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CompletedNCT01705626TRAP2-1Updated Jun 6, 2022

Screening for the Transthyretin-Related Familial Amyloidotic Polyneuropathy (TTR FAP)

An observational study in Polyneuropathy, Amyloid, Neuropathic Pain and Cardiac Failure, sponsored by CENTOGENE GmbH Rostock. Completed at 11 sites in 6 countries. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2022-06-06.

Sponsored by CENTOGENE GmbH Rostock · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
Ages
18 Years to 85 Years
Sex
All
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Study summary

An International, multicenter, epidemiological observational study investigating the prevalence of Transthyretin-Related Familial Amyloidotic Polyneuropathy (TTR-FAP) in participants with small fiber polyneuropathy of no obvious etiology.

Read the detailed description

Transthyretin-related Familial Amyloid Polyneuropathy (TTR-FAP) is an autosomal dominant, progressive neurodegenerative disease, with fatal outcome occurring within ten years after onset. Familial amyloid polyneuropathy (FAP) associated with mutations in the transthyretin (TTR) gene is the most common form of genetic amyloidosis. It accounts several thousand cases worldwide, with Val30Met mutation identified in most patients and with endemic foci in Portugal, Sweden and Japan.

TTR FAP is caused by the systemic deposition of amyloidogenic variants of the transthyretin protein ((Ttr) in the extra-cellular space of tissues and result in disruption of organ function.The typical presentation of TTR-FAP is a progressive sensory-motor polyneuropathy, which usually begins with loss of thermal and pain sensation in the feet, slowly ascends up the limbs and is associated with variable autonomic disturbances and extra-neurological manifestations (especially a cardiomyopathy).

The goal of the TRAP2.1 Study is to investigate the prevalence of Transthyretin-Related Familial Amyloidotic Polyneuropathy (TTR-FAP) in a cohort of 500 subjects with small fiber polyneuropathy of no obvious etiology, based on the subject's clinical presentation.

02

Conditions studied

  • Polyneuropathy, Amyloid
  • Neuropathic Pain
  • Cardiac Failure
  • Orthostatic Hypotension
  • Gastrointestinal Disorders

Keywords

  • Transthyretin-Related (ATTR) Familial Amyloid Polyneuropathy
  • TTR FAP
  • Biomarker
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In context

Gastrointestinal Diseases

628 studies on the registry are indexed under Gastrointestinal Diseases; 128 are open to participants now.

This study's enrollment of 500 is above the median of 325 across 190 observational studies indexed under Gastrointestinal Diseases.

Browse Gastrointestinal Diseases studies →

Lead sponsor

CENTOGENE GmbH Rostock is the lead sponsor of 55 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Participants diagnosed with small fiber polyneuropathy of no obvious etiology.

Inclusion criteria

  • Informed consent is obtained from the participant
  • The participant is aged between 18 and 85 years of age
  • The participant is diagnosed with small fiber polyneuropathy of no obvious etiology
  • The participant has no diagnosis of alcoholism, according to International Guidelines
  • The participant has not undergone chemotherapy for carcinoma

Exclusion criteria

Exclusion Criteria:

  • Inability to provide informed consent
  • The participant is younger than 18 years or older than 85 years of age
  • The etiology of the small fiber polyneuropathy is clearly determined
  • The participant has a diagnosis of alcoholism, according to International Guidelines
  • The participant has undergone chemotherapy for carcinoma
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500 participants (actual)
Biospecimen retention
Samples with dna

Groups and cohorts

  • Participants diagnosed with small fiber polyneuropathy no obvious etiology

    Participants aged between 18 and 85 years, diagnosed with small fiber polyneuropathy of no obvious etiology, without diagnosis of alcoholism and not undergoing chemotherapy for cancer

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What researchers measure

Primary outcomes

  1. Epidemiological analysis of prevalence of the TTR FAP in participants with small fiber polyneuropathy of no obvious etiology.

    Dry Blood Spot (DBS) samples will be genetically validated via combination of Next-Generation Sequencing (the mutation will be confirmed by Sanger sequencing) and the Multiplex ligation-dependent probe amplification (MLPA) of TTR gene

    Time frame: 3 years

Secondary outcomes

  1. Establishment of a biomarker in TTR-positive cohort

    Samples carrying a mutation in the TTR gene will be biochemically analyzed via liquid chromatography multiple reaction monitoring MS and compared with a merged control cohort, in order to establish TTR mutation-specific biomarker/s.

    Time frame: 3 years

07

Study locations

11 sites
  • Klinikum Wels-Grieskirchen GmbH, Abteilung für Neurologie
    Wels, 4600, Austria
  • University of Pécs, Department of Neurology
    Pécs, 7624, Hungary
  • University of Szeged, Department of Neurology
    Szeged, 6725, Hungary
  • University Hospital Skopje, Department of Neurology
    Skopje, 1000, North Macedonia
  • Jagiellonian University Medical College, Department of Neurology
    Kraków, 31-503, Poland
  • University of Belgrade, Clinical Center of Serbia, Neurology Clinic, Neuropathy Center
    Belgrade, 11000, Serbia
  • Clinical Hospital Center Zvezdara, Department of Neurology
    Belgrad, 11000, Serbia
  • Clinical Center Niš, Department of Neurology
    Niš, 18000, Serbia
  • General Hospital "Dr. Djordje Joanović"
    Zrenjanin, 23000, Serbia
  • Hospital Infanta Leonor
    Madrid, 28031, Spain
  • Hospital Universitario Donostia
    San Sebastián, 20700, Spain
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References and documents

Related links

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 6, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01705626
Lead sponsor
CENTOGENE GmbH Rostock
Responsible party
Sponsor
First posted
Oct 12, 2012
Start date
Dec 2016
Primary completion
May 27, 2022
Completion
May 27, 2022
Last update
Jun 6, 2022

Study contacts

Peter Bauer, Prof.
study chair · Centogene GmgH

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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