Glytactin EfficiEncy in Non or Insufficiently Treated Adult PHENylketonuria Patients

NCT ID: NCT03924180

Last Updated: 2022-09-21

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

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-19

Study Completion Date

2022-09-05

Brief Summary

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Phenylketonuria is the most common inherited metabolic disease in France and is screened for neonatal exposure. Management consists of a strict and restrictive hypoproteic diet and the intake of amino acid substitutes and dietary supplements free of phenylalanine.One of the major difficulties, which is the source of many treatment failures, is the inappetence of the amino acid supplements required during a strict hypoproteic diet. New formulations, Glycomacropeptides (GMP), have recently appeared and are considered more palatable than conventional amino acid mixtures.

Detailed Description

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Phenylketonuria is the most common inherited metabolic disease in France and is screened for neonatal exposure. Management consists of a strict and restrictive hypoproteic diet and the intake of amino acid substitutes and dietary supplements free of phenylalanine. If the benefits of treatment are indisputable in children in terms of cognitive prognosis, this benefit is discussed once brain development is complete, especially as many adult patients are no longer treated. However, cognitive, neurological and reversible white matter disorders undergoing treatment are increasingly reported in adult phenylketonurics. As a result, recent European recommendations advocate the maintenance of life-long treatment. One of the major difficulties, which is the source of many treatment failures, is the inappetence of the amino acid supplements required during a strict hypoproteic diet. New formulations, Glycomacropeptides (GMP), have recently appeared and are considered more palatable than conventional mixtures.

PRIMARY OBJECTIVE:

Demonstrate a better metabolic balance under GMP treatment than a conventional amino acid mixture in adult phenylketonuric patients when resuming treatment.

Conditions

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Adult Phenylketonuria Non Treated Patients

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Multicenter randomized controlled trial performed in open and 2 parallel groups: "GMP" versus "amino acids" group
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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GMP - Dietary Supplement for PKU patients

Glycomacropeptides -GMP Glytactin

Group Type EXPERIMENTAL

Dietary Supplement for PKU patients

Intervention Type DIETARY_SUPPLEMENT

For both treatment groups, the objective in total protein will be 1g / kg / day of ideal weight, in 3-6 doses / day, including natural proteins and supplemented by the products under study.

Control -Amino acids mixtures

Mixtures of conventional amino acids.

Group Type ACTIVE_COMPARATOR

Dietary Supplement for PKU patients

Intervention Type DIETARY_SUPPLEMENT

For both treatment groups, the objective in total protein will be 1g / kg / day of ideal weight, in 3-6 doses / day, including natural proteins and supplemented by the products under study.

Interventions

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Dietary Supplement for PKU patients

For both treatment groups, the objective in total protein will be 1g / kg / day of ideal weight, in 3-6 doses / day, including natural proteins and supplemented by the products under study.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Patient age ≥18 years on an empty stomach
* Phenylketonuric patient Patient with Phenylalaninemia ≥ 900μmol / L on a blotter performed during the screening period (or average of blotter results ≥900 μmol / L if several blotters performed during the screening period)
* Untreated or insufficiently treated patient: not taking or insufficiently Dietary foods for special medical purposes for his PKU, regardless of diet, at the discretion of the investigator
* Patient having signed a free, informed and express consent
* Patient requiring a diet restricted in natural proteins

Exclusion Criteria

* Protected patient: court bail
* Patient with concomitant diseases / conditions that may compromise the study, at the discretion of the investigator
* Participated in a clinical trial or trial to evaluate PKU foods or treatments in the last 7 days prior to inclusion or planned during the next 6 months
* Participation in an interventional study with health products during the next 6 months
* Pregnancy project within 6 months, pre-conception diet, pregnancy or breastfeeding
* Refusal to consume only validated complements for the protocol
* Phenylketonuria undergoing treatment with BH4
* Allergy to the product under study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Tours

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Adrien BIGOT, MD-PHD

Role: STUDY_DIRECTOR

University Hospital of TOURS

Locations

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CHRU-Hôpital Bretonneau - Service de Médecine Interne-Nutrition

Tours, Centre-Val de Loire, France

Site Status

CHU-ANGERS -Médecine Interne

Angers, , France

Site Status

CHU du Morvan-Département de Pédiatrie et génétique médicale,

Brest, , France

Site Status

Hôpital Femme-Mère-Enfant-Centre de Référence des Maladies Héréditaires du Métabolisme de Lyon

Bron, , France

Site Status

CHU de LILLE-Hôpital Claude HURIEZ-Service d'Endocrinologie

Lille, , France

Site Status

CHU-Service de Réanimation Pédiatrique / Néonatalogie, Consultation spécialisée en Maladies Héréditaires du Métabolisme

Nantes, , France

Site Status

CHU-RENNES-Hôpital Sud-Service de Génétique-Clinique

Rennes, , France

Site Status

Countries

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France

Other Identifiers

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2018-A03244-51

Identifier Type: REGISTRY

Identifier Source: secondary_id

DR180127 - GLEEPHEN

Identifier Type: -

Identifier Source: org_study_id

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