Understanding Spastic Ataxias and their biomarkers

Phenotypes, Biomarkers and Pathophysiology in Spastic Ataxias

Observational University Hospital Tuebingen · NCT04297891

This study is trying to learn more about spastic ataxias and related disorders by tracking how they change over time in participants and looking for genetic clues that could help explain these conditions.

Quick facts

Study typeObservational
Enrollment250 (estimated)
SexAll
SponsorUniversity Hospital Tuebingen Academic / other
Locations9 sites (Montreal,, Quebec and 8 other locations)
Trial IDNCT04297891 on ClinicalTrials.gov

What this trial studies

This observational study aims to explore the clinical spectrum and natural progression of Spastic Ataxias (SPAX) and related disorders through a multicenter natural history approach. Participants will undergo annual standardized clinical examinations and may provide biosamples for biomarker analysis. The study will also investigate genetic etiology and molecular mechanisms, utilizing next-generation sequencing for those without a genetic diagnosis. By establishing a model of disease progression, the study seeks to enhance understanding of cerebellar and corticospinal tract dysfunction.

Who should consider this trial

Good fit: Ideal candidates include individuals with a genetic diagnosis of ARSACS or SPG7 who are clinically manifesting the disease.

Not a fit: Patients without a genetic diagnosis or those with unrelated neurological or psychiatric diseases may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved diagnostic tools and therapeutic strategies for patients with Spastic Ataxias.

How similar studies have performed: Other studies focusing on natural history and biomarker identification in neurodegenerative diseases have shown promise, suggesting potential for success in this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ARSACS cohort: genetic diagnosis of ARSACS and clinically manifest disease
* SPG7 cohort: genetic diagnosis of SPG7 and clinically manifest disease
* Unrelated healthy controls: no signs or history of neurological or psychiatric disease

AND

* written informed consent provided

AND

* Participants are willing and able to comply with study procedures

Exclusion Criteria:

* Missing informed consent
* For controls: evidence of a neurodegenerative disease or movement disorders; inability to give informed consent

Where this trial is running

Montreal,, Quebec and 8 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 Spastic AtaxiaBiomarkerGenetic etiologyMolecular mechanismsNatural History Study
Last reviewed 2026-06-13 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.