Viewing Study NCT00004570



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Study NCT ID: NCT00004570
Status: TERMINATED
Last Update Posted: 2018-09-20
First Post: 2000-02-14

Brief Title: Hereditary Deficits in Auditory Processing Leading to Language Impairment
Sponsor: National Institute on Deafness and Other Communication Disorders NIDCD
Organization: National Institutes of Health Clinical Center CC

Study Overview

Official Title: Identification of Hereditary Auditory Temporal Processing Deficits
Status: TERMINATED
Status Verified Date: 2018-09-18
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Some children with certain language disorders may not properly process the sounds they hear resulting in language impairments The purpose of this study is to determine if deficits in auditory temporal processing the way the brain analyzes the timing and patterns of sounds are an inherited trait

Families with auditory temporal processing deficits are sought in order to identify the genes responsible for auditory temporal processing deficits Children and adults with a diagnosis or history of language impairment in the family and their family members both affected and non-affected are eligible for this two-part study In Part 1 participants undergo a series of language tests and listening tests to measure various characteristics of how they perceive sound In Part 2 they are interviewed about language disorders learning disabilities and other medical problems of family members This information is used to construct a pedigree family tree diagram showing the pattern of inheritance of family traits Study subjects whose pedigree indicates that language disorders may be hereditary in their family will provide either a small blood sample 1 to 2 tablespoons or a tissue specimen obtained from a cheek swab rubbing the inside of the cheek with a small brush or cotton swabs The sample will be used to isolate DNA for genetic analysis
Detailed Description: Objective

Recent research implicates auditory processing deficits in the etiology of language impairments but no standard methodology has been employed to determine whether auditory processing deficits are heritable traits We will investigate whether auditory processing skills and auditory processing disorders APDs are hereditary

Study Population

We will study same-sex twins healthy volunteers and individuals who score in the top or bottom 10th percentile on auditory processing tests and their first-degree family members

Design A Two-Phase Staged Study

Our approach uses the two classical methods of demonstrating heritability comparison of monozygotic MZ to dizygotic DZ concordance rates in twins and measuring familial aggregation of a trait While there are a variety of auditory processing tests in common use there is no standard battery of tests for the diagnosis of APD

Moreover the normal variation in performance on many of these tests is not known We will systematically evaluate tests of auditory processing for variation in the general population and for evidence of heritability

Phase 1 Twin study

We will evaluate a variety of auditory processing tests in MZ and same-sex DZ twins This initial phase of the study is designed to provide data so that the performance of MZ twin pairs can be compared to the performance of DZ twin pairs Statistical modeling will be used to estimate the relative contributions of heredity and environment to auditory processing skills In addition we will examine variation in auditory processing skills in the general population of twins This will allow us to identify auditory processing skills and tests that have the greatest heritable components and to establish normative data for the tests we administer

Phase 2 Family aggregation study

Based on the outcomes of Phase 1 auditory processing tests of skills with the highest heritable component will be selected for evaluation of probands Those who score in the top and bottom 10th percentile will be eligible for participation as probands in this phase of the study Variation of these skills in the general population as determined by the twin data Phase 1 or published norms when they are available will be used to determine the top and bottom 10th percentiles This same test set will be administered to probands and at least two first-degree relatives allowing us to determine whether traits related to auditory processing occur within the family at a rate greater than chance

Outcome Measures

Phase 1 outcome measures will be individual performance on tests of auditory processing skills and comparative performance of MZ and DZ co-twin pairs on these tests Phase II outcome measures will be the performance on auditory processing measures of probands and their family members and affectance rates observed in these familiesTAB

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
00-DC-0073 None None None