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CompletedNCT04526379PRACOM1Updated Aug 23, 2023

Study of Emotion and Cognition Abilities of Children With PWS and Proposition of an Innovative Remediation

An interventional study of Questionnaires and t-VNS in Prader-Willi Syndrome, sponsored by University Hospital, Toulouse. Completed at 1 site in France. Open to participants aged 9 Years to 15 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-08-23.

Sponsored by University Hospital, Toulouse · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Non-randomized
Ages
9 Years to 15 Years
Sex
All
01

Study summary

The present project project is divided in two parts. The primary aim of the part 1 of this study is to evaluate emotional control abilities of children with Prader-Willi syndrome (PWS) aged from 9 to 15 years and to study repercussions of this supposed lack of abilities on cognitive capacities and behavioral troubles. The study also evaluate influence of the emotional symptomatology of patients on quality of parents' life and on the care of parents and scholar/institutional caregivers. In the second part of this study, the study evaluate the feasibility and the tolerance to a non-invasive device supposed to reduce emotional symptoms in this disease.

Read the detailed description

Prader-Willi Syndrome (PWS) is a rare genetic disorder involving a variety of clinical, behavioral and cognitive symptoms. 83 to 97% of patients have episodes of temper tantrum, associated with an important emotional lability. These different cognitive and behavioral limitations are barriers to the social integration of patients. The PWS also has repercussions on well-being and quality of life of the family. Thus, the present project focuses on the characteristics of emotional control related to the anger of children with PWS and its behavioral, cognitive and social implications. In addition, at a therapeutic level, our project assumes that transcutaneous electrical nerve stimulation (t-VNS), a non-invasive, safe and inexpensive method, could be effective in reducing the severity of behavioral disorders such as temper tantrums while improving cognitive performance and social communication in the PWS.

02

Conditions studied

  • Prader-Willi Syndrome

Keywords

  • Emotion
  • Cognition
03

In context

Prader-Willi Syndrome

138 studies on the registry are indexed under Prader-Willi Syndrome; 24 are open to participants now.

This study's enrollment of 50 is above the median of 30 across 96 interventional studies indexed under Prader-Willi Syndrome.

Browse Prader-Willi Syndrome studies →

Lead sponsor

University Hospital, Toulouse is the lead sponsor of 794 studies on the registry; 214 are open to participants now.

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

04

Who can participate

Ages eligible
9 Years to 15 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age from 9 to 15 years old
  • Prader-Willi syndrome with identified genotype.
  • No psychiatric disorder neither PWS.
  • Severe global symptomatology attested by a CGI-S score

Exclusion criteria

Exclusion Criteria:

  • Identified psychiatric or behavioral disorders
  • Severe visual or hearing impairment.
  • Sleep apnea syndrome treated with non-invasive ventilation,
  • Epileptic seizures
  • Cardiac disorders.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    children with PWS

    Evaluation of cognitive abilities of children with PWS by several cognitive tasks and neuropsychological tests.

    Behavioral: Questionnaires · Device: t-VNS

  • Other
    non affected children

    Evaluation of cognitive abilities of children with PWS compared to a non-pathologic population of children by several cognitive tasks and neuropsychological tests

    Behavioral: Questionnaires

Interventions

  • BehavioralQuestionnaires

    Evaluation of behavioral disorders of children with PWS by questionnaires

  • Devicet-VNS

    Evaluation of the influence of 6 month-stimulation by t-VNS on emotional, cognitive, and behavioral/clinical characteristics of 12 children with PWS on 30 PWS patients included.

06

What researchers measure

Primary outcomes

  1. assessment of the level of emotional control

    composite score of emotional control level of children with PWS composed of scores of emotional lability

    Time frame: day 0

Secondary outcomes

  1. Evaluation of behavioral disorders of children with PWS by CBCL (Child Behavior Checklist) scale

    CBCL (Child Behavior CheckList) scale: is a questionnaire comprising 1) an adaptive functioning scale (activities, social and school spheres), 2) a syndrome scale (social withdrawal, anxiety / depression, somatic complaints, social problems, thinking problems, attention problems, behavior problems and aggressiveness; total of internalized problems and total of externalized problems), 3) a DSM-oriented scale (Lengua et al., 2001; anxiety, attention problems / hyperactivity, behavior problems, depression, opposition / mistrust, social problems / immaturity, somatization). (duration = 20 ') - there is no minimum and maximum values as this is an evaluation of behavioral disorders

    Time frame: month 6

  2. Evaluation of behavioral disorders of children with PWS by Hyperphagia Questionnaire

    HQ-CT (Hyperphagia Questionnaire) scale: The HQ-CT (Hyperphagia Questionnaire for Use in Prader-Willi Syndrome Clinical Trials, Fehnel et al., 2015, appendix 10) is a scale derived from the Dykens hyperphagia questionnaire (Dykens et al., 2007). The specificity of the Dykens questionnaire makes it a favored tool in the international literature in the evaluation of the eating behavior of patients with PWS (Crain, 2010). The HQ-CT was created specifically to assess the eating behavior of these patients in clinical trials. It consists of 9 items for which a person taking care of the patient (family or caregiver) indicates the frequency and severity of the behavior described on a 5-point Likert scale (with 1 = absence of the behavior and 5 = very frequent behavior or severe) (⍺ = .91). (duration = 5 ') - so 1 is the minimum value and 5 the maximum value and higher scores mean a worse outcome

    Time frame: month 6

  3. Evaluation of cognitive abilities of children with PWS

    emotional language task

    Time frame: 2 days

  4. Test of evaluation of cognitive abilities

    multimodal emotional recognition test MERT

    Time frame: 2 days

  5. Evaluation of cognitive abilities

    WISC-V

    Time frame: 2 days

07

Study locations

1 site
  • University Hospital
    Toulouse, France
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 23, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04526379
Lead sponsor
University Hospital, Toulouse
Responsible party
Sponsor
First posted
Aug 25, 2020
Start date
Sep 7, 2020
Primary completion
Dec 7, 2020
Completion
Apr 27, 2022
Last update
Aug 23, 2023

Study contacts

Maithé TAUBER, MD
principal investigator · University Hospital, Toulouse

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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