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Phenylbutyric acid

Generic Name
Phenylbutyric acid
Brand Names
Ammonaps, Buphenyl, Olpruva 2 Gm Pack, Pheburane, Relyvrio
Drug Type
Small Molecule
Chemical Formula
C10H12O2
CAS Number
1821-12-1
Unique Ingredient Identifier
7WY7YBI87E
Background

Phenylbutyric acid is a fatty acid and a derivative of butyric acid naturally produced by colonic bacteria fermentation. It demonstrates a number of cellular and biological effects, such as relieving inflammation and acting as a chemical chaperone. It is used to treat genetic metabolic syndromes, neuropathies, and urea cycle disorders.

Indication

Phenylbutyric acid is used for the treatment of various conditions, including urea cycle

disorders, neonatal-onset deficiency, late-onset deficiency disease in patients with a history of hyperammonemic encephalopathy. Phenylbutyric acid must be combined with dietary protein restriction and, in some cases, essential amino acid supplementation.

Phenylbutyric acid, as sodium phenylbutyrate, is used in combination with tauroursodeoxycholic acid to treat amyotrophic lateral sclerosis (ALS) in adults.

Associated Conditions
Amyotrophic Lateral Sclerosis (ALS), Argininosuccinate Synthetase Deficiency (Citrullinemia), Carbamyl Phosphate Synthetase Deficiency, Ornithine Transcarbamylase Deficiency, Deficiencies in enzymes of the urea cycle, Neonatal-onset deficiency

Study of Sodium Phenylbutyrate (ACER-001) for the Treatment of Pediatric and Adults Patients With Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCADD)

Phase 2
Recruiting
Conditions
Medium-chain Acyl-CoA Dehydrogenase Deficiency
Interventions
First Posted Date
2025-01-14
Last Posted Date
2025-05-04
Lead Sponsor
Jerry Vockley, MD, PhD
Target Recruit Count
24
Registration Number
NCT06773026
Locations
🇺🇸

UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States

Na-Phenylbutyrate VAscular Trial

Early Phase 1
Not yet recruiting
Conditions
Diabetes
Interventions
First Posted Date
2024-10-17
Last Posted Date
2025-02-20
Lead Sponsor
University of Pennsylvania
Target Recruit Count
30
Registration Number
NCT06645769

Study of Sodium Phenylbutyrate (ACER-001) for the Treatment of Patients With Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCADD)

Phase 2
Recruiting
Conditions
Medium-chain Acyl-CoA Dehydrogenase Deficiency
Interventions
First Posted Date
2023-10-05
Last Posted Date
2025-04-04
Lead Sponsor
Jerry Vockley, MD, PhD
Target Recruit Count
24
Registration Number
NCT06069375
Locations
🇺🇸

UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States

A Healthy Volunteer Study to Compare Fezagepras (PBI-4050) With Sodium Phenylbutyrate

Phase 1
Terminated
Conditions
Hyperammonemia
Interventions
First Posted Date
2022-04-27
Last Posted Date
2022-08-01
Lead Sponsor
Liminal BioSciences Ltd.
Target Recruit Count
8
Registration Number
NCT05349435
Locations
🇬🇧

Celerion, Belfast, Northern Ireland, United Kingdom

The Effects of Sodium Phenylbutyrate on Circulating Branched Chain Amino Acids

Not Applicable
Conditions
Obese Non Diabetic
Interventions
First Posted Date
2021-08-31
Last Posted Date
2021-08-31
Lead Sponsor
University of Nottingham
Target Recruit Count
6
Registration Number
NCT05028803
Locations
🇬🇧

University of Nottingham, Derby, Derbyshire, United Kingdom

BSEP Function Rescue During Childhood Inhereditary Cholestatic Diseases

Phase 2
Withdrawn
Conditions
Hereditary Diseases
Cholestasis, Intrahepatic
Interventions
First Posted Date
2020-08-31
Last Posted Date
2023-02-09
Lead Sponsor
Children's Hospital of Fudan University
Registration Number
NCT04531878

Safety and Tolerability of Phenylbutyrate in Inclusion Body Myositis

Phase 1
Completed
Conditions
Sporadic Inclusion Body Myositis
Inclusion Body Myositis
Interventions
First Posted Date
2020-06-09
Last Posted Date
2022-05-23
Lead Sponsor
University of Kansas Medical Center
Target Recruit Count
10
Registration Number
NCT04421677
Locations
🇺🇸

University of Kansas Medical Center, Kansas City, Kansas, United States

PBA Use for Treatment of ATF6-/- Patients

Early Phase 1
Not yet recruiting
Conditions
Achromatopsia
ACHROMATOPSIA 7
Interventions
First Posted Date
2019-08-01
Last Posted Date
2025-01-08
Lead Sponsor
Columbia University
Target Recruit Count
2
Registration Number
NCT04041232
Locations
🇺🇸

Edward S. Harkness Eye Institute, New York, New York, United States

Use of Phenylbutyrate Therapy for Patients With Pyruvate Dehydrogenase Complex Deficiency.

Phase 2
Completed
Conditions
Pyruvate Dehydrogenase Complex Deficiency
Interventions
First Posted Date
2018-11-07
Last Posted Date
2021-10-13
Lead Sponsor
Fondazione Telethon
Target Recruit Count
1
Registration Number
NCT03734263
Locations
🇮🇹

Federico II University, Napoli, Italy

Phenylbutyrate in Proteinuric Nephropathies

Phase 2
Completed
Conditions
Proteinuric Diseases
Interventions
First Posted Date
2015-01-21
Last Posted Date
2016-08-26
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
26
Registration Number
NCT02343094
Locations
🇫🇷

Hôpital Necker Enfants Malades, Paris, France

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