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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 3 Years to 18 Years |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | University of Cagliari Academic / other |
| Locations | 5 sites (Cagliari, Cagliari and 4 other locations) |
| Status | Recruiting |
| Started | August 8, 2024 |
| Main results expected | February 28, 2027 |
| Study ends | February 28, 2027 |
| Registry record updated | July 31, 2026 |
| Trial ID | NCT07718958 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
- Study coordinator: Monica MF Puligheddu, MD, PHD
- Email: puligheddu@unica.it
- Phone: 070 5109 6016
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.