102000 Participants Needed

Genomic Biorepository for Genetic Disorders

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Overseen ByLauren Olsen, MSN
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: Rady Pediatric Genomics & Systems Medicine Institute
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 2 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to gather biological samples and genomic data to help understand and treat genetic disorders in children. By collecting DNA information and clinical features, the trial seeks to improve future diagnoses and treatment decisions. Anyone, regardless of health status, may participate, including individuals with or without genetic conditions. Researchers will analyze participants' genomic data to identify genetic diseases that match their symptoms, with confirmed results added to their medical records.

As an unphased trial, this study offers participants the opportunity to contribute to groundbreaking research that could lead to a better understanding and treatment of genetic disorders.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that genomic sequencing and molecular diagnostic testing are safe for use in children?

Research has shown that genome sequencing thoroughly identifies nearly all differences in a person's DNA. This method is increasingly popular for diagnosing rare and unknown diseases. Studies indicate it aids in diagnosing and managing many genetic conditions, including rare diseases and some cancers. Genome sequencing is generally well-tolerated and involves analyzing a sample, such as blood, without invasive procedures. Reports of negative effects from the sequencing process itself are rare.

In summary, genome sequencing is considered safe and has a strong track record in diagnosing genetic issues. Its primary purpose is to provide detailed genetic information, helping doctors make better-informed decisions about treatment and care.12345

Why are researchers excited about this trial?

Unlike conventional methods for diagnosing genetic disorders, which often rely on limited genetic tests targeting specific conditions, genomic sequencing provides a comprehensive analysis of an individual's entire genetic makeup. This approach allows for the identification of rare or previously undiagnosed genetic disorders by analyzing vast amounts of genetic data. Researchers are particularly excited about the potential of genomic sequencing to deliver precise molecular diagnostic results, which can lead to more personalized and effective treatment plans. By creating a biorepository of genetic data, this trial aims to enhance our understanding of genetic disorders, paving the way for advancements in early diagnosis and targeted therapies.

What evidence suggests that genomic sequencing and molecular diagnostic results are effective for diagnosing genetic disorders?

Research has shown that studying a child's genes is a powerful method for identifying genetic disorders. In a large study, about 37% of children in intensive care with unknown illnesses received a genetic diagnosis through this method, often resulting in changes to their treatment. Another study found that examining a child's entire set of genes is a cost-effective approach for diagnosing babies with potential genetic disorders. Quickly studying genes not only helps identify the cause of a disease but also saves time and money by leading to faster diagnoses and appropriate treatments. Overall, studying genes effectively uncovers genetic conditions in children. Participants in this trial will contribute to a genomic biorepository, which includes genomic sequencing and molecular diagnostic results, to advance research in this field.678910

Who Is on the Research Team?

SK

Stephen Kingsmore, MD, MSc

Principal Investigator

Rady Pediatric Genomics & Systems Medicine Institute

Are You a Good Fit for This Trial?

The Rady Children's Institute Genomic Biorepository is open to individuals of all ages, races, genders, ethnicities, and health statuses. It includes vulnerable groups such as pregnant women, neonates, fetuses, those with cognitive disabilities, children, minorities, and employees. There are no exclusion criteria.

Inclusion Criteria

I am of any age, race, gender, ethnicity, and health status.
Certain groups of people may not be eligible to participate in the study, including pregnant women, newborn babies, individuals with learning or developmental disabilities, children, people from minority groups, and employees.

Exclusion Criteria

N/A

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Enrollment and Sample Collection

Enrollment of healthy and affected subjects to collect samples and data for a pediatric genomic Biorepository. Data includes genomic sequencing and resultant molecular diagnostic results, if any.

Ongoing
Initial visit for consent and sample collection

Data Analysis and Reporting

Genomic sequences are analyzed to identify genetic diseases. Results are confirmed and placed in the electronic health record.

Ongoing

Follow-up

Participants are monitored for changes in medical condition and new symptoms are collected longitudinally.

40 years

What Are the Treatments Tested in This Trial?

