Status:

TERMINATED

Effect of Potassium and Acetazolamide on People With Andersen-Tawil Syndrome

Lead Sponsor:

University of Rochester

Collaborating Sponsors:

Office of Rare Diseases (ORD)

Rare Diseases Clinical Research Network

Conditions:

Andersen-Tawil Syndrome

Eligibility:

All Genders

10+ years

Phase:

PHASE1

Brief Summary

Andersen-Tawil Syndrome (ATS) is a rare genetic disorder that causes episodes of muscle weakness, potentially life-threatening changes in heart rhythm, and skeletal developmental abnormalities. The ca...

Detailed Description

ATS is an ion channel disorder that causes episodes of muscle weakness and potentially life-threatening heart arrhythmias. The majority of ATS cases are caused by a mutation in the KCNJ2 gene, which i...

Eligibility Criteria

Inclusion

  • Clinically confirmed diagnosis of Andersen-Tawil Syndrome, as defined by at least two of the following three features:
  • Neuromuscular Feature
  • Presence of clear-cut episodes of transient muscle weakness with or without a fixed deficit that is typical with rest after exertion or prolonged rest, OR
  • An atypical history with specific exam findings (absent reflexes with normal sensation ictally), OR
  • Unexplained intraictal hypokalemia, OR
  • An abnormal nerve conduction exercise test
  • Cardiac Feature
  • Prolonged QTc interval on 12-lead electrocardiogram (ECG), according to standard criteria, AND/OR
  • Ventricular ectopy, including uniform or multifocal PVCs, polymorphic VT, or bidirectional VT
  • Physical Feature (at least two of the below five features)
  • Low set ears
  • Hypertelorism
  • Small mandible
  • Clinodactyly
  • Syndactyly
  • Micromelia of hands or feet
  • OR-
  • One of the three above criteria, with at leat one other family member meeting two criteria
  • OR-
  • Not meeting clinical criteria but possessing the KCNJ2 mutation
  • An average frequency of at least one neuromuscular symptom (attack of weakness) per week

Exclusion

  • Sulfa allergy
  • Renal impairment, as defined by serum creatine greater than 1.5 mg/dl
  • History of renal calculi
  • Cardiac disease or other disease that would make potassium supplementation or acetazolamide treatment inadvisable
  • Diabetes mellitus
  • Currently taking quinidine
  • Pregnant

Key Trial Info

Start Date :

December 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2011

Estimated Enrollment :

3 Patients enrolled

Trial Details

Trial ID

NCT00839501

Start Date

December 1 2008

End Date

January 1 2011

Last Update

January 20 2012

Active Locations (1)

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Page 1 of 1 (1 locations)

1

University of Rochester School of Medicine

Rochester, New York, United States, 14642