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| ID | Type | Description | Link |
|---|---|---|---|
| U54RR019482-03 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| Office of Rare Diseases (ORD) | NIH |
| Rare Diseases Clinical Research Network | NETWORK |
Episodic ataxia (EA) is a rare genetic disease characterized by episodes of imbalance, incoordination, and slurring of speech. The underlying cause of EA is only partly understood, and currently there are no established treatments. There is also little information about the link between EA's clinical features and its genetic basis. The purpose of this study is to better characterize EA and disease progression. In turn, this may direct the development of future treatments.
Attacks of ataxia, or the loss of ability to coordinate muscular movement, are often triggered by stress or exertion. EA is likely caused by an inherited genetic mutation; many individuals with EA have abnormalities in the KCNA1 or CACNA1A genes. To date, two known subtypes of EA have been identified, and other types likely exist. Specific characteristics of each EA subtype, however, have not been adequately described. The purpose of this study is to better define the clinical features and genetic basis of the various subtypes of EA and to evaluate disease progression. The study will also establish relevant study endpoints for use in future therapeutic trials.
This multi-center observational study will involve both a cross-sectional data analysis and a prospective longitudinal analysis. Participants will initially attend an outpatient study visit that will last 7 hours. This initial evaluation will include a medical history, a physical examination, neurological testing, and an ataxia assessment. Blood will be collected for genetic testing. Additionally, the following procedures may be conducted: ocular motor test, electromyography/nerve conduction study, electroencephalogram, MRI, and digital videotaping. Follow-up evaluations will occur on a yearly basis for at least 2 years; each will last 4 hours.
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Inclusion Criteria:
A clinically confirmed diagnosis of episodic ataxia as defined by one of the following three features:
Exclusion Criteria:
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Individuals with episodic ataxia
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| Name | Affiliation | Role |
|---|---|---|
| Robert W. Baloh, MD | University of California, Los Angeles | Study Chair |
| Joanna C. Jen, MD, PhD | University of California, Los Angeles | Principal Investigator |
| Tracey Graves, MD | Institute of Neurology and National Hospital for Neurology | Principal Investigator |
| Yoon-Hee Cha, MD | University of California, Los Angeles | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Reed Neurological Research Center, UCLA | Los Angeles | California | 90095 | United States | ||
| University of Kansas Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 14718690 | Background | Jen J, Kim GW, Baloh RW. Clinical spectrum of episodic ataxia type 2. Neurology. 2004 Jan 13;62(1):17-22. doi: 10.1212/01.wnl.0000101675.61074.50. | |
| 12749331 | Background | Sasaki O, Jen JC, Baloh RW, Kim GW, Isawa M, Usami S. Neurotological findings in a family with episodic ataxia. J Neurol. 2003 Mar;250(3):373-5. doi: 10.1007/s00415-003-0994-3. No abstract available. |
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| ID | Term |
|---|---|
| C580065 | Episodic Ataxia |
| D002526 | Cerebellar Diseases |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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Blood
| Kansas City |
| Kansas |
| 66160 |
| United States |
| Brigham & Women's Hospital | Boston | Massachusetts | 02115 | United States |
| University of Rochester School of Medicine | Rochester | New York | 14642 | United States |
| London Health Sciences Centre | London | Ontario | N6A 5W9 | Canada |
| Institute of Neurology, Center for Neuromuscular Disease | Queen Square | London | WC1N 3BG | United Kingdom |
| 10371528 | Background | Denier C, Ducros A, Vahedi K, Joutel A, Thierry P, Ritz A, Castelnovo G, Deonna T, Gerard P, Devoize JL, Gayou A, Perrouty B, Soisson T, Autret A, Warter JM, Vighetto A, Van Bogaert P, Alamowitch S, Roullet E, Tournier-Lasserve E. High prevalence of CACNA1A truncations and broader clinical spectrum in episodic ataxia type 2. Neurology. 1999 Jun 10;52(9):1816-21. doi: 10.1212/wnl.52.9.1816. |
| 24578548 | Result | Graves TD, Cha YH, Hahn AF, Barohn R, Salajegheh MK, Griggs RC, Bundy BN, Jen JC, Baloh RW, Hanna MG; CINCH Investigators. Episodic ataxia type 1: clinical characterization, quality of life and genotype-phenotype correlation. Brain. 2014 Apr;137(Pt 4):1009-18. doi: 10.1093/brain/awu012. Epub 2014 Feb 26. |