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Glutamine Therapy for Hemolysis-Associated Pulmonary Hypertension

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01048905
Recruitment Status : Completed
First Posted : January 14, 2010
Results First Posted : June 10, 2021
Last Update Posted : June 10, 2021
Sponsor:
Collaborator:
Food and Drug Administration (FDA)
Information provided by (Responsible Party):
UCSF Benioff Children's Hospital Oakland

Study Type Interventional
Study Design Allocation: N/A;   Intervention Model: Single Group Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Conditions Pulmonary Hypertension
Sickle Cell Disease
Thalassemia
Intervention Drug: L-Glutamine
Enrollment 13
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Treatment: L-glutamine
Hide Arm/Group Description

Patients will receive an 8-week course of oral L-glutamine 10 grams TID

L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children < 15 years of age.

Period Title: Overall Study
Started 13
Completed 12
Not Completed 1
Arm/Group Title Treatment: L-glutamine
Hide Arm/Group Description

Patients will receive an 8-week course of oral L-glutamine 10 grams TID

L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children < 15 years of age.

Overall Number of Baseline Participants 13
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 13 participants
45.8  (13.8)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 13 participants
Female
8
  61.5%
Male
5
  38.5%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 13 participants
American Indian or Alaska Native
0
   0.0%
Asian
0
   0.0%
Native Hawaiian or Other Pacific Islander
0
   0.0%
Black or African American
13
 100.0%
White
0
   0.0%
More than one race
0
   0.0%
Unknown or Not Reported
0
   0.0%
Region of Enrollment  
Measure Type: Number
Unit of measure:  Participants
United States Number Analyzed 13 participants
13
Erythrocyte Glutamine/Glutamate Ratio   [1] 
Mean (Standard Deviation)
Unit of measure:  Ratio
Number Analyzed 6 participants
1.75  (0.6)
[1]
Measure Analysis Population Description: Blood work only available for N=6 participants, as reported here.
Plasma Glutamine   [1] 
Mean (Standard Deviation)
Unit of measure:  µmol/L
Number Analyzed 6 participants
704.5  (137)
[1]
Measure Analysis Population Description: Blood work only available for N=6 participants, as reported here.
Tricuspid Regurgitant Jet Velocity on Doppler Echocardiography   [1] 
Mean (Standard Deviation)
Unit of measure:  Meters per second
Number Analyzed 13 participants
3.0  (0.6)
[1]
Measure Description: Tricuspid Regurgitant Jet Velocity was measured using Doppler Echocardiography in meters per second.
6 Minute Walk Distance   [1] 
Mean (Standard Deviation)
Unit of measure:  Meters
Number Analyzed 13 participants
386  (94)
[1]
Measure Description: The six-minute walk test (6MWT) measures the distance in meters an individual is able to walk over a total of six minutes on a hard, flat surface.
Liver Function Tests  
Mean (Standard Deviation)
Unit of measure:  U/L
Alanine aminotransferase (ALT) Number Analyzed 13 participants
40  (42)
Aspartate aminotransferase (AST) Number Analyzed 13 participants
73  (40)
Renal Function Tests  
Mean (Standard Deviation)
Unit of measure:  mg/dL
Creatinine Number Analyzed 13 participants
0.9  (0.4)
Blood urea nitrogen (BUN) Number Analyzed 13 participants
14  (10)
1.Primary Outcome
Title Erythrocyte Glutamine/Glutamate Ratio at 8 Weeks
Hide Description Erythrocyte Glutamine/Glutamate Ratio: a novel biomarker of oxidative stress
Time Frame 8 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
Blood work only available for N=6 participants, as reported here.
Arm/Group Title Treatment: L-glutamine
Hide Arm/Group Description:

Patients will receive an 8-week course of oral L-glutamine 10 grams TID

L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children < 15 years of age.

Overall Number of Participants Analyzed 6
Mean (Standard Deviation)
Unit of Measure: Ratio
2.40  (1.6)
2.Secondary Outcome
Title Plasma Glutamine
Hide Description [Not Specified]
Time Frame 8 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Treatment: L-glutamine
Hide Arm/Group Description:

Patients will receive an 8-week course of oral L-glutamine 10 grams TID

L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children < 15 years of age.

