Clinical trial

An Open Label, Exploratory, Proof-of Concept Study of Triheptanoin as Treatment for Patients With Primary-Specific Pyruvate Dehydrogenase Complex (PDC) Deficiency

Name
STUDY23050042
Description
This is a medical research study to test a medication in patients with a disease called Pyruvate Dehydrogenase Complex (PDC) Deficiency. The medication is triheptanoin, which is currently FDA approved for the treatment of Long-Chain Fatty Acid Oxidation Disorders. Previous research suggests that triheptanoin may also be effective in the treatment PDC Deficiency. This study will investigate the safety and efficacy (how well it works) of triheptanoin in patients with PDC Deficiency.
Trial arms
Trial start
2024-08-01
Estimated PCD
2026-12-31
Trial end
2027-06-30
Status
Recruiting
Phase
Early phase I
Treatment
Triheptanoin
Open-label design with doses of triheptanoin up to 4.0 gm/kg triheptanoin
Arms:
Triheptanoin
Other names:
Dojolvi
Size
6
Primary endpoint
Number of participants who report side-effects related to gastrointestinal (GI) distress
24 months
Normalization of biochemical markers of disease (lactate)
24 months
Normalization of biochemical markers of disease (pyruvate)
24 months
Normalization of biochemical markers of disease (β-hydroxybutyrate level)
24 months
Normalization of biochemical markers of disease (Alanine/Leucine ratio)
24 months
Normalization of biochemical markers of disease (Alanine/Lysine ratio)
24 months
Normalization of biochemical markers of disease (Alanine/Proline ratio)
24 months
More efficacious seizure control
24 months
More efficacious metabolic control
24 months
More efficacious disease control
24 months
Eligibility criteria
Inclusion Criteria: 1. Age 1 year to \<18 years of age 2. Subjects with PDCD would need to have a metabolic physician following their clinical care needs prior to their enrollment in the study 3. Diagnosis of PDCD by molecular genetic confirmation of PDHA1, PDHB, DLAT, PDHX, or PDP1 mutation 4. Not pregnant or lactating 5. Parental permission and assent of minor and willingness to comply with study procedures 6. Not participating in any interventional treatment clinical trials 7. Not a recipient of gene therapy, organ transplant, or bone-marrow transplantation 8. If currently on any investigational drugs or therapies, must complete a 30-day washout period prior to Intake \& Dosing (Day 1). 9. Negative pregnancy test for all female patients of childbearing age. Individuals of childbearing potential must agree to use a highly effective method of contraception, and males must agree not to father a child or donate sperm. True abstinence for the duration of the study will also be accepted. 10. Subjects are following some form or type of ketogenic diet at the time of the screening visit. Exclusion Criteria: 1. Diagnosis of medium-chain acyl-CoA dehydrogenase (MCAD) 2. Use of alcohol or drugs of abuse 3. Evidence of liver disease as defined by elevations of AST or ALT \>2x ULN in the past 6 months 4. Pregnant, breastfeeding, or lactating females 5. On any investigational product research study (and not completed the required 30-day washout period prior to Intake \& Dosing) or recipient of gene therapy or organ or bone-marrow transplantation
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 6, 'type': 'ESTIMATED'}}
Updated at
2024-06-05

1 organization

1 product

1 indication