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RecruitingNCT05040178Updated Apr 15, 2025

An Observational Study of Carbaglu® for the Treatment of MMA and PA in Adults and Pediatrics

An observational study in Hyperammonemia, Methylmalonic Acidemia and Propionic Acidemia, sponsored by Recordati Rare Diseases. Recruiting at 5 sites in United States. Per ClinicalTrials.gov, last updated 2025-04-15.

Sponsored by Recordati Rare Diseases (part of RECORDATI GROUP) · Observational

From the registry’s dates

  • Started Jun 2022; still recruiting 4 years 4 months later.
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
20
Sex
All
01

Study summary

To obtain short-term and long-term clinical safety information, in pediatric and adult patients with PA and MMA treated with Carbaglu®.

Read the detailed description

This study is being conducted to obtain short-term and long-term clinical safety information from adult and pediatric patients treated for hyperammonemia due to Methylmalonic Acidemia (MMA) and Propionic Acidemia (PA). This is an observational/non-interventional study. Patients will be treated per the prescribing information and routine medical practice.

Only available data will be collected as part of the study including developmental outcomes, details of treatment with Carbaglu® and other treatments for hyperammonemia including dietary and protein management, plasma ammonia levels, pregnancy and maternal complications, adverse effects on the developing fetus and neonate, adverse effects on the infant through first year of life.

02

Conditions studied

  • Hyperammonemia
  • Methylmalonic Acidemia
  • Propionic Acidemia

Keywords

  • PA & MMA
03

In context

Hyperammonemia

25 studies on the registry are indexed under Hyperammonemia; 3 are open to participants now.

Browse Hyperammonemia studies →

Lead sponsor

Recordati Rare Diseases is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

First submitted after Recordati Rare Diseases became part of RECORDATI GROUP.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with PA or MMA of any age and gender, including pregnant women, are eligible for enrollment in the study as long as they meet the eligibility criteria.

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. Provision of signed and dated /assent form
  2. Prescribed and treated with Carbaglu®
  3. Have an established diagnosis of PA or MMA defined as follows:

    • Diagnosed with PA by semi quantitative urine organic acid analysis, defined as presence of elevated methylcitric acid and normal methylmalonic acid levels and no evidence of biotin related disorders in the organic acid analysis; OR
    • Diagnosed with MMA by semi quantitative urine organic acid analysis, defined as elevation of methylmalonic acid and no evidence of vitamin B12 dependent disorder on plasma amino acid analysis (vitamin B12 dependency is defined by documented vitamin B12 responsiveness).

AND/OR

  • Confirmation by molecular genetic testing

Exclusion criteria

Exclusion Criteria:

  • None
Terms in these criteria, in plain language(1)

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

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
20 participants (estimated)
Patient registry
No

Groups and cohorts

  • Male and Female Adult and Pediatric Participants

    Patients treated with Carbaglu for the treatment for hyperammonemia due to Methylmalonic Acidemia (MMA) and Propionic Acidemia (PA)

    Drug: Carglumic Acid

Interventions

  • Current or previous treatment with Carbaglu, the dose of Carbaglu® prescribed will be determined by the investigator for each individual patient.

    Also known as: Carbaglu®

06

What researchers measure

Primary outcomes

  1. Effects of Carbaglu® on plasma ammonia levels

    Multiple plasma ammonia levels will be collected only during treatment with Carbaglu® according to prescribing information and routine medical practice in terms of visit frequency.

    Time frame: Patients treated with Carbaglu® will be managed chronically (out-patient) or acutely (hospital in-patient). In both cases, data will be collected for approximately 1 year following discontinuation of Carbaglu treatment.

  2. Adverse Event frequency and severity

    Any Carbaglu® related adverse events will be be collected and reported

    Time frame: Patients treated with Carbaglu® will be managed chronically (out-patient) or acutely (hospital in-patient). In both cases, data will be collected for approximately 1 year following discontinuation of Carbaglu treatment.

Secondary outcomes

  1. Fetal Outcomes and Pregnancy Outcomes

    Pregnancy risks including maternal complications, adverse effects on the developing fetus and neonate, and adverse effects on the infant (through the first year of life).

    Time frame: Collection of pregnancy information for patients who becomes pregnant while participating in the trial or at time of enrollment. Pregnancy reports and reports involving neonates and infants up to 1 year of age must be reported to RRD Pharmacovigilance.

07

Study locations

5 of 5 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05040178
Collaborators
Target PharmaSolutions, Inc.
Responsible party
Sponsor
First posted
Sep 10, 2021
Start date
Jun 30, 2022
Primary completion
Jun 30, 2032 (estimated)
Completion
Jun 30, 2032 (estimated)
Last update
Apr 15, 2025

Study contacts

Anne Marie Cesario
Contact
cesario.a@recordati.com
908-849-4907
William Ludlum, MD
study director · Recordati Rare Diseases Inc.
Nicholas Ah Mew, MD
principal investigator · Children's National Research Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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