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Primary Ciliary Dyskinesias (PCD) are rare, autosomal recessive respiratory diseases, due to a defect in mucociliary clearance linked to abnormalities in the structure and/or function of the cilia. The variety of ciliary abnormalities identified reflects the genetic heterogeneity of PCDs. The thirty or so genes currently implicated explain the pathology in about half of the patients. PCDs are characterized by recurrent infections of the upper (rhinosinusitis) and lower (bronchitis) airways, beginning in early childhood and progressing respectively to nasal polyposis and bronchial dilatation. In half of the cases, there is a lateralization defect of the organs (situs inversus) corresponding to Kartagener's syndrome. There is more frequent infertility in men (immobility of spermatozoa) than in women (miscarriages and tubal pregnancies). About a third of patients progress to respiratory failure. The identification of predictive factors of severity, specific to PCDs, would improve patient care. It is also important to assess the quality of life of patients with PCD, particularly at the ENT level.
Data from prevalent patients are currently integrated into three separate and complementary databases: the "e-RespiRare" database, the "DCP Cils" database and the "DCP genes" database. The first step is therefore to constitute the RaDiCo-DCP database which will include data from prevalent and incident patients whose diagnosis of PCD is certain.
The cohort aims to improve the routine care of PCD patients, in particular by highlighting predictive factors of severity, allowing early and personalized care, to assess the social impact (quality of life) and medical conditions of ENT impairment, as well as adult infertility, to finely characterize the ciliary phenotype. The study also aims to search for new DCP genes and to allow genotype/phenotype correlation studies.
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| Measure | Description | Time Frame |
|---|---|---|
| Comparison and description for severe and non-severe patients of the phenotypic characteristics of the disease in adult and pediatric patients. | Through study completion, an average of 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Validation of the involvement of new DCP genes | Validation of the involvement of new DCP genes highlighted in the context of medical care will be done by association study in well-defined subgroups of patients. | Through study completion, an average of 5 years |
| Impact of disease on quality of life will be evaluated through scores of quality of life questionnaires Best Cilia 6-12 years old |
| Measure | Description | Time Frame |
|---|---|---|
| Association studies between the different clinical phenotypic aspects, the ciliary phenotype and the genotype. | Through study completion, an average of 5 years |
Inclusion Criteria:
Non-inclusion Criteria:
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Study population includes children and adults with the confirmed diagnosis of PCD. The objective is to recruit 300 patients.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bernard MAITRE | Contact | +33 1 57 02 20 82 | bernard.maitre@chicreteil.fr |
| Name | Affiliation | Role |
|---|---|---|
| Bernard MAITRE | INSERM UMR 955 | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Jean Minjoz | Not yet recruiting | Besançon | France |
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| Through study completion, an average of 5 years |
| Impact of disease on quality of life will be evaluated through scores of quality of life questionnaire Best Cilia 13-17 years old | Through study completion, an average of 5 years |
| Impact of disease on quality of life will be evaluated through scores of quality of life questionnaire Best Cilia 18+ years old | Through study completion, an average of 5 years |
| Impact of disease on quality of life will be evaluated through scores of quality of life questionnaire Sino-nasal outcome test-22 | Through study completion, an average of 5 years |
| Hôpital Pellegrin-Enfants | Not yet recruiting | Bordeaux | France |
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| CHU de Caen | Not yet recruiting | Caen | France |
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| Hôpital Clémenceau | Not yet recruiting | Caen | France |
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| Centre Hospitalier Intercommunal de Créteil | Recruiting | Créteil | France |
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| Centre Hospitalier Intercommunal de Créteil | Not yet recruiting | Créteil | France |
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| Centre Hospitalier Intercommunal de Créteil | Recruiting | Créteil | France |
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| Hôpital Henri Mondor | Recruiting | Créteil | France |
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| Hôpital Le Bocage | Not yet recruiting | Dijon | France |
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| Hôpital Bicêtre | Recruiting | Le Kremlin-Bicêtre | France |
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| Hôpital Jeanne de Flandre | Recruiting | Lille | France |
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| Hôpital Femme-Mère-Enfant | Recruiting | Lyon | France |
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| Hôpital Louis Pradel | Recruiting | Lyon | France |
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| Hôpital de la Timone | Not yet recruiting | Marseille | France |
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| Hôpital Nord | Recruiting | Marseille | France |
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| Hôpital Arnaud de Villeneuve | Recruiting | Montpellier | France |
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| Hôpital Arnaud de Villeneuve | Not yet recruiting | Montpellier | France |
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| Hôpital Lenval | Not yet recruiting | Nice | France |
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| Hôpital Armand Trousseau | Recruiting | Paris | France |
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| Hôpital Armand Trousseau | Recruiting | Paris | France |
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| Hôpital Bichat | Recruiting | Paris | France |
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| Hôpital Cochin | Recruiting | Paris | France |
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| Hôpital Necker-Enfants Malades | Recruiting | Paris | France |
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| Hôpital Robert Debré | Not yet recruiting | Paris | France |
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| Hôpital Tenon | Recruiting | Paris | France |
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| American Memorial Hospital | Recruiting | Reims | France |
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| Hôpital Charles Nicolle | Not yet recruiting | Rouen | France |
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| Hospices Civils | Recruiting | Strasbourg | France |
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| Hôpital Hautepierre | Not yet recruiting | Strasbourg | France |
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| Hôpital des Enfants | Recruiting | Toulouse | France |
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| Hôpital Larrey | Not yet recruiting | Toulouse | France |
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| Hôpital de Clocheville | Not yet recruiting | Tours | France |
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| ID | Term |
|---|---|
| D002925 | Ciliary Motility Disorders |
| ID | Term |
|---|---|
| D012140 | Respiratory Tract Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D000072661 | Ciliopathies |
| D000015 | Abnormalities, Multiple |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D030342 | Genetic Diseases, Inborn |
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