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CompletedNCT05310552GO-DS21Updated Jul 9, 2025

Elucidating Age-related Comorbidity Patterns in Down Syndrome (DS)

An observational study in Down Syndrome, sponsored by King's College London. Completed at 3 sites in 3 countries. Open to participants aged 12 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-07-09.

Sponsored by King's College London · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
230
Ages
12 Years to 45 Years
Sex
All
01

Study summary

This study is a non-drug, multicenter, prospective cohort study. It will be conducted in 300 volunteers from 12 to 45 years of age (inclusive) with a diagnosis of Down syndrome from 3 countries (France, Spain, United Kingdom (UK)). The basic hypotheses of the study are the following:

  1. Diseases (and comorbidity) arise from one or more biological networks perturbed by the genetic disorder (trisomy 21) through interaction with environmental risks factors and epigenetic changes.
  2. Health comorbidity patterns in DS individuals (particularly of obesity and related conditions) will likely vary by age and sex.
  3. Obesity comorbidity patterns will relate to variation in factors including lifestyle, stress-response, severity of intellectual disability (ID) and variation in cognitive domains such as executive functioning.
  4. Stress responses, as measured with cortisol concentrations, will differentiate individuals with DS who are obese and those who are not. Extremes in phenotype (Obese vs. Non-obese) will be related to differences in the metabolomic, transcriptomic, and microbiome concentrations.
Read the detailed description

The study will be conducted in n= 300 volunteers with DS from 3 countries (France, Spain, UK); equal numbers in 3 age groups (12 - 18 years; 19 - 34 years; 35 - 45 years). The total number of volunteers expected to be included in each country is n = 100.

From the initial cross-sectional cohort, individuals will be selected on the basis of obesity status and invited to participate in a nested case-control study (n = 30 for normal weight DS individuals and n = 30 DS individuals with extreme phenotype). In adults, normal weight is defined as BMI 18.5 to 24.9 and significant obesity as BMI > 35 kg/m2. In children under age 18, the research team will use the International Obesity Task Force (IOTF) curves which are international norms) with IOTF > 30 for obese and IOTF 18.5 - 25 for the normal weight group. The research team will monitor allocation using monthly eCRF recruitment reports for central allocation of recruits to ensure balance between age, sex and BMI between the "cases" and the "controls".

02

Conditions studied

  • Down Syndrome

Keywords

  • Down Syndrome
  • Trisomy 21
  • Obesity
  • Comorbidities
03

In context

Down Syndrome

432 studies on the registry are indexed under Down Syndrome; 100 are open to participants now.

This study's enrollment of 230 is above the median of 150 across 141 observational studies indexed under Down Syndrome.

Browse Down Syndrome studies →

Lead sponsor

King's College London is the lead sponsor of 506 studies on the registry; 125 are open to participants now.

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

04

Who can participate

Ages eligible
12 Years to 45 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

A sample of 300 individuals aged 12-45 years with a diagnosis of Down syndrome will be recruited within the 3 sites.

Participants will be recruited in three age groups stratified by sex:

  • Adolescents (12-18 years; n = 100)
  • Young adults (19-34 years; n = 100)
  • Middle-age adults (35-45 years; n = 100).

Inclusion criteria

  • Males and females aged 12 to 45 years
  • With established genetic diagnosis of Down syndrome (full trisomy 21; based on karyotype results - not exclusion if not available but will need to confirm karyotype if not done previously)
  • Availability of parent/caregiver to accompany the subject to clinical visits and to be willing to give written informed consent, when necessary

Exclusion criteria

Exclusion Criteria:

  • Confirmed mosaic trisomy 21, partial trisomy 21, or translocation
  • Comorbid conditions - Participation is allowed as long as the condition(s) are considered stable and it do not interfere with the participation of the study
  • Subjects with evidence of dementia or meeting clinical diagnoses for dementia
  • Participation in a medication treatment trial in the last 3 months prior to the study
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
230 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • OtherNo interventions - observational study

    No interventions - observational study

06

What researchers measure

Primary outcomes

  1. Body Mass Index

    Height and weight measurements will be aggregated to arrive at one reported value: Body Mass Index (BMI), in kg/m\^2

    Time frame: 1 year

  2. Food Frequency Questionnaire

    Average daily nutrient intake

    Time frame: 1 year

  3. Short Minnesota Leisure Time Physical Activity Questionnaire

    Energy expenditure in 14 days

    Time frame: 1 year

  4. Mental health questionnaire

    Reiss Screen for Maladaptive Behaviour - composite outcome measure consisting of the following multiple sub-measures: * Aggressive behavior * Autism * Psychosis * Paranoia * Depression (behavioural signs) * Depression (physical signs) * Dependent personality disorder * Avoidant disorder

    Time frame: 1 year

07

Study locations

3 sites
  • Institute Jérôme Lejeune
    Paris, 75015, France
  • Institut Hospital del Mar d'Investigacions Mèdiques
    Barcelona, 08003, Spain
  • King's College London
    London, SE5 8AB, United Kingdom
08

References and documents

Individual participant data

Plan to share: No — IPD will be shared within the GO-DS21 Consortium.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05310552
Lead sponsor
King's College London
Collaborators
Fondation Jérôme Lejeune, Parc de Salut Mar
Responsible party
Sponsor
First posted
Apr 5, 2022
Start date
Jun 10, 2021
Primary completion
Nov 30, 2024
Completion
Jun 30, 2025
Last update
Jul 9, 2025

Oversight

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

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This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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