ClinicalTrials.gg
CompletedNCT04284917Updated Mar 20, 2025

Long-term Efficacy of Carglumic Acid in Organic Acidemia.

An interventional study of Carglumic Acid (Carbaglu®) in Propionic Acidemia (PA) , Methylmalonic Acidemia (MMA), sponsored by National Taiwan University Hospital. Completed at 1 site in Taiwan. Open to participants aged 0 Years to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-20.

Sponsored by National Taiwan University Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
0 Years to 18 Years
Sex
All
01

Study summary

Evaluate the Long Term Effectiveness \& Safety of the use of Carglumic Acid (Carbaglu®) in Patients with Propionic Acidemia (PA) or Methylmalonic Acidemia (MMA).

Read the detailed description

Study procedures:

A. Study period: 36 months; treatment period: 12 months.

B. Patients will receive Carglumic Acid (Carbaglu®) 50 mg/kg/day in addition to standard therapy (protein restricted diet, L-carnitine, metronidazole and vitamin B12).

C. Patients need to regularly come back for follow up examination on Day 0, month 3, month 6, and month 12.

D. Patients should report any adverse event that occur during treatment period.

E. Patients' number of emergency visits due to hyperammonemia, ammonia level, acylcarnitine, urinary organic acid analysis, plasma amino acid analysis and methylmalonic acid will be recorded during treatment period.

02

Conditions studied

  • Propionic Acidemia (PA) , Methylmalonic Acidemia (MMA)

Keywords

  • Carglumic Acid (Carbaglu®)
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 3 is below the median of 30 across 12 interventional studies indexed under Propionic Acidemia.

Browse Propionic Acidemia studies →

Lead sponsor

National Taiwan University Hospital is the lead sponsor of 2,615 studies on the registry; 576 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 2 (18%) have results posted.

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

04

Who can participate

Ages eligible
0 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  1. 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.
  2. Male or female Children of 18 years old or less.
  3. Had experienced Hyperammonemia(NH3 ≧100 uM) before.
  4. Not participating in any other clinical trial in the previous 30 days

Exclusion criteria

Exclusion Criteria:

  1. Patients with other organic acidemia or any other cause of hyperammonemia
  2. Patient receiving other therapy for PA or MMA
  3. Patient with PA or MMA and other inherited genetic conditions or congenital anomalies
  4. Past history of or drug allergy to Carbaglu®
Terms in these criteria, in plain language(2)

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Receive Carglumic Acid

    Experimental Case_ Carglumic Acid

    Drug: Carglumic Acid (Carbaglu®)

Interventions

  • A. Study period: 36 months; treatment period: 12 months. B. Patients will receive Carglumic Acid (Carbaglu®) 50 mg/kg/day in addition to standard therapy (protein restricted diet, L-carnitine, metronidazole and vitamin B12). C. Patients need to regularly come back for follow up examination on Day 0, month 3, month 6, and month 12. D. Patients should report any adverse event that occur during treatment period. E. Patients' number of emergency visits due to hyperammonemia, ammonia level, acylcarnitine, urinary organic acid analysis, plasma amino acid analysis and methylmalonic acid will be recorded during treatment period.

06

What researchers measure

Primary outcomes

  1. Number of emergency visits due to hyperammonemia within 12 months period

    Adverse Events

    Time frame: 12 months

Secondary outcomes

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

    Adverse Events

    Time frame: 12 months

  2. Assessment of Plasma ammonia level

    Plasma ammonia level over the study treatment period.

    Time frame: Baseline,3,6,9 and 12,months after receiving Carbaglu.

  3. Number of days of hospitalization

    Number of days of hospitalization during study treatment period.

    Time frame: 12 months

  4. Assessment of Acylcarnitine level

    Acylcarnitine level for all patients

    Time frame: Baseline,3,6,9 and 12,months after receiving Carbaglu.

  5. Assessment of urine organic acid level

    Measuring urine organic acid level for both diseases.

    Time frame: Baseline,3,6,9 and 12,months after receiving Carbaglu.

  6. Assessment of Plasma aminoacids' level

    Measuring Plasma aminoacids' level for both diseases.

    Time frame: Baseline,3,6,9 and 12,months after receiving Carbaglu.

  7. Assessment of Methylmalonic acid level

    Measuring Methylmalonic acid level for both diseases.

    Time frame: Baseline,3,6,9 and 12,months after receiving Carbaglu.

07

Study locations

1 site
  • National Taiwan University Hospital
    Taipei, 10041, Taiwan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04284917
Responsible party
Sponsor
First posted
Feb 26, 2020
Start date
Nov 28, 2019
Primary completion
Dec 31, 2024
Completion
Mar 11, 2025
Last update
Mar 20, 2025

Study contacts

Ni-Chung Lee, M.D., Ph.D
principal investigator · National Taiwan University Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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