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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

NA

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
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 : 2024-02-05
Estimated Primary Completion Date : 2025-06-15
Estimated Study Completion Date : 2025-06-15

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 6 Months
Sexes Eligible for Study: MALE
Accepts Healthy Volunteers:
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

Location Details

NCT05867979


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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

France,

University Hospital Montpellier

Montpellier, France, 34000

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