ClinicalTrials.gg
Active, not recruitingNCT00787865Updated Mar 6, 2026

Diffusion Tensor Imaging (DTI) in Infants With Krabbe Disease

An observational study in Krabbe Disease, sponsored by University of Pittsburgh. Active, not recruiting at 1 site in United States. Open to participants aged Up to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-06.

Sponsored by University of Pittsburgh · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
100
Ages
Up to 17 Years
Sex
All
01

Study summary

This study is designed to learn about early brain development in children with Krabbe disease, and to use diffusion tensor imaging as an early diagnostic tool to identify newborns at risk for the disease.

Read the detailed description

This study is designed to learn about early brain development in children with Krabbe disease and to use diffusion tensor imaging (DTI) as an early diagnostic tool to differentiate children with infantile Krabbe disease from newborns who are disease free but have very low enzyme levels. Additionally, this study will determine how certain structures in the brain will develop over 24 months in children with infantile Krabbe disease and those without disease who have low enzyme levels. This study will also reveal information about the learning and motor development of children, and will help researchers predict outcomes after treatment.

Krabbe disease is a rare, childhood neurodegenerative disorder caused by galactocerebrosidase deficiency. It results in rapid demyelination, progressive spasticity, mental deterioration, blindness, deafness, seizures, and death. Based on previously published findings, treatment with unrelated umbilical cord blood transplantation is now standard for Krabbe disease, provided that the treatment occurs within the first weeks of life and before symptoms appear.

Once newborns are identified through population screening, there is no objective measure to predict if the baby will develop the most frequent rapidly progressive infantile forms of Krabbe or have a slower juvenile or adult form. Phenotype and genotype correlations are not possible because there are more than 150 mutations that can cause the disease and many polymorphisms in the normal population that affect the enzyme level.

There is an urgent clinical need to develop a predictive measure. To date, there are no available tools to classify infants into the infantile versus later forms. New advances in neuroimaging techniques have enabled scientists to quantify changes in brain growth and myelination early in life and before disease symptoms develop.

Knowledge from this study will help identify the window of opportunity for early intervention and treatment to prevent severe disability, and may lead to better treatment strategies.

02

Conditions studied

  • Krabbe Disease

Keywords

  • Diffusion Tensor Imaging
  • DTI
  • Newborn
  • Krabbe Disease
  • Motor Development
  • Motor Disability
03

In context

Leukodystrophy, Globoid Cell

31 studies on the registry are indexed under Leukodystrophy, Globoid Cell; 8 are open to participants now.

This study's planned enrollment of 100 is above the median of 55 across 14 observational studies indexed under Leukodystrophy, Globoid Cell.

Browse Leukodystrophy, Globoid Cell studies →

Lead sponsor

University of Pittsburgh is the lead sponsor of 1,419 studies on the registry; 168 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 4 (44%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 17 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Children with a low levels of galactocerebrosidase, a family history of Krabbe disease or has been diagnosed with Krabbe disease, or is a child at risk of developing motor disability. Newborn screening State of New York and newborns with low enzyme.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Positive newborn screening test (low galactocerebrosidase)
  2. Infantile Krabbe Disease diagnosed by confirmatory low levels of residual enzyme by Dr. Wenger's Lysosmal Storage Diseases laboratory at Jefferson's Medical College (contracted by New York State) and/or carrier status established because of family history of Krabbe Disease. Patients have to be less than 6 weeks old at the time of the first assessment
  3. Children at risk of developing motor disability

Exclusion criteria

Exclusion Criteria:

  1. Diagnosis or physical signs of known genetic conditions or syndromes, serious medical or neurological conditions affecting growth and development (e.g., seizure disorder, diabetes, congenital heart disease) or sensory impairments such as vision or hearing loss
  2. Children who may have suffered serious perinatal brain damage, children with birth weights less than 2000 grams and/or gestational ages of less than 34 weeks, or those with a history of intraventricular hemorrhage
  3. Children who may have a for MRI (pacemaker, vascular stents, metallic ear tubes, other metal implants or braces).
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
100 participants (estimated)

Groups and cohorts

  • Krabbe Disease

    Children with infantile Krabbe disease

  • Low Enzyme/No Krabbe Disease

    Children without disease who have low enzyme levels

  • Control

    Children with no disease and normal enzyme levels

  • Motor Disability

    Children at risk of developing motor disability

06

What researchers measure

Primary outcomes

  1. Diffusion tensor imaging (DTI) of corticospinal tracts

    Time frame: at birth, 1 year and 2 years of age

Secondary outcomes

  1. Motor development at birth, 1 year and 2 years of age

    Time frame: at birth, 1 year and 2 years of age

  2. Analysis of DTI-Fractional Diffusion Anisotropy (FA) values of corticospinal tracts of newborns

    Time frame: at age (newborn-6 weeks), 12-months and 24-months

07

Study locations

1 site
08

References and documents

Publications

  • Escolar ML, Poe MD, Provenzale JM, Richards KC, Allison J, Wood S, Wenger DA, Pietryga D, Wall D, Champagne M, Morse R, Krivit W, Kurtzberg J. Transplantation of umbilical-cord blood in babies with infantile Krabbe's disease. N Engl J Med. 2005 May 19;352(20):2069-81. doi: 10.1056/NEJMoa042604. PubMed 15901860 ↗
  • Provenzale JM, Escolar M, Kurtzberg J. Quantitative analysis of diffusion tensor imaging data in serial assessment of Krabbe disease. Ann N Y Acad Sci. 2005 Dec;1064:220-9. doi: 10.1196/annals.1340.040. PubMed 16394159 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00787865
Responsible party
Deepa Soundara Rajan (Assistant Professor, University of Pittsburgh) — Principal investigator
First posted
Nov 10, 2008
Start date
Apr 2008
Primary completion
Apr 2027 (estimated)
Completion
Apr 2027 (estimated)
Last update
Mar 6, 2026

Study contacts

Deepa S Rajan, MD
principal investigator · University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh-UPMC

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion