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Not yet recruitingNCT07725120ASPIREUpdated Jul 24, 2026

Single-Center Study Evaluating the Impact of Age on the Diagnostic Performance of the Sural-to-Radial Sensory Amplitude Ratio in Length-Dependent and Non-Length-Dependent Peripheral Polyneuropathies

An observational study in Polyneuropathies, Electromyography and Diagnostic Techniques, sponsored by Centre Hospitalier Universitaire de Nice. Not yet recruiting at 1 site in France. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-07-24.

Sponsored by Centre Hospitalier Universitaire de Nice · Observational

Study type
Observational
Model
Other
Time perspective
Retrospective
Enrollment
180
Ages
18 Years to 90 Years
Sex
All
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Study summary

This retrospective single-center observational study will evaluate the impact of age on the diagnostic performance of the sural-to-radial sensory nerve amplitude ratio (SRAR) in patients with length-dependent and non-length-dependent peripheral sensory polyneuropathies. Clinical and electrophysiological data collected during routine care between January 2013 and July 2026 will be analyzed. Diagnostic performance will be assessed using receiver operating characteristic (ROC) curve analysis across predefined age groups to determine whether age-adjusted SRAR thresholds improve the differentiation between the two polyneuropathy phenotypes.

Read the detailed description

Peripheral sensory polyneuropathies are commonly classified as length-dependent (LDN) or non-length-dependent (NLDN) based on their clinical and electrophysiological features. This distinction is clinically important because it guides etiological investigations and therapeutic management. The sural-to-radial sensory nerve amplitude ratio (SRAR) is an electrophysiological marker that has been proposed to improve the diagnosis of sensory polyneuropathies and to help differentiate LDN from NLDN. Although the SRAR has traditionally been considered independent of demographic characteristics, recent evidence suggests that it decreases with aging, raising concerns about the use of a single diagnostic threshold across all age groups. The impact of age on the diagnostic performance of the SRAR, particularly in patients with non-length-dependent polyneuropathies, remains poorly characterized. This retrospective single-center study will analyze clinical and electrophysiological data from patients evaluated at the Peripheral Neuromuscular Rare Disease Reference Center of Nice University Hospital between January 2013 and July 2026. The study aims to determine whether age-adjusted SRAR thresholds improve the diagnostic discrimination between length-dependent and non-length-dependent peripheral polyneuropathies.

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Conditions studied

  • Polyneuropathies
  • Electromyography
  • Diagnostic Techniques

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In context

Polyneuropathies

133 studies on the registry are indexed under Polyneuropathies; 33 are open to participants now.

This study's planned enrollment of 180 is above the median of 100 across 53 observational studies indexed under Polyneuropathies.

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Lead sponsor

Centre Hospitalier Universitaire de Nice is the lead sponsor of 723 studies on the registry; 176 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients with peripheral sensory polyneuropathies evaluated at the Peripheral Neuromuscular Rare Disease Reference Center of Nice University Hospital between January 2013 and July 2026. Patients will be classified into length-dependent or non-length-dependent phenotypes and stratified into predefined age groups for analysis.

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

  • Adults aged 18 years or older.
  • Diagnosis of peripheral sensory polyneuropathy.
  • Classification as length-dependent (LDN) or non-length-dependent (NLDN) based on clinical and electrophysiological findings.
  • Available nerve conduction study including sural and radial sensory nerve amplitudes allowing calculation of the SRAR.
  • Evaluated at the Peripheral Neuromuscular Rare Disease Reference Center, Nice University Hospital, between January 2013 and July 2026.

Exclusion criteria

Exclusion Criteria:

  • Missing or incomplete clinical or electrophysiological data preventing SRAR calculation.
  • Unclassifiable neuropathy phenotype.
  • Technical factors affecting the reliability of nerve conduction studies.
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Study design

Observational model
Other
Time perspective
Retrospective
Enrollment
180 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients with peripheral sensory polyneuropathies

    Other: Retrospective Medical Record Review

Interventions

  • OtherRetrospective Medical Record Review

    This observational study involves retrospective collection and analysis of routinely acquired clinical and electrophysiological data from approximately 180 patients with sensory polyneuropathy. Data extracted from medical records include demographic characteristics, clinical diagnosis, and nerve conduction study parameters, including sural and radial sensory nerve action potential amplitudes used to calculate the sural/radial amplitude ratio (SRAR). No additional diagnostic procedures, treatments, or study-specific assessments are performed. All data are obtained from standard clinical care.

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What researchers measure

Primary outcomes

  1. Diagnostic performance of the sural-to-radial sensory nerve amplitude ratio (SRAR)

    To evaluate the diagnostic performance of the SRAR for differentiating length-dependent (LDN) from non-length-dependent (NLDN) peripheral sensory polyneuropathies according to age group, using receiver operating characteristic (ROC) curve analysis.

    Time frame: Baseline (retrospective analysis of data collected between January 2013 and July 2026

Secondary outcomes

  1. Age-specific optimal SRAR diagnostic thresholds

    To determine the optimal SRAR cutoff values for each predefined age group using the Youden index derived from ROC curve analysis.

    Time frame: Baseline (retrospective analysis)

  2. Comparison of SRAR values between LDN and NLDN

    To compare SRAR values between patients with length-dependent and non-length-dependent peripheral sensory polyneuropathies and to assess the influence of age on these values.

    Time frame: Baseline (retrospective analysis)

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Study locations

1 site
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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2026; primary completion for Sep 2026, 0 months later.

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

Registered
Jul 21, 2026
First posted
Jul 24, 2026
StartEst.
Sep 1, 2026
Primary completionEst.
Sep 1, 2026
CompletionEst.
Dec 31, 2026
Last update
Jul 24, 2026
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 Jul 24, 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
NCT07725120
Responsible party
Sponsor
First posted
Jul 24, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Sep 1, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Jul 24, 2026

Study contacts

Angela Puma
Contact
puma.ar@chu-nice.fr
0492035435 ext. +33
Abderhmane Slioui
Contact
slioui.a@chu-nice.fr
0492038953 ext. +33

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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