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This study will seek to determine if whole genome sequencing (WGS) improves diagnostic rates, and outcomes for congenital diarrhea and enteropathy (CODE) patients. The investigator will enroll 180 patients in a randomized controlled study to either WGS or whole exome sequencing (WES). This study is designed to evaluate whether CODE patients would benefit from WGS guided precision medicine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Whole genome sequencing | Experimental |
| |
| Whole exome sequencing | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Whole genome sequencing | Genetic | Genomic sequencing and molecular diagnostic results |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic rates between WGS and WES | Diagnostic rate of genome and exome based on rate of clinically confirmed diagnoses. | Within approximately 60 days of enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients receiving precision medicine guided by sequencing results | Rate of application of precision medicine suggested by the results of WGS or WES. | Within approximately 60 days of enrollment |
| Mortality of patients |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ying Huang, MD, PhD | Contact | +862164931727 | yhuang815@163.com | |
| Lin Wang, MD,PhD | Contact | 13817510412 | wanglin546974055@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Ying Huang, MD,PhD | Children's Hospital of Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ying Huang | Recruiting | Shanghai | Shanghai Municipality | 201102 | China |
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| ID | Term |
|---|---|
| D003968 | Diarrhea, Infantile |
| D007410 | Intestinal Diseases |
| ID | Term |
|---|---|
| D003967 | Diarrhea |
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000073336 | Whole Genome Sequencing |
| D000073359 | Exome Sequencing |
| ID | Term |
|---|---|
| D017422 | Sequence Analysis, DNA |
| D017421 | Sequence Analysis |
| D005821 | Genetic Techniques |
| D008919 | Investigative Techniques |
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| Whole exome sequencing | Genetic | Genomic sequencing and molecular diagnostic results |
|
Mortality of patients after WGS and WES
| Within approximately 1 year of enrollment |
| Rate of parental satisfaction with sequencing | Parental satisfaction with decision to pursue sequencing based on questionnaire survey | Within one week of patient enrollment |
| Number of parents who are available for trio sequencing | Number of subjects in which both parents are available for trio sequencing | Within one week of patient enrollment |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |