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CTRI Number  CTRI/2018/03/012336 [Registered on: 05/03/2018] Trial Registered Prospectively
Last Modified On: 15/02/2018
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Observational and Cross-Sectional Natural History Study for Farber Disease 
Scientific Title of Study   Observational and Cross-Sectional Cohort Study of the Natural History and Phenotypic Spectrum of Farber Disease 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ratna Puri 
Designation  Senior Consultant 
Affiliation  Institute of Medical Genetics & Genomics Sir Gangaram Hospital 
Address  Sir Ganga Ram Hospital Rajinder Nagar New Delhi

New Delhi
DELHI
110060
India 
Phone    
Fax    
Email  ratnadpuri@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Ali Sajjad Bohra 
Designation  Director 
Affiliation  QED Clinical Services India Pvt Ltd 
Address  Clinical Operations, QED Clinical Services, B-209, Westgate, Beside YMCA Club S G Highway Ahmedabad

Ahmadabad
GUJARAT
380015
India 
Phone    
Fax    
Email  asbohra@qed-clinical.com  
 
Details of Contact Person
Public Query
 
Name  Ali Sajjad Bohra 
Designation  Director 
Affiliation  QED Clinical Services India Pvt Ltd 
Address  Clinical Operations, QED Clinical Services, B209, Westgate, Beside YMCA Club S G Highway Ahmedabad

Ahmadabad
GUJARAT
380015
India 
Phone    
Fax    
Email  asbohra@qed-clinical.com  
 
Source of Monetary or Material Support  
Enzyvant Farber GmbH, Viaduktstrasse 8, 4051 Basel, Switzerland 
 
Primary Sponsor  
Name  Enzyvant Farber GmbH 
Address  Viaduktstrasse 8, 4051 Basel, Switzerland  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Argentina
Canada
Egypt
Germany
India
Sweden
Turkey
United States of America
Italy  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ratna Puri  Institute of Medical Genetics & Genomics, Sir Ganga Ram Hospital  Rajinder Nagar
New Delhi
DELHI 
01125861767

ratnadpuri@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SGRH Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Farber Disease,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  INCL 1. Living or deceased subjects with diagnosis of Farber disease, based on clinical (diagnosis by a physician based on typical clinical symptoms) and biochemical and/or genetic criteria, as follows:
c. Biochemical: An acid ceramidase activity value in white blood cells, cultured skin fibroblasts or other biological sources (e.g., plasma) that is less than 30% of control (normal) values established by the testing laboratory. For deceased subjects only, storage of ceramide in cells from histopathologic sections is also adequate to confirm the diagnosis.
a. Genetic: Nucleotide changes within both alleles of the acid ceramidase gene (ASAH1) or cDNA that indicate, through bioinformatics, gene expression studies, or other methods, a possible loss of function of the acid ceramidase protein.
INCL 2. Informed consent or assent, for living subjects. For deceased subjects it is the responsibility of the PI to ensure that the proper requirements are met according to local laws and regulations. 
 
ExclusionCriteria 
Details  Potential subjects fulfilling the following criterion are not eligible for participation in the study.
EXCL 1. Current use or history of use in past 30 days of an investigational agent (does not include off-label use of medications). 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To establish the natural history of Farber disease, through collection and analysis of retrospective and prospective data on patients, including living patients who have and have not undergone hematopoietic stem cell transplantation (HSCT) and patients who are deceased  Baseline, Week 12 and Week 36 
 
Secondary Outcome  
Outcome  TimePoints 
The secondary objective of the study is to establish a set of clinical, laboratory (biomarkers), and functional data (from evaluations, procedures, and assessment tools)   Baseline, Week 12 and Week 36 
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="4" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/03/2018 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

Farber disease (FD) is a rare lysosomal storage disease with a variable spectrum of severity and organ system pathology resulting from a deficiency of the enzyme acid ceramidase, and the accumulation of the lipid substrate, ceramide. Ceramide is a pro-inflammatory and pro-apoptotic lipid, which has been implicated in the pathogenesis of cartilage disorders.

Approximately 100 patients with Farber disease have been reported in the medical literature to date, and multiple disease types are recognized. No reliable information on incidence and prevalence is available.

This is the first formal study of the natural history of Farber disease through collection and analysis of retrospective and prospective data on patients confirmed as having Farber disease, obtained from patient history, clinical, laboratory, genetic and functional studies, and review of medical records, using a standardized data collection tool specifically created for this purpose (the Farber Disease Natural History Instrument). Living patients who have and have not undergone HSCT, and patients since deceased, will be included in the study.

The data from this natural history study will serve as an opportunity to assess the procedures, techniques, and methodologies for evaluation of specific symptoms and signs of Farber disease, to help establish their utility in measuring potential endpoints in future clinical trials.. The data collected will potentially inform the selection of endpoints in future clinical trials.



 
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