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Study of Bile Acids in Patients With Peroxisomal Disorders
This study is not yet open for participant recruitment.
Verified by FDA Office of Orphan Products Development, November 2000
First Received: October 18, 1999   Last Updated: June 23, 2005   History of Changes
Sponsors and Collaborators: FDA Office of Orphan Products Development
Children's Hospital Medical Center, Cincinnati
Information provided by: FDA Office of Orphan Products Development
ClinicalTrials.gov Identifier: NCT00004442
  Purpose

OBJECTIVES: I. Determine the effectiveness of oral bile acid therapy with cholic acid, chenodeoxycholic acid, and ursodeoxycholic acid in patients with peroxisomal disorders involving impaired primary bile acid synthesis. II. Determine whether suppression of synthesis of atypical bile acids and enrichment of bile acid pool with this regimen is effective in treating this patient population and improving quality of life.


Condition Intervention
Infantile Refsum's Disease
Zellweger Syndrome
Bifunctional Enzyme Deficiency
Adrenoleukodystrophy
Drug: chenodeoxycholic acid
Drug: cholic acid
Drug: ursodiol

Genetics Home Reference related topics: beta-ketothiolase deficiency Charcot-Marie-Tooth disease hereditary neuropathy with liability to pressure palsies L1 syndrome leukoencephalopathy with vanishing white matter megalencephalic leukoencephalopathy with subcortical cysts succinic semialdehyde dehydrogenase deficiency X-linked adrenoleukodystrophy
MedlinePlus related topics: Addison's Disease
Drug Information available for: Cholic acid Chenodeoxycholic acid
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment

Further study details as provided by FDA Office of Orphan Products Development:

Estimated Enrollment: 25
Detailed Description:

PROTOCOL OUTLINE: Patients receive oral cholic acid and oral chenodeoxycholic acid on day 1. On day 4, patients receive oral cholic and ursodeoxycholic acids. Patients are assessed at 3 and 6 months for liver function response, neurologic status, and nutritional status.

Patients receive treatment until disease progression or unacceptable toxic effects are observed.

  Eligibility

Ages Eligible for Study:   up to 5 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Biochemically proven peroxisomal disorder, including:

  • Zellweger syndrome
  • Pseudo-Zellweger syndrome
  • Neonatal adrenoleukodystrophy
  • Bifunctional enzyme deficiency
  • Infantile Refsum's disease
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00004442

Contacts
Contact: Kenneth Setchell 513-636-4548

Sponsors and Collaborators
Children's Hospital Medical Center, Cincinnati
Investigators
Study Chair: Kenneth Setchell Children's Hospital Medical Center, Cincinnati
  More Information

No publications provided

Study ID Numbers: 199/13442, CHMC-C-FDR000995
Study First Received: October 18, 1999
Last Updated: June 23, 2005
ClinicalTrials.gov Identifier: NCT00004442     History of Changes
Health Authority: United States: Federal Government

Keywords provided by FDA Office of Orphan Products Development:
Zellweger syndrome
adrenoleukodystrophy
bifunctional enzyme deficiency
inborn errors of metabolism
infantile Refsum's disease
peroxisomal disorders
pseudo-Zellweger syndrome
rare disease
sphingolipidoses

Study placed in the following topic categories:
Sphingolipidoses
Liver Diseases
Nervous System Malformations
Adrenal Gland Diseases
Cathartics
Hypoadrenalism
Neurodegenerative Diseases
Brain Diseases
X-linked Adrenoleukodystrophy
Ursodeoxycholic Acid
Metabolism, Inborn Errors
Laxatives
Heredodegenerative Disorders, Nervous System
Neuromuscular Diseases
Adrenoleukodystrophy
Refsum Disease, Infantile Form
Addison Disease
Brain Diseases, Metabolic, Inborn
Kidney Diseases
Metabolic Disorder
Adrenal Insufficiency
Metabolic Diseases
Demyelinating Diseases
Charcot Marie Tooth Disease
Endocrine System Diseases
Tomaculous Neuropathy
Mental Retardation
Cholic Acids
Chenodeoxycholic Acid
Brain Diseases, Metabolic

Additional relevant MeSH terms:
Liver Diseases
Nervous System Malformations
Refsum Disease, Infantile
Adrenal Gland Diseases
Cathartics
Brain Diseases
Neurodegenerative Diseases
Hereditary Central Nervous System Demyelinating Diseases
Metabolism, Inborn Errors
Heredodegenerative Disorders, Nervous System
Pathologic Processes
Urologic Diseases
Neuromuscular Diseases
Peroxisomal Disorders
Refsum Disease
Therapeutic Uses
Adrenoleukodystrophy
Syndrome
Hereditary Motor and Sensory Neuropathies
Genetic Diseases, X-Linked
Abnormalities, Multiple
Addison Disease
Kidney Diseases
Brain Diseases, Metabolic, Inborn
Congenital Abnormalities
Neurobehavioral Manifestations
Adrenal Insufficiency
Autoimmune Diseases
Metabolic Diseases
Disease

ClinicalTrials.gov processed this record on May 07, 2009