Sodium Phenylbutyrate for 2-Hydroxyglutaricaciduria

Age: Any Age
Sex: Male
Trial Phase: Phase 1
Sponsor: Jerry Vockley, MD, PhD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test sodium phenylbutyrate for a rare condition called Combined D,L-2-hydroxyglutaric aciduria (C-2HGA), which impairs the body's ability to break down certain acids. The research seeks to determine if this drug can help manage C-2HGA symptoms in a single patient. Suitable candidates for this trial include those already diagnosed with C-2HGA who have parental permission and whose parents are committed to following the trial guidelines. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators.

Is there any evidence suggesting that sodium phenylbutyrate is likely to be safe for humans?

Earlier studies have shown that sodium phenylbutyrate holds potential for treating conditions like combined D,L-2-hydroxyglutaric aciduria. Research indicates that people generally tolerate it well. No hospitalizations, deaths, or serious side effects have been linked to its use in similar treatments, suggesting it might be a safer option for patients. However, some animal studies indicate potential risks to brain development, highlighting the need to gather safety data in humans. As this trial is in an early stage, it primarily focuses on assessing safety and side effects.12345

Why do researchers think this study treatment might be promising?

Sodium phenylbutyrate is unique because it targets 2-hydroxyglutaricaciduria by potentially reducing the buildup of harmful substances in the body. Unlike other treatments that may not directly address this specific metabolic pathway, sodium phenylbutyrate works by breaking down excess chemicals that contribute to the condition. Researchers are excited about this treatment due to its novel approach and potential to improve patient outcomes by directly tackling the root cause of metabolic imbalance.

What evidence suggests that sodium phenylbutyrate might be an effective treatment for 2-hydroxyglutaricaciduria?

Research has shown that sodium phenylbutyrate might improve the body's processing of certain chemicals in individuals with conditions like combined D,L-2-hydroxyglutaric aciduria (C-2HGA). One study using Flux Balance Analysis found that phenylbutyrate treatment enhanced the function of key metabolic processes, suggesting it could help manage C-2HGA symptoms. Although this treatment remains under study in the current trial, these early results offer hope for patients with this condition.12346

Who Is on the Research Team?

GV

Gerard Vockley, MD, PhD

Principal Investigator

UPMC Children's Hospital of Pittsburgh

Are You a Good Fit for This Trial?

This trial is specifically for a patient with Combined D,L-2-hydroxyglutaric aciduria (C-2HGA), a rare metabolic disorder. The study does not list specific inclusion or exclusion criteria, indicating it may be tailored to the individual's condition and medical history.

Inclusion Criteria

Single patient with Combined D,L-2-hydroxyglutaric aciduria
Parental permission must be given at the start of the protocol
Parents willing to adhere to the protocol

Exclusion Criteria

Refusal or withdrawal of consent
Drug intolerance

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Patient receives ACER-001 at a dose of 12 g/day, with dose adjustments if weight changes

Follow-up

Participants are monitored for safety and effectiveness after treatment

Long-term, every 6 months
Routine outpatient clinic visits every 6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Sodium phenylbutyrate
Trial Overview The trial is testing ACER-001, which contains sodium phenylbutyrate, on an individual patient basis. It aims to assess the treatment's effectiveness and safety in managing C-2HGA.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: sodium phenylbutyrateExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Jerry Vockley, MD, PhD

Lead Sponsor

Trials
6
Recruited
460+

Zevra Therapeutics

Industry Sponsor

Trials
4
Recruited
510+

Citations

A multiomics approach reveals evidence for phenylbutyrate ...Using a Flux Balance Analysis approach, we have shown that phenylbutyrate treatment conferred a pan-metabolic improvement in the core metabolic pathways.
Hydroxyglutaric Aciduria and phenylbutyrate as potential ...A multiomics approach reveals evidence for phenylbutyrate as a potential treatment for combined D,L-2- hydroxyglutaric aciduria.
Sodium Phenylbutyrate for 2-HydroxyglutaricaciduriaIt aims to assess the treatment's effectiveness and safety in managing C-2HGA. How Is the Trial Designed? 1Treatment groups.
NCT06773026 | Study of Sodium Phenylbutyrate (ACER ...This study will investigate the safety and efficacy (how well it works) of sodium phenylbutyrate in patients with MCADD.
Sodium Phenylbutyrate - Drug Targets, Indications, PatentsNa-PBA pretreatment alleviated lung injury, reduced pulmonary edema, and lowered inflammatory cytokines in LPS-ALI mice. It significantly decreased oxidative ...
OLPRUVA (sodium phenylbutyrate) - accessdata.fda.govBased on published animal data, phenylacetate may be neurotoxic to the developing brain (see Data). There are serious risks to the mother and fetus associated ...
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