Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06852612

Dietary Treatment Strategies and Metabolic Control in Glycogen Storage Disease Type I (GSD-DIET)

Led by Insel Gruppe AG, University Hospital Bern · Updated on 2026-05-12

20

Participants Needed

2

Research Sites

N/A

Total Duration

On this page

Sponsors

I

Insel Gruppe AG, University Hospital Bern

Lead Sponsor

U

University of Zurich

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the metabolic effects of dietary changes involving controlled intake of fructose and fructose/galactose in adults with Glycogen Storage Disease Type I (GSDI). This study aims to determine whether relaxing dietary restrictions on these sugars is safe and could improve food choices and quality of life for patients with this rare disorder. The research assesses traditional metabolic control markers and uses advanced metabolomics and lipidomics for a broad analysis. The study involves two dietary intervention groups: one with added fructose intake (40g, including up to 25g from added sugars) and another with added fructose plus galactose (10g galactose mostly from lactose plus 40g fructose). These interventions are compared against the participants' usual diet over a 4-week period to observe changes in metabolic markers. Participants will undergo assessments of blood lactate, triglycerides, uric acid, and plasma metabolites before and after the dietary interventions. Researchers will monitor these parameters to evaluate metabolic control and safety. The main outcome is the change in blood lactate levels during the intervention compared to baseline. The study lasts at least 4 weeks, with regular monitoring to understand the impact of dietary changes on metabolic health in adult GSDI patients.

CONDITIONS

Brief Title

Dietary Treatment Strategies and Metabolic Control in Glycogen Storage Disease Type I

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Genetically and/or enzymatically confirmed diagnosis of GSDI (GSDIa or GSDIb)
  • Male or female aged 18 years or older
  • Currently following a diet that restricts fructose intake
  • Able to provide written informed consent
Not Eligible

You will not qualify if you...

  • Not following routine dietary treatment
  • Pregnant or breastfeeding
  • History of liver transplant
  • Recurrent hospitalizations due to metabolic problems in the last 12 months
  • Severe chronic kidney disease with glomerular filtration rate below 30 ml/min
  • For GSDIb: Severe, uncontrolled symptomatic inflammatory bowel disease

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 4 weeks

Participants follow different dietary treatment strategies involving additional fructose or fructose and galactose intake to assess metabolic control.

Weekly visits for up to 4 weeks

Trial Site Locations

Total: 2 locations

1

Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Inselspital, Bern University Hospital

Bern, Switzerland, 3010

Actively Recruiting

2

Department of Endocrinology, Diabetology and Clinical Nutrition, University Hospital Zurich

Zurich, Switzerland, 8091

Not Yet Recruiting

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Research Team

M

Michel Hochuli, MD, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

2

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