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Study of Oral Cholic Acid in Patients With Inborn Errors of Bile Acid Synthesis

This study has been completed.

Sponsors and Collaborators: National Center for Research Resources (NCRR)
Children's Hospital Medical Center, Cincinnati
Information provided by: National Center for Research Resources (NCRR)
ClinicalTrials.gov Identifier: NCT00007020
  Purpose

OBJECTIVES:

I. Extend the screening procedures for the identification of patients with inborn errors in bile acid synthesis.

II. Determine the pathophysiology of newly described genetic defects in these patients.

III. Determine the effect of oral cholic acid on the clinical course of these patients.


Condition
Infantile Refsum's Disease
Zellweger Syndrome
Hyperpipecolic Acidemia
Adrenoleukodystrophy
Peroxisomal Disorders
Cholestasis
Bifunctional Enzyme Deficiency

Genetics Home Reference related topics:   beta-ketothiolase deficiency    Charcot-Marie-Tooth disease    familial encephalopathy with neuroserpin inclusion bodies    hereditary neuropathy with liability to pressure palsies    L1 syndrome    leukoencephalopathy with vanishing white matter    Opitz G/BBB syndrome    X-linked adrenoleukodystrophy   

MedlinePlus related topics:   Addison's Disease   

ChemIDplus related topics:   Cholic acid   

U.S. FDA Resources

Study Type:   Observational
Study Design:   Screening

Further study details as provided by National Center for Research Resources (NCRR):

Estimated Enrollment:   21
Study Start Date:   August 2000

Detailed Description:

PROTOCOL OUTLINE:

Patients receive oral cholic acid and oral chenodeoxycholic acid on Day 1. Bile is collected on Day 2, followed by a percutaneous liver biopsy on Day 3. Patients then receive oral cholic acid beginning on Day 4 and continuing indefinitely.

  Eligibility
Ages Eligible for Study:   up to 17 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

Clinical or biochemical evidence of liver disease, unexplained fat-soluble vitamin malabsorption, or peroxisomal dysfunction that compromises bile acid biosynthesis: Zellweger syndrome, Infantile Refsum's disease, Pseudo-Zellweger syndrome, Neonatal adrenoleukodystrophy, Hyperpipecolic acidemia, or Bifunctional enzyme deficiency

Presenting for evaluation of cholestasis: bilirubin greater than 2 mg/dL OR increased serum bile acids for age

Other organ dysfunction allowed

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00007020

Locations
United States, Ohio
Children's Hospital Medical Center - Cincinnati    
      Cincinnati, Ohio, United States, 45229-3039

Sponsors and Collaborators
National Center for Research Resources (NCRR)
Children's Hospital Medical Center, Cincinnati

Investigators
Study Chair:     James Heubi     Children's Hospital Medical Center, Cincinnati    
  More Information

Study ID Numbers:   NCRR-M01RR08084-0009, CHMC-C-91-10-10
First Received:   December 6, 2000
Last Updated:   June 23, 2005
ClinicalTrials.gov Identifier:   NCT00007020
Health Authority:   United States: Federal Government

Keywords provided by National Center for Research Resources (NCRR):
Zellweger syndrome  
adrenoleukodystrophy  
bifunctional enzyme deficiency  
cholestasis  
gastrointestinal disorders  
hyperpipecolic acidemia  
inborn errors of metabolism  
infantile Refsum's disease
peroxisomal disorders
pseudo-Zellweger syndrome
rare disease
sphingolipidoses
Zellweger-Like Syndrome

Study placed in the following topic categories:
Sphingolipidoses
Liver Diseases
Nervous System Malformations
Roussy Levy hereditary areflexic dystasia
Adrenal Gland Diseases
Demyelinating diseases
Hypoadrenalism
Neurodegenerative Diseases
Brain Diseases
Metabolism, Inborn Errors
Heredodegenerative Disorders, Nervous System
Neuromuscular Diseases
Adrenoleukodystrophy
Addison Disease
Brain Diseases, Metabolic, Inborn
Kidney Diseases
Zellweger syndrome
Refsum disease
Adrenal Insufficiency
Metabolic Diseases
Demyelinating Diseases
Endocrine System Diseases
Phytanic acid oxidase deficiency
Mental Retardation
Cholic Acids
Bile Duct Diseases
Metabolic disorder
Brain Diseases, Metabolic
Addison's disease
Gastrointestinal Diseases

Additional relevant MeSH terms:
Pathologic Processes
Disease
Immune System Diseases
Syndrome
Nervous System Diseases
Mental Retardation, X-Linked
Hereditary Central Nervous System Demyelinating Diseases

ClinicalTrials.gov processed this record on September 05, 2008




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