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NCT02450851 | RECRUITING | Genetic Disease


Clinical and Genetic Evaluation of Individuals With Undiagnosed Disorders Through the Undiagnosed Diseases Network
Sponsor:

National Human Genome Research Institute (NHGRI)

Brief Summary:

Without an explanation for severe and sometimes life-threatening symptoms, patients and their families are left in a state of unknown. Many individuals find themselves being passed from physician to physician, undergoing countless and often repetitive tests in the hopes of finding answers and insight about what the future may hold. This long and arduous journey to find a diagnosis does not end for many patients- the Office of Rare Diseases Research (ORDR) notes that 6% of individuals seeking their assistance have an undiagnosed disorder. In 2008, the National Institutes of Health (NIH) Undiagnosed Diseases Program (UDP) was established with the goal of providing care and answers for these individuals with mysterious conditions who have long eluded diagnosis. The NIH UDP is a joint venture of the NIH ORDR, the National Human Genome Research Institute Intramural Research Program (NHGRI-IRP), and the NIH Clinical Research Center (CRC) (1-3). The goals of the NIH UDP are to: (1) provide answers for patients with undiagnosed diseases; (2) generate new knowledge about disease mechanisms; (3) assess the application of new approaches to phenotyping and the use of genomic technologies; and (4) identify potential therapeutic targets, if possible. To date, the UDP has evaluated 3300 medical records and admitted 750 individuals with rare and undiagnosed conditions to the NIH Clinical Center. The NIH UDP has identified more than 70 rare disease diagnoses and several new conditions. The success of the NIH UDP prompted the NIH Common Fund to support the establishment of a network of medical research centers, the Undiagnosed Diseases Network (UDN), for fiscal years 2013-2020. The clinical sites will perform extensive phenotyping, genetic analyses, and functional studies of potential disease-causing variants. The testing performed on patients involves medically indicated studies intended to help reach a diagnosis, as well as research investigations that include a skin biopsy, blood draws, and DNA analysis. In addition, the UDN will further the goals of the UDP by permitting the sharing of personally identifiable phenotypic and genotypic information within the network. By sharing participant information and encouraging collaboration, the UDN hopes to improve the understanding of rare conditions and advance the diagnostic process and care for individuals with undiagnosed diseases.

Condition or disease

Genetic Disease

Detailed Description:

Without an explanation for severe and sometimes life-threatening symptoms, patients and their families are left in a state of unknown. Many individuals find themselves being passed from physician to physician, undergoing countless and often repetitive tests in the hopes of finding answers and insight about what the future may hold. This long and arduous journey to find a diagnosis does not end for many patients- the Office of Rare Diseases Research (ORDR) notes that 6% of individuals seeking their assistance have an undiagnosed disorder. In 2008, the National Institutes of Health (NIH) Undiagnosed Diseases Program (UDP) was established with the goal of providing care and answers for these individuals with mysterious conditions who have long eluded diagnosis. The NIH UDP is a joint venture of the NIH ORDR, the National Human Genome Research Institute Intramural Research Program (NHGRI-IRP), and the NIH Clinical Research Center (CRC) (1-3). The goals of the NIH UDP are to: (1) provide answers for patients with undiagnosed diseases; (2) generate new knowledge about disease mechanisms; (3) assess the application of new approaches to phenotyping and the use of genomic technologies; and (4) identify potential therapeutic targets, if possible.1-3 Prior to formation of the Undiagnosed Diseases Network (UDN), the UDP had evaluated 3300 medical records, admitted 750 individuals with rare and undiagnosed conditions to the NIH, and identified more than 70 rare disease diagnoses and several new conditions. The success of the NIH UDP prompted the NIH Common Fund to support the establishment of a network of medical research centers, the UDN, for fiscal years 2013-2022. The clinical sites perform extensive phenotyping, genetic analyses, and functional studies of potential disease-causing variants. The testing performed on patients involves medically indicated studies intended to help reach a diagnosis, as well as research investigations that include a skin biopsy, blood draws, and DNA analysis. In addition, the UDN is furthering the goals of the UDP by permitting the sharing of personally identifiable phenotypic and genotypic information within the network. By sharing participant information and encouraging collaboration, the UDN hopes to improve the understanding of rare conditions and advance the diagnostic process and care for individuals with undiagnosed diseases.

