Hope for rare metabolic disorder: new drug targets fatigue in PDH deficiency
NCT ID NCT06887777
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a drug called glycerol phenylbutyrate (RAVICTI®) can reduce fatigue and improve daily life for people with pyruvate dehydrogenase (PDH) deficiency, a rare genetic condition that affects energy production. About 15 children and young adults (ages 2 to 25) will take the drug for 6 months while continuing their usual treatments like vitamin B1 and a special diet. Researchers will measure changes in fatigue, overall function, and quality of life.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 15 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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2 to 25 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Child from 2 to 17 years of age Or * Adult from 18 to 25 years of age * With a PDH deficiency confirmed by molecular biology: * a class 4 or 5- missense variant on the PDHA1 gene or * one homozygous variant or two mixed heterozygous variants of class 4 or 5 that are missense variants on PDHB or DLAT genes or * one homozygous variant or two mixed heterozygous variants of class 4 or 5 on PDHX genes (including non-sense and frameshift variants, and intragenic deletions * For females of childbearing potential, negative bHCG and effective method of contraception (sexual abstinence, hormonal contraception containing ethinylestradiol and levonorgestrel, intrauterine device or hormone-releasing system, cap, diaphragm or sponge with spermicide, condom) until 30 days after the end of study. For male, an effective method of contraception (sexual abstinence, condom) until 30 days after the end of study * Signature of consent by the legal representative * Beneficiary of a social security coverage (affiliated or entitled) Exclusion Criteria: * Patient with E3 deficiency due to pathogenic mutation in DLD gene * Patient with non-sense mutation on PDHB or DLAT gene, and male patient with non-sense mutation or PDHA1 gene. * Patient with planned hip or scoliosos surgery during the study timeframe. * Patient whose parents / legal representative refuse flu vaccine. * Treatment change during the last 3 months prior inclusion (ketogenic diet and/or B1 vitamin) * Hypersensitivity to Glycerol Phenylbutyrate or to any of the excipients * No disease requiring Glycerol Phenylbutyrate (Hyperammonemia due to urea cycle disease or other aetiology) * Pregnant or breastfeeding women * Participation to another clinical trial on medicinal products for human use
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hôpital Universitaire Necker - Enfants Malades
RECRUITINGParis, France, 75015, France
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