Clinical trial Recruiting at 1 site Observational Ages 3 to 18

Biomarkers for PANS: Diagnosing and Tracking Pediatric Neuropsychiatric Symptoms

Official title: BIOMA-PANS - Diagnostic and Treatment-response BIOMArkers in Children and Adolescents With PANS (Pediatric Acute-onset Neuropsychiatric Syndrome)

Run by University of Cagliari · NCT07718958 · Data updated 2026-11-12

This study tests a panel of biomarkers to help diagnose PANS in children and see if they reflect disease course and response to treatment.

More PANS trials

Quick facts

Study typeObservational
Ages3 Years to 18 Years
SexAll
Enrollment80 (estimated)
SponsorUniversity of Cagliari
Academic / other
Locations5 sites (Cagliari, Cagliari and 4 other locations)
StatusRecruiting
StartedAugust 8, 2024
Main results expectedFebruary 28, 2027
Study endsFebruary 28, 2027
Registry record updatedJuly 31, 2026
Trial IDNCT07718958 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Children diagnosed with PANS according to NIH criteria (2010) who do not have active cancer, severe comorbidity, or ongoing anti-inflammatory steroid treatment.

Probably not a fit

Children with PANS who do not show distinct biomarker signals or do not respond to the enrolled treatments may not experience a measurable benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study will identify neurophysiological, molecular, genetic, and metabolomic biomarkers linked to onset, progression, and treatment response in pediatric PANS. All enrolled participants will undergo overnight polysomnography and EEG, along with analyses such as 1H-NMR and miRNA sequencing, at baseline and after treatment. Sleep patterns, EEG features, and other biomarker data will be analyzed to define objective associations with clinical status using standard criteria. The goal is to improve diagnostic accuracy and enable more targeted therapeutic strategies. The study is conducted across multiple Italian centers with a lead role at the University of Cagliari.

Why it matters

Potential benefit: If successful, the biomarker panel could enable earlier diagnosis and more personalized treatment plans for children with PANS.

How similar studies have gone: Previous work suggests sleep disturbances and neurophysiological changes in PANS; this study builds on evolving evidence but remains exploratory.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* (I) PANS diagnosis made according to 2010 NIH criteria

Exclusion Criteria (for the PANS group):

* (I) onset of specific rheumatologic or immunologic diseases;
* (II) presence of a diagnosed cancer or other severe medical illnesses;
* (III) active treatment with steroidal or non-steroidal anti-inflammatory drugs

The control group must include children without autoimmune diseases, neurodevelopmental or psychiatric disorders, and with adequate academic performance and functional level.

Where it's running

  • Azienda Ospedaliera Universitaria Gaetano Martino
    Messina, Messina, Italy
    Recruiting
  • Centro di Medicina del Sonno, SC Neurologia, AOU Cagliari
    Cagliari, Cagliari, Italy
    Active not recruiting
  • Università degli Studi eCampus
    Novedrate, Co, Italy
    Active not recruiting
  • UOC Neuropsichiatria
    Troina, Enna, Italy
    Active not recruiting
  • Dipartimento di Scienze Psicologiche, Pedagogiche, dell¿Esercizio Fisico e della Formazione
    Palermo, Palermo, Italy
    Active not recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Investigating markers in children with sudden-onset neuropsychiatric symptoms

    This study is testing if certain biological markers in children with sudden neuropsychiatric symptoms can help us understand Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) better.

    Recruiting Stanford University · Palo Alto, California · NCT02889016

  • Study on Pediatric Autoimmune Neuropsychiatric Disorders Linked to Streptococcus

    This study is looking at how common certain neuropsychiatric disorders are in children aged 3-17 and how they might be linked to a specific type of bacteria called Group A streptococcus.

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.