Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Long-read genetic analysis for Spinal Muscular Atrophy (LOREASI)

Official title: Detection of Cis Duplications of the SMN1 Gene Using Long-read Analysis to Address a Major Issue in Genetic Counseling for Spinal Muscular Atrophy

Run by University Hospital, Rouen · NCT07332702 · Data updated 2026-11-12

This project tries a long-read DNA technique on adults with known SMN1 copy-number patterns to find hidden '2+0' carrier genotypes that standard tests miss.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment27 (estimated)
SponsorUniversity Hospital, Rouen
Academic / other
Locations1 site (Rouen)
StatusRecruiting
StartedMay 15, 2025
Main results expectedJanuary 15, 2027
Study endsJanuary 15, 2027
Registry record updatedJanuary 12, 2026
Trial IDNCT07332702 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults affiliated with French health insurance who have prior SMN1 copy-number results showing 1 or 3 copies (controls) or 2 copies in cis (2+0, test group) and who can give informed consent are ideal candidates.

Probably not a fit

Pregnant or breastfeeding women, individuals under legal guardianship or detention, people without relevant SMN1 copy-number data, or those outside the French health system are unlikely to benefit from participation.

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

What this trial studies

Spinal Muscular Atrophy (SMA) is caused by loss of the SMN1 gene, and some carriers are not detected because two SMN1 copies can sit side-by-side on one chromosome (a 2+0 genotype). This study uses ultra-long molecule analysis and optical mapping (Bionano) on blood samples to detect cis duplications of SMN1 in the complex 5q11-q13 region. Participants with 1 or 3 SMN1 copies serve as controls while those with 2 copies in cis (2+0) form the test group, allowing comparison of detection performance against current diagnostic approaches. The goal is to determine whether these technologies can reliably reveal 2+0 genotypes to improve genetic counseling and carrier screening.

Why it matters

Potential benefit: If successful, the technique could reduce missed SMA carriers and improve accuracy of preconception genetic counseling.

How similar studies have gone: Early research using long-read sequencing and optical mapping has shown promise for resolving complex SMN1/SMN2 rearrangements, but routine clinical detection of 2+0 genotypes remains largely novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

• Adult Subject:

* Subject with either:

  * 1 or 3 copies of the SMN1 gene (control group) and a variable number of copies of the SMN2 gene
  * 2 copies of the SMN1 gene in cis (2+0 genotype) (test group)
* Affiliation to French health insurance
* Signed consent form

Exclusion Criteria

* Pregnant or breastfeeding women
* Individuals deprived of liberty by an administrative or judicial decision, or those under guardianship or curatorship

Where it's running

  • CHU Rouen
    Rouen, France
    Recruiting

Study contacts

Similar studies

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

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.