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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 27 (estimated) |
| Sponsor | University Hospital, Rouen Academic / other |
| Locations | 1 site (Rouen) |
| Status | Recruiting |
| Started | May 15, 2025 |
| Main results expected | January 15, 2027 |
| Study ends | January 15, 2027 |
| Registry record updated | January 12, 2026 |
| Trial ID | NCT07332702 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
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CHU Rouen
Rouen, France Recruiting
Study contacts
- Study coordinator: Pascale Saugier-Veber, PharmD PhD
- Email: Pascale.Saugier-Veber@chu-rouen.fr
- Phone: (+33) 2 32 88 64 51
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Newborn SMA Screening Service Evaluation
This project tests newborn SMA screening to see if it works well and is acceptable to families in the UK.
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Biomarker search in SMA using advanced multi-omics
Researchers are trying to see if new biomarkers can help diagnose and monitor spinal muscular atrophy in patients and newborns.
-
Effects of Different Stiffness Settings During Robotic Isokinetic Training in Children With SMA
This study tests whether a portable knee-training robot with a compliant vs. rigid stiffness setting improves knee strength in children with spinal muscular atrophy, using each child’s other leg as a comparison.
-
Wearable monitoring of motor development in babies and young children with spinal muscular atrophy detected at birth
This project will try wearing small motion sensors at home to see if they can track how babies and young children diagnosed with spinal muscular atrophy at birth move and develop, compared with healthy children.
-
HABIT-ILE plus Functional Strength Training for Children with SMA
This study will try an intensive HABIT-ILE program combined with functional strength training for children aged 5–17 with SMA who are on stable disease-modifying therapy to see if it improves motor skills.
-
Portable markerless video system to measure walking in adults with neuromuscular conditions or healthy volunteers.
This project will test a portable video device that measures walking patterns to see if it can track gait changes in adults with neuromuscular diseases and in healthy volunteers.
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.