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RECRUITING
NCT04261127
NA

Validation of the RADIAL Algorithm for Diagnosis of Autosomal Recessive Cerebellar Ataxia

Sponsor: University Hospital, Strasbourg, France

View on ClinicalTrials.gov

Summary

RADIAL is an algorithm which has been developed following a review of the literature on 67 autosomal recessive cerebellar ataxias (ARCA) and personal clinical experience. Frequency and specificity of each feature were defined for each autosomal recessive cerebellar ataxia, and corresponding prediction scores were assigned. Clinical and paraclinical features of patients are entered into the algorithm, and a patient's total score for each ARCA is calculated, producing a ranking of possible diagnoses. Sensitivity and specificity of the algorithm were assessed by blinded analysis of a multinational cohort of 834 patients with molecularly confirmed autosomal recessive cerebellar ataxia. The performance of the algorithm was assessed versus a blinded panel of autosomal recessive cerebellar ataxia experts. The correct diagnosis was ranked within the top 3 highest-scoring diagnoses at a sensitivity and specificity of \>90% for 84% and 91% of the evaluated genes, respectively. Mean sensitivity and specificity of the top 3 highest-scoring diagnoses were 92% and 95%, respectively. Our aim is now to validate in a prospective cohort of ARCA, the performance of RADIAL to predict the correct genetic diagnosis.

Key Details

Gender

All

Age Range

5 Years - Any

Study Type

INTERVENTIONAL

Enrollment

400

Start Date

2021-09-20

Completion Date

2029-09

Last Updated

2025-08-27

Healthy Volunteers

Yes

Interventions

GENETIC

Genetic diagnosis (PMDA panel)

Blood samples for DNA study

DIAGNOSTIC_TEST

Use of RADIAL algorithm

RADIAL card filling (contains clinical and biological data)

Locations (8)

CHU de Besancon- Neurology

Besançon, France

CHU de Dijon- Neurology

Dijon, France

CHU Lille- Neurology

Lille, France

CHU Marseille- Neurology

Marseille, France

CHU Montpellier - Neurology

Montpellier, France

CHU Nancy- Neurology

Nancy, France

CHRU de Strasbourg - Neurology/Pediatrics

Strasbourg, France

CHU Toulouse- Neurology

Toulouse, France