NIH-funded research R01 grant

Understanding early Friedreich ataxia in children to improve how we measure outcomes

Official title: Understanding early natural history to facilitate new clinical outcome assessments and trial design in children with Friedreich Ataxia (FRDA)

Funded at Children's Hosp of Philadelphia · NIH-11494983 · Data updated 2026-11-12

This study looks at how Friedreich ataxia starts and progresses in kids to create better, child-friendly measures for tracking the disease and testing treatments.

More Ataxia research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionChildren's Hosp of Philadelphia
NIH-funded
Lab location1 site (Philadelphia, United States)
Project startSeptember 1, 2026
Project endAugust 31, 2030
Funding year2026
Award (this year)$576,029
NIH project number1R01FD008864-01
Project IDNIH-11494983 on NIH RePORTER

Who could benefit from this research

Could help

Children and young adults with Friedreich ataxia who are within the early disease course and can participate in a 24-month follow-up with biomarker and digital outcome assessments.

Less likely to help

Patients with advanced FRDA or those unable to participate in digital health or blood biomarker procedures may have limited direct benefit.

What this research studies

Friedreich ataxia is a rare, childhood-onset neurodegenerative disease that worsens over time. The EARLY-FA project will enroll 125 children and young adults with FRDA to map the early disease course over two years using digital health tools and new biomarkers. Researchers will study how growth, puberty, body composition, and FRDA features relate to outcomes and identify blood-based biomarkers that reflect disease severity. They will also test new digital measures of ataxia to capture functional changes more precisely. This work will also utilize data from a larger global natural history effort (UNIFAI) to strengthen understanding of early FRDA.

Why it matters

Potential benefit: If successful, the findings could enable earlier, more accurate tracking of disease progression and faster evaluation of new therapies in children with FRDA.

How similar studies have gone: Previous natural history studies and biomarker work in FRDA support the feasibility of this approach, though the early pediatric focus is relatively novel.

Where this research is happening

  • Children's Hosp of Philadelphia
    Philadelphia, United States
    Active

Researchers

  • Principal investigator: Lynch, David Robinson — Children's Hosp of Philadelphia
  • Study coordinator: Lynch, David Robinson

Related research

Other NIH-funded projects on the same topics.

  • Blocking the p38 stress protein to help people with Friedreich ataxia

    Looks at whether blocking the p38 stress-response protein can improve cell health and reduce nerve and heart damage in people with Friedreich ataxia.

    NIH research Children's Hosp of Philadelphia · Philadelphia, United States · NIH-11325344

  • Targeting p38 MAPK to treat Friedreich ataxia

    This study is looking at how a specific pathway in the body might be making Friedreich ataxia worse, and it hopes to find new treatments that could help improve symptoms and slow down the disease for those living with it.

    NIH research Children's Hosp of Philadelphia · Philadelphia, United States · NIH-11049076

  • Modeling Ataxia Telangiectasia in a human stem cell model of Purkinje cells

    Researchers are creating a patient-derived, human cell model of Purkinje cells to understand why this brain disease causes cerebellar degeneration in people with Ataxia Telangiectasia.

    NIH research Rockefeller University · New York, United States · NIH-11605226

  • VEGF-mimetic nanoparticles to help spinocerebellar ataxia type 1

    A new, patient-friendly approach is being developed to deliver a VEGF-like therapy using tiny particles that could protect brain cells in spinocerebellar ataxia type 1.

    NIH research Northwestern University · Chicago, United States · NIH-11565549

  • Targeting FICD to Help Spinocerebellar Ataxia Type 3 (SCA3)

    A brain-focused project tests whether blocking FICD, a protein in cells’ ER quality system, can slow or prevent damage in people (via animal and cell studies) who have spinocerebellar ataxia type 3.

    NIH research University of Michigan at Ann Arbor · Ann Arbor, United States · NIH-11437540

  • Understanding how unstable GAA repeats affect Friedreich’s ataxia progression

    A study in adults and children with Friedreich’s ataxia will look at how changes in GAA repeat length inside the FXN gene relate to the disease’s start and progression.

    NIH research Ut Southwestern Medical Center · Dallas, United States · NIH-11432740

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.