Observing the natural progression of RFC1 repeat expansion disease

RFC1 Natural History Study

Observational University Hospital Tuebingen · NCT05177809

This study is trying to understand how RFC1 repeat expansion disease affects people over time and to find helpful markers for diagnosis and future treatments.

Quick facts

Study typeObservational
Enrollment150 (estimated)
Ages18 Years and up
SexAll
SponsorUniversity Hospital Tuebingen Academic / other
Locations10 sites (Melbourne, Victoria and 9 other locations)
Trial IDNCT05177809 on ClinicalTrials.gov

What this trial studies

This international, multi-center observational study aims to explore the phenotypic spectrum and natural progression of RFC1 repeat expansion disease, a form of ataxia that typically presents in late adulthood. Participants will undergo annual assessments that include standardized clinical examinations and optional biosample donations for biomarker analysis. The study will utilize a clinical database to track data and outcomes, while also potentially incorporating various additional examinations to capture the disease's multisystemic effects. The goal is to identify reliable biomarkers that can aid in diagnosis and serve as outcome measures for future clinical trials.

Who should consider this trial

Good fit: Ideal candidates include individuals with a genetic diagnosis of bi-allelic pathogenic repeat expansions in RFC1.

Not a fit: Patients with evidence of neuropathy, neurodegenerative disease, or movement disorders, as well as those unable to provide informed consent, may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved diagnostic tools and outcome measures for patients with RFC1 repeat expansion disease.

How similar studies have performed: While this study employs a novel approach to understanding RFC1 repeat expansion disease, similar observational studies have shown success in characterizing other genetic ataxias.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* RFC1: genetic diagnosis of bi-allelic pathogenic repeat expansions in RFC1
* Unrelated healthy controls: no signs or history of neurological or psychiatric disease AND
* Written informed consent AND
* Participants are willing and able to comply with study procedures

Exclusion Criteria:

* RFC1: Missing informed consent
* Controls: evidence of neuropathy, neurodegenerative disease, or movement disorder; inability to give informed consent

Where this trial is running

Melbourne, Victoria and 9 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions AtaxiaRFC1CANVASNatural History StudyBiomarker
Last reviewed 2026-06-10 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.