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NCT05867979 | Recruiting | Disorder of Sex Development, 46,XY


Search for Structural Variants in Patients With DSD and Inconclusive Molecular Diagnosis
Sponsor:

University Hospital, Montpellier

Brief Summary:

The goal of this clinical trial is to identify structural variants by Optical Genome Mapping (OGM) in the described participant population. The main questions it aims to answer are: Identify constitutional structural variants by OGM of DNA extracted from blood leukocytes of patients with DSD for which the molecular diagnosis is inconclusive. Identify mosaic structural variants (present in a subpopulation of somatic cells only) by OGM of DNA extracted from blood leukocytes of patients with DSD for which the molecular diagnosis is inconclusive. Compare the diagnostic yields of OGM and of Comparative Genome Hybridization Array (CGH array) methods. Compare the diagnostic yields of the OGM and of Whole Genome Sequencing (National Sequencing Program), only if performed. Participants will be required to: a follow-up interview with a physician to review their own and family medical and surgical history, with a focusing on DSD. An interview to assess their exposure to environmental pollutants during fetal life, using a validated questionnaire. a blood test with a 5mL tube to perform optical genome mapping analysis.

Condition or disease

Disorder of Sex Development, 46,XY

Intervention/treatment

Identify structural variants by Optical Genome Mapping of DNA extracted from blood leukocytes

Phase

Not Applicable

Detailed Description:

Patients with severe or moderate disorder of sex development (DSD) with a inconclusive molecular diagnosis will benefit from optical genome mapping analysis. A venous blood sample on ethylenediaminetetraacetic acid (EDTA) tube (5mL) will be taken in order to extract the DNA that will be used for the optical genome mapping analysis.}}

Study Type : Interventional
Estimated Enrollment : 20 participants
Masking : None (Open Label)
Primary Purpose : Diagnostic
Official Title : Search for Structural Variants in Patients With Disorders of Sex Development (DSD) and Inconclusive Molecular Diagnosis GENEXPLOR-DSD
Actual Study Start Date : February 5, 2024
Estimated Primary Completion Date : June 15, 2025
Estimated Study Completion Date : June 15, 2025
Arm Intervention/treatment

Experimental: patients with DSD and inconclusive molecular diagnosis

The one arm of the study will have a venous blood draw as part of the research. 1 EDTA tube of 5mL will be collected.

Diagnostic Test: Identify structural variants by Optical Genome Mapping of DNA extracted from blood leukocytes

Ages Eligible for Study: 6 Months
Sexes Eligible for Study: Male
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria
  • homogeneous XY male karyotype.
  • patient at least 6 months old
  • severe to moderate DSD (Prader 1 to 5) for which the molecular diagnosis is inconclusive after a gene panel analysis.
Exclusion Criteria
  • subject with a homogeneous or mosaic XX, or monosomal X karyotype.
  • subject with an aneuploidy.
  • subject with a conclusive molecular diagnosis explaining the observed DSD (i.e. carrier of a causal genotype already well characterized by functional studies)

Search for Structural Variants in Patients With DSD and Inconclusive Molecular Diagnosis

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Search for Structural Variants in Patients With DSD and Inconclusive Molecular Diagnosis

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

Locations


Recruiting

France,

University Hospital Montpellier

Montpellier, France, 34000

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