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"The MaP Study": Mapping the Patient Journey in MMA and PA

Completed
Conditions
Propionic Acidemia
Methylmalonic Acidemia
Registration Number
NCT03484767
Lead Sponsor
ModernaTX, Inc.
Brief Summary

Longitudinal, exploratory, natural history study of patients with MMA due to mut deficiency and PA to characterize the changes in blood disease biomarkers over time and the frequency and severity of clinical events related to their disease.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
97
Inclusion Criteria

MMA Only • Patient has a confirmed diagnosis of isolated MMA due to MUT deficiency (mut0 or mut-) based on the following criteria:

  • Elevated plasma/serum/DBS or urine methylmalonic acid levels
  • Presence of normal serum/plasma vitamin B12 and plasma homocysteine levels
  • Confirmed by molecular genetic testing. Genetic testing can be performed after the administration of informed consent if not available, however, molecular genetic results must be confirmed before the second study visit

PA Only

• Patient has a confirmed diagnosis of isolated PA based on the following criteria:

  • Elevated plasma/DBS/urine 2-MC and/or 3-HP
  • Elevated plasma/serum/DBS propionylcarnitine (C3)
  • Confirmed by genetic testing for mutations of the PCCA or PCCB genes. Genetic testing can be performed after the administration of informed consent if not available, however, molecular genetic results must be confirmed before the second study visit

Both MMA and PA

  • Patient (and/or legally authorized representative as applicable to local regulations) is willing and able to comply with study-related assessments and activities
  • Patient or legally authorized representative is willing and able to provide informed consent and/or assent as mandated by local regulation
Exclusion Criteria
  • Estimated GFR <30 mL/min/1.73m2 based on age appropriate equations or patients who undergo chronic dialysis
  • The patient is pregnant or lactating at the time of screening. (Note: Patients who become pregnant during the study may remain in the study) MMA Only
  • Patients diagnosed with isolated MMA cblA, cblB, or cblD enzymatic subtypes or methylmalonyl-CoA epimerase deficiency or combined MMA with homocystinuria PA Only
  • Patient has a confirmed diagnosis of multiple carboxylase deficiency

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Frequency of disease related clinical events in enrolled participants (mut0 and mut- MMA patients)Baseline through 12 months
Changes in plasma 2-MC levels (PA only)Baseline through 12 months
Change in plasma methylmalonic acid levels (MMA only)Baseline through 12 months
Changes in plasma 3-HP levels (PA only)Baseline through 12 months
Frequency of disease related clinical events in enrolled participants (PA patients)Baseline through 12 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (17)

Stanford Health Services

🇺🇸

Stanford, California, United States

Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Boston Children's Hospital

🇺🇸

Boston, Massachusetts, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Great Ormond Street Hospital

🇬🇧

Bloomsbury, Greater London, United Kingdom

Birmingham Children's Hospital

🇬🇧

Birmingham, United Kingdom

Johns Hopkins University School of Medicine

🇺🇸

Baltimore, Maryland, United States

Seattle Children's Hospital

🇺🇸

Seattle, Washington, United States

Icahn School of Medicine at Mount Sinai

🇺🇸

New York, New York, United States

Hôpital de la Timone

🇫🇷

Marseille cedex 15, Bouches-du-Rhône, France

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

Emory Univeristy

🇺🇸

Atlanta, Georgia, United States

Ann & Robert H. Lurie Children's Hospital of Chicago

🇺🇸

Chicago, Illinois, United States

University of Pittsburgh

🇺🇸

Pittsburgh, Pennsylvania, United States

Hôpital Necker - Enfants Malades

🇫🇷

Paris cedex 15, Paris, France

Manchester University Hospitals

🇬🇧

Manchester, United Kingdom

Hospital de Cruces

🇪🇸

Barakaldo, Vizcaya, Spain

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