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RecruitingNCT07329257Updated Jan 9, 2026

Investigating Phenotypic, Epigenetic, and NeuroGenetic Traits in Rare and Ultra-rare Neurodevelopmental Disorders (Project PENGUIN)

An observational study in Baker Gordon Syndrome, Rare Neurodevelopmental Conditions and Rare Neurogenetic Conditions, sponsored by University of Missouri-Columbia. Recruiting at 1 site in United States. Open to participants aged Up to 99 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-09.

Sponsored by University of Missouri-Columbia · Observational

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
100
Ages
Up to 99 Years
Sex
All
01

Study summary

Rare genetic neurodevelopmental disorders, such as Syt-1 or Baker Gordon Syndrome (BAGOS) arise from mutations in genes essential for brain development and function, often disrupting neurotransmission and neuronal connectivity. These conditions present with a wide range of symptoms including developmental delays, seizures, motor and behavioral challenges, and vary widely in severity. These disorders are complex, and they remain poorly understood and lack effective treatments.

Natural history and clinical genetic studies are crucial for mapping how these disorders progress, improving diagnostic accuracy, and guiding therapy development. A major focus is identifying reliable biomarkers (genetic, imaging, and physiological) to track disease severity and support clinical trials. This study will securely collect and analyze data to better understand disease impact, develop patient-derived model systems, and build resources to support future treatments.

Read the detailed description

Rare genetic neurodevelopmental disorders are a diverse group of conditions caused by mutations in genes critical to brain development and function. These disorders often involve disruptions in key proteins responsible for processes like neurotransmitter release, synaptic signaling, and neuronal connectivity. For example, mutations in genes such as SYT1 (which encodes synaptotagmin-1, a calcium-sensing protein essential for regulated neurotransmission) can lead to severe conditions like SYT1-associated neurodevelopmental disorder, also known as Baker-Gordon Syndrome (BAGOS). Similar mutations in other genes may result in distinct but overlapping clinical syndromes.

These rare disorders typically present with a wide range of symptoms, including developmental delays, intellectual disability, seizures, abnormal motor function, behavioral changes, visual impairments, and in some cases, self-injurious behaviors. The severity and progression of symptoms can vary significantly between individuals, even among those with the same genetic diagnosis.

Due to their rarity and complexity, many of these conditions are poorly understood, and treatment options remain limited. Therefore, natural history studies and clinical genetic studies play a crucial role in advancing research. These studies systematically collect data over time to understand how symptoms evolve, how quickly the disease progresses, and what measurable changes occur in affected individuals.

A key component of studies in rare genetic diseases is the identification and validation of biomarker quantifiable indicators such as genetic signatures, brain imaging findings, or physiological measurements-that can serve as reliable endpoints in clinical trials. By tracking these markers, researchers can better evaluate the efficacy of potential therapies and design more targeted treatments.

In addition to guiding drug development, these studies help researchers recognize broader patterns across neurodevelopmental disorders. This can lead to the discovery of undiagnosed cases, improve diagnostic accuracy, and foster earlier intervention. Ultimately, building a comprehensive understanding of these rare genetic conditions is essential for improving quality of life for affected individuals and their families. The investigators will analyze this information to explore how rare neurodevelopmental disorders affect ongoing neurodevelopment and quality of life. This study aims to lay groundwork for future therapies and will improve our understanding of rare neurogenetic disorders.

02

Conditions studied

  • Baker Gordon Syndrome
  • Rare Neurodevelopmental Conditions
  • Rare Neurogenetic Conditions
  • Syt-1 Disorder
  • Epilepsy
  • Seizure
  • Genetic Mutations
  • Autism in Children
  • Developmental Delay (Disorder)

Keywords

  • Baker Gordon Syndrome
  • BAGOS
  • Rare Conditions
  • Rare
  • Neurogenetic
  • Neurodevelopmental
  • Ultra-rare
  • Genetic mutation
  • Autism
03

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 100 is below the median of 112 across 540 observational studies indexed under Epilepsy.

Browse Epilepsy studies →

Lead sponsor

University of Missouri-Columbia is the lead sponsor of 365 studies on the registry; 69 are open to participants now.

Of its 43 completed or terminated interventional studies of FDA-regulated products, 29 (67%) have results posted.

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

04

Who can participate

Ages eligible
Up to 99 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Individuals with a diagnosed or suspected rare genetic neurodevelopmental disorder. Parents and caregivers over 18 years of age can participate in the study as healthy controls.

Eligibility criteria

For those with a rare condition:

Inclusion Criteria:

  • Diagnosed or suspected neurogenetic disorder
  • Individuals 0-99

Exclusion Criteria:

  • Individuals unwilling or unable to complete visits with the study team.

For control parents/caregivers of those with a rare condition:

Inclusion Criteria:

  • No history of a neurological disorder.
  • >18 years.
  • Legal caregiver of the patient diagnosed with a rare neurodevelopmental disorder.

Exclusion Criteria:

  • Individuals unwilling or unable to complete the visit with the study team.
  • Individuals who have a history of neurological disorders.
  • \< 18 years old

For all individuals who participate in the skin :

  • Individuals with disease that is known to be associated with poor wound healing.
  • Individuals with a history of allergic reaction to lidocaine.
  • Medical History of cellulitis, diabetes mellitus, poor extremity circulation, deep vein thrombosis, or a history of non-traumatic amputation.
  • Currently taking anticoagulation or have taken with last 6 months
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
Other
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • OtherNo Intervention: Observational Cohort

    There is no intervention for this Natural History Study

06

What researchers measure

Primary outcomes

  1. Disease onset patterns, symptom evolution, and progression severity in rare neurodevelopmental disorders

    Time frame: 3 years

  2. Identify and validate biomarkers (genetic, imaging, and physiological) that correlate with disease severity and progression

    Time frame: 3 years

  3. Establish patient-derived and control cell lines (e.g., fibroblasts, induced pluripotent stem cells) to generate model systems for mechanistic studies and pre-clinical evaluation of potential therapies

    Time frame: 3 years

Secondary outcomes

  1. Develop a deep phenotypic profile (cognitive, motor, behavioral, and neurological)

    Functional Mobility Scale, Aberrant Behavior Checklist, Conners Global Index, Pediatric Sleep Questionnaire, Medical Questionnaires, Ex.

    Time frame: 3 years

  2. Distribution of clinical presentation features, including age at onset, core symptoms, severity scores, and disease progression measures, within and across genetic subtypes

    Time frame: 3 years

  3. Build a repository to support future interventional clinical trials

    Time frame: 3 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

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

Registry details

Key details

Study ID
NCT07329257
Responsible party
William David Arnold (Executive Director, UM System NextGen Precision Health Initiative. Professor, Physical Medicine and Rehabilitation, University of Missouri-Columbia) — Principal investigator
First posted
Jan 9, 2026
Start date
Dec 4, 2025
Primary completion
Dec 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Jan 9, 2026

Study contacts

Sophia R Marchetti
Contact
sophiamarchetti@health.missouri.edu
573-882-6720
W. David Arnold, MD
principal investigator · University of Missouri-Columbia

Oversight

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

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