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Effect of Theophylline in Pseudohypoparathyroidism

Phase 4
Recruiting
Conditions
PHP Ia
PHP IB
Php1C
Interventions
Registration Number
NCT03718403
Lead Sponsor
Massachusetts General Hospital
Brief Summary

The study evaluates the effect of theophylline in 100 subjects with Pseudohypoparathyroidism.

Detailed Description

It is an open label intervention study for the off-label use of theophylline in psuedohypoparathyroidism (PHP).Theophylline is a is non-specific phosphodiesterase inhibitor which increases the levels of secondary messenger,cAMP. PHP patients have end organ resistance to hormones involving cAMP signaling. Thus, theophylline has a potential to abrogate hormone resistance. Also, it may have a role in bone maturation, neurocognition and metabolism.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Subjects with known diagnosis of PHP1A and PHP1B
  • Age >5 years
Exclusion Criteria
  • • Significant kidney disease, i.e. any CKD stage

    • Hypercalciuria
    • Kidney stones
    • Severe Heart disease
    • Uncontrolled seizure disorder
    • Peptic ulcer
    • Liver dysfunction
    • Bleeding disorder
    • Allergy to theophylline preparation
    • Muscle disorder
    • Infection
    • Any neurologic disease
    • Chronic drugs interacting with theophylline

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Single arm open labeled intervention studyTheophyllineSubjects with PHP will be given theophylline to decrease the end organ resistance by increasing levels of cAMP, a second messenger. Theophylline will be dosed twice a day for a period of 52 weeks.
Primary Outcome Measures
NameTimeMethod
Effect of Theophylline on Bone Age in PHP52 weeks

Change in Bone age ( in years and months) before and after theophylline administration for 52 weeks

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

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