SNPMiner Trials (Home Page)
Report for Mutation L304P
 Developed by Shray Alag, 2020.
SNP Clinical Trial Gene 
There is one clinical trial. 
Clinical Trials
      Primary Objective:
        -  To describe the clinical features and their severity at the time of diagnosis and their
           evolution over time in patients with confirmed chronic visceral and chronic
           neurovisceral forms of ASMD
        -  To describe Clinician-Reported Outcomes (ClinROs) and Patient-Reported Outcomes (PROs)
           at enrollment and their evolution over time; disease severity at the time of diagnosis
           and its evolution over time
      Secondary Objectives:
        -  To describe abnormal values in laboratory parameters and all values of specific clinical
           and imaging assessments at the time of diagnosis and their evolution over time
        -  To study the use and applicability towards validation of a newly developed ASMD disease
           severity scoring system
        -  To study the use and applicability towards validation of a newly developed ASMD PRO tool
        -  To describe ASMD-related disease burden among patients with ASMD, caregivers, and
           healthcare resource utilization
        -  To describe the association between patient demographics (eg, age, gender, race,
           Ashkenazi ancestry) and genotype with selected clinical features in patients with
           confirmed chronic visceral and chronic neurovisceral forms of ASMD
    
Exclusion criteria:
        Patients suspected or diagnosed with infantile onset ASMD (ie, NPD A, with progressive
        developmental delay, or presence of any combination of R498L, L304P, and P333fs*52
        genotypes, if available),
          -  Patients having received or receiving an investigational drug,
          -  Patients receiving any ASMD specific ERT,
          -  Patients with poor general condition that would not be able to undergo study
             assessments as per investigator's clinical judgment. --- R498L ---  --- L304P --- 
  Primary Outcomes 
 Measure: Time of first occurrence and recurrence of the clinical features and medical interventions related to chronic ASMD
 Time: Minimum 2 years
 Measure: Number of patients with at least one clinical feature and highest severity grade at the time of diagnosis and over time
 Time: Minimum 2 years
 Description: Clinical Global Impression rating scale (CGI, modified), Neuropathy Symptoms Score (NSS) , Neuropathy Disability Score(NDS), Brief Ataxia Rating Scale (BARS), The Essential Tremor Rating Assessment Scale (TETRAS), Wechsler Preschool and Primary Scale of Intelligence - Fourth Edition (WPPSI™ - IV) , Wechsler Intelligence Scale for Children - Fifth Edition (WISC®-V) and Mini-Mental State Examination (MMSE)
 Measure: Clinician-Reported Outcomes (ClinROs) depending on participant's age, local regulation, local availability and investigator's discretion
 Time: Up to 2 years
 Description: EuroQol-5D-5L , EQ-5D-Y, Pediatric Quality of Life Inventory (PedsQL) core module, 36-Item Short Form Health Survey (SF-36) version 2 , MMRC dyspnea score, PedsQL Multidimensional Fatigue Scale, PedsQL Pediatric Pain Questionnaire, splenomegaly-related symptoms (SRS) v3, Patient Global Impression of Change (PGIC), Patient Global Impression of Symptom Severity (PGIS)
 Measure: Patient-Reported Outcomes (PROs) depending on participant's age, local regulation, local availability and investigator's discretion
 Time: Up to 2 years
  Secondary Outcomes 
 Measure: Number of patients with at least one abnormal value in laboratory parameters
 Time: Minimum 2 years
 Measure: Forced vital capacity (FVC) level over time since the time of diagnosis
 Time: Minimum 2 years
 Measure: Forced expiratory volume in the first second of the maneuver (FEV1)
 Time: Minimum 2 years
 Measure: Total lung capacity (TLC)
 Time: Minimum 2 years
 Measure: Diffusion capacity of CO (DLCO) Test
 Time: Minimum 2 years
 Measure: Pulse Oximetry: Saturation of Peripheral Oxygen (SpO2)
 Time: Minimum 2 years
 Measure: Liver volume
 Time: Minimum 2 years
 Measure: Liver stiffness score
 Time: Minimum 2 years
 Measure: Spleen volume
 Time: Minimum 2 years
 Measure: Bone maturation for age (pediatric patients only)
 Time: Minimum 2 years
 Measure: Age appropriate Z-score deviation for height and weight (children only)
 Time: Minimum 2 years
 Measure: Body mass index (BMI) for adults only
 Time: Minimum 2 years
 Measure: Optimization and validation of ASMD disease severity scoring system (DS3)
 Time: Up to 2 years
 Measure: Validation of ASMD PRO instruments (24h and 7-day recall)
 Time: UP to 2 years
 Measure: Niemann-Pick B Health Assessment Questionnaire
 Time: UP to 2 years
 Measure: Health-related Productivity Questionnaire
 Time: UP to 2 years
 Measure: Association of hepatomegaly with age, gender, race, Ashkenazi ancestry and genotype
 Time: Minimum 2 years
 Measure: Association of splenomegaly with age, gender, race, Ashkenazi ancestry and genotype
 Time: Minimum 2 years
 Measure: Association of lower respiratory tract infection with age, gender, race, Ashkenazi ancestry and genotype
 Time: Minimum 2 years
 Measure: Association of respiratory distress with age, gender, race, Ashkenazi ancestry and genotype
 Time: Minimum 2 years
 Measure: Association of oxygen therapy with age, gender, race, Ashkenazi ancestry and genotype
 Time: Minimum 2 years
 Measure: Association of external bleeding episode with age, gender, race, Ashkenazi ancestry and genotype
 Time: Minimum 2 years
 Measure: Association of myocardial infarction with age, gender, race, Ashkenazi ancestry and genotype
 Time: Minimum 2 years
 Measure: Association of cerebrovascular accident with age, gender, race, Ashkenazi ancestry and genotype
 Time: Minimum 2 years
 Measure: Association of hospitalization with age, gender, race, Ashkenazi ancestry and genotype
 Time: Minimum 2 years
HPO Nodes