ClinicalTrials.gg
CompletedNCT03276195Updated Nov 29, 2023

Studies in Patients With Tuberous Sclerosis Complex

An observational study in Tuberous Sclerosis Complex, sponsored by Translational Genomics Research Institute. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2023-11-29.

Sponsored by Translational Genomics Research Institute · Observational

Study type
Observational
Model
Family-based
Time perspective
Prospective
Enrollment
32
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 63 studies in Tuberous Sclerosis with a site in United States — 9 open to participants now, 16 under way, 1 of them phase 3. Tuberous Sclerosis · United States.

Enrollment
14th of 15
32 · median 300
Started
2016
with 4 others
Observational
15 of 63
6 open now
Registered
36th of 63
by date

Among the 63 studies in Tuberous Sclerosis with a site in United States, this one is the 14th largest by enrollment of the 15 observational ones, is one of 5 that started in 2016, is one of 15 observational ones, and was the 36th registered.

By phase

63 studies; the count open now beside each. This study's row is marked.

Observationalthis study15 · 6 open
Phase 214 · 0 open
Phase 310 · 0 open
No phase9 · 2 open
Phase 1/28 · 0 open
Phase 43 · 0 open
Phase 12 · 0 open
Other kind1 · 1 open
Phase 2/31 · 0 open

By the year they started

First in 1995; this study’s year is marked. 5 started in 2016.

Size and results

Median enrollment 52 across the 47 interventional studies, 300 across the 15 observational. Of the 44 that completed or were terminated, 25 (57%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 63 studies in Tuberous Sclerosis with a site in United States, or all of them as a file.
02

Study summary

This study is aimed to carry out a systematic study to examine the effects of genetic variants (genetic modifiers) other than TSC genes on phenotypic variability in familial TSC patients (affected parent, child and unaffected siblings) and sporadic TSC.

Read the detailed description

Tuberous sclerosis complex (TSC) is an autosomal dominant neurogenetic disorder, caused by heterozygous mutations in at least two different genes, TSC1, and TSC2. It is estimated to affect 1 in 6000, and demonstrates both phenotypic and genetic heterogeneity. It is characterized by a variety of symptoms including skin lesions, renal angiomyolipomas, cardiac rhabdomyomas, seizures, and cognitive delay (mental retardation, autism, and behavior problems). The severity of the disease varies widely among patients with TSC in general, and variability in phenotype is detectable within single families, where all affected individuals have the same TSC1 or TSC2 mutation. Neurocognitive phenotypes in TSC vary from profound mental retardation, intractable epilepsy, and autism, to normal cognition and only a mild behavioral phenotype. However, the basis of this phenotypic variability is not understood. There is a growing body of literature implicating genetic variation in "modifier genes" as an agent for phenotypic heterogeneity in Mendelian disorders, such as TSC. The role of genetic modifiers on disease severity has not yet studied in familial TSC and sporadic TSC. This study is aimed to carry out a systematic study to examine the effects of genetic variants other than TSC genes on phenotypic variability in familial TSC patients (affected parent, child and unaffected siblings) and sporadic TSC. The main objectives of the study are:

  1. To identify new gene mutations (genetic modifiers) in TSC familial pairs and sporadic cases that account for the phenotypic variability.
  2. Determination of quantitative differences in gene expression and allelic expression imbalance between mild and severe disease phenotype.
  3. Establish a specimen repository of familial and sporadic TSC cohort to validate the genetic modifiers.

To identify genetic variants that differentiate disease severity using next generation sequencing (NGS) in DNA, and gene expression profile in RNA from blood to identify disease-causing heterozygous TSC(1 or 2) mutation in parent-child (P-C) pairs and sporadic cases with a mild and severe form of the disease. Use of next-generation sequencing (NGS) along with improved data analysis in this proposal will overcome many of the barriers in identifying genetic modifiers. The investigators will also study cultured fibroblasts cells and buccal swabs from P-C pairs to validate the findings. Use of next-generation sequencing (NGS) along with improved data analysis in this proposal will overcome many of the barriers in identifying genetic modifiers. This research has the potential to address a critical scientific gap in understanding the phenotypic variability The investigators may be able to develop a "molecular profile" that correlates with and predicts disease severity. The findings may provide a tool for early prediction of disease severity, allowing for the use of disease modifying treatments that may prevent the development of a severe neurocognitive phenotype.

As this is not a treatment protocol, there is no primary endpoint.

03

Conditions studied

  • Tuberous Sclerosis Complex

Keywords

  • Neurodevelopmental Disorder
  • Genomics
  • Genetics
04

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

This study will enroll subjects affected with Tuberous Sclerosis Complex (either familial or sporadic) and biological relatives (primarily the individual's parents or siblings). This study will consist of 1000 families who have an individual affected with TSC and wish to donate samples.

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

  • Diagnosis of familial TSC or sporadic TSC, or a biological relative of a person diagnosed with such a disorder.
  • Willingness and ability to donate biospecimens to TGen for the purpose of propelling research. The minimum biospecimen donation capability is saliva and/or cheek swab. In most cases, blood or other tissue (skin ) may be the ideal sample for study.

Exclusion criteria

Exclusion Criteria:

  • Individuals that are 18 years or older that lack the capacity to consent for themselves.
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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Observational model
Family-based
Time perspective
Prospective
Enrollment
32 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Familial TSC and families

    Individuals with familial TSC including those with a clinical diagnosis but no genetic confirmation and individuals with a genetic diagnosis

  • Sporadic TSC and families

    Individuals with sporadic TSC including those with a clinical diagnosis but no genetic confirmation and individuals with a genetic diagnosis

06

What researchers measure

Primary outcomes

  1. Next Generation Sequencing to Measure Phenotypic Variability

    Identify genetic variants and disease mechanisms responsible for phenotypic variability among patients who are diagnosed with Tuberous Sclerosis Complex (TSC) and their family members.

    Time frame: Up to 4 Years

07

Study locations

1 site
  • Translational Genomics Research Institute (TGen)
    Phoenix, Arizona 85004, United States
08

References and documents

Individual participant data

Plan to share: Yes — De-identified participant study data will be published to a central data repository that allows qualified research scientists to access and look at the data under controlled access.

Time frame: 6 months after completion of the study

Access criteria: This data will be available to qualified researchers under controlled access

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2016 to primary completion in Nov 2023, 90 months.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 28, 2017
First posted
Sep 8, 2017
StartActual
May 1, 2016
Primary completionActual
Nov 27, 2023
CompletionActual
Nov 27, 2023
Last update
Nov 29, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 29, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03276195
Lead sponsor
Translational Genomics Research Institute
Collaborators
United States Department of Defense
Responsible party
Sponsor
First posted
Sep 8, 2017
Start date
May 1, 2016
Primary completion
Nov 27, 2023
Completion
Nov 27, 2023
Last update
Nov 29, 2023

Study contacts

Vinodh Narayanan
principal investigator · Translational Genomics Research Institiute (TGen)

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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