Clinical trial

Impact of Timing of Initiation of Sulphonylurea Therapy on Neurodevelopmental Outcomes in Individuals With Intermediate Developmental Delay, Epilepsy and Neonatal Diabetes (iDEND) Syndrome Due to the V59M Mutation in the KCNJ11 Gene

Name
120925
Description
The goal of this observational study is to learn about the impact of the diabetes drug glibenclamide (glyburide) on neurodevelopment in individuals with iDEND (developmental delay, epilepsy and neonatal diabetes) due to the V59M mutation in the KCNJ11 gene. The main question it aims to answer is whether initiating sulphonylurea (SU) therapy in the first 6 months of life results in better neurodevelopmental outcomes in affected individuals, in comparison to starting therapy later than 6 months of age. Participants will undergo a neurodevelopmental assessment comprising parental and teacher completion of standardised questionnaires, and where possible face to face neuropsychological testing. Researchers will compare the outcomes of these standardised tests in the individuals who started SU therapy \<6 months of age in comparison to those who started \>6 months of age.
Trial arms
Trial start
2016-07-01
Estimated PCD
2024-08-01
Trial end
2024-12-31
Status
Recruiting
Treatment
Sulfonylurea
Glibenlclamide / glyburide
Arms:
Early SU treatment, Late SU treatment
Size
21
Primary endpoint
Number and type of neurodevelopmental and psychiatric disorders
At or up to 2 years after recruitment
Level of difficulty due to neurodevelopmental and psychiatric morbidity
At or up to 2 years after recruitment
Impact on daily life
At or up to 2 years after recruitment
IQ score
Up to 3 years after recruitment
Eligibility criteria
Inclusion Criteria: * Current age ≥2 years * Heterozygous for a V59M mutation in the KCNJ11 gene * Successfully transferred to oral sulphonylurea therapy * Willing to participate Exclusion Criteria: * Never able to transfer to oral sulphonylurea therapy * Unwilling to participate
Protocol
{'studyType': 'OBSERVATIONAL', 'patientRegistry': False, 'designInfo': {'observationalModel': 'CASE_CONTROL', 'timePerspective': 'RETROSPECTIVE'}, 'enrollmentInfo': {'count': 21, 'type': 'ESTIMATED'}}
Updated at
2023-03-02

1 organization

1 product

6 indications

Indication
ADHD
Indication
Epilepsy