Anaplerotic Therapy Using Triheptanoin for Patients With Glycogen Storage Disease Type I
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|ClinicalTrials.gov Identifier: NCT03665636|
Recruitment Status : Recruiting
First Posted : September 11, 2018
Last Update Posted : May 5, 2020
This study will be an open-label, prospective, interventional feasibility pilot project to study the efficacy, safety, and tolerability of UX007 (triheptanoin) on reducing hypoglycemic events in patients with GSD I. Subjects will serve as their own control. Five (5) subjects who are treatment naïve to UX007 (triheptanoin) and are already on standard dietary therapy for GSDI will be enrolled.
The primary objective is to evaluate the efficacy, safety, and tolerability of UX007 (triheptanoin) in patients with GSD I. The secondary objectives include evaluating the effect of UX007 (triheptanoin) on maintaining the duration of normoglycemia between meals based on glucose monitoring (Preventing and reducing the frequency of hypoglycemia); reduction/stabilization of the dose of cornstarch; and the prevention of increased liver steatosis based on ultrasound with elastography.
|Condition or disease||Intervention/treatment||Phase|
|Glycogen Storage Disease Type I||Drug: Triheptanoin||Early Phase 1|
Prior to first study appointment:
A medical record review will be done prior to the appointment to confirm the diagnosis of GSD I. For interested subjects who are not already known to the investigators (i.e., patients of the Duke University Medical Center), a release of protected health information will be signed by the potential subjects to obtain records that can be used to confirm diagnosis.
Baseline / Visit 1:
Study subjects will be instructed to come to the DUMC to review and sign the informed consent document. At that time, complete medical history and complete physical examination will be obtained. Blood and urine will be collected for laboratory assessments. Height, weight, and vital signs (blood pressure, pulse, respiration) will be collected.
A nutritional history and review of diet dairy collected three days prior to the visit will be reviewed by a study dietitian. The blood glucose monitoring log for the three days prior to the visit will also be reviewed the study dietitian and MD. Study staff will collect concomitant medications and adverse event collection will begin once dosing with UX007 is initiated. An ultrasound with elastography will be conducted at the DUMCs radiology department and reviewed and a report generated by a radiologist.
Safety Phone Contact:
Subjects will be called by study staff the day after they start the UX007 and again 4 weeks later to assess nutritional history, review of glucose diary, review of dosing compliance, and to obtain an updated weight. Study staff will also review adverse events (AE/SAE) and concomitant medications during these calls. If a subject experiences an AE/SAE they will be contacted every two weeks until the AE/SAE is resolved.
2, 4, and 6 Month/Early Termination Visits:
Same procedures will be conducted as at the baseline visit, with the exception of the ultrasound with elastography, which will only be collected again at the 6 Month/Early Termination Visit.
Post-termination Phone Contact:
2-6 weeks after the 6 month/early termination visit study staff will contact the subject to collect an interim medical history, evaluation of nutritional history, review of glucose diary as well as review of adverse events and concomitant medications. An updated weight will also be obtained.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||5 participants|
|Intervention Model:||Single Group Assignment|
|Intervention Model Description:||This study is an interventional, open-label, feasibility pilot project to study the safety, efficacy, and tolerability of triheptanoin in patients with GSD I.|
|Masking:||None (Open Label)|
|Official Title:||Anaplerotic Therapy Using Triheptanoin for Patients With Glycogen Storage Disease Type I|
|Estimated Study Start Date :||August 2020|
|Estimated Primary Completion Date :||September 30, 2021|
|Estimated Study Completion Date :||November 30, 2021|
Open Label Study
This is an open-label study. The UX007 (triheptanoin) starting dose will be 0.25 - 0.5 g/kg and titrated to a maximum of 2.5g/kg depending the on the subject's tolerance. The dose may be reduced if not tolerated. The compound will be administered 3-4 times per day, either at the end of a meal or with a snack. It should be given at least 2 hours apart from any cornstarch dose to allow each to act independent of one another, and to prevent the risk of increased gastrointestinal side effects. The doses may be held during episodes of gastroenteritis or diarrhea.
Other Name: UX007
- Blood glucose level [ Time Frame: Baseline and 6 months ]Reviewing the change in blood glucose levels from baseline to 6 month visit
- Dietary intake [ Time Frame: Baseline and 6 months ]Reviewing the change in fat, protein, and carbohydrate intake, after adding the intervention, from baseline to 6 month visit
- Liver steatosis assessment [ Time Frame: Baseline and 6 months ]Reviewing the change fatty infiltration (steatosis) using ultrasound elastography from baseline to 6 months visit. This technique will the degree of steatosis which is reflected by echogenicity and stiffness that is measured by 2D ultrasound shear wave speed measurements.
- Liver size assessment [ Time Frame: Baseline and 6 months ]Reviewing the change in liver size using ultrasound elastography from baseline to 6 months visit. This technique will provide liver size at both timepoints.
- Laboratory metabolic control markers [ Time Frame: Baseline and 6 months ]Reviewing laboratory markers indicative of metabolic control which include glucose, triglycerides, and uric acid measured in mg/dl from baseline to 6 month visit
- Other laboratory metabolic control markers [ Time Frame: Baseline and 6 months ]Reviewing lactate levels as a main indicator of metabolic control measured in mMol/L from baseline to 6 month visit
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03665636
|Contact: Jessica A Hester||919 668 email@example.com|
|Contact: Stephanie Austin||919 668 firstname.lastname@example.org|
|United States, North Carolina|
|Duke University Medical Center||Recruiting|
|Durham, North Carolina, United States, 27710|
|Contact: Jessica A Hester 919-668-3107 email@example.com|
|Contact: Stephanie Austin 919 668 1347 firstname.lastname@example.org|
|Principal Investigator: Areeg El-Gharbawy, MD|
|Principal Investigator:||Areeg El-Gharbawy, MD||Duke University, Department of Pediatrics - Medical Genetics|