Clinical trial Recruiting at 1 site Interventional Ages 18 to 70

Studying early signs of hereditary spastic paraplegia in at-risk individuals

Official title: Studying the Prodromal and Early Phase of Hereditary Spastic Paraplegia Type 4 (SPG4)

Run by University Hospital Tuebingen · NCT03206190 · Data updated 2026-11-12

This study is trying to find early signs of hereditary spastic paraplegia in people who might be at risk, to better understand how the disease develops before symptoms show up.

More Hereditary Spastic Paraplegia trials

Quick facts

Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment200 (estimated)
SponsorUniversity Hospital Tuebingen
Academic / other
Locations1 site (Tübingen)
StatusRecruiting
StartedJuly 1, 2018
Main results expectedDecember 2029
Study endsDecember 2031
Registry record updatedAugust 23, 2022
Trial IDNCT03206190 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include first-degree relatives of SPG4 patients or symptomatic individuals with a known SPAST mutation, aged 18 to 70 years.

Probably not a fit

Patients without a known SPAST mutation in their family or those with manifest spastic gait may not benefit from this study.

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

What this trial studies

This study aims to collect prospective longitudinal data on the natural progression of hereditary spastic paraplegia type 4 (SPG4) in presymptomatic mutation carriers and those in the early stages of the disease. It will utilize various interventions, including clinical assessments, cognitive testing, lumbar punctures, blood draws, MRI scans, and electrophysiological evaluations to identify biomarkers that provide objective measures of disease activity. The goal is to better understand the disease before clinical symptoms appear and to track its early progression.

Why it matters

Potential benefit: If successful, this study could lead to earlier diagnosis and intervention strategies for individuals at risk of developing hereditary spastic paraplegia.

How similar studies have gone: While there have been studies on hereditary spastic paraplegia, this specific approach focusing on presymptomatic carriers and early biomarkers is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* First degree relatives (parents, offspring, and sibs) of SPG4 patients or symptomatic individuals with known SPAST mutation
* Age 18 to 70 years
* Written, informed consent (patient)

Exclusion Criteria:

* No known SPAST-mutation within the family
* Manifest spastic gait (subclinical signs like increased deep tendon reflexes, positive Babinski sign are allowed)
* Participation in interventional trials

Where it's running

  • University Hospital Tübingen, Center for Neurology
    Tübingen, Germany
    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.