Lifetime Impact Study for Achondroplasia

Study Overview
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Brief Summary
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Observational study looking at the burden of illness in achondroplasia subjects aged 3 and above. The study will include a 3 year review of historical clinical data as well as a single point collection of questionnaire data to look at the impact on the following in individuals with achondroplasia versus a normative population: Quality of life Clinical burden Healthcare resource use Socio-economic burden Psychosocial burden Up to 175 subjects will be enrolled in sites in Argentina, Colombia and Brazil.

Detailed Description
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This is a multinational, epidemiological, observational, retrospective, cross-sectional study of individuals with achondroplasia (subjects). This study will be conducted at up to approximately 4 sites in Latin American Countries - Brazil, Argentina and Colombia. Subjects will be identified for participation in the study via three routes: During routine hospital visits From clinic lists of those previously treated but no longer followed at the study site. Through collaboration of the Investigator with Achondroplasia patient organizations, other Achondroplasia-related organizations, other healthcare professionals in their country and Achondroplasia-related social media sites. A recruitment flyer will be provided to these organizations, healthcare professionals and distributed to potential subjects. Data will be collected over a minimum of the three years prior to the date of enrolment. Clinical and healthcare resource use data will be collected from medical records. For each subject enrolled, data from medical records will be collected and entered onto an electronic case report form (eCRF) at each site. Data collection from medical records will be supplemented by records provided by the subject and, if necessary, confirmed by the family Doctor. Data about QoL, mobility, psychosocial burden, socio-economic burden and healthcare resource use will be collected via a booklet of validated and structured questionnaires. Characteristics of subjects with achondroplasia (QoL scores, healthcare resource use, educational level, family status, employment status) will be compared with those of the general population, where available. As this is an observational study, participation will not affect the subject/Investigator relationship, nor influence Investigator's treatment, therapeutic or other management of the subject. Subject participation onto the study will be voluntary, without financial support to the subject.

Official Title
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Lifetime Impact Study for Achondroplasia (LISA)

Conditions
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Achondroplasia

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Individual with a documented diagnosis of achondroplasia based on: Genetic confirmation of achondroplasia and/or Clinical diagnosis of achondroplasia (clinical examination and/or radiological assessment) ≥ three years of age at the time of enrollment Has the cognitive and linguistic capacities necessary to complete questionnaires in the language of his/her country (and/or parents/legally acceptable representatives, as applicable) Agrees to participate in the study and has read, understood, completed and signed: Informed Consent Form (ICF) - for adult subjects Informed Assent Form (IAF) - for minor subjects, accompanied by a parental ICF completed by their parents/legally acceptable representatives. The age at which the minor subjects sign the IAF will be subject to local requirements. Has medical records available for the three years prior to the date of enrollment. Exclusion Criteria: Currently participating, or participated in the last six months, in a clinical trial of a medicinal product or medical device or other non-clinical or low interventional studies Currently participating or has participated in any BioMarin study at any time.

