Blog

The ROSA research has been published. To all participants, thank you very much!

"Het

Doesjka Hagenaar's research on the ROSA research has been published. We are pleased that everyone can now read it and would especially like to thank all participants. Doesjka's research focuses on finding suitable ways to measure the functioning of people with Angelman syndrome, with the aim of better measuring whether treatments work. If you would like to read the full publication, click here.

Background

Angelman syndrome (AS) is a rare neurological disorder characterized by intellectual disability, little to no expressive speech, visual and motor problems, behavioral problems, and a tendency to overeat and weight gain. The characteristics of AS make it difficult to measure the functioning of these children with standard clinical tests. Achievable outcome measures are needed to measure current functioning and change over time, both in clinical practice and clinical trials.

Goal

Our first goal is to assess the feasibility of different functional tests. We focus on the domain of neurocognitive functions and physical growth using the following measurement methods: eye-tracking, functional Near-Infrared Spectroscopy (fNIRS), indirect calorimetry, bioimpedance analysis (BIA), and BOD POD (air displacement plethysmography). Our second goal is to explore the results of the above measurements to better understand the AS phenotype.

Methods

The study population consisted of 28 children with AS aged 2-18 years. We defined an outcome measure as feasible when (1) at least 70% of participants successfully completed the measure and (2) at least 60% of those participants had acceptable data quality. Modifications to the testing procedure and reasons for early termination were noted. Parents rated feasibility and importance and were invited to make recommendations to increase feasibility. The results of the measurements were explored.

Results

Outcome measures obtained with eye-tracking and BOD POD met the definition of feasibility, while fNIRS, indirect calorimetry and BIA did not. The main reasons for early termination of measurements were signs of protest, inability to sit still and poor/no calibration (specifically for eye tracking). Post-calibration was often applied to obtain valid eye-tracking results. Parents rated the BOD POD as most acceptable and fNIRS as least acceptable for their child. All outcome measures were assessed as important. Exploratory results showed longer reaction times to highly salient visual stimuli (eye-tracking) as well as high body fat percentage (BOD POD).

Conclusions

Eye tracking and BOD POD are feasible measurement methods for children with AS. Eye tracking was successfully used to assess visual orientation functions in the current study and (with some practical modifications) can potentially be used to assess other outcomes as well. BOD POD was successfully used to investigate body composition.

Today is RARE DISEASE DAY!

"Vandaag

Today is Rare Disease Day, a day when we want to raise awareness for people suffering from rare diseases. A group of people that is not that rare if you add everyone up. There are more than 300 million people worldwide with a rare disease.

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WANTED! Student for designing information material about sleep problems in children with Angelman syndrome.

"Gezocht!

Wat zoeken we: we weten wat we willen vertellen, maar vormgeven kunnen we niet. We zoeken een student die met ons samen hieraan wil werken en die is staat is om deze video’s van een grafische vormgeving te voorzien. We denken bijvoorbeeld aan een geanimeerde infographic/tekeningen. We willen bewust geen filmpje van een echt kind, omdat we denken dat dat het voor ouders minder makkelijk maakt om hun eigen situatie op de informatie te projecteren.

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Research into the use of the drug Gaboxadol in children with Angelman Syndrome completed

"Onderzoek

In 2019 and 2020, we participated in an international study with the ENCORE expertise center for Angelman Syndrome into the effect of the drug gaboxadol in children with Angelman Syndrome. This is a drug that stimulates the GABA delta receptor. Dutch children also participated.

In a previous study in which all participants received gaboxadol, clear positive effects were measured on daily functioning. In the current study, a lottery was done between gabaxadol and placebo. The results showed an improvement in both the children who received placebo and those who received gabaxadol. So there was no improvement with the gabaxadol. There were also no serious side effects. This again shows that a study with a placebo group is really important to know for sure whether a treatment is effective.

We thank the participants and their parents. The article with all the results has now been published. Click here to read the article (link valid until October 15)

UNIEK op de radio!

"UNIEK

Our PhD student Kamil Hiralal was a guest in the Radio 1 program 'De Nacht van NTR' where he talked about his research into the genetics of autism spectrum disorder.

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