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ENROLLING BY INVITATION
NCT06101940

Chinese Multicenter Clinical Outcome Cohort Study of Myotonic Dystrophy Type 1 (C-DMCOS-DM1)

Sponsor: Huashan Hospital

View on ClinicalTrials.gov

Summary

Myotonic dystrophy type 1 (DM1) is an autosomal dominant multisystem disorder caused by an expanded CTG trinucleotide repeat in the 3' untranslated region of the DMPK gene. Beyond myotonia and progressive skeletal muscle weakness, DM1 involves the cardiac, respiratory, central nervous, gastrointestinal, endocrine, and ocular systems, and respiratory and cardiac involvement are the leading causes of disability and death. Systematic, long-term outcome data in Chinese DM1 patients are lacking. C-DMCOS-DM1 is a multicenter, prospective, observational cohort study that systematically records demographic data, multisystem involvement, and predefined disability-related clinical outcome events in genetically confirmed Chinese DM1 patients, with regular follow-up every 3 to 6 months. The study also collects residual blood, skeletal muscle, myocardium (when a pacemaker is implanted), and urine specimens for transcriptomic and other molecular studies. The aims are to characterize the disease burden of Chinese DM1 patients, identify risk and prognostic factors for disabling outcomes, and build risk-prediction models to inform follow-up, management, and future clinical trials.

Official title: A Multicenter, Prospective, Observational Cohort Study of Multi-System Involvement and Disability-Related Clinical Outcomes in Chinese Patients With Myotonic Dystrophy Type 1 (C-DMCOS-DM1)

Key Details

Gender

All

Age Range

Any - Any

Study Type

OBSERVATIONAL

Enrollment

1000

Start Date

2021-08-01

Completion Date

2035-12-30

Last Updated

2026-06-02

Healthy Volunteers

Yes

Interventions

DIAGNOSTIC_TEST

MRI scan

Brain MRI scan to evaluate the integrity of the nervous system; lower limb muscle MRI scan to evaluate fat infiltration in skeletal muscles of the lower limb

DIAGNOSTIC_TEST

Electrocardiography

Standard 12-lead electrocardiography or Holter monitoring performed to assess cardiac conduction abnormalities and arrhythmias in patients with DM1.

DIAGNOSTIC_TEST

Pulmonary function test

Comprehensive pulmonary function testing including spirometry to assess respiratory muscle weakness and restrictive lung disease in DM1 patients.

DIAGNOSTIC_TEST

Electrocardiography and 24-hour Holter monitoring

Electrocardiography and 24-hour Holter monitoring

PROCEDURE

Skeletal muscle biopsy (residual specimen)

Skeletal muscle biopsy (residual specimen)

DEVICE

Wearable-device continuous physiological monitoring

Wearable-device continuous physiological monitoring (heart rate, blood oxygen saturation, respiration, physical activity, sleep)

BEHAVIORAL

Video and voice recording for AI analysis

Video and voice recording for AI analysis (gait, hand grip, facial movement, speech)

Locations (22)

Chinese People's Liberation Army General Hospital

Beijing, Beijing Municipality, China

Peking University First Hospital

Beijing, Beijing Municipality, China

First Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Fujian Medical University Union Hospital

Fuzhou, Fujian, China

Southern Hospital of Southern Medical University

Guangzhou, Guangdong, China

The Third Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Wuhan University People's Hospital

Wuhan, Hubei, China

Zhongda Hospital Southeast University

Nanjing, Jiangsu, China

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

The First People's Hospital of Yancheng

Yancheng, Jiangsu, China

The First Affiliated Hospital of Nanchang University)

Nanchang, Jiangxi, China

The First Bethune Hospital of Jilin University

Changchun, Jilin, China

Chifeng Municipal Hospital

Chifeng, Neimenggu, China

Qilu Hospital of Shandong University

Jinan, Shandong, China

Children's Hospital of Fudan University

Shanghai, Shanghai Municipality, China

First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Xi'an Gaoxin Hospital

Xi’an, Shanxi, China

Xi'an People's Hospital

Xi’an, Shanxi, China

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

The General Hospital of Western Theater Command

Chengdu, Sichuan, China

Yunnan Provincial People's Hospital

Kunming, Yunnan, China

Huashan Hospital

Shanghai, China