Using multi-omics to diagnose mitochondrial diseases
Official title: Interest of Multi-omics (WES / RNA-Seq) Approach to Fight Against the Diagnostic Deadlock in Mitochondrial Diseases
Run by Centre Hospitalier Universitaire de Nice · NCT04920812 · Data updated 2026-11-12
This study is testing a new way to diagnose mitochondrial diseases by looking closely at RNA from muscle and skin samples of patients who have had unclear genetic test results.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 66 (estimated) |
| Sponsor | Centre Hospitalier Universitaire de Nice Academic / other |
| Locations | 9 sites (Nice, CHU de NICE and 8 other locations) |
| Status | Recruiting |
| Started | March 7, 2022 |
| Main results expected | March 7, 2022 |
| Study ends | September 7, 2025 |
| Registry record updated | February 25, 2025 |
| Trial ID | NCT04920812 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients suspected of mitochondrial diseases with muscular signs and negative mitochondrial DNA and whole exome sequencing results.
✕Probably not a fit
Patients with suspected mitochondrial diseases that do not involve muscle or those with identified causal variants will 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
MITOMICS focuses on improving the diagnosis of mitochondrial diseases by analyzing RNA sequencing results from muscle and fibroblast samples. The study includes 66 patients suspected of mitochondrial myopathy who have previously undergone negative mitochondrial DNA and whole exome sequencing. By employing a novel computational approach that integrates multi-omics data, the study aims to identify which RNA-Seq results are most informative for interpreting variants of uncertain significance (VUS) found in genetic testing. This innovative methodology seeks to enhance diagnostic accuracy and identify specific molecular signatures associated with mitochondrial diseases.
Why it matters
Potential benefit: If successful, this study could lead to more accurate diagnoses for patients with mitochondrial diseases, enabling better-targeted treatments.
How similar studies have gone: Previous studies have shown that combining whole exome sequencing with RNA sequencing can improve the diagnosis of mitochondrial diseases, indicating a promising approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients suspected of a mitochondrial disease with muscular signs (clinical, histological or biochemical) * Patients with negative mtDNA and WES NGS in trio * Patients with routine muscle and skin biopsies available * Blood samples from parents and / or relatives available for segregation studies * Informed consent of the study signed by the patient or the legal representatives of the minor patient or under guardianship * Patients affiliated to social security Exclusion Criteria: * Patients with suspected mitochondrial disease without muscle involvement * Patients for whom the mtDNA NGS and WES have not been performed * Patients with suspected mitochondrial disease with causal variant identified * Refusal to sign the informed consent for the study * Insufficient amount of frozen material or culture failure for fibroblasts
Where it's running
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CHU de Nice
Nice, CHU de NICE, France Recruiting -
Chu de Nantes
Nantes, France, France Recruiting -
chu Angers
Angers, France Recruiting -
Aphm
Marseille, France Recruiting -
Aphm
Marseille, France Recruiting -
Chu Montpellier
Montpellier, France Recruiting
Show 3 more locations
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C.H.R.U. Brest
Brest, France, France Not yet recruiting -
Chu Brest
Brest, France Not yet recruiting -
CHU Nantes
Nantes, France Not yet recruiting
Study contacts
- Principal investigator: Sylvie Bannwarth — Centre Hospitalier Universitaire de Nice
- Study coordinator: Sylvie Bannwarth
- Email: bannwarth.s@chu-nice.fr
- Phone: 0492034702
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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.