ClinicalTrials.gov record NCT05651204
GABA Biomarkers in Dravet Syndrome
Electrophysiological Biomarkers of GABA Metabolism in Children With SCN1A+ Dravet Syndrome
AI summaryWhat this study is about, in plain languageShow ▾Hide ▴
AI-written from the registry record, not the study's own wording. May contain errors or omissions. Check the registry text on this page and the original record ↗ before acting on it.
This is an observational case-control study that compares children with SCN1A+ Dravet Syndrome and age-matched neurotypical children. The study collects noninvasive brain measures (EEG, MEG, task-fMRI, TMS) and a blood sample to measure GABA. The team aims to develop noninvasive biomarkers related to GABA activity in the brain.
What it is studying. Whether noninvasive electrophysiological and imaging measures (evoked/induced brain responses, BOLD fMRI, TMS) correlate with GABA levels in the brain and with GABA measured in blood, and whether those measures differ between children with SCN1A+ Dravet Syndrome and neurotypical children.
What the researchers hope to learn. To develop noninvasive biomarkers for monitoring GABA levels in the brain, to improve understanding of GABA-related pathophysiology in children with Dravet Syndrome, and to inform future research into GABA-targeting treatments.
What this study is about
The study's own summary, as published on ClinicalTrials.gov. Underlined terms have a short explanation.
This study will non-invasively obtain levels of GABA in the brain of children with SCN1A+DS and neurodeveloping children through evoked and induced cortical responses, correlate them with the BOLD responses, and with the levels of GABA in their blood.
Interventions being studied
Being studied in this trial does not mean the treatment or procedure is approved or available for this condition.
- Diagnostic test
- GABA Blood Level
Eligibility
The criteria exactly as listed on ClinicalTrials.gov. Only the study team can say whether they apply to you.
Inclusion criteria
- Authorized representative (parent/caregiver) must be willing and able to give informed consent for the participant's participation in the study. Participants capable of providing informed assent must be willing to provide their assent.
- Participant and their parent/caregiver are willing and able (in the PI's opinion) to comply with all study requirements.
- Participant is male or female aged between 0 months and 18 years of age, inclusive, at the time of consent.
- Participant has a confirmed pathogenic or likely pathogenic SCN1A mutation, as demonstrated by genetic testing.
- Participant had normal development prior to onset of first seizure as defined by the Centers for Disease Control and Prevention (CDC 2019).
- Participant had an onset of seizures, defined as first focal clonic/hemiclonic, generalized/focal, generalized tonic-clonic/clonic, atonic, prolonged seizure, or status epilepticus between age 3 and 5 months, inclusive.
- Participant should have an evaluation by a pediatric neurologist with a diagnosis of DS.
Exclusion criteria
- Participant has a copy number variant of SCN1A, including SCN1A microdeletion, affecting other genes.
- Participant has an SCN1A mutation present on both alleles.
- Participant has a known pathogenic or clinically suspected mutation in a seizure-associated gene besides SCN1A.
- Participant has a confirmed mutation in a gene besides SCN1A, that is known to increase the severity of the seizure phenotype.
- Participant has a known gain-of-function mutation, as defined by functional studies, including p.Thr226Met.
- Participant has a history of notable developmental deficit that was evident prior to seizure onset, by physician report.
- Participant has a known central nervous system structural abnormality as found on magnetic resonance imaging or computed tomography scan of brain which, in the opinion of the Principal Investigator (PI), is not consistent with the clinical phenotype of DS. Note: Prior scans may be used, and no new scan is required to confirm normal imaging.
- Metal implants.
- Baclofen pump.
- Inability or unwillingness of patient or parent/legally authorized representative to give written informed consent (and/or assent as appropriate).
Study description and what participation involves
The study's detailed description, as published on ClinicalTrials.gov.
Detailed description from the registry
Epileptic seizures may result from too much excitation or too little inhibition in the area in which abnormal discharges start. Excitation and inhibition of neurons are mediated by g-aminobutyric acid (GABA) neurotransmitter among others. Several lines of evidence indicate an abnormal pathophysiological mechanism of GABA in children with Dravet Syndrome (DS). Other studies show that measures of the beta and gamma brain activity with non-invasive electrophysiological techniques correlate with the levels of GABA in the human brain. Here, we propose to assess these measures in children with SCN1A+DS and neurodeveloping healthy controls aiming to develop noninvasive biomarkers for the monitoring of the levels of GABA in their brain. Such a biomarker would be useful for understanding the pathophysiological GABA mechanism in children with DS and potentially guide the development of future GABAergic modulation treatments.
AI summaryWhat participation may involve, in plain languageShow ▾Hide ▴
AI-written from the registry record, not the study's own wording. May contain errors or omissions. Check the registry text on this page and the original record ↗ before acting on it.
