Actively Recruiting

Age: 1Year - 18Years
FEMALE
Healthy Volunteers
ID05932589

Characterization of Translatable Neurophysiological Biomarkers to Enhance Therapeutic Development in Rett Syndrome

Led by Children's Hospital of Philadelphia · Updated on 2025-10-20

202

Participants Needed

6

Research Sites

52 weeks

Total Duration

On this page

Sponsors

C

Children's Hospital of Philadelphia

Lead Sponsor

N

National Institute of Neurological Disorders and Stroke (NINDS)

Collaborating Sponsor

AI-Summary

What this Trial Is About

This study focuses on identifying potential neurophysiological biomarkers in females with Rett Syndrome (RTT) to better understand abnormal brain activity and disease progression. The research compares females with RTT to typically developing females to explore whether these biomarkers change during clinical changes, remain stable during clinical stability, and correlate with RTT severity. The study aims to improve measures for future interventions and therapeutic development. Participants will undergo multiple standardized sessions involving electroencephalograms (EEG) and measurements of Auditory Evoked Potentials (AEP) and Visual Evoked Potentials (VEP) to assess electrical brain activity. Clinical assessments specific to RTT will also be collected for affected participants. The study includes females with RTT, females likely to develop RTT, and age-matched typically developing females for comparison. During the study, participants will have up to eight EEG and evoked potential sessions over five years. Researchers will analyze brain wave patterns and responses, correlate results with clinical severity and disease stages, and test best practices for recording and electrode placement. The primary outcomes include latency and amplitude measurements of auditory and visual evoked potentials, along with EEG analysis. Secondary outcomes focus on spectral analysis and spatial distribution of these signals. The study will monitor participants over time to understand biomarker changes and stability.

CONDITIONS

Brief Title

Neurophysiologic Biomarkers in Rett Syndrome

Who Can Participate

Age: 1Year - 18Years
FEMALE
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Females ages 3 to 18 years with a clinical diagnosis of Rett Syndrome and a known or likely pathogenic MECP2 gene variant
  • Females ages 1 to less than 5 years with a MECP2 variant who have not yet experienced regression or are within 6 months of last skill loss
  • Females aged 1 to 18 years with typical development and no developmental or cognitive concerns as assessed by standard behavioral tests
Not Eligible

You will not qualify if you...

  • Presence of MECP2 gene duplication or other pathogenic mutations in different genes for Rett and Likely Rett groups
  • Active medical conditions not typically associated with Rett Syndrome for Rett and Likely Rett groups
  • Scores below normal on performance tests for typically developing group
  • Known neurological disorders (except migraine) for typically developing group
  • Use of neuroactive medications for typically developing group

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Up to 5 years

Participants undergo electrophysiological assessments including EEG, Auditory Evoked Potentials (AEP), and Visual Evoked Potentials (VEP), as well as clinical assessments to identify neurophysiological biomarkers.

Up to 8 standardized sessions

Long-term Monitoring

Duration - Up to 5 years

Participants are observed over time to assess neurophysiological parameters and clinical outcomes related to Rett Syndrome and typical development.

Periodic follow-up sessions as scheduled

Trial Site Locations

Total: 6 locations

1

Children's Hospital of Los Angeles

Los Angeles, California, United States, 90027

Actively Recruiting

2

Children's Hospital Colorado

Aurora, Colorado, United States, 80045

Actively Recruiting

3

Boston Children's Hospital

Brookline, Massachusetts, United States, 02445

Actively Recruiting

4

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

5

Vanderbilt University Medical Center

Nashville, Tennessee, United States, 37232

Actively Recruiting

6

Texas Children's Hospital

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

H

Holly Dubbs, MS. CGC

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Published Research Related To This Trial

Evoked Potentials and EEG Analysis in Rett Syndrome and Related Developmental Encephalopathies: Towards a Biomarker for Translational Research.

Joni N Saby, Sarika U Peters, Timothy P L Roberts...

https://pubmed.ncbi.nlm.nih.gov/32547374