Natural History Study of Patients with HPDL Mutations

NCT ID: NCT05848271

Last Updated: 2025-03-30

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

RECRUITING

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-05-18

Study Completion Date

2027-12-31

Brief Summary

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This study uses medical records that allow retrospective data extraction of clinical manifestation to assess the natural history of HPDL mutations

Detailed Description

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A novel mitochondrial disease arises from mutations in HPDL, which codes for 4-hydroxyphenylpyruvate dioxygenase-like protein. The main purpose of this study is to establish a patient registry to gather medical data from consenting HPDL mutation patients worldwide. From longitudinal data, we will be able to figure out the natural history of the disease, and genotype-phenotype correlation. Dry blood spots will be collected to develop biomarkers to understand the disease better.

Conditions

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Mitochondrial Encephalomyopathies Hereditary Spastic Paraplegia Spastic Paraplegia White Matter Disease Neonatal Encephalopathy Mutation Genetic Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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HPDL deficiency

Patients with HPDL mutations

Patient Registry

Intervention Type OTHER

Participants who have been diagnosed with HPDL mutations will be enrolled to patient registry.

Dry blood spots sampling

Intervention Type OTHER

Dry blood splots require 500nl of blood.

Interventions

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Patient Registry

Participants who have been diagnosed with HPDL mutations will be enrolled to patient registry.

Intervention Type OTHER

Dry blood spots sampling

Dry blood splots require 500nl of blood.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Any individuals diagnosed with HPDL variants
* Clinical diagnosis can include:

* HPDL-related hereditary spastic paraplegia (HSP)
* HPDL-related neonatal mitochondrial encephalopathy
* Spastic paraplegia -83 (SPG83)
* Neurodevelopmental disorder with progressive spasticity and brain white matter abnormalities (NEDSWMA)

Exclusion Criteria

* Any known genetic abnormality (other than HPDL mutation)
* Any condition that, in the opinion of the Site Investigator, could put the participant at undue risk and/or would ultimately prevent the completion of study procedures
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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New York University

OTHER

Sponsor Role collaborator

Universität Tübingen

OTHER

Sponsor Role collaborator

Heinrich-Heine University, Duesseldorf

OTHER

Sponsor Role collaborator

University of California, San Diego

OTHER

Sponsor Role lead

Responsible Party

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Joseph Gleeson

professor, neuroscience

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joseph Gleeson

Role: PRINCIPAL_INVESTIGATOR

UCSD

Locations

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Eun Hae Lee

San Diego, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Eun Hae Lee

Role: CONTACT

8582460547

Facility Contacts

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Eun Hae Lee

Role: primary

8582460547

References

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Ghosh SG, Lee S, Fabunan R, Chai G, Zaki MS, Abdel-Salam G, Sultan T, Ben-Omran T, Alvi JR, McEvoy-Venneri J, Stanley V, Patel A, Ross D, Ding J, Jain M, Pan D, Lubbert P, Kammerer B, Wiedemann N, Verhoeven-Duif NM, Jans JJ, Murphy D, Toosi MB, Ashrafzadeh F, Imannezhad S, Karimiani EG, Ibrahim K, Waters ER, Maroofian R, Gleeson JG. Biallelic variants in HPDL, encoding 4-hydroxyphenylpyruvate dioxygenase-like protein, lead to an infantile neurodegenerative condition. Genet Med. 2021 Mar;23(3):524-533. doi: 10.1038/s41436-020-01010-y. Epub 2020 Nov 14.

Reference Type BACKGROUND
PMID: 33188300 (View on PubMed)

Banh RS, Kim ES, Spillier Q, Biancur DE, Yamamoto K, Sohn ASW, Shi G, Jones DR, Kimmelman AC, Pacold ME. The polar oxy-metabolome reveals the 4-hydroxymandelate CoQ10 synthesis pathway. Nature. 2021 Sep;597(7876):420-425. doi: 10.1038/s41586-021-03865-w. Epub 2021 Sep 1.

Reference Type BACKGROUND
PMID: 34471290 (View on PubMed)

Lee EH, Kim-Mcmanus O, Yang JH, Haas R, Zaki MS, Abdel-Salam GMH, Nakamura Y, Abdel-Hamind MS, Ebrahimi-Fakhari D, Alecu JE, Brunetti-Pierri N, Srinivasan VM, Gowda VK, Gross S, Alanay Y, Najarzadeh Totbati P, Yadavilli M, Friedman L, Ojeda NM, Gleeson JG. HPDL Variant Type Correlates With Clinical Disease Onset and Severity. Ann Clin Transl Neurol. 2025 Jul;12(7):1360-1367. doi: 10.1002/acn3.70047. Epub 2025 May 14.

Reference Type DERIVED
PMID: 40368591 (View on PubMed)

Related Links

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Other Identifiers

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HPDL_NHS_001

Identifier Type: -

Identifier Source: org_study_id

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