RECRUITING

Neurobiologic, Immunologic, and Rheumatologic Markers in Youth With PANS

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This study is an investigation of the neurologic, immunologic, and rheumatologic markers of Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS). PANS is a condition characterized by the abrupt, dramatic onset of obsessive compulsive disorder (OCD) and/or eating restriction accompanied by equally abrupt and severe co-morbid neuropsychiatric symptoms, which include anxiety, emotional lability, depression, irritability, aggression, oppositionality, deterioration in school performance, behavioral (developmental) regression, sensory amplification, movement abnormalities, sleep disturbance, and urinary frequency. PANS is thought to be caused by infection, inflammation, or alternate triggers that is associated with a brain response that leads to these symptoms. The purpose of this study is to examine specific neurologic, immunologic, rheumatologic, and genomic, components in children with the acute-onset of psychiatric symptoms. This research may begin to uncover a much larger story of autoimmune processes that are involved in psychiatric disorders of childhood. By better understanding the etiologic components of psychiatric phenomenon, future treatments may be better targeted to underlying causes.

Quick Facts

Study Start:2013-03
Study Completion:2028-03
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT02889016

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:4 Years to 18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:Yes
Standard Ages:CHILD, ADULT
Inclusion CriteriaExclusion Criteria
  1. * Children with PANS
  2. 1. Age 1-18 at onset of PANS
  3. 2. Diagnosis of PANS: abrupt onset of OCD or food restriction, and at least two of the following associated symptoms: frequent urination, worsening handwriting/cognition, inattention, anorexia, separation anxiety, oppositionality, irritability/rage outbursts, and emotional lability.
  4. 3. Patients must live within 90 miles of Stanford University and have a new onset of PANS illness
  5. 4. Patients must have an established pediatrician within 90 miles of Stanford University for 3 years.
  6. * Healthy Controls
  7. 1. Age 4-18
  8. 2. No psychiatric diagnosis
  1. * Any neuropsychiatric illness that may obscure the clear diagnosis of PANS

Contacts and Locations

Study Contact

Joanne Cheung
CONTACT
pansresearch@stanford.edu
Ellen Spartz
CONTACT

Study Locations (Sites)

Stanford University
Palo Alto, California, 94305-5906
United States

Collaborators and Investigators

Sponsor: Stanford University

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2013-03
Study Completion Date2028-03

Study Record Updates

Study Start Date2013-03
Study Completion Date2028-03

Terms related to this study

Keywords Provided by Researchers

  • PANS
  • PANDAS

Additional Relevant MeSH Terms

  • Pediatric Acute-Onset Neuropsychiatric Syndrome
  • Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infections
  • PANS
  • PANDAS