Overall Number of Participants Analyzed 12
Mean (Standard Deviation)
Unit of Measure: µmol/L
685.8  (139)
3.Secondary Outcome
Title Tricuspid Regurgitant Jet Velocity on Doppler Echocardiography
Hide Description Tricuspid Regurgitant Jet Velocity was measured using Doppler Echocardiography in meters per second.
Time Frame 8 week
Hide Outcome Measure Data
Hide Analysis Population Description
Data available for 11 participants only because one patient missed their appointment for their week 8 echocardiogram and was lost to follow up, and another patient died of sepsis before week 8 visit.
Arm/Group Title Treatment: L-glutamine
Hide Arm/Group Description:

Patients will receive an 8-week course of oral L-glutamine 10 grams TID

L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children < 15 years of age.

Overall Number of Participants Analyzed 11
Mean (Standard Deviation)
Unit of Measure: Meters per second
2.8  (0.5)
4.Secondary Outcome
Title 6 Minute Walk Distance
Hide Description The six-minute walk test (6MWT) measures the distance in meters an individual is able to walk over a total of six minutes on a hard, flat surface.
Time Frame 8 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Treatment: L-glutamine
Hide Arm/Group Description:

Patients will receive an 8-week course of oral L-glutamine 10 grams TID

L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children < 15 years of age.

Overall Number of Participants Analyzed 12
Mean (Standard Deviation)
Unit of Measure: Meters
366  (109)
5.Secondary Outcome
Title Liver Function Tests
Hide Description Alanine aminotransferase (ALT) Aspartate aminotransferase (AST)
Time Frame 8 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Treatment: L-glutamine
Hide Arm/Group Description:

Patients will receive an 8-week course of oral L-glutamine 10 grams TID

L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children < 15 years of age.

Overall Number of Participants Analyzed 12
Mean (Standard Deviation)
Unit of Measure: U/L
ALT 38  (27)
AST 63  (26)
6.Secondary Outcome
Title Renal Function Tests
Hide Description Creatinine Blood urea nitrogen (BUN)
Time Frame 8 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Treatment: L-glutamine
Hide Arm/Group Description:

Patients will receive an 8-week course of oral L-glutamine 10 grams TID

L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children < 15 years of age.

Overall Number of Participants Analyzed 12
Mean (Standard Deviation)
Unit of Measure: mg/dL
Creatinine 0.9  (0.3)
BUN 17  (7)
Time Frame 8 weeks
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title Treatment: L-glutamine
Hide Arm/Group Description

Patients will receive an 8-week course of oral L-glutamine 10 grams TID

L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children < 15 years of age.

All-Cause Mortality
Treatment: L-glutamine
Affected / at Risk (%)
Total   1/13 (7.69%) 
Hide Serious Adverse Events
Treatment: L-glutamine
Affected / at Risk (%)
Total   4/13 (30.77%) 
General disorders   
Pain  3/13 (23.08%) 
Acute Chest Syndrome  1/13 (7.69%) 
Infections and infestations   
Sepsis  1/13 (7.69%) 
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Treatment: L-glutamine
Affected / at Risk (%)
Total   1/13 (7.69%) 
Reproductive system and breast disorders   
Sexually Transmitted Disease Related Pain  1/13 (7.69%) 
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Claudia R. Morris MD, FAAP
Organization: Emory University School of Medicine
Phone: 404-727-5500
EMail: claudia.r.morris@emory.edu
Layout table for additonal information
Responsible Party: UCSF Benioff Children's Hospital Oakland
ClinicalTrials.gov Identifier: NCT01048905    
Other Study ID Numbers: 1R01FD003531-01 ( U.S. FDA Grant/Contract )
IRB 2008-059 ( Other Identifier: Institutional Review Board )
1R01FD003531-01 ( U.S. FDA Grant/Contract )
First Submitted: January 12, 2010
First Posted: January 14, 2010
Results First Submitted: April 20, 2021
Results First Posted: June 10, 2021
Last Update Posted: June 10, 2021