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ACTIVE NOT RECRUITING
NCT04937062
EARLY_PHASE1

Phenylbutyrate for Monogenetic Developmental and Epileptic Encephalopathy

Sponsor: Weill Medical College of Cornell University

View on ClinicalTrials.gov

Summary

This study is to evaluate the use of glycerol phenylbutyrate for monogenetic developmental epileptic encephalopathies (DEEs). DEEs are characterized by epilepsy and developmental delay in early life. Two examples of DEEs are STXBP1 and SLC6A1, though there are dozens of others. STXBP1 Encephalopathy is a severe disease that can cause seizures and developmental delays in infants and children. SLC6A1 neurodevelopmental disorder is characterized by developmental delay and often epilepsy. Both STXBP1 encephalopathy and SLC6A1 neurodevelopmental disorder cause symptoms because there are not enough working proteins made by these genes. It is possible that a medication called phenylbutyrate may help the the remaining proteins work better for STXBP1, SLC6A1, and/or other similar DEEs caused by single genes (i.e. "monogenetic"). This study is to test if glycerol phenylbutyrate is safe and well tolerated in children with monogenetic DEE.

Key Details

Gender

All

Age Range

0 Months - 17 Years

Study Type

INTERVENTIONAL

Enrollment

50

Start Date

2021-03-01

Completion Date

2026-12-31

Last Updated

2026-01-22

Healthy Volunteers

No

Interventions

DRUG

Glycerol Phenylbutyrate 1100 MG/ML [Ravicti]

Glycerol phenylbutyrate (trade name "Ravicti") is an FDA-approved medication used for urea cycle disorders in children and adults. We will titrate to a goal dose of 1.2 mL/m2 (12.4 g/m2) in three equally divided doses given enterally (i.e., by mouth or by g-tube). The dosing is consistent with the dosing guidelines in the FDA approved Medication Guide (https://www.accessdata.fda.gov/drugsatfda\_docs/label/2017/203284s005lbl.pdf).

Locations (2)

Children's Hospital Colorado

Aurora, Colorado, United States

Weill Cornell Medicine

New York, New York, United States