Succinic Semialdehyde Dehydrogenase Deficiency Clinical Trials

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Natural History Study of Patients With Succinic Semialdehyde Dehydrogenase (SSADH) Deficiency

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Device, Procedure
Study Type: Observational
SUMMARY

Succinic Semialdehyde Dehydrogenase deficiency (SSADHD) is a rare autosomal recessive disease that interferes with the catabolism of the major inhibitory neurotransmitter gamma-amino butyric acid (GABA) and furthermore leads to accumulation of various potential toxic metabolites, most prominently gamma hydroxybutyric acid (GHB). Current research indicates that there is developmental delay and significant neurophysiological and biochemical alterations in SSADHD patients, but whether disease presentation varies with age is not known. The investigators propose to determine the natural course of the clinical presentation of SSADHD; to determine the natural course of neurophysiological and biochemical indices known to be altered in SSADHD; and to identify neurophysiological and biochemical predictors of clinical severity. The overall objective is to define the natural course of the clinical, neurophysiological and biochemical spectrum of SSADHD. Secondary objectives include the identification of biomarkers that correlate with disease phenotype and predict clinical outcomes, and the creation of an international SSADHD data repository for future investigation of pathogenesis and therapy.

Eligibility
Participation Requirements
Sex: All
Healthy Volunteers: f
View:

• 4-hydroxybutyric aciduria (γ-hydroxybutyric aciduria)

• documented pathogenic ALDH5A1 (aldehyde dehydrogenase 5A1 gene) mutation

• 0-99 years

Locations
United States
Massachusetts
Boston Children's Hospital
RECRUITING
Boston
Other Locations
Germany
University Children's Hospital
RECRUITING
Heidelberg
Spain
Sant Joan de Deu Hospital Barcelona
ACTIVE_NOT_RECRUITING
Barcelona
United Kingdom
Birmingham Children's Hospital NHS Foundation Trust
NOT_YET_RECRUITING
Birmingham
Contact Information
Primary
Melissa L DiBacco, MD
melissa.dibacco@childrens.harvard.edu
617-919-4617
Time Frame
Start Date: 2019-01-15
Estimated Completion Date: 2029-06
Participants
Target number of participants: 55
Treatments
BCH Cohort
Patients enrolled at BCH will travel to BCH every 2 years at a minimum for comprehensive evaluation taking place over a 48 hour period. Visits to BCH may occur within ± 2 months of the scheduled visit date. Electronic surveys will be sent out every 6 months.Visits will consist of clinical assessments (demographics, medical history, physical examination, neurological exam, medication history, neuropsychological assessments, and clinical severity score), neurophysiological assessments (Brain Magnetic resonance imaging \[MRI/MRS/DTI\], Electroencephalogram \[EEG\], and Transcranial magnetic stimulation \[TMS\]), and yearly bio-specimen collection.
iNTD Cohort
Patients enrolled at iNTD sites will travel to their iNTD site according to standard of care requirements. Data collection includes clinical history and relevant laboratory-chemical, therapeutic, instrumental and neuropsychological parameters by the study centers. Data collection takes place within the framework of elective outpatient visits. The collected parameters are congruent with the current standard investigations. Electronic surveys will be sent out every 6 months. Imaging and neurophysiological data will be collected if performed during the clinical visit or if performed as part of the site's ongoing research. Yearly bio-specimen collection will be attempted after consent is obtained from the family.
Standard of Care Cohort
Patients enrolled at other sites will attend their visit at their regular clinical site as mandated by standard of care. Data collection includes medical history, family history, medications, and all clinical and neuropsychological assessments listed. Imaging and neurophysiological data will be collected if performed during the clinical visit or if performed as part of the clinical site's ongoing research. Yearly bio-specimen collection will be attempted.
Sponsors
Collaborators: University of South Florida, Washington State University, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), University Hospital Heidelberg
Leads: Boston Children's Hospital

This content was sourced from clinicaltrials.gov

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