Interventions

  • Genomic sequencing and molecular diagnostic results
Trial Overview This trial involves collecting biological samples for genomic sequencing to research the genetic causes and treatments of childhood diseases. The data may also be used in future as a reference for improving clinical diagnoses or decisions.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: EnrolleesExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Rady Pediatric Genomics & Systems Medicine Institute

Lead Sponsor

Trials
10
Recruited
214,000+

Published Research Related to This Trial

Clinical gene sequencing is becoming more important and cost-effective, with a 25% increase in the number of genes linked to diseases over the past two years, which can help guide drug selection and predict health risks.
Current reporting methods for gene sequencing results are inadequate, often omitting crucial data and reference information, which can lead to data loss and complicate integration into electronic medical records. Standardized electronic reporting is needed to improve data preservation and accessibility.
Status of clinical gene sequencing data reporting and associated risks for information loss.Mitchell, DR., Mitchell, JA.[2009]
The identification of genes responsible for rare genetic diseases allows for important clinical applications such as accurate diagnoses, genetic counseling, and opportunities for carrier and prenatal testing.
Successful partnerships between research labs and certified clinical diagnostic laboratories can effectively translate gene discoveries into clinical practice, demonstrating that testing for rare diseases can be both high-quality and financially sustainable.
Molecular genetic testing for ultra rare diseases: models for translation from the research laboratory to the CLIA-certified diagnostic laboratory.Das, S., Bale, SJ., Ledbetter, DH.[2022]
The Sample Confirmation Testing (SCT) method, used in the eyeGENE Network, has successfully ensured the integrity of DNA samples from nearly 3000 participants, identifying significant laboratory errors in only 0.4% of cases.
By implementing SCT, the NEI has enhanced the quality of genetic testing data returned to individuals with inherited eye conditions, setting a standard for quality assurance in biorepositories.
Sample Confirmation Testing: A Short Tandem Repeat-Based Quality Assurance and Quality Control Procedure for the eyeGENE Biorepository.Parrish, RS., Garafalo, AV., Ndifor, V., et al.[2018]

Citations

Genomic Diagnosis for Pediatric Disorders: Revolution and ...In this review, we will discuss current core technologies for the diagnosis of classic genetic disorders to shed light on the benefits and disadvantages of ...
Cost-Effectiveness of Whole-Genome vs Whole-Exome ...Our data suggest that WGS is cost-effective for diagnosing infants with potential genetic disorders at a WTP threshold of €30 000 to €50 000 (US ...
Whole genome sequencing diagnostic yield for paediatric ...The aim of this study is to perform a systematic review and meta-analysis to assess the effectiveness of WGS, with respect to whole exome sequencing (WES) and/ ...
Rapid genomic sequencing for genetic disease diagnosis ...In 44 studies of children in ICUs with diseases of unknown etiology, 37% received a genetic diagnosis, 26% had consequent changes in management, ...
Real-world diagnostic outcomes and cost-effectiveness of ...Using real-world data, we found earlier access to ES may yield more rapid genetic diagnosis of childhood developmental and seizure disorders and cost savings.
Genome sequencing as a diagnostic test - PMCGenome sequencing (or whole genome sequencing) is a comprehensive test capable of detecting nearly all DNA variation in a genome. Sequencing ...
Molecular Genetics Testing - StatPearls - NCBI BookshelfMolecular genetics testing is fundamental in evaluating inherited disorders, somatic or acquired diseases with genetic associations, ...
Whole genome sequencing in clinical practiceWhole genome sequencing (WGS) is becoming the preferred method for molecular genetic diagnosis of rare and unknown diseases and for ...
Genomes in clinical care | npj Genomic MedicineGenome sequencing (GS) is transforming how we diagnose, treat, and manage a significant number of genetic conditions including rare diseases and cancer.
Benefits and barriers to broad implementation of genomic ...Benefits of GS and ES include high disease detection rates, timely results, and possible reduction in healthcare costs by reducing time spent in the NICU.
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