Dystonia Coalition

At a Glance
  • Status: Active Consortium
  • Year Launched: 2009
  • Initiating Organization: NIH Rare Disease Clinical Research Network
  • Initiator Type: Government
  • Disease focus:
    Blepherospasm, Cervical Dystonia, Craniofacial Dystonia, Limb Dystonia, Spasmodic Dysphonia
  • Location: International

Abstract

The Dystonia Coalition is a collaboration of medical researchers and patient advocacy groups supported by the Office of Rare Diseases Research in the National Center for Advancing Translational Sciences and the National Institute of Neurological Disorders and Stroke at the National Institutes of Health (NIH).

Mission

The Dystonia Coalition’s mission is to advance the pace of clinical and translational research in the dystonias to find better treatments and a cure. Its objectives are to develop a fuller understanding of the many different features of dystonia and how they change over the years, develop validated diagnostic strategies and rating tools for diagnosis and monitoring patients in clinical trials, establish a biorepository where samples of blood and other materials can be stored and distributed for research,  catalyze clinical trials for promising new treatments, and promote education and awareness.

The Dystonia Coalition will focus initially on the primary focal dystonias including cervical dystonia, spasmodic dysphonia, blepharospasm and craniofacial dystonia, and limb dystonias. Four main studies are planned, each involving several academic centers.

Natural History Study of Primary Dystonia. The goal of this study is to form a fuller understanding of how the different forms of dystonia may change over time. Patients with any of the primary focal dystonias will be evaluated carefully at yearly intervals to reveal any changes that may occur over time. A blood sample for the Biorepository for Primary Dystonia will be collected from subjects in this Natural History study at the outset for genetic and other studies.

Biorepository for Primary Dystonia. The goal of this study is to build a large collection of deoxyribonucleic acid (DNA) samples for genetic studies of patients with primary focal dystonia.

Comprehensive Evaluation Tools for Cervical Dystonia. The goal of this study is to refine a clinical rating scale for the many different aspects of cervical dystonia. The new scale will address the movement disorder, pain, psychological correlates, functional disability, and overall quality of life. This scale is intended to be useful for monitoring progression and responses to treatments in clinical trials.

Comprehensive Evaluation Tools for Spasmodic Dysphonia. The goal of this study is to develop and test a novel rating scale that can be used to diagnose the disorder and measure its severity. This scale is intended to help physicians more quickly and accurately diagnose spasmodic dysphonia and to help monitor responses to treatments in clinical trials.

In addition to the four large studies outlined above, the Dystonia Coalition will encourage the development of new studies and investigators relevant to dystonia, promote education and awareness of dystonia, and assist patients in finding state-of-the-art information and expert providers.

Pilot Projects Program. The goal of this program is to foster the most promising clinical and translational studies relevant to primary dystonia. Such studies may include development of clinical rating scales where they do not yet exist, exploration of biomarkers that could be used for diagnosis or as a surrogate for monitoring the disease, pilot clinical trials of promising new treatments, development of unique shared resources for dystonia research, and other projects. Applications will be accepted twice yearly, with anticipated amounts of $10,000-$50,000. Priority will be given to clinical studies rather than basic science. Emphasis will be placed on studies that have high impact, provide pilot data essential for larger studies, and encourage collaboration among different centers.

Career Development Award. The primary goal of this program is to facilitate career development for junior investigators interested in clinical and translational research relating to dystonia. A secondary goal is to encourage more senior investigators from other fields to get more involved in dystonia research. Applications will be accepted up to twice yearly, and each award will be $50,000.

Promoting Education and Awareness. The coalition’s centers are active in promoting education and awareness among colleagues and other medical providers, and in the community. It regularly helps to organize and participate in regional and international meetings.

Assist in Connecting Patients with Expert Providers. Although its primary mission is research, the coalition also wants to assist patients and their families in connecting with the best medical providers. Those in need may contact any one of the coalition’s sites directly. Its patient advocacy groups can also facilitate finding skilled medical providers.

Consortium History

October 2009: Consortium announced.

Structure & Governance

This consortium is part of the Rare Diseases Clinical Research Network (RDCRN), an initiative of the Office of Rare Diseases Research, National Center for Advancing Translational Sciences (NCATS). The RDCRN is designed to advance medical research on rare diseases by providing support for clinical studies and facilitating collaboration, study enrollment, and data sharing. Through the RDCRN consortia, physician scientists and their multidisciplinary teams work together with patient advocacy groups to study more than 200 rare diseases at sites across the nation.

Funding and scientific oversight for the RDCRN are provided by NCATS and 10 NIH components: Eunice Kennedy Shriver National Institute of Child Health and Human Development; National Cancer Institute; National Heart, Lung and Blood Institute; National Institute of Allergy and Infectious Diseases; National Institute of Arthritis and Musculoskeletal and Skin Diseases; National Institute of Dental and Craniofacial Research; the National Institute of Diabetes and Digestive and Kidney Diseases; National Institute of Mental Health; National Institute of Neurological Disorders and Stroke; and Office of the Director. In addition, patient advocacy groups provide funds for many of the projects.

Points of Contact

Ami Rosen, M.S., CGC
Project Coordinator
Emory University Department of Neurology
6000 Woodruff Memorial Research Building
101 Woodruff Circle
Atlanta, GA 30322
phone: 404-727-3381
fax: 404-712-8576
email: arosen3@emory.edu

Sponsors & Partners

Bastian Voice Institute

Baylor College of Medicine

Beth Israel Deaconess

Beth Israel Medical Center

Booth Gardner Parkinson’s Care Center

Centre hospitalier de l'Université de Montréal

Columbia University

Data Management and Coordinating Center (DMCC): University of South Florida

Dystonia Study Group

Emory University

James Madison University

Johns Hopkins University

Lahey Clinic

Mayo Clinic

Medical College of Wisconsin

Mount Sinai School of Medicine

NIH/NINDS

NINDS Biorepository at Coriell

Parkinson’s and Movement Disorders Center of Maryland

Parkinson’s and Movement Disorders Institute

Rush University

Sanford Health

Sanford Health – Fargo

The Feinstein Institute for Medical Research

Universitá Degli Studi Di Roma “La Sapienza”

Università delgi Studi di Bari “Aldo Moro”

Université Pierre et Marie Curie-Paris 6, Groupe Hospitalier Pitié-Salpêtrière

University College London - Institute of Neurology

University of Alabama at Birmingham

University of Alberta

University of California, San Diego

University of Chicago

University of Cincinnati

University of Colorado

University of Florida

University of Iowa

University of Lübeck

University of Maryland

University of Minnesota

University of New Mexico

University of Rochester

University of Tennessee

University of Texas

University of Toronto

Virginia Commonwealth University

Wake Forest Health Sciences

Washington University at St. Louis


Last Updated: 04/14/2016

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