Studying Nerve Function and Structure in Charcot-Marie-Tooth Disease, Anti-MAG Neuropathy and CIDP
NCT07461896 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 39
Last updated 2026-03-10
Summary
The project aims to perform both conventional nerve-conduction studies and axonal-excitability assessments using the TRONDF protocol in patients with selected forms of Charcot-Marie-Tooth disease, with comparison to individuals affected by dysimmune, acquired neuropathies, specifically chronic inflammatory demyelinating polyneuropathy (CIDP) and anti-MAG-neuropathy. The study further includes the analysis of nerve fibers obtained from skin biopsy in patients with CMT, as well as ultrasound evaluation of nerves (from the wrist to the axilla) and of intrinsic hand muscles. Axonal-excitability techniques involve the delivery of two electrical stimuli to the nerve under investigation; both stimuli vary in intensity, whereas only the first, known as the conditioning stimulus, varies in duration. Changes in response amplitude are then measured as these stimulation parameters are systematically adjusted. Some preliminary studies have already suggested the effectiveness of this method in distinguishing CMT1A from certain forms of acquired demyelinating disease, including acute inflammatory demyelinating polyradiculoneuropathy (AIDP) and CIDP. Despite the promising results, only a limited number of studies have so far been conducted in humans and mice, and no comprehensive and systematic study has yet been carried out describing the changes in axonal excitability in the various CMT subtypes, either in humans or in mouse models.
Conditions
- Charcot-Marie-Tooth
- CMT1A
- Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
- Polyneuropathy Associated With Anti-MAG Antibodies (Anti-MAG Polyneuropathy)
- Anti-MAG Neuropathy
Sponsors & Collaborators
-
Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta
lead OTHER
Principal Investigators
-
Davide Pareyson, MD · Fondazione IRCCS Istituto Neurologico Carlo Besta
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-03-03
- Primary Completion
- 2026-05-31
- Completion
- 2026-05-31
Countries
- Italy
Study Locations
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