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Enrolling by invitationNCT07787975Updated Oct 2, 2026

RNA to the RESCUE: Evaluation to Assess the Clinical Utility of RNA Sequencing in Establishing a Genetic Diagnosis or Adjudicating a Previously Established Genetic Diagnosis.

An observational study in Genetic Conditions and Genetic Disorders, sponsored by University of California, San Francisco. Enrolling by invitation at 1 site in United States. Open to participants aged 2 Years and older. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by University of California, San Francisco · Observational

Updated Oct 2, 2026Now Enrolling by invitationGo to Updates ↓

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Study type
Observational
Model
Case-only
Time perspective
Other
Enrollment
100
Ages
2 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 296 studies in Genetic Diseases, Inborn with a site in United States — 64 open to participants now, 99 under way, 14 of them phase 3. Genetic Diseases, Inborn · United States.

Planned enrollment
56th of 111
100 · median 100
Started
2025
with 9 others
Observational
115 of 296
38 open now
Primary completion
2027-06
later than 36 of 92 live
Registered
294th of 296
by date

Among the 296 studies in Genetic Diseases, Inborn with a site in United States, this one is the 56th largest by planned enrollment of the 111 observational ones that give a count, is one of 10 that started in 2025, is one of 115 observational ones, reaches primary completion later than 36 of the 92 other live ones, and was the 294th registered.

Genetic Diseases, Inborn

583 studies on the registry are indexed under Genetic Diseases, Inborn; 157 are open to participants now.

Browse Genetic Diseases, Inborn studies →

Open to participants now

64 of the 296 studies in Genetic Diseases, Inborn with a site in United States are open now. Recruiting first, the newest first:

59 more — sign in →

All 64 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 120 Genetic Diseases, Inborn studies recruiting now, 60 (50%) set no upper age limit and 45 (38%) stop at 75 or younger; 85 take children under 18; 28 take healthy volunteers.

This study: 2 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 296 studies in Genetic Diseases, Inborn with a site in United States, or all of them as a file.
02

Study summary

The goal of this observational study is to see if ribonucleic acid (RNA) sequencing can improve the diagnostic yield and accuracy of genetic testing compared to gene sequencing alone. Participants will be asked to share their medical history and prior genetic testing results, and to donate a blood sample for testing.

Read the detailed description

Participant will come on site for a one-time blood draw. Study personnel will review prior medical history, family history, and prior genetic testing results gathered from the participant's medical record, along with analysis of RNA sequencing results derived from participant's blood sample. Results will be shared with participants through their clinical geneticist.

03

Conditions studied

  • Genetic Conditions
  • Genetic Disorders

Keywords

  • RNA to the RESCUE
  • RNA sequencing
04

Who can participate

Ages eligible
2 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients seen by the division of Medical Genetics

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

  • individuals who have previously undergone gene panel testing, WES or WGS with no diagnostic findings but with high suspicion for a genetic etiology
  • individuals who have undergone genetic testing and who are found to have a truncating variant classified as pathogenic in a disease-causing gene but lack many/all symptoms typically associated with the disorder.

Exclusion criteria

Exclusion Criteria:

  • none
05

Study design

Observational model
Case-only
Time perspective
Other
Enrollment
100 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • No genetic diagnosis

    Individuals who have previously undergone gene panel testing, WES or WGS with no diagnostic findings but with high suspicion for a genetic etiology

    Device: RNA sequencing

  • No symptomatology

    Individuals who have undergone genetic testing and who are found to have a truncating variant classified as pathogenic in a disease-causing gene but lack many/all symptoms typically associated with the disorder

    Device: RNA sequencing

Interventions

  • DeviceRNA sequencing

    Total RNA will be isolated from blood samples, processed, and analyzed to compare the RNA-Seq profile of each participant.

06

What researchers measure

Primary outcomes

  1. RNA analysis supports that the gene variant impacts gene expression

    RNA-Seq analysis shows that the gene variant of interest impacts the gene expression with either a decreased expression, increased expression, alternative splice product, or other.

    Time frame: From analysis of RNA-Seq data to finalized summary of research results (up to 1 year)

Other outcomes

  1. Results add value to the diagnostic process

    Clinical geneticist will complete a survey to indicate if they found that the research results added value to the diagnostic process.

    Time frame: From clinical geneticist receiving research results to share with participant to the completion of survey (up to 3 months)

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2025 (actual). Primary completion is estimated for Jun 2027, 22 months after the start.

Of 94 non-industry observational studies under Genetic Diseases, Inborn, half reached primary completion within 124 months of starting (the median), counting those still running; a quarter within 46. This study's planned 22 months is below that.

Counting every sponsor, half of 128 studies reached it within 110 months; a quarter within 46 and three quarters within 193.

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

Registered
Aug 21, 2026
First posted
Aug 26, 2026
StartActual
Aug 6, 2025
Primary completionEst.
Jun 2027
CompletionEst.
Dec 2030
Last update
Oct 2, 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.
Status
Recruiting→Enrolling by invitation
changed Oct 2, 2026
Contact
No study contact listed any more: removed j•••@ucsf.edu · •••6184
Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    Recruiting→Enrolling by invitation
    Contact No study contact listed any more: removed j•••@ucsf.edu · •••6184
    + 2 other changes: verification date and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07787975
Responsible party
Sponsor
First posted
Aug 26, 2026
Start date
Aug 6, 2025
Primary completion
Jun 2027 (estimated)
Completion
Dec 2030 (estimated)
Last update
Oct 2, 2026

Study contacts

Kanika Bhardwaj
principal investigator · University of California, San Francisco
Reva Frankel
principal investigator · University of California, San Francisco

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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