIR) Exclusion Criteria: - males with only a clinical diagnosis of XLMTM but without family history of XLMTM - an affected male who has a genetically confirmed form of centronuclear myopathy (CNM) that is not caused by a mutation in the MTM1 gene - females with MTM1 due to the limited number of females affected and the variability of clinical presentation

Additional Information

Official title Prospective Study of Adverse Event Rates in Males With X-Linked Myotubular Myopathy
Principal investigator Joseph Hornyak, MD, PhD
Trial information was received from ClinicalTrials.gov and was last updated in July 2016.
Information provided to ClinicalTrials.gov by Cure CMD.