ClinicalTrials.gg
Not yet recruitingNCT07925697preDDXUpdated Nov 10, 2026

Registry of Relatives and Patients Carrying Pathogenic Germline DDX41 Variants and Emerging New Syndromes

An observational study in Myeloid Neoplasms (AML/MDS), sponsored by Groupe Francophone des Myelodysplasies. Not yet recruiting at 8 sites in France. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Groupe Francophone des Myelodysplasies · Observational

Updated Nov 10, 2026Study contact changedNewly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
525
Ages
18 Years and older
Sex
All
01

Study summary

The preDDX registry aims to study germline genetic predispositions to myeloid neoplasms, in particular those associated with pathogenic DDX41 variants and emerging syndromes.

Read the detailed description

The preDDX registry aims to study germline genetic predispositions to myeloid neoplasms, in particular those associated with pathogenic DDX41 variants and emerging syndromes.

It includes patients and, where applicable, their relatives, with prospective collection of clinical, biological and genetic data.

It is a Category 2 Research Involving the Human Person (RIPH2), based mainly on data from routine care, with no imposed therapeutic intervention. Additional procedures with minimal risks and constraints may be performed if necessary.

The data collected will help to better characterize these predispositions and their evolution in real-world practice.

02

Conditions studied

  • Myeloid Neoplasms (AML/MDS)

Keywords

  • DDX41 variants
  • MDS
  • AML
03

In context

Lead sponsor

Groupe Francophone des Myelodysplasies is the lead sponsor of 44 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The registry includes adult patients carrying a germline variant associated with a predisposition to myeloid neoplasms and their biological relatives, where relevant.

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

  • Male or female
  • Age ≥ 18 years
  • Presence of a germline variant (pathogenic, likely pathogenic or in a candidate gene)
  • Followed in a participating center
  • Able and willing to provide written

Exclusion criteria

Exclusion Criteria:

  • No identified or suspected genetic predisposition
  • No consent
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
525 participants (estimated)
Target follow-up
5 Years
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • Main cohort

    Patients and carriers of pathogenic DDX41 variants: cohort dedicated to the study of patients and relatives carrying DDX41 variants.

  • Exploratory cohort

    Cohort dedicated to the study of candidate genes and new predisposition syndromes

06

What researchers measure

Primary outcomes

  1. Age- and sex-specific cumulative incidence of myeloid neoplasms in asymptomatic carriers of a germline DDX41 variant (Main cohort)

    Hematological penetrance, estimated as the cumulative risk of developing a myeloid neoplasm (in particular MDS or AML) according to age and sex, using family-based methods that correct for ascertainment bias

    Time frame: From inclusion up to 5 years (end of registry)

  2. Number of new hereditary syndromes predisposing to myeloid neoplasms identified and characterized (Exploratory cohort)

    Identification and clinical, biological and genetic characterization of new germline predisposition syndromes, based on variants in candidate genes classified according to ACMG criteria

    Time frame: Through registry completion, up to 5 years

Secondary outcomes

  1. Factors associated with onset and progression of myeloid neoplasms in germline DDX41 variant carriers (Main cohort)

    Association between clinical characteristics (age, sex, comorbidities), exposures, associated germline variants and somatic events, and the occurrence or progression of myeloid neoplasms, with death as a competing event.

    Time frame: From inclusion up to 5 years

  2. Frequency of hematological and extra-hematological manifestations in germline DDX41 variant carriers (Main cohort)

    Proportion of participants with each phenotype: myeloid neoplasms, extra-hematological manifestations and other associated entities

    Time frame: At inclusion and up to 5 years

  3. Response to treatment and overall survival in patients with DDX41-associated MDS or AML (Main cohort)

    Response rates according to standard disease-specific response criteria, and overall survival

    Time frame: From inclusion up to 5 years

  4. Penetrance of germline variants identified in candidate genes (Exploratory cohort)

    Age-specific cumulative risk of myeloid neoplasms among carriers of variants in candidate genes

    Time frame: From inclusion up to 5 years

  5. Clonal evolution in carriers of germline variants in candidate genes (Exploratory cohort)

    Description of tumor evolution and trajectories: type and timing of acquired somatic and cytogenetic events and progression to MDS/AML

    Time frame: From inclusion up to 5 years

  6. Proportion of candidate-gene variants with functional evidence of pathogenicity (Exploratory cohort)

    Functional significance of variants assessed by biological analyses and functional assays

    Time frame: Through registry completion, up to 5 years

07

Study locations

8 sites
08

References and documents

Individual participant data

Plan to share: Undecided — Sharing of pseudonymized individual data may be considered on reasoned request to the sponsor, subject to scientific review, GDPR compliance and applicable French regulations.

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Secondary outcomes
1 edited
What changed in the outcomes
  • EditedResponse to treatment and overall survival in patients with DDX41-associated MDS or AML (Main cohort)Time frame: From inclusion up to 5 years
Nov 10, 2026
Contact
Study contact changed: m•••@aphp.fr · •••7018→m•••@aphp.fr · •••7018. See the current contact
Nov 10, 2026
Site contacts
Changed at 2 sites. See the sites
Show 2 sites
  • Hôpital Saint Louis · Paris, FranceContact •••1819→•••7018
  • Institut Gustave Roussy · Villejuif, FranceContact person changed (no phone or email listed)
Nov 10, 2026
Registered
First appeared on the registry
Nov 9, 2026
Show all 2 updates
  1. Nov 10, 2026
    Secondary outcomes 1 edited
    What changed in the outcomes
    • EditedResponse to treatment and overall survival in patients with DDX41-associated MDS or AML (Main cohort)Time frame: From inclusion up to 5 years
    Contact Study contact changed: m•••@aphp.fr · •••7018→m•••@aphp.fr · •••7018. See the current contact
    Site contacts Changed at 2 sites. See the sites
    Show 2 sites
    • Hôpital Saint Louis · Paris, FranceContact •••1819→•••7018
    • Institut Gustave Roussy · Villejuif, FranceContact person changed (no phone or email listed)
    + 3 other changes: identifiers, verification date and design details
  2. Nov 9, 2026
    First appeared on the registry

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
NCT07925697
Lead sponsor
Groupe Francophone des Myelodysplasies
Responsible party
Sponsor
First posted
Nov 9, 2026
Start date
Nov 15, 2026 (estimated)
Primary completion
Nov 1, 2031 (estimated)
Completion
Nov 15, 2031 (estimated)
Last update
Nov 10, 2026

Study contacts

Fatiha CHERMAT, PhD
Contact
fatiha.chermat-ext@aphp.fr
+33 1 71 20 70 59
Marie SEBERT, MD, PhD
Contact
marie.sebert@aphp.fr
+33 1 71 20 70 18
Marie SEBERT, MD, PhD
principal investigator · Hôpital Saint Louis

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 Nov 2026. You cannot join it, but the record below documents what was studied.

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