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High-speed Video Microscopy Analysis for First-line Diagnosis of Primary Ciliary Dyskinesia
Published on: January 19, 2022
The disease-specific clinical trial network for primary ciliary dyskinesia: PCD-CTN
Johanna Raidt1, Bernard Maitre2, Petra Pennekamp1
1Dept of General Pediatrics, University Hospital Muenster, Muenster, Germany.
Abstract:
Primary ciliary dyskinesia (PCD) is a rare genetic disorder characterised by impaired mucociliary clearance leading to irreversible lung damage. In contrast to other rare lung diseases like cystic fibrosis (CF), there are only few clinical trials and limited evidence-based treatments. Management is mainly based on expert opinions and treatment is challenging due to a wide range of clinical manifestations and disease severity. To improve clinical and translational research and facilitate development of new treatments, the clinical trial network for PCD (PCD-CTN) was founded in 2020 under the framework of the European Reference Network (ERN)-LUNG PCD Core. Applications from European PCD sites interested in participating in the PCD-CTN were requested. Inclusion criteria consisted of patient numbers, membership of ERN-LUNG PCD Core, use of associated standards of care, experience in PCD and/or CF clinical research, resources to run clinical trials, good clinical practice (GCP) certifications and institutional support. So far, applications from 22 trial sites in 18 European countries have been approved, including >1400 adult and >1600 paediatric individuals with PCD. The PCD-CTN is headed by a coordinating centre and consists of a steering and executive committee, a data safety monitoring board and committees for protocol review, training and standardisation. A strong association with patient organisations and industrial companies are further cornerstones. All participating trial sites agreed on a code of conduct. As CTNs from other diseases have demonstrated successfully, this newly formed PCD-CTN operates to establish evidence-based treatments for this orphan disease and to bring new personalised treatment approaches to patients.
Insights
A new European network for Primary Ciliary Dyskinesia (PCD) has been established to accelerate research and develop evidence-based treatments for this rare lung disease. This initiative aims to improve clinical trials and bring personalized therapies to patients with PCD.
Area of Science:
- Rare diseases
- Pulmonology
- Clinical research networks
Background:
- Primary ciliary dyskinesia (PCD) is a rare genetic disorder causing impaired mucociliary clearance and progressive lung damage.
- Limited evidence-based treatments and clinical trials exist for PCD, unlike other rare lung diseases such as cystic fibrosis (CF).
- Management of PCD is challenging due to diverse clinical presentations and disease severity, often relying on expert opinion.
Purpose of the Study:
- To establish a dedicated clinical trial network (PCD-CTN) for Primary Ciliary Dyskinesia.
- To improve clinical and translational research for PCD.
- To facilitate the development of novel, evidence-based, and personalized treatments for PCD patients.
Main Methods:
- The Primary Ciliary Dyskinesia Clinical Trial Network (PCD-CTN) was founded in 2020 under the European Reference Network (ERN)-LUNG PCD Core.
- Inclusion criteria for trial sites included patient numbers, ERN-LUNG PCD Core membership, adherence to standards of care, research experience, resources, GCP certification, and institutional support.
- Applications from 22 trial sites across 18 European countries were approved, encompassing over 1400 adults and 1600 pediatric patients with PCD.
Main Results:
- The PCD-CTN has successfully recruited 22 trial sites in 18 European countries.
- The network includes over 1400 adult and 1600 pediatric patients diagnosed with PCD.
- The PCD-CTN is structured with a coordinating center, steering and executive committees, a data safety monitoring board, and protocol review/training committees.
Conclusions:
- The newly formed PCD-CTN is poised to advance evidence-based treatments for this orphan disease.
- The network aims to foster collaboration among European PCD sites to expedite the development of new therapies.
- The ultimate goal is to deliver personalized treatment approaches to patients suffering from Primary Ciliary Dyskinesia.
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