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GTA-Glyceryltriacetate for Canavan Disease

This study is ongoing, but not recruiting participants.

Sponsored by: Sheba Medical Center
Information provided by: Sheba Medical Center
ClinicalTrials.gov Identifier: NCT00278707
  Purpose

The purpose of this study is to determine whether oral supplementation of glyceryl triacetate improves the clinical prognosis of Canavan Disease.


Condition Intervention Phase
Infantile Canavan Disease
Deficiency Disease, Aspartoacylase
Drug: GTA: Glyceryltriacetate
Phase I

Genetics Home Reference related topics:   Canavan disease    familial encephalopathy with neuroserpin inclusion bodies    leukoencephalopathy with vanishing white matter   

MedlinePlus related topics:   Leukodystrophies   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title:   Phase 1 Treatment With GTA in Two Infant With Canavan Disease

Further study details as provided by Sheba Medical Center:

Primary Outcome Measures:
  • All primary outcome will be evaluated 4 months following the initiation of treatment:
  • Neurological Status
  • Brain Imaging: MRI & MRS
  • NAA Levels in Urine
  • Ophthalmologic Examination

Estimated Enrollment:   5
Study Start Date:   January 2006
Estimated Study Completion Date:   July 2006

Detailed Description:

Canavan Disease is caused by a deficiency in the enzyme named Aspartoacylase (ASPA). This disease is a devastating, progressive disease with no available treatment. As a result of the ASPA deficiency, there are high levels of N-acetylaspartate (NAA) and low levels of L-aspartate and acetate.

We hypothesize that one of the functions of ASPA is to provide sufficient levels of acetate for CNS myelinization. For this reason, we offer to supplement acetate levels by the oral administration of glyceryl triacetate (GTA). Such treatment must be offered to patients before the age of 18 months, prior to the termination of CNS myelinization.

  1. Two patients, aged less than 15 months, will receive daily doses of oral GTA
  2. The daily dose will be increased incrementally until the maintenance dose is reached. This will be done under close monitoring of the patients, including periodic blood gas sampling.
  3. GTA has not been shown to cause any known toxicity, according to the Cosmetic Ingredient Review Expert Panel (Fiume, 2003).
  Eligibility
Ages Eligible for Study:   up to 15 Months
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Age below 15 months
  • Biochemically diagnosed with Canavan Disease

Exclusion Criteria:

  • None
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00278707

Locations
Israel
Dr. Y. Anikster    
      Tel Aviv, Israel, 52621

Sponsors and Collaborators
Sheba Medical Center

Investigators
Principal Investigator:     Yair Anikster, MD PI     Director Metabolic Disease Unit    
  More Information

Related Info  This link exits the ClinicalTrials.gov site
 

Publications:

Study ID Numbers:   SHEBA-05-3968-YA-CTIL
First Received:   January 15, 2006
Last Updated:   August 11, 2006
ClinicalTrials.gov Identifier:   NCT00278707
Health Authority:   Israel: Israeli Health Ministry Pharmaceutical Administration

Keywords provided by Sheba Medical Center:
Canavan Disease  
Aspartoacylase Deficiency  
NAA  
Acetate  
Glyceryltriacetate  

Study placed in the following topic categories:
Canavan Disease
Canavan disease
Heredodegenerative Disorders, Nervous System
Malnutrition
Genetic Diseases, Inborn
Demyelinating Diseases
Nutrition Disorders
Demyelinating diseases
Neurodegenerative Diseases
Deficiency Diseases

Additional relevant MeSH terms:
Nervous System Diseases
Hereditary Central Nervous System Demyelinating Diseases

ClinicalTrials.gov processed this record on August 21, 2008




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