Protein Requirements in Children With Phenylketonuria (PKU)

NCT ID: NCT01965691

Last Updated: 2020-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

4 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2015-12-31

Brief Summary

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Phenylketonuria (PKU) is an inherited inborn error of an amino acid phenylalanine (PHE) metabolism affecting 1:15,000 births. It is caused by a decreased activity of an enzyme in the liver called phenylalanine hydroxylase (PAH) which is important to convert PHE into tyrosine, another amino acid. Consequently, PHE accumulates in the blood leading to mental and developmental delays. Nutritional management is the primary choice of treatment that includes providing sufficient protein in the diet and at the same time restricting PHE. However the amount of protein to be given is unknown. A new technique called Indicator Amino Acid Oxidation (IAAO) will be used to determine the protein requirements in children with PKU (5-18y). The study will help treat and manage these children with sufficient protein to ensure proper growth and development. Current dietary recommendations range from 35-65 g/day and is based on factorial calculations.

The investigators hypothesize that the protein requirement in children with PKU will be higher than the current mathematically calculated recommended intake of 35-65 g/day for the 5-18y children.

Detailed Description

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Conditions

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Phenylketonuria

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Protein intake

Protein intake- Dietary supplement

Group Type EXPERIMENTAL

Protein intake

Intervention Type DIETARY_SUPPLEMENT

Oral consumption of eight hourly experimental meals-

* 4 tracer free experimental meals containing a mixture of free amino acids and calories from protein free flavored liquid, protein free cookies and corn oil
* 4 isotopically labeled experimental meals.

Interventions

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Protein intake

Oral consumption of eight hourly experimental meals-

* 4 tracer free experimental meals containing a mixture of free amino acids and calories from protein free flavored liquid, protein free cookies and corn oil
* 4 isotopically labeled experimental meals.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Children (5-18y) who are diagnosed with Phenylketonuria (PKU), and clinically stable with no acute illness

Exclusion Criteria

* Children less than 5y of age and who are diagnosed with PKU, as it may be difficult to take breath samples and perform indirect calorimetry in very young children.
* Children diagnosed with PKU, but are currently ill, with a fever, cold, vomiting or diarrhea.
Minimum Eligible Age

5 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rare Disease Foundation, Vancouver, Canada

OTHER

Sponsor Role collaborator

Saudi Arabian Cultural Bureau, Ottawa

UNKNOWN

Sponsor Role collaborator

University of British Columbia

OTHER

Sponsor Role lead

Responsible Party

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Rajavel Elango, PhD

Principle Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rajavel Elango, PhD

Role: PRINCIPAL_INVESTIGATOR

Child and Family Research Institute, University of British Columbia

Sylvia Stockler-Ipsiroglu, MD

Role: STUDY_CHAIR

University of British Columbia

Keiko Ueda, MPH, RD

Role: STUDY_CHAIR

Provincial Health Services Authority

Locations

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Child and Family Research Institute

Vancouver, British Columbia, Canada

Site Status

Countries

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Canada

References

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Turki A, Ueda K, Cheng B, Giezen A, Salvarinova R, Stockler-Ipsiroglu S, Elango R. The Indicator Amino Acid Oxidation Method with the Use of l-[1-13C]Leucine Suggests a Higher than Currently Recommended Protein Requirement in Children with Phenylketonuria. J Nutr. 2017 Feb;147(2):211-217. doi: 10.3945/jn.116.240218. Epub 2017 Jan 4.

Reference Type DERIVED
PMID: 28053173 (View on PubMed)

Other Identifiers

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H13-00220

Identifier Type: -

Identifier Source: org_study_id

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