Actively Recruiting

Age: 7Years - 18Years
All Genders
NCT04602325

Systemic Biomarkers of Brain Injury From Hyperammonemia

Led by Children's National Research Institute · Updated on 2024-02-07

24

Participants Needed

1

Research Sites

355 weeks

Total Duration

On this page

Sponsors

C

Children's National Research Institute

Lead Sponsor

N

National Center for Advancing Translational Sciences (NCATS)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Ammonia is a waste product of protein and amino acid catabolism and is also a potent neurotoxin. High blood ammonia levels on the brain can manifest as cytotoxic brain edema and vascular compromise leading to intellectual and developmental disabilities. The following aims are proposed: Aim 1 of this study will be to determine the chronology of biomarkers of brain injury in response to a hyperammonemic (HA) brain insult in patients with an inherited hyperammonemic disorder. Aim 2 will be to determine if S100B, NSE, and UCHL1 are altered in patients with two other inborn errors of metabolism, Maple Syrup Urine Disease (MSUD) and Glutaric Acidemia (GA1).

CONDITIONS

Official Title

Systemic Biomarkers of Brain Injury From Hyperammonemia

Who Can Participate

Age: 7Years - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Clinical diagnosis of one of seven urea cycle disorders: N-acetylglutamate Synthetase Deficiency, Carbamyl Phosphate Synthetase Deficiency, Ornithine Transcarbamylase Deficiency, Argininosuccinate Synthetase Deficiency, Argininosuccinate Lyase Deficiency, Arginase Deficiency, or Hyperammonemia-Hyperornithinemia-Homocitrullinuria
  • Clinical diagnosis of one of two organic acidemias: Propionic Acidemia or Methylmalonic Acidemia
  • Diagnosis of Maple Syrup Urine Disease or Glutaric Acidemia with neurological effects
  • Diagnosis of fatty acid oxidation disorders including Medium Chain-Acyl CoA Dehydrogenase Deficiency, Very Long Chain-Acyl CoA Dehydrogenase Deficiency, Trifunctional Protein Deficiency, Long Chain Hydroxyacyl-CoA Dehydrogenase Deficiency, Carnitine Palmitoyltransferase I or II Deficiency, Carnitine/Acylcarnitine Translocase Deficiency, or Primary Carnitine Transport Deficiency
  • Diagnosis of Hypoxic-Ischemic Encephalopathy
Not Eligible

You will not qualify if you...

  • Prior solid-organ transplant
  • Use of any investigational drug, biologic, or therapy
  • Any clinical or lab abnormality or medical condition that may interfere with biomarker measurements as determined by the investigator

AI-Screening

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Trial Site Locations

Total: 1 location

1

Children's National Research Institute

Washington D.C., District of Columbia, United States, 20010

Actively Recruiting

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Research Team

K

Katie Rice, MPH, CCRP

CONTACT

N

Nicholas Ah Mew, MD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

4

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