Initial Psychometric Evaluation of the Barth Syndrome Symptom Assessment (BTHS-SA) for Adolescents and Adults in a Phase 2 Clinical Study

Background

Barth syndrome (BTHS) is a rare genetic disorder caused by changes in the TAFAZZIN (TAZ) gene. The severity of symptoms can vary widely among patients. To help measure these symptoms, researchers created the Barth Syndrome Symptom Assessment (BTHS-SA), a questionnaire that patients fill out to report how they feel.

Study Overview

This study is the first to evaluate how well the BTHS-SA works. It was part of the TAZPOWER trial, which tested a treatment called elamipretide in patients with confirmed BTHS. The study involved 12 male participants, aged around 19.5 years.

Results

Participants reported their symptoms as:

  • Mild: 5 patients (41.7%)
  • Moderate: 5 patients (41.7%)
  • Severe: 1 patient (8.3%)
  • Very severe: 1 patient (8.3%)

The BTHS-SA showed good reliability, meaning it produced consistent results over time. It also correlated well with other measures of fatigue and symptom severity, indicating that it is a valid tool for assessing patients’ experiences.

Conclusion

While the small number of participants limits the strength of the conclusions, the BTHS-SA appears to be a reliable way to measure symptoms in patients with Barth syndrome. This tool could help evaluate the effectiveness of treatments for this underserved group.

Opportunities for Improvement

Based on the trial data, clinics can:

  • Define measurable outcomes to track patient progress.
  • Set clear goals for using the BTHS-SA in clinical practice.
  • Select AI tools that can assist in managing patient data and outcomes.
  • Implement a step-by-step approach, starting with pilot projects to test the BTHS-SA and track results.

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