High Protein and Exercise Therapy Plus Nocturnal Enteral Feeding in Juvenile-onset Pompe Disease

Glycogen Storage Disease Type II Clinical Trial

Official title:

High Protein Nutrition and Exercise Therapy (HPET) Plus Nocturnal Enteral Feeding (NEF) in Juvenile-onset Pompe Disease.

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT01656590
• Other study ID #: AAAJ7305
• Status: Withdrawn
• Phase: Phase 2
• First received: August 1, 2012
• Last updated: April 9, 2015
• Start date: October 2012
• Est. completion date: August 2013

Study information

• Verified date: April 2015
• Source: Columbia University
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The research protocol will be submitted for approval to the institutional review board of Columbia University Medical Center. An attempt will be made to recruit at least 6 juvenile patients between the ages of 8 and 17, preferably who are still ambulatory.

Subjects meeting all eligibility criteria will undergo a full history and physical examination, including details of age of onset of symptoms, distribution and severity of muscle weakness, muscle function, pulmonary function, and nutritional status. Subjects will undergo an electrocardiogram (ECG), spirometry, muscule strength evaluation, exercise capacity, functional muscle tests, laboratory tests, and muscle biopsy. Quality of life will be assessed via SF 36 questionnaire. Functional ability and level of handicap will be assessed by Rotterdam handicap scale. Written informed consent will be obtained from all subjects.

All patients, who will have received enzyme replacement therapy (ERT) for at least 2 years, will be evaluated prior to institution of high protein nutrition and exercise therapy plus nocturnal enteral feeding (HPET + NEF)(baseline), then again at 3 months, 6 months and 12 months into treatment. The following parameters will be evaluated-

• Skeletal Muscle Function

• Biochemical parameters from collected blood sample Muscle Biopsy will be obtained at baseline and at 12 months. Biopsy specimens, obtained from thigh muscle at baseline and a repeat biopsy of the corresponding area of the other leg at 12 months, will be analyzed as follows:.

• Histology and electron microscopy

• Autophagic and lysosomal function evaluation

• Body composition Body mass index (BMI), body composition, lean body mass, and fat mass will be measured at each visit by bioelectric impedance analysis using BI-101Q RJL Systems, software 3.1b

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: August 2013
• Est. primary completion date: August 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 8 Years to 17 Years

Eligibility

Inclusion Criteria:

1. Male or female, 8 to 17 years of age.

2. Diagnosis of Pompe disease; either by enzyme deficiency of muscle biopsy specimen or skin fibroblast culture, or homozygous or compound heterozygous for GAA mutation.

3. Muscle Function < grade 7 on Walton Scale.

4. Women of reproductive age (> 15 years) agree to use reliable methods of contraception during the study, if sexually active

5. Subject or legal representative is willing and able to provide written informed consent.

Exclusion Criteria:

1. Any intercurrent condition that may preclude accurate interpretation of study data

2. Obstructive pulmonary disease

3. Invasive ventilatory support

4. Noninvasive ventilatory support while awake and in an upright position

5. History of QTc prolongation > 450 msec for males and > 470 msec for females

6. Life expectancy < 1 year

7. History of allergy, sensitivity or any serious adverse reaction to rhGAA drug

8. Pregnancy

9. Current or recent drug or alcohol abuse.

10. Treatment with another investigational drug within 60 days of study start

11. Use of prohibited medication < 3 months prior to randomization

12. Otherwise unsuitable for the study in the opinion of investigator

Study Design

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Glycogen Storage Disease
• Glycogen Storage Disease Type II

Intervention

Other:
• High Protein and Exercise Therapy along-with Nocturnal Enteral Feeding
High Protein and Moderate Carbohydrate Nutrition designed by our nutritionist for every patient based on his/her nutrition requirements, age & gender 500 cc Formula - Nutren Replete with Fiber overnight [8 hours] via gastrostomy tube Conditioning Exercise once daily

Locations

Country	Name	City	State
United States	Columbia University Medical Center	New York	New York

Sponsors (1)

Lead Sponsor	Collaborator
Columbia University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in muscle function	Gross muscle function will be measured by the Walton Scale, the Timed Muscle Function Test and the Six-Minute Walk. Muscle strength will be measured by hand held dynamometer. Functional ability will be assessed by Rotterdam 9-item Handicap Scale.	Baseline, 12 months	No
Secondary	Change in pulmonary function (Vital capacity, forced expiration volume)	The Pulmonary Function Test will be used to measure vital capacity (VC) and forced expiration volume (FEV1) to assess pulmonary function in sitting and supine positions.	Baseline, 12 months	No