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RecruitingNCT02918032Updated Feb 5, 2026

International Registry Study of Neutral Lipid Storage Disease (NLSD) / Triglyceride Deposit Cardiomyovasculopathy (TGCV) and Related Diseases

An observational study in Neutral Lipid Storage Disease, sponsored by Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan. Recruiting at 15 sites in 9 countries. Per ClinicalTrials.gov, last updated 2026-02-05.

Sponsored by Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
120
Sex
All
01

Study summary

This study aims to understand the state of onset of NLSD(neutral lipid storage disease) / TGCV(triglyceride deposit cardiovasculopathy) worldwide, background information of affected patients, and natural history of the disease, as well as exploring the prognostic factors and assessing the efficacy of disease-specific treatment.

Read the detailed description

Since NLSD is a rare disease, its clinical manifestation and clinical course have not been sufficiently clarified. Also, the number of patients in each country is limited. As such, it is considered difficult to fully investigate this disease without international collaboration. Therefore, we have established the International Registry of NLSD / TGCV. Also, all patients with Jordans' anomaly of peripheral polymorphonuclear leukocytes are established as the subjects of entry when starting the registry, to allow entry of patients with NLSD due to genes other than mutations of ATGL and CGI-58 genes.

Time Perspective:This study is both Prospective (registering patients who are diagnosed with NLSD / TGCV) and Retrospective (registering only the medical record of previous patients).

02

Conditions studied

  • Neutral Lipid Storage Disease

Keywords

  • Jordans anomaly
  • neutral lipid storage disease
  • triglyceride deposit cardiovasculopathy
  • ATGL gene
  • CGI-58 gene
  • primary triglyceride deposit cardiomyovasculopathy (TGCV)
  • neutral lipid storage disease with myopathy (NLSD-M)
03

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients who are diagnosed with NLSD /TGCV (including adults only)

Inclusion criteria

  • Patients who are diagnosed with NLSD / TGCV

Exclusion criteria

Exclusion Criteria:

  • None
04

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
120 participants (estimated)
Patient registry
No

Groups and cohorts

  • NLSD / TGCV

    Patients who are diagnosed with NLSD / TGCV

05

What researchers measure

Primary outcomes

  1. Period from the diagnosis of NLSD / TGCV to death from any cause

    This is the period from the date of diagnosis of NLSD / TGCV to the date of death from any cause. The last date of confirmation of survival will be used as the cut-off date for living patients and patients who are lost to follow-up.

