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RecruitingNCT05848271Updated Mar 30, 2025

Natural History Study of Patients with HPDL Mutations

An observational study in Mitochondrial Encephalomyopathies, Hereditary Spastic Paraplegia and Spastic Paraplegia, sponsored by University of California, San Diego. Recruiting at 1 site in United States. Per ClinicalTrials.gov, last updated 2025-03-30.

Sponsored by University of California, San Diego · Observational

From the registry’s dates

  • Started May 2023; still recruiting 3 years 5 months later.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
50
Sex
All
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Study summary

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

Read the detailed description

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.

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Conditions studied

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

Keywords

  • HPDL
  • HPDL related neonatal mitochondrial encephalopathy
  • HPDL related hereditary spastic paraplegia
  • Spastic paraplegia-83
  • Neurodevelopmental disorder with progressive spasticity and brain white matter abnormalities
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In context

Spastic Paraplegia, Hereditary

50 studies on the registry are indexed under Spastic Paraplegia, Hereditary; 19 are open to participants now.

This study's planned enrollment of 50 is below the median of 100 across 25 observational studies indexed under Spastic Paraplegia, Hereditary.

Browse Spastic Paraplegia, Hereditary studies →

Lead sponsor

University of California, San Diego is the lead sponsor of 980 studies on the registry; 195 are open to participants now.

Of its 113 completed or terminated interventional studies of FDA-regulated products, 71 (63%) have results posted.

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

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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

The gene HPDL has been linked to an infantile neurodegenerative condition. The affected patients have various clinical manifestations from spastic paraplegia to NEDSWMA. Severely affected patients exhibit developmental delay, seizures, and spasticity, and can lead to death.

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

  • 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

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
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
50 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • HPDL deficiency

    Patients with HPDL mutations

    Other: Patient Registry · Other: Dry blood spots sampling

Interventions

  • OtherPatient Registry

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

  • OtherDry blood spots sampling

    Dry blood splots require 500nl of blood.

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What researchers measure

Primary outcomes

  1. Clinician questionnaire

    Clinician-reported clinical and genetic confirmation of HPDL mutations

    Time frame: 12 months

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Study locations

1 of 1 sites recruiting
  • Eun Hae Lee
    San Diego, California 92093, United States
    Recruiting
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References and documents

Publications

  • 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. PubMed 33188300 ↗
  • 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. PubMed 34471290 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 30, 2025, 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
NCT05848271
Collaborators
New York University, Universität Tübingen, Heinrich-Heine University, Duesseldorf
Responsible party
Joseph Gleeson (professor, neuroscience, University of California, San Diego) — Principal investigator
First posted
May 8, 2023
Start date
May 18, 2023
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Mar 30, 2025

Study contacts

Eun Hae Lee
Contact
gleesonlab@health.ucsd.edu
8582460547
Joseph Gleeson
principal investigator · UCSD

Oversight

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

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