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Active, not recruitingNCT06500260CNKSR2Updated Jul 23, 2026

CNKSR2 Natural History Study

An observational study in Developmental Dysphasia, Epileptic Encephalopathy, Childhood-Onset and X-Linked Intellectual Disability, sponsored by University of California, San Francisco. Active, not recruiting at 1 site in United States. Open to participants aged 6 Years to 21 Years. Per ClinicalTrials.gov, last updated 2026-07-23.

Sponsored by University of California, San Francisco · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
20
Ages
6 Years to 21 Years
Sex
All
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Study summary

This prospective natural history study is being conducted to define the electroclinical, neurodevelopmental, and behavioral characteristics of CNKSR2 epilepsy aphasia syndrome (EAS) and intellectual disability (ID) in children aged 6 to 21 years old with CNKSR2 mutations.

The data collected from this study will serve as an external control to eventual clinical trials examining precision medicine investigational therapeutics that aim to improve the seizure burden and neurodevelopmental outcomes in patients with CNKSR2 EAS/ID.

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Conditions studied

  • Developmental Dysphasia
  • Epileptic Encephalopathy, Childhood-Onset
  • X-Linked Intellectual Disability

Keywords

  • X-linked Intellectual Disability
  • ESES
  • CSWS
  • CNKSR2
  • Epilepsy
  • Language Disorder
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In context

Epilepsy

1,848 studies on the registry are indexed under Epilepsy; 422 are open to participants now.

This study's planned enrollment of 20 is below the median of 112 across 540 observational studies indexed under Epilepsy.

Browse Epilepsy studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,169 studies on the registry; 372 are open to participants now.

Of its 267 completed or terminated interventional studies of FDA-regulated products, 202 (76%) have results posted.

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

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Who can participate

Ages eligible
6 Years to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Children with CNKSR2 pathogenic mutation and characteristic features of CNKSR2 neurodevelopmental disorder and/or epilepsy

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

  1. Age between 6 and 21 years (inclusive) at time of consent.
  2. Confirmed CNKSR2 mutation, as demonstrated by genetic testing and confirmed by the investigators.
  3. Confirmed intellectual disability or developmental delays, as defined by the American Academy of Pediatrics (Moeschler, J, et al. 2014).

Exclusion criteria

Exclusion Criteria:

  1. Known pathogenic or clinically suspected mutation in a seizure-associated gene besides CNKSR2.
  2. Confirmed mutation in a gene besides CNKSR2 that is known to increase the severity of the seizure phenotype.
  3. Known central nervous system structural abnormality confirmed by imaging scan of the brain that is not consistent with the clinical phenotype of CNKSR2 EAS / ID.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
20 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Change from baseline in functional connectivity within the epileptiform network using resting-state functional magnetic resonance imaging (fMRI).

    Functional connectivity is unitless.

    Time frame: Baseline, Month 12, Month 24

  2. Change from baseline in functional connectivity within the language network using resting-state functional magnetic resonance imaging (fMRI).

    Functional connectivity is unitless.

    Time frame: Baseline, Month 12, Month 24

  3. Change from baseline in cortical evoked response to self-produced speech as measured by voxel-wise source reconstructed brain activation using magnetoencephalography (MEG).

    Voxel-wise source reconstructed brain activation assesses localized brain function by mapping neural activity at the voxel level. It is a unitless measure.

    Time frame: Baseline, Month 12, Month 24

  4. Change from baseline in cortical evoked response to altered auditory feedback during self-produced speech as measured by voxel-wise source reconstructed brain activation using magnetoencephalography (MEG).

    Voxel-wise source reconstructed brain activation assesses localized brain function by mapping neural activity at the voxel level. It is a unitless measure.

    Time frame: Baseline, Month 12, Month 24

  5. Change from baseline in resting state brain activity as measured by voxel-wise source reconstructed brain activation using magnetoencephalography (MEG).

    Voxel-wise source reconstructed brain activation assesses localized brain function by mapping neural activity at the voxel level. It is a unitless measure.

    Time frame: Baseline, Month 12, Month 24

  6. Change from baseline in resting state background brain activity during sleep as measured by phase lag index using electroencephalography (EEG).

    Phase lag index ranges between 0 and 1 and is unitless. A phase lag index of zero indicates either no coupling or coupling with a phase difference centered around 0 mod π.

    Time frame: Baseline, Month 12, Month 24

  7. Change from baseline in spike-wave index during sleep as measured by percentage using electroencephalography (EEG).

    Spike-wave index is the sum of all spike and slow wave minutes multiplied by 100 and divided by the total non-rapid eye movement sleep minutes.

    Time frame: Baseline, Month 12, Month 24

  8. Change from baseline in neurodevelopmental status as measured by Bayley Scales of Infant and Toddler Development, 3rd Edition (BSID-III) scaled scores.