Participants will give a blood sample and take part in noninvasive brain measurements: task fMRI (child-friendly visual, auditory and somatosensory tasks; up to ~1.5 hours), magnetoencephalography (MEG; up to ~3 hours), high‑density EEG (up to ~90 minutes), and transcranial magnetic stimulation (TMS; mapping motor cortex, up to ~2 hours). During some scans children will watch cartoons and receive brief sensory stimuli (air puffs, brushing, sounds). MRI/MEG require lying still; aside from the blood draw, procedures are noninvasive. Prior clinical brain scans may be used and no new scan is required to confirm normal imaging.
How the study is structured. Prospective observational case-control study. Children with SCN1A+ Dravet Syndrome and age-matched neurotypical children undergo noninvasive testing and a blood draw. Tests listed in the registry include high-density EEG (up to 90 minutes), magnetoencephalography (MEG, up to 3 hours), task-based BOLD MRI (up to 1.5 hours), transcranial magnetic stimulation (TMS, up to 2 hours), and a clinical blood draw (up to 30 minutes). Data from these measures will be compared between the two groups.
Questions you could ask
These questions are suggestions for a conversation with the study team or your own clinician, not advice.
- The registry lists this study under Dravet Syndrome. Does it apply to my diagnosis?
- This is an observational study, so the study itself gives no treatment. What would taking part involve for me, and would it change my usual care?
- The listed sites are in United States. Is any of them reachable for me, and does the study help with travel?
- Which of the eligibility criteria would need to be checked with tests before I could join?
More on CDKL5 deficiency disorder
This trial is also listed on this site under Dravet syndrome.
Important dates
- Study start
- Sep 8, 2022
- Primary completion
- Sep 8, 2024 (estimated)
- Study completion
- Sep 8, 2027 (estimated)
- Target enrollment
- 36 participants (estimated)
- Last updated on registry
- Dec 14, 2022
- Data verified
- Oct 10, 2026
Sponsor and research team
The lead sponsor funds and oversees the trial. A pharmaceutical or biotech company sponsor typically means the study is testing that company's drug or device; a hospital, university, or government agency usually indicates investigator-initiated or publicly funded research.
- Lead sponsor
- Cook Children's Health Care System
- Collaborators
- Encoded Therapeutics
Central study contact
If you're interested in participating, the central contact can answer general questions about the study — including eligibility requirements and how to find a recruiting site near you. Actual eligibility is determined by the site's medical team.
- Sabrina Shandley, PhD 📞 (682) 885-3437 ✉ Sabrina.Shandley@cookchildrens.org
Participating sites (1)
- Cook Children's Medical CenterRecruiting
Fort Worth, Texas, 76104 · United States
- Sabrina Shandley, PhD · 682-885-3437 · Sabrina.Shandley@cookchildrens.org
- Laurie Bailey, PhD · (682) 885-2488 · laurie.bailey@cookchildrens.org
- Christos Papadelis, PhD
Terms used on this page · explanations by MedicalUpdates.ai
- informed consent
- The process of explaining a study, including its risks and what participation involves, so that a person can decide freely whether to take part. Consent is usually documented in writing, and a participant can choose to leave the study later.
- assent
- A child's or dependent adult's agreement to take part, given alongside the formal consent of a parent or legal representative.
- magnetic resonance imaging
- A scan that uses magnets and radio waves, not X-rays, to make detailed pictures of the inside of the body. Some implants and metal objects mean a person cannot have one.
- computed tomography
- An X-ray scan that builds detailed cross-section images of the body. 'High-resolution' CT (HRCT) is used to look closely at the lungs.
- Principal Investigator
- The doctor or scientist responsible for running the study at a site or overall.
- legally authorized representative
- A person who is legally allowed to make decisions, including consent to research, on behalf of someone who cannot consent for themselves.
- Inclusion Criteria
- The conditions a person must meet to be considered for the study, for example a confirmed diagnosis, an age range or a test result.
- Exclusion Criteria
- The conditions that rule a person out even if they meet the inclusion criteria, for example other illnesses, certain medicines or pregnancy.
- biomarkers
- Something measurable in the body, such as a blood test result or an imaging finding, that indicates how a condition or treatment is behaving.
The study record on this page is reproduced from ClinicalTrials.gov, a database of the U.S. National Library of Medicine, where it was submitted by the study sponsor. MedicalUpdates.ai does not own this content, is not affiliated with or endorsed by ClinicalTrials.gov, NIH, or the U.S. Government, and does not verify the record. Plain-language notes, the glossary and the questions above are added by this site; text in the boxes marked "AI summary" was written by an AI model and may contain errors. Registry records change over time. Check the original record for the current version and discuss eligibility or participation with a qualified healthcare professional.
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