    Time frame: 5 years

Secondary outcomes

  1. Serum CK(Creatine Kinase) level

    Evaluating the serum CK level by measuring

    Time frame: 5 years

  2. Serum BNP(B-type Natriuretic Peptide) level

    Evaluating serum BNP level by measuring

    Time frame: 5 years

  3. Serum AST(Aspartate transaminase) level

    Evaluating serum AST level by measuring

    Time frame: 5 years

  4. Serum ALT(Alanine transaminase) level

    Evaluating serum ALT level by measuring

    Time frame: 5 years

  5. Serum TG level

    Evaluating serum TG level by measuring

    Time frame: 5 years

  6. Plasma glucose level

    Evaluating plasma glucose level by measuring

    Time frame: 5 years

  7. HbA1c

    Evaluating HbA1c by measuring

    Time frame: 5 years

  8. TSH(thyroid-stimulating hormone)

    Evaluating TSH by measuring

    Time frame: 5 years

  9. Free T4

    Evaluating Free T4 by measuring

    Time frame: 5 years

  10. Ichthyosis

    Presence / Absence of Ichthyosis within 5 years

    Time frame: 5 years

  11. Jordans' anomaly

    Presence / Absence of Jordans' anomaly within 5 years

    Time frame: 5 years

  12. Neurosensory disorders

    Presence / Absence of neurosensory disorders

    Time frame: 5 years

  13. Mental retardation

    Presence / Absence of mental retardation

    Time frame: 5 years

  14. Hearing loss

    Presence / Absence of hearing loss

    Time frame: 5 years

  15. Skeletal muscle (Musculoskeletal symptoms)

    Presence / Absence of musculoskeletal symptoms

    Time frame: 5 years

  16. Skeletal muscle (Muscle weakness)

    Presence / Absence of muscle weakness

    Time frame: 5 years

  17. Barthel Index

    Evaluating activities of daily living by Barthel Index

    Time frame: 5 years

  18. Clinical findings of Heart

    Presence / Absence of cardiac symptoms

    Time frame: 5 years

  19. Clinical findings of Liver

    Presence / Absence of hepatomegaly

    Time frame: 5 years

  20. Clinical findings of Pancreas

    Presence / Absence of diabetes mellitus

    Time frame: 5 years

  21. Manual muscle test

    Evaluating muscles by Manual muscle test

    Time frame: 5 years

  22. Muscle biopsy

    To evaluate lipid involvement and deposition

    Time frame: 5 years

  23. Myocardial biopsy

    To evaluate lipid involvement and deposition

    Time frame: 5 years

  24. Skin biopsy

    To evaluate lipid involvement and deposition

    Time frame: 5 years

  25. Respiratory function test

    Evaluating muscles by Respiratory function test

    Time frame: 5 years

  26. 6-minute walk distance

    Evaluating heart function by 6-minute walk distance

    Time frame: 5 years

  27. Treadmill endurance time

    Evaluating heart function by treadmill endurance time

    Time frame: 5 years

  28. Cardiopulmonary exercise test

    Evaluating heart function by cardiopulmonary exercise test

    Time frame: 5 years

  29. Skeletal muscle(CT)

    Evaluating skeletal muscle using CT

    Time frame: 5 years

  30. Skeletal muscle(MRI)

    Evaluating skeletal muscle using MRI

    Time frame: 5 years

  31. Skeletal muscle(electromyogram)

    Evaluating skeletal muscle using electromyogram

    Time frame: 5 years

  32. Fatty liver(ultrasonography)

    Evaluating fatty liver by ultrasonography

    Time frame: 5 years

  33. Thyroid(ultrasonography)

    Evaluating thyroid by ultrasonography

    Time frame: 5 years

  34. Echocardiogram

    Measuring echocardiogram

    Time frame: 5 years

  35. Cardiac CT

    Measuring cardiac CT

    Time frame: 5 years

  36. Cardiac MRI

    Measuring cardiac MRI

    Time frame: 5 years

  37. Coronary angiography

    Measuring coronary angiography

    Time frame: 5 years

  38. Electrocardiogram

    Measuring electrocardiogram

    Time frame: 5 years

  39. Holter monitoring

    Measuring holter monitoring

    Time frame: 5 years

  40. BMIPP scintigram

    Evaluating myocardial lipolysis

    Time frame: 5 years

06

Study locations

15 of 15 sites recruiting
  • Stanford University
    Stanford, California 94305-2004, United States
    • Sean M Wu · Contact · +1-650-723-2300
    Recruiting
  • Columbia University
    New York, New York 10027, United States
    • Salvatore DiMauro · Contact · +1-212-854-1754
    Recruiting
  • University of Graz
    Graz, Styria 8010, Austria
    • Rudolf Zechner · Contact · +43-316-380-0
    Recruiting
  • Peking University First Hospital
    Beijing, Beijing Municipality 100034, China
    • Yun Yuan · Contact · +86-66551122
    Recruiting
  • Pitié-Salpêtrière Hospital
    Paris, Paris 75013, France
    • Pascal Laforêt · Contact · +33-1-42-16-00-00
    • Karim Wahbi · Contact · +33-1-42-16-00-00
    Recruiting
  • Ludwig-Maximilians University
    Munich, Bavaria 80539, Germany
    • Peter Reilich · Contact · +49-89-2180-0
    Recruiting
  • Sapienza University of Rome
    Rome, Lazio 00185, Italy
    • Marcello Arca · Contact · +39-6-49911
    Recruiting
  • A.C.O. San Filippo Neri Hospital
    Rome, Lazio 00193, Italy
    • Elena M Pennisi, MD, Ph.D. · Contact · +39-6-33061
    Recruiting
  • Catholic University
    Milan, Lombardy 20123, Italy
    • Daniela Tavian, MD · Contact · +39-2-72341
    Recruiting
  • University of Padova
    Padova, Veneto 35122, Italy
    • Corrado Angelini · Contact · +39-49-827-5111
    Recruiting
  • Graduate School of Osaka University
    Suita, Osaka 565-0874, Japan
    • Kenichi Hirano, MD, Ph.D. · Contact · +81-6-6872-8215
    Recruiting
  • National Center of Neurology and Psychiatry
    Kodaira, Tokyo 187-8551, Japan
    • Ichizo Nishino · Contact · +81-42-341-2711
    Recruiting
  • Maastricht University
    Maastricht, Limburg 6211, Netherlands
    • Matthijs Hesselink · Contact · +31-43-388-2222
    Recruiting
  • Harefield Hospital
    Harefield, London UB9 6JH, United Kingdom
    • Nick Banner · Contact · +44-1895-823-737
    Recruiting
  • New Castle University
    Newcastle upon Tyne, Tyne and Wear NE1 7RU, United Kingdom
    • Rita Horvath · Contact · +44-191-208-6000
    Recruiting
07

Registry details

Key details

Study ID
NCT02918032
Lead sponsor
Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan
Responsible party
Sponsor
First posted
Sep 28, 2016
Start date
Jan 2014
Primary completion
Mar 31, 2028 (estimated)
Completion
Mar 31, 2028 (estimated)
Last update
Feb 5, 2026

Study contacts

Kenichi Hirano, MD, Ph.D
Contact
+81-6-6872-8215
Kenichi Hirano, MD, Ph.D
principal investigator · Department of Cardiovascular Medicine, Faculty of Internal Medicine, Graduate School of Osaka University

Oversight

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

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