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Recruiting NCT04706013

Oral Pyridoxal 5'-Phosphate for the Treatment of Patients With PNPO Deficiency

Phase III Interventional Pyridox(am)Ine 5'-Phosphate Oxidase Deficiency

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Pyridoxal Phosphate.
Who it may be relevant to
Registry conditions: Pyridox(am)Ine 5'-Phosphate Oxidase Deficiency. Basic parameters: No limits · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States, Australia
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Study of Pyridoxal 5'-Phosphate for the Treatment of Patients With PNPO Deficiency

Overview

The proposed clinical study is intended to evaluate oral P5P for the treatment of patients confirmed to have Pyridox(am)ine 5'-Phosphate Oxidase (PNPO) deficiency via genetic analysis. There is an unmet clinical need for pharmaceutical grade P5P, as to date none has been made commercially available. Patients will receive pharmaceutical grade P5P according to their normal oral P5P dosing regimen, as previously established by their physicians.

Interventions

  • Drug Pyridoxal Phosphate
    Oral tablets 50 mg

Primary outcome measures

  • Overall survival time (time to death), including incidence of death at 12 months [Time frame: 12 months]
Secondary outcome measures (1)
  • Frequency of seizures (including but not limited to status epilepticus) [Time frame: up to 12 months]

Eligibility criteria

Inclusion criteria

  • Patients with confirmed PNPO deficiency via genetic analysis, whose seizures are typically controlled on P5P (oral) therapy.

a. Typically controlled is defined as receiving multiple doses of P5P daily to control seizures. Receiving P5P for a minimum of 30 days.

  • Male and/or female patients.
  • Aged ≥2 years

(3) Patients with previous failed treatment on pyridoxine are eligible for the study (patient should be off pyridoxine for at least 24 hours).

(4) Written informed consent (by parent or guardian if under the age of 18).

Exclusion criteria

  • The patient has any condition or abnormality which may, in the opinion of the Investigator, compromise the safety of the patient, or influence their ability to comply with study procedures.
  • Known or suspected allergy to the trial drug or the relevant drugs given in the trial.
  • Involvement in a clinical research study within 4 weeks prior to screening and/or prior enrollment in the study. Participation in observational registry studies is permitted.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Treatment

Study locations

United States · 6 centers
  • Children's Hospital of Alabama — Birmingham
  • Lucile Packard Children's Hospital — Palo Alto
  • Children's Hospital Colorado — Aurora
  • Boston Children's Hospital — Boston
  • Duke Children's Hospital — Durham
  • Akron's Children's Hospital — Akron
Australia · 1 center
  • Queensland Children's Hospital — South Brisbane

Identifiers

NCT: NCT04706013 · MEND-PNPO 16002

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