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Active, not recruitingNCT05943678POMPEUpdated Aug 26, 2025

Novel Metabolic Muscular Biomarkers in Pompe Disease - a Non-invasive Magnetic Resonance Exploratory Pilot Study.

An observational study in Pompe Disease and McArdle Disease, sponsored by Medical University of Vienna. Active, not recruiting at 1 site in Austria. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-08-26.

Sponsored by Medical University of Vienna · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
30
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Previous studies have indicated that 13C-MRS in the ultra-high 7T magnetic resonance (MR) field is a potential non-invasive measurement method for assessing changes in muscle glycogen levels in PoD patients. However, in a single study, increases in glycogen intermediates were observed using the even more sensitive 31P-MRS technique in a mouse model of PoD and in glycogen storage disease III in humans. In fact, glycolytic intermediates such as phosphomonoesters (PME), measured by phosphorus-31P-MRS in PoD mouse models, were superior to 13C-MRS in monitoring disease progression and quantifying glycogen, indicating a significant clinical potential of 31P-MRS in humans. It has been shown that 31P-MRS can reliably quantify age- and weight-related differences as well as changes in thyroid function in human muscle metabolism. This study conducted by our institute demonstrates that the technique possesses the necessary sensitivity to measure these subtle muscular metabolic changes. However, there are currently no human 31P-MRS muscle data available for PoD. Therefore, we propose a proof-of-principle study to address this knowledge gap and contribute to establishing a new sensitive muscular biomarker that quantifies the primary disease mechanism, namely glycogen formation, for future longitudinal studies on PoD.

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Conditions studied

  • Pompe Disease
  • McArdle Disease
03

In context

Glycogen Storage Disease Type II

151 studies on the registry are indexed under Glycogen Storage Disease Type II; 30 are open to participants now.

This study's planned enrollment of 30 is below the median of 50 across 62 observational studies indexed under Glycogen Storage Disease Type II.

Browse Glycogen Storage Disease Type II studies →

Lead sponsor

Medical University of Vienna is the lead sponsor of 1,076 studies on the registry; 177 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Adult patients diagnosed with Pompe or McArdle Disease based on enzyme activity and/or genetic testing

Healthy individuals will serve as controls

Inclusion criteria

Patients with PoD and McArdle disease:

  • age between 18-70
  • Confirmed diagnosis: enzyme activity and/or genetic testing
  • body weight > 40kg at screening
  • 6-minute walking distance > 75m at screening (only PoD patients)
  • Sitting FCV ≥ 30% predicted (only PoD patients)
  • "Informed Consent" issued orally and in writing

Healthy volunteers (controls):

  • age between 18-70

Exclusion criteria

Exclusion criteria

Patients with PoD and McArdle disease:

  • pregnancy (will be assessed prior to MRS measurements using a rapid pregnancy test)
  • Involvement of the respiratory musculature
  • claustrophobia
  • active participation in another clinical trial
  • metal devices or other magnetic material in or on the subjects body which will be hazardous for NMR investigation [heart pacemaker, coronary stents and heart valves (in case these devices are not compatible with a 7T MRI), brain (aneurysm) clip, nerve stimulators, electrodes, ear implants, penile implants, colored contact lenses, patch to deliver medications through the skin, coiled spring intrauterine device, vascular filter for blood clots, orthodontic braces, shunt-spinal or ventricular, any metal implants (rods, joints, plates, pins, screws, nails, or clips), embolization coil, or any metal fragments or shrapnel in the body.

Healthy volunteers (controls):

  • any known endocrine, metabolic or neurological disorder
  • special diets especially ketogenic or atkins diet
  • creatine supplementation
  • pregnancy (will be assessed prior to MRS measurements using a rapid pregnancy test)
  • claustrophobia
  • active participation in another clinical trial
  • metal devices or other magnetic material in or on the subjects body which will be hazardous for NMR investigation [heart pacemaker, coronary stents and heart valves (in case these devices are not compatible with a 7T MRI), brain (aneurysm) clip, nerve stimulators, electrodes, ear implants, penile implants, colored contact lenses, patch to deliver medications through the skin, coiled spring intrauterine device, vascular filter for blood clots, orthodontic braces, shunt-spinal or ventricular, any metal implants (rods, joints, plates, pins, screws, nails, or clips), embolization coil, or any metal fragments or shrapnel in the body.
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
30 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Healthy controls

    negative controls

    Device: Siemens Magnetom 7T Plus

  • Pompe Disease patients

    Device: Siemens Magnetom 7T Plus

  • McArdle Disease patients

    positiv controls

    Device: Siemens Magnetom 7T Plus

Interventions

  • DeviceSiemens Magnetom 7T Plus

    Magnetic Resonance Spectroscopy

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What researchers measure

Primary outcomes

  1. muscle glycogen concentration

    Time frame: 12 months

Secondary outcomes

  1. muscle phospho-mono-ester concentration (PME)

    Time frame: 12 months

07

Study locations

1 site
  • Medical University of Vienna
    Vienna, State of Vienna 1090, Austria
08

References and documents

Publications

  • Wary C, Laforet P, Eymard B, Fardeau M, Leroy-Willig A, Bassez G, Leroy JP, Caillaud C, Poenaru L, Carlier PG. Evaluation of muscle glycogen content by 13C NMR spectroscopy in adult-onset acid maltase deficiency. Neuromuscul Disord. 2003 Sep;13(7-8):545-53. doi: 10.1016/s0960-8966(03)00069-5. PubMed 12921791 ↗
  • Taylor KM, Meyers E, Phipps M, Kishnani PS, Cheng SH, Scheule RK, Moreland RJ. Dysregulation of multiple facets of glycogen metabolism in a murine model of Pompe disease. PLoS One. 2013;8(2):e56181. doi: 10.1371/journal.pone.0056181. Epub 2013 Feb 14. PubMed 23457523 ↗
  • Baligand C, Todd AG, Lee-McMullen B, Vohra RS, Byrne BJ, Falk DJ, Walter GA. 13C/31P MRS Metabolic Biomarkers of Disease Progression and Response to AAV Delivery of hGAA in a Mouse Model of Pompe Disease. Mol Ther Methods Clin Dev. 2017 Sep 8;7:42-49. doi: 10.1016/j.omtm.2017.09.002. eCollection 2017 Dec 15. PubMed 29018835 ↗
  • Beiglbock H, Wolf P, Pfleger L, Caliskan B, Fellinger P, Zettinig G, Anderwald CH, Kenner L, Trattnig S, Kautzky-Willer A, Krssak M, Krebs M. Effects of Thyroid Function on Phosphodiester Concentrations in Skeletal Muscle and Liver: An In Vivo NMRS Study. J Clin Endocrinol Metab. 2020 Dec 1;105(12):dgaa663. doi: 10.1210/clinem/dgaa663. PubMed 32944774 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 26, 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
NCT05943678
Lead sponsor
Medical University of Vienna
Responsible party
Thomas Scherer (Assoc.Prof. PD Dr., Medical University of Vienna) — Principal investigator
First posted
Jul 13, 2023
Start date
Aug 15, 2023
Primary completion
Aug 15, 2028 (estimated)
Completion
Oct 15, 2028 (estimated)
Last update
Aug 26, 2025

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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