Theophylline as a Treatment for Children With Pseudohypoparathyroidism Type 1a (Albright Hereditary Osteodystrophy)
Effects of Theophylline on cAMP Signaling in Children With Pseudohypoparathyroidism Type 1a
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Tennessee
-
Nashville, Tennessee, United States, 37232
- Vanderbilt Unversity
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 10 to 21 years old
- English proficiency
- Clinical and genetic diagnosis of PHP1a
Exclusion Criteria:
- Use of a PDE inhibitor in the past 30 days
- History of a seizure disorder unrelated to hypocalcemia
- History of a cardiac arrhythmia (not including bradycardia)
- History of hepatic insufficiency
- AST or ALT >2x upper limit of normal
- Total bilirubin >1.5 x upper limit of normal (unless patient has a diagnosis of Gilbert's syndrome and no other causes leading to hyperbilirubinemia are identified)
- Congestive heart failure
- Cigarette use in the past 30 days
- Alcohol use within the past 24 hours
- Current pregnancy
- Untreated hypothyroidism (defined as free T4 level < 0.6 ng/dL or TSH >10 mcU/mL)
- Active peptic ulcer disease
- Fever >101 degrees in the past 24 hours
- Current use of medications known to effect theophylline levels (listed below)
- Severe sleep apnea requiring BiPAP
Drugs with clinically significant drug interactions with theophylline:
- Allopurinol
- Cimetidine
- Ciprofloxacin
- Clarithromycin
- Enoxacin
- Ephedrine
- Erythromycin
- Estrogen
- Flurazepam
- Fluvoxamine
- Lithium
- Lorazepam
- Methotrexate
- Midazolam
- Pentoxifylline
- Propranolol
- Rifampin
- Sulfinpyrazone
- Tacrine
- Thiabendazole
- Ticlopidine
- Troleandomycin
- Verapamil
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Theophylline
Patients will receive a 24 hour continuous infusion of intravenous theophylline.
|
24 hour infusion of IV theophylline
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Urine cAMP
Time Frame: 1 day
|
Change in urine cAMP (after parathyroid hormone stimulation) before and during treatment with theophylline
|
1 day
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Resting Energy Expenditure (REE)
Time Frame: 1 day
|
Change in REE before and during treatment with theophylline
|
1 day
|
|
Change in Apnea Hypopnea Index (AHI)
Time Frame: 1 day
|
Change in AHI before and during treatment with theophylline
|
1 day
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Ashley H Shoemaker, MD, MSCI, Vanderbilt University
Publications and helpful links
General Publications
- Landreth H, Malow BA, Shoemaker AH. Increased Prevalence of Sleep Apnea in Children with Pseudohypoparathyroidism Type 1a. Horm Res Paediatr. 2015;84(1):1-5. doi: 10.1159/000381452. Epub 2015 Apr 23.
- Shoemaker AH, Lomenick JP, Saville BR, Wang W, Buchowski MS, Cone RD. Energy expenditure in obese children with pseudohypoparathyroidism type 1a. Int J Obes (Lond). 2013 Aug;37(8):1147-53. doi: 10.1038/ijo.2012.200. Epub 2012 Dec 11.
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Metabolic Diseases
- Genetic Diseases, Inborn
- Musculoskeletal Diseases
- Bone Diseases
- Metabolism, Inborn Errors
- Bone Diseases, Metabolic
- Calcium Metabolism Disorders
- Metal Metabolism, Inborn Errors
- Pseudohypoparathyroidism
- Pseudopseudohypoparathyroidism
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Vasodilator Agents
- Autonomic Agents
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Purinergic Antagonists
- Purinergic Agents
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Phosphodiesterase Inhibitors
- Purinergic P1 Receptor Antagonists
- Theophylline
Other Study ID Numbers
Other Study ID Numbers
- IRB 150497
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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