- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01549015
Study in Healthy Subjects, Patients With Urea Cycle Disorders (UCD) and Carriers of UCD Mutations to Evaluate Urea Cycle Function
Open, Prospective, Diagnostic, Multicentre Study in Healthy Subjects, Patients With Urea Cycle Disorders (UCD), and Carriers of UCD Mutations, to Evaluate in Vivo Ureagenesis Measured After a Single Application of Sodium [1,2-13C]-Acetate
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In this diagnostic study CCD09, the urea metabolism in UCD subjects (patients and carriers) and healthy subjects of different age and sex will be assessed by measurement of the incorporation of 13C from orally taken sodium [1,2-13C]-acetate into urea by 13C stable isotope ratio detection. The aim of the study is to determine the 13C urea production and to quantify the total urea production in healthy subject, gene defect carrier or patient as marker for the functioning of the urea cycle. Since there are still only few data available using this specific method for measurement of urea cycle performance, the aim of this study CCD09 is to gain additional results on the 13C assay. To this end, comparison will be made between 13C urea production observed in healthy subjects, UCD patients, and asymptomatic mutation carriers.
An evaluation of this study may also enable the treating physician to better judge the severity of disease and the future risk of metabolic decompensations in patients as well as the potential risk for so far asymptomatic carriers.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Hannover, Germany, 30625
- Medizinische Hochschule Hannover, Klinik für Kinderheilkunde
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Heidelberg, Germany, D-69120
- Universitätsklinikum Heidelberg Klinik für Kinderheilkunde I
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Münster, Germany, 48149
- Universitätsklinikum Münster, Zentrum für Kinder- und Jugendmedizin
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Mönchengladbach
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CRS Clinical Research Services GmbH (Phase I Unit), Mönchengladbach, Germany, 41061
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
All study groups:
• Written informed consent given by subjects or his/her parents/legal guardians who are able to understand and follow instructions related to the study
Group 1 Healthy Volunteers:
- Age: 18 - 65 years
- Healthy subjects
- No clinical or laboratory parameter outside normal ranges at screening and judged as clinically relevant by the investigator
Group 2 Symptomatic UCD patients with genetically confirmed CPSD, OTCD, ASSD, or ASLD:
Age: 0 - 65 years
- Symptomatic subjects with genetically confirmed Carbamylphosphate synthetase I Deficiency [CPSD], Ornithine Transcarbamylase Deficiency [OTCD], Argininosuccinate Synthetase Deficiency [Citrullinaemia type I], Argininosuccinate Lyase Deficiency [ASLD]
- at least 1 metabolic decompensation with clinical signs of hyperammonemia in medical history or genetically confirmed and prospectively treated siblings of symptomatic patients, even without clinical symptoms
- Confirmed diagnosis and medical history available (in particular number and severity of metabolic crises)
Group 3 Asymptomatic carriers of UCD mutations:
- Age: 0 - 65 years
- Asymptomatic carriers of mutations for Carbamylphosphate synthetase I Deficiency [CPSD], Ornithine Transcarbamylase Deficiency [OTCD], Argininosuccinate Synthetase Deficiency [Citrullinaemia type 1], Argininosuccinate Lyase Deficiency [ASLD] no dietary protein restriction, no intake of ammonia scavenging drugs, no known metabolic decompensation with clinical signs of hyperammonemia
Group 4:
- Infants between 8 - 10 kg body weight Symptomatic subjects with genetically confirmed Carbamylphosphate synthetase I Deficiency [CPSD] Ornithine Transcarbamylase Deficiency [OTCD] Argininosuccinate Synthetase Deficiency [Citrullinaemia type I] Argininosuccinate Lyase Deficiency [ASLD] at least 1 metabolic decompensation with clinical signs of hyperammonemia in medical history or genetically confirmed and prospectively treated siblings of symptomatic patients, even without clinical symptoms
- Confirmed diagnosis and medical history available (in particular number and severity of metabolic crises
Exclusion Criteria:
- Acute illness, including vomiting, fever or other sign of infection
- Participation in other invasive clinical trials within 30 days prior to inclusion
- Liver or renal disease
- Acute seizures
- Coma
- Bleeding disorder
- Blood ammonia > 100 µmol/l for patients with a urea cycle disorder and blood ammonia > normal for healthy probands and asymptomatic carriers
- Metabolic acidosis
- Pregnancy or lactation
- Body weight < 8kg
- Chronic somatic or psychiatric disease not related to UCD
Study Plan
How is the study designed?
Design Details
- Primary Purpose: DIAGNOSTIC
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Formation of 13C-urea in plasma
Time Frame: 0 - 240 Minutes
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0 - 240 Minutes
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Vital signs
Time Frame: 0-240 min
|
blood pressure, heart rate, temperature and respiratory rate at enrollment and after completion
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0-240 min
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Complete blood count without differential
Time Frame: at enrollement
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at enrollement
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Adverse events
Time Frame: 0-240 mins
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0-240 mins
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Ammonia, Amino acids, Urea in serum
Time Frame: 0-240 min
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0-240 min
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CRP
Time Frame: at enrollment
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at enrollment
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Venous lactate and blood gases: pH, pCO2, pO2, bicarbonate
Time Frame: at enrollment
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at enrollment
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Blood glucose
Time Frame: 0 - 240 min
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0 - 240 min
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pH and bicarbonate
Time Frame: 20 and 60 mins after administration
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20 and 60 mins after administration
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Georg F Hoffmann, Prof Dr med, Universitätsklinikum Heidelberg Klinik für Kinderheilkunde I
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CCD09
- 2011-002472-16 (EUDRACT_NUMBER)
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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