    Higher scores indicate a better outcome (minimum score: 1, maximum score: 19).

    Time frame: Baseline, Month 12, Month 24

  9. Change from baseline in neurodevelopmental status as measured by the Bayley Scales of Infant and Toddler Development, 3rd Edition (BSID-III) standard scores.

    Higher scores indicate a better outcome (minimum score: 45, maximum score: 155).

    Time frame: Baseline, Month 12, Month 24

  10. Change from baseline in neurodevelopmental status as measured by the Wechsler Preschool and Primary Scale of Intelligence, 4th Edition (WPPSI-IV) composite scores.

    Higher scores indicate a better outcome (minimum score: 40, maximum score: 160).

    Time frame: Baseline, Month 12, Month 24

  11. Change from baseline in neurodevelopmental status as measured by the Wechsler Preschool and Primary Scale of Intelligence, 4th Edition (WPPSI-IV) scaled scores.

    Higher scores indicate a better outcome (minimum score: 1, maximum score: 19).

    Time frame: Baseline, Month 12, Month 24

  12. Change from baseline in neurodevelopmental status as measured by the Wechsler Abbreviated Scale of Intelligence, 2nd Edition (WASI-II) composite scores.

    Higher scores indicate a better outcome (minimum score: 40, maximum score: 160).

    Time frame: Baseline, Month 12, Month 24

  13. Change from baseline in neurodevelopmental status as measured by the Wechsler Abbreviated Scale of Intelligence, 2nd Edition (WASI-II) T-scores.

    Higher scores indicate a better outcome (minimum score: 20, maximum score: 80).

    Time frame: Baseline, Month 12, Month 24

  14. Change from baseline in neurodevelopmental status as measured by Parent Report Form of Vineland Adaptive Behavior Scales, 3rd Edition (Vineland-3) Adaptive Behavior Composite score and Domain scores.

    Higher scores indicate a better outcome (minimum score: 20, maximum score: 140).

    Time frame: Baseline, Month 12, Month 24

  15. Change from baseline in neurodevelopmental status as measured by Parent Report Form of Vineland Adaptive Behavior Scales, 3rd Edition (Vineland-3) V-Scale Scores.

    Higher scores indicate a better outcome (minimum score: 1, maximum score: 24).

    Time frame: Baseline, Month 12, Month 24

  16. Change from baseline in performance on the Receptive One-Word Picture Vocabulary Test, 4th Edition standard scores.

    Higher scores indicate a better outcome (minimum score: \< 55, maximum score: \> 165).

    Time frame: Baseline, Month 12, Month 24

  17. Change from baseline in performance on the Expressive One-Word Picture Vocabulary Test, 4th Edition standard scores.

    Higher scores indicate a better outcome (minimum score: \< 55, maximum score: \> 165).

    Time frame: Baseline, Month 12, Month 24

  18. Change from baseline in ADHD Rating Scale, 4th Edition (ADHD-RS-IV) inattention subscale raw scores.

    Lower scores indicate a better outcome (minimum score: 0, maximum score: 9).

    Time frame: Baseline, Month 6, Month 12, Month 18, Month 24

  19. Change in hyperactivity as measured by ADHD Rating Scale, 4th Edition (ADHD-RS-IV) hyperactivity subscale raw scores.

    Lower scores indicate a better outcome (minimum score: 0, maximum score: 9).

    Time frame: Baseline, Month 6, Month 12, Month 18, Month 24

  20. Change in physical functioning as measured by Pediatric Quality of Life Inventory (PedsQL) scale scores.

    Lower scores indicate a better outcome (minimum score: 0, maximum score: 100).

    Time frame: Baseline, Month 6, Month 12, Month 18, Month 24

  21. Change in emotional functioning as measured by Pediatric Quality of Life Inventory (PedsQL) scale scores.

    Lower scores indicate a better outcome (minimum score: 0, maximum score: 100).

    Time frame: Baseline, Month 6, Month 12, Month 18, Month 24

  22. Change in social functioning as measured by Pediatric Quality of Life Inventory (PedsQL) scale scores.

    Lower scores indicate a better outcome (minimum score: 0, maximum score: 100).

    Time frame: Baseline, Month 6, Month 12, Month 18, Month 24

  23. Change in school functioning as measured by Pediatric Quality of Life Inventory (PedsQL) scale scores.

    Lower scores indicate a better outcome (minimum score: 0, maximum score: 100).

    Time frame: Baseline, Month 6, Month 12, Month 18, Month 24

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Study locations

1 site
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2026, 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
NCT06500260
Responsible party
Sponsor
First posted
Jul 15, 2024
Start date
Jan 1, 2022
Primary completion
Apr 30, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Jul 23, 2026

Study contacts

Alex Fay, MD, PhD
principal investigator · alexander.fay@ucsf.edu

Oversight

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

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