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CompletedNCT02426775CAMPUpdated Apr 25, 2019

Carglumic Acid in Methylmalonic Acidemia and Propionic Acidemia

A Phase 3 interventional study of Carglumic Acid in Propionic Acidemia and Methylmalonic Acidemia, sponsored by King Abdullah International Medical Research Center. Completed at 2 sites in Saudi Arabia. Open to participants aged Up to 15 Years. Per ClinicalTrials.gov, last updated 2019-04-25.

Sponsored by King Abdullah International Medical Research Center · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
33
Allocation
Randomized
Ages
Up to 15 Years
Sex
All
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Study summary

A Phase IIIb (Three b), Randomized Multicentre Comparative Trial to Evaluate the Long Term Effectiveness \& Safety of the use of Carglumic Acid (Carbaglu®) in Patients with Propionic Acidemia (PA) or Methylmalonic Acidemia (MMA). Carbaglu® clinical experience in Organic Acidemia (OA) is limited to a non-comparative retrospective collection of data from patients who had received Carbaglu® for 1 to 15 days.

There is no current evidence supporting the use of carglumic acid for the chronic management of patients with OA. The investigators are proposing a randomized multicentre prospective clinical trial to evaluate long-term effects of the use of Carbaglu® (50mg/kg/day) combined with standard chronic therapy in patients with PA and MMA compared to standard chronic therapy alone.

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Conditions studied

  • Propionic Acidemia
  • Methylmalonic Acidemia
03

In context

Propionic Acidemia

23 studies on the registry are indexed under Propionic Acidemia; 8 are open to participants now.

This study's enrollment of 33 is close to the median of 30 across 12 interventional studies indexed under Propionic Acidemia.

Browse Propionic Acidemia studies →

Lead sponsor

King Abdullah International Medical Research Center is the lead sponsor of 46 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Up to 15 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female Children of 15 years old or less
  • Parent or legal guardian agree to participate and to sign the (Institutional Review Board) IRB approved Form (assent forms will be waived due to the mental disability of those children)
  • Not participating in any other clinical trial in the previous 30 days
  • PA or MMA confirmed using the following criteria:

    • PA confirmed by the measurement of acylcarnitine profile, urine organic acid, measurement of propionyl Co-A carboxylase in leukocytes or cultured fibroblasts or by DNA molecular testing of PCCA (Propionyl CoA Carboxylase, Alpha Polypeptide) or PCCB (propionyl CoA carboxylase, beta polypeptide) gene
    • MMA confirmed by the measurement of acylcarnitine profile, urine organic acid, measurement of methymalonyl Co-A mutase in culture fibroblasts or DNA molecular testing of mutgene.
  • Expected survival of at least 6 months, for the purpose of this study Survival expectance will be defined as patient not admitted to the Pediatric Intensive Care Unit (PICU) due to hyperammonemia more than 2 times per year or asymptomatic patients diagnosed by newborn screening program or stable chronic patients who are followed up at outpatient clinic.

Exclusion criteria

Exclusion Criteria:

  • Patients with other organic acidemia or any other cause of hyperammonemia
  • Patient receiving other therapy for PA or MMA
  • Past history of or drug allergy to Carbaglu®
  • Patient with PA or MMA and other inherited genetic conditions or congenital anomalies
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • No intervention
    Methylmalonic Acidemia Control Arm

    patients with Methylmalonic Acidemia will receive standard therapy only (protein restricted diet, L-carnitine, metronidazole and vitamin B12)

  • Experimental
    Methylmalonic Acidemia Active arm

    patients with Methylmalonic Acidemia will receive Carglumic Acid in addition to standard therapy (protein restricted diet, L-carnitine, metronidazole and vitamin B12)

    Drug: Carglumic Acid

  • No intervention
    Propionic Acidemia Control Arm

    patients with Propionic Acidemia will receive standard therapy only (protein restricted diet, L-carnitine, metronidazole and biotin)

  • Experimental
    Propionic Acidemia Active arm

    patients with Propionic Acidemia will receive Carglumic Acid in addition to standard therapy (protein restricted diet, L-carnitine, metronidazole and biotin)

    Drug: Carglumic Acid

Interventions

  • Carglumic Acid 50 mg/kg/day (twice daily)

    Also known as: Carbaglu

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What researchers measure

Primary outcomes

  1. Number of emergency visits due to hyperammonemia within 24 months period

    Time frame: 24 months

Secondary outcomes

  1. Time to first visit to the ER due to hyperammonemia from starting the treatment.

    Time frame: 24 months

  2. Plasma ammonia levels over the study treatment period.

    Time frame: 24 months

  3. Number of days of hospitalization

    Time frame: 24 months

  4. Acylcarnitine level for all patients

    Time frame: once on screening visit

  5. Measuring urine organic acid levels for both diseases.

    Time frame: 24 months

  6. Measuring Plasma aminoacids' levels for both diseases

    Time frame: 24 months

07

Study locations

2 sites
  • King Abdullah Specialist Children Hospital, King Abdulaziz Medical City
    Riyadh, 11426, Saudi Arabia
  • King Fahad Medical City
    Riyadh, Saudi Arabia
08

References and documents

Publications

  • Nashabat M, Obaid A, Al Mutairi F, Saleh M, Elamin M, Ahmed H, Ababneh F, Eyaid W, Alswaid A, Alohali L, Faqeih E, Aljeraisy M, Hussein MA, Alasmari A, Alfadhel M. Evaluation of long-term effectiveness of the use of carglumic acid in patients with propionic acidemia (PA) or methylmalonic acidemia (MMA): study protocol for a randomized controlled trial. BMC Pediatr. 2019 Jun 13;19(1):195. doi: 10.1186/s12887-019-1571-y. PubMed 31196016 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 25, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02426775
Lead sponsor
King Abdullah International Medical Research Center
Responsible party
Dr. Majid Alfadhel (Head Genetics Division, Department of Pediatrics. Assistant Professor, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), King Abdullah International Medical Research Center) — Principal investigator
First posted
Apr 27, 2015
Start date
Nov 2015
Primary completion
Mar 19, 2019
Completion
Mar 19, 2019
Last update
Apr 25, 2019

Study contacts

Majid A. Alfadhel, MD
principal investigator · King Abdulaziz Medical City, National Guard / Riyadh-Saudi Arabia

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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