PROSPECT Study for People at Genetic Risk of Prion Disease

PROSPECT is a study open to people who are known carriers of prion protein gene (PRNP) mutations and to those who are at risk of inheriting a prion disease mutation.  Those who are at risk are defined as a first-degree relative of someone with a known prion protein gene mutation or someone who is a first degree relative with two or more individuals in their family who passed from prion disease for which their genetic status is unknown.  This prospective study will follow people annually over Zoom and will involve answering questions and doing standardized surveys.  It will also collect very valuable data that will assist in determination of prion protein gene mutation penetrance, drug development, and clinical trials.  This is an open data study – the data will be deidentified and available to be aggregated and shared with other prion disease researchers, including drug developers.

For now, the study will focus on people who have already been tested and know that they carry a prion disease mutation.  Once enrolled and consented, they will be asked to provide documentation of the mutation and meet through a remote link with study staff for cognitive and neuropsychiatric assessments and other steps.

In the near future, the study will also include people at risk who wish to be tested.  The testing process includes:

  • Free remote Genetic Counseling through a professionally trained genetics counselor
  • Free testing through saliva sample.  The test results will be anonymous and deidentified as part of the study.  Participants can opt to learn or not learn their test results.

Study Goals


  • Generate prospective data on individuals at risk of genetic prion disease. The study will follow participants over time through longitudinal yearly assessments, conducted remotely. This will generate data on the earliest detectable changes in genetic prion disease, as well as on the survival of individuals at risk as a function of their specific mutation and age.

  • Produce natural history data suitable to support a registry. Future preventive trials may compare the survival of the trial’s participants to the survival of individuals in this study or may leverage this study’s protocol and infrastructure to follow their treated individuals over the long term. Survival data can be shared with other studies that you may participate in with your permission.

  • Offer genetic testing with genetic counseling. The study will enroll and offer predictive genetic testing to individuals at risk for genetic prion disease, who can choose to receive their genetic results or not. Those who choose to receive results will be able to access genetic counseling telehealth from providers licensed in all 50 states. Test results will be anonymous and deidentified. By removing barriers to genetic testing, the study will make testing available to more people, thus increasing the probability that future clinical drug trials will be fully enrolled.

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