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Cohort 1<br>Includes age group 3-5 with a cap at 20 subjects. This is a retrospective, observational study | |
| Cohort 2<br>Includes age group 6-10 with a cap at 30 subjects. This is a retrospective, observational study | |
| Cohort 3<br>Includes age group 11-15 with a cap of 30 subjects. This is a retrospective, observational study | |
| Cohort 4<br>Includes age group 16-20 with a cap of 20 subjects. This is a retrospective, observational study | |
| Cohort 5<br>Includes age group 21-30 with a cap at 20 subjects. This is a retrospective, observational study | |
| Cohort 6<br>Includes age group 31-40 with a cap at 20 subjects. This is a retrospective, observational study | |
| Cohort 7<br>Includes age group 41 and over with a cap at 35 subjects. This is a retrospective, observational study | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Healthcare resource use | Healthcare resource use will be collected from medical records and through patient questionnaires. Data collection from medical records will be supplemented by records provided by the subject and, if necessary, confirmed by the family doctor. Healthcare resource use will be collected via validated and structured questionnaires | Once at start of study per subject through completion of questionnaires and via retrospective review of historical data. These will be assessed at end of study with the final Clinical Study Report, May 2020 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Socio-economic burden | Data about socio-economic burden will be collected via validated and structured questionnaires specifically the Work and Productivity and Activity Impairment (WPAI-SHP) | Once at start of study per subject through completion of questionnaires and via retrospective review of historical data. These will be assessed at end of study with the final Clinical Study Report, May 2020 | 
| Pediatric Functional Independence Measure (WeeFIM) | The WeeFIM measures the need for assistance and the severity of disability in children between six months and seven years of age. The instrument consists of 18 items covering three domains: self-care, mobility, and cognition. The mean total score within each domain and the overall total score will be summarized. The study will be assessing subjects aged from 3 to 17 years | Once at start of study per subject through completion of questionnaires and via retrospective review of historical data. These will be assessed at end of study with the final Clinical Study Report, May 2020 | 
| Adolescent Pediatric Pain Tool (APPT) | The APPT is an instrument for self-reporting of pain by children and adolescents aged 8-17 years. Five subscale scores will be summarized on the analysis population | Once at start of study per subject through completion of questionnaires and via retrospective review of historical data. These will be assessed at end of study with the final Clinical Study Report, May 2020 | 
| Pediatric Quality of Life Inventory (PedsQL) | The PedsQL is comprised of four dimensions: Physical, Emotional, Social, and School Functioning. The overall score for each dimension is defined as the mean score for each item involved in the dimension. The overall score for each dimension and the mean total score across dimensions will be summarized for each report. | Once at start of study per subject through completion of questionnaires and via retrospective review of historical data. These will be assessed at end of study with the final Clinical Study Report, May 2020 | 
| Quality of Life Short Stature Youth (QoLiSSY) Questionnaire | The QoLISSY Questionnaire for children and adolescents consists of the core QOL dimensions: Physical, Social and Emotional, and three predictors of quality of life: Coping, Beliefs and Treatment. The QoLISSY total score is calculated by the sum of the means in the physical, social and emotional sub-scales divided by 3. | Once at start of study per subject through completion of questionnaires and via retrospective review of historical data. These will be assessed at end of study with the final Clinical Study Report, May 2020 | 
| Nottingham Health Profile(NHP) Questionnaire | The NHP is a generic quality of life survey used to measure subjective physical, emotional, and social aspects of health. The NHP total score is calculated by averaging the six domain scores. | Once at start of study per subject through completion of questionnaires and via retrospective review of historical data. These will be assessed at end of study with the final Clinical Study Report, May 2020 | 
| Brief Pain Inventory-Short Form (BPI-SF) Questionnaire | The BPI-SF is used to assess clinical pain. A mean severity score and mean interference score will be calculated and summarized for the analysis population | Once at start of study per subject through completion of questionnaires and via retrospective review of historical data. These will be assessed at end of study with the final Clinical Study Report, May 2020 | 
| EuroQol - 5 Dimensions - 5 Levels (EQ-5D-5L) Questionnaire | EQ-5D-5L questionnaire has 5 dimensions: Mobility, Human Autonomy, Current Activities, Pain / Discomfort, Anxiety / Depression and all dimensions are described by 5 problem levels corresponding to patient response choices. A quality of life score is obtained according to the answers to the questionnaires. | Once at start of study per subject through completion of questionnaires and via retrospective review of historical data. These will be assessed at end of study with the final Clinical Study Report, May 2020 | 
| Child Behaviour Checklist (CBCL) | The CBCL questionnaire is completed by the parent to assess the child behavioral and emotional problems. The questions are grouped into eight categories which focus on different aspects of behavior: aggressive behavior, anxious/depressed, attention problems, rule-breaking behavior, somatic complaints, social problems, thought problems and withdrawn/depressed. | Once at start of study per subject through completion of questionnaires and via retrospective review of historical data. These will be assessed at end of study with the final Clinical Study Report, May 2020 | 
| Understanding the Impact of Achondroplasia on Quality of Life Questionnaire | Impact on anxiety, depression, sleep disturbance and impact on relationships with others (spouse/partner family members, friends), social life and activities, perception of health, self-esteem, plans/ambitions for the future. | Once at start of study per subject through completion of questionnaires and via retrospective review of historical data. These will be assessed at end of study with the final Clinical Study Report, May 2020 |