Study Type : OBSERVATIONAL
Estimated Enrollment : 20000 participants
Official Title : Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network
Actual Study Start Date : 2015-09-16
Estimated Primary Completion Date : 2028-12-31
Estimated Study Completion Date : 2028-12-31

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 1 Month to 100 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers: 1
Criteria
* INCLUSION CRITERIA
  • Ideal participants for tier 2-4 evaluations include individuals with
    • * One or more objective findings pertinent to the phenotype for which a case was submitted.
    • * No diagnosis despite evaluation by specialists who assessed the patient for the objective finding(s).
    • * Agreement for the storage and sharing of information and biomaterials, in an identified fashion amongst the UDN centers, and in a de-identified fashion to research sites beyond the network.
    • Participants unable to consent can be enrolled.
    • EXCLUSION CRITERIA
      • Individuals who are unlikely to be assigned to tier 2-4 evaluations include those with
        • * Reported symptoms with no relevant objective findings.
        • * A diagnosis explaining objective findings.
        • * A diagnosis suggested on record review.
        • * Unwillingness to share data.

Clinical and Genetic Evaluation of Individuals With Undiagnosed Disorders Through the Undiagnosed Diseases Network

Location Details

NCT02450851


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How to Participate

Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations


RECRUITING

United States, alabama

University of Alabama at Birmingham

Birmingham, alabama, United States, 35233

COMPLETED

United States, alabama

HudsonAlpha Institute for Biotechnology, Inc.

Huntsville, alabama, United States, 35806

RECRUITING

United States, California

University of California, Los Angeles

Los Angeles, California, United States, 90095

RECRUITING

United States, California

University of California, Irvine Medical Center

Orange, California, United States, 92668

COMPLETED

United States, California

Lucile Salter Packard Children's Hospital at Stanford

Stanford, California, United States, 94020

RECRUITING

United States, California

Stanford University

Stanford, California, United States, 94305-5584

RECRUITING

United States, California

Leland Stanford Junior University

Stanford, California, United States, 94305

RECRUITING

United States, California

Stanford Hospital and Clinics

Stanford, California, United States, 94305

RECRUITING

United States, District of Columbia

Childrens National Medical Center

Washington D.C., District of Columbia, United States, 20010

RECRUITING

United States, Florida

University of Miami Miller School of Medicine

Miami, florida, United States, 33136

NOT YET RECRUITING

United States, Illinois

Lurie Children s Hospital

Chicago, Illinois, United States, 60611

RECRUITING

United States, Indiana

Indiana University

Indianapolis, Indiana, United States, 46202-5262

RECRUITING

United States, Maryland

National Institutes of Health Clinical Center

Bethesda, Maryland, United States, 20892

RECRUITING

United States, Massachusetts

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

RECRUITING

United States, Massachusetts

Boston Children s Hospital

Boston, Massachusetts, United States, 02115

RECRUITING

United States, Massachusetts

Brigham and Women's Hospital

Boston, Massachusetts, United States, 02115

COMPLETED

United States, Massachusetts

Harvard T.H. Chan School of Public Health

Boston, Massachusetts, United States, 02115

NOT YET RECRUITING

United States, Massachusetts

Harvard U Faculty of Medicine

Boston, Massachusetts, United States, 02115

RECRUITING

United States, Minnesota

Mayo Clinic

Rochester, Minnesota, United States, 55905

RECRUITING

United States, Missouri

Washington University in St. Louis

St Louis, Missouri, United States, 63110

ACTIVE NOT RECRUITING

United States, New York

New York Genome Center

New York, New York, United States, 10013

RECRUITING

United States, North Carolina

Duke University Health System

Durham, North Carolina, United States, 27710

NOT YET RECRUITING

United States, Oregon

University of Oregon

Eugene, Oregon, United States, 97403

COMPLETED

United States, Oregon

Oregon Health Sciences University

Portland, Oregon, United States, 97201-3098

RECRUITING

United States, Pennsylvania

University of Pennsylvania

Philadelphia, Pennsylvania, United States, 19104-6056

RECRUITING

United States, Pennsylvania

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19104

RECRUITING

United States, Tennessee

Vanderbilt University Medical Center

Nashville, Tennessee, United States, 37232

RECRUITING

United States, Texas

Baylor College of Medicine

Houston, Texas, United States, 77030

RECRUITING

United States, Utah

University of Utah

Salt Lake City, Utah, United States, 84112

COMPLETED

United States, Washington

Pacific Northwest National Laboratory

Richland, Washington, United States, 99354

RECRUITING

United States, Washington

Seattle Children's Hospital

Seattle, Washington, United States, 98101

RECRUITING

United States, Washington

University of Washington

Seattle, Washington, United States, 98195

RECRUITING

United States, Wisconsin

Medical College of Wisconsin

Milwaukee, Wisconsin, United States, 53226

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