Full Text View
Tabular View
No Study Results Posted
Related Studies
Lithium and Acetate for Canavan Disease
This study has been suspended.
( suspended we do not received authorization for Triacetin from Health Authorities )
First Received: April 9, 2008   Last Updated: February 6, 2009   History of Changes
Sponsors and Collaborators: Assistance Publique - Hôpitaux de Paris
European Leukodystrophy Association
Information provided by: Assistance Publique - Hôpitaux de Paris
ClinicalTrials.gov Identifier: NCT00657748
  Purpose

The aim of this study is to determine whether oral supplementation with lithium and acetate may improve the biological and clinical prognosis in patients with Canavan Disease.


Condition Intervention Phase
Canavan Disease
Infantile
Deficiency Disease
Aspartoacylase
Leukodystrophy, Spongiform
Drug: Lithium Gluconate (drug) Glyceryl Triacetate GTA (drug)
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: Evaluation of the Tolerance and Efficiency of a Combined Oral Therapy With Lithium and GTA in Patients With Canavan Disease

Resource links provided by NLM:


Further study details as provided by Assistance Publique - Hôpitaux de Paris:

Primary Outcome Measures:
  • The primary outcome will be a decrease of the NAA peak (> 20%) or the appearance of an acetate peak at the end of the treatment (10 months), using spectroscopy-MRI. [ Time Frame: 10 months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Secondary outcomes will be assessed at 10 months (end of the treatment): -Improvement of neuromotor performances (GMFM and Mullen scales), spasticity, and neurological severity [ Time Frame: 10 months ] [ Designated as safety issue: Yes ]
  • -Improvement of epilepsy (number of seizures) [ Time Frame: 10 months ] [ Designated as safety issue: Yes ]
  • -Decrease in NAA and increase in acetate contents in fluids (CSF, plasma, urine). [ Time Frame: 10 months ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 18
Study Start Date: September 2009
Estimated Study Completion Date: January 2011
Estimated Primary Completion Date: September 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Drug: Lithium Gluconate (drug) Glyceryl Triacetate GTA (drug)
Lithium 1.3 mEq/kg/day (three administrations a day)during the study GTA 500 mg/kg/day in four administrations a day during the study

Detailed Description:

Canavan Disease is an autosomal recessive devastating demyelinating disease caused by a deficiency in Aspartoacylase (ASPA) enzyme. There is no available treatment. ASPA deficiency leads to:- the accumulation of high levels of N-acetylaspartate (NAA), involved in myelin degeneration and epilepsy;- the deficient synthesis of acetate in oligodendrocytes, that could impair CNS myelination.Lithium administration induces a decrease in NAA in the brain of the tremor rats (animal model for CD) and in one patient (JANSON, 2005). On the other hand, administration of acetate could improve myelination in Canavan patients.For this reason, we propose to combine both treatments: Lithium Gluconate and Glyceryl Triacetate (GTA). Eighteen patients, aged 1 to 15 years, will receive oral GTA or Lithium during 4 months, then both treatment in association during 6 months. Patients will be sequentially evaluated up to the end of the treatment and 2 months thereafter for:-tolerance of the therapy (careful monitoring of clinical and biological parameters).- efficacy of the therapy on clinical, biological and radiological parameters. Particularly, we will evaluate using MRI-spectroscopy and CSF samples the decrease in NAA and increase in acetate levels in the brain.

  Eligibility

Ages Eligible for Study:   1 Year to 15 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinical and biochemical diagnosis of Canavan disease

Exclusion Criteria:

  • Renal disease
  • Thyroid disease
  • Cardiac disease
  • Impossibility to perform brain MRI
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00657748

Locations
France
Hôpital Saint Vincent de Paul
Paris, France, 75014
Sponsors and Collaborators
Assistance Publique - Hôpitaux de Paris
European Leukodystrophy Association
Investigators
Principal Investigator: Patrick Aubourg, MD, PhD AP-HP
Principal Investigator: Caroline Sevin, MD, PhD AP-HP
  More Information

Additional Information:
Publications:
Responsible Party: Department Clinical Research and Developpement ( Yannick VACHER )
Study ID Numbers: P070803
Study First Received: April 9, 2008
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00657748     History of Changes
Health Authority: France: Ministry of Health

Keywords provided by Assistance Publique - Hôpitaux de Paris:
Leukodystrophy
Canavan disease,
Aspartoacylase,
Lithium,
Glyceryl Triacetate

Study placed in the following topic categories:
Tranquilizing Agents
Demyelinating Diseases
Psychotropic Drugs
Central Nervous System Depressants
Lithium Carbonate
Antimanic Agents
Neurodegenerative Diseases
Antipsychotic Agents
Leukodystrophy
Canavan Disease
Malnutrition
Heredodegenerative Disorders, Nervous System
Genetic Diseases, Inborn
Triacetin
Antifungal Agents
Nutrition Disorders
Antidepressive Agents
Lithium
Deficiency Diseases

Additional relevant MeSH terms:
Anti-Infective Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Psychotropic Drugs
Neurodegenerative Diseases
Hereditary Central Nervous System Demyelinating Diseases
Heredodegenerative Disorders, Nervous System
Malnutrition
Triacetin
Antifungal Agents
Therapeutic Uses
Nutrition Disorders
Lithium
Antidepressive Agents
Deficiency Diseases
Tranquilizing Agents
Demyelinating Diseases
Nervous System Diseases
Lithium Carbonate
Central Nervous System Depressants
Enzyme Inhibitors
Antipsychotic Agents
Antimanic Agents
Pharmacologic Actions
Canavan Disease
Genetic Diseases, Inborn
Central Nervous System Agents

ClinicalTrials.gov processed this record on July 02, 2009