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| Sponsor: | Assistance Publique - Hôpitaux de Paris |
|---|---|
| Collaborator: |
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 |
| 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
|
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 |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| France | |
| Hôpital Saint Vincent de Paul | |
| Paris, France, 75014 | |
| Principal Investigator: | Patrick Aubourg, MD, PhD | AP-HP |
| Principal Investigator: | Caroline Sevin, MD, PhD | AP-HP |
More Information
| 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 |
|
Leukodystrophy Canavan disease, Aspartoacylase, Lithium, Glyceryl Triacetate |
|
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 |