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New oil therapy could slash Life-Threatening events in kids with rare metabolic disease

NCT ID NCT05933200

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 4 times

Summary

This study tests whether triheptanoin, a special oil, can reduce major clinical events (like severe low blood sugar or heart problems) in children with long-chain fatty acid oxidation disorders (LC-FAOD), a rare condition where the body can't break down certain fats for energy. About 69 kids under 18 will receive either triheptanoin or a standard MCT oil, and researchers will track how often serious events occur over time. The goal is to see if triheptanoin offers better disease control than current treatments.

Why investors are watching

Ultragenyx is running a Phase 3 trial of triheptanoin against a standard treatment, MCT oil, in 69 children with long-chain fatty acid oxidation disorders, a rare genetic condition that can cause serious metabolic crises. For a small company, this readout is a key test of whether its drug can reduce the frequency of those major clinical events, which would support its value in a niche market.

If it works: If triheptanoin shows fewer major clinical events than MCT, Ultragenyx could gain a stronger case for the drug's use in this pediatric population, potentially expanding its commercial reach and reinforcing its position in rare disease treatments.

If it fails: If the trial fails to show a benefit or is delayed, Ultragenyx would face a setback in its pipeline, and the drug's future would be uncertain. Clinical trials often fail, so a negative result is a real possibility that could hurt the company's prospects.

AI-written from the trial record. Speculative, and not investment advice.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 3

Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.

Participants

69 people

The number who actually took part.

Started

Feb 2023

Expected to finish

Aug 2027

An estimate. End dates often move.

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

Up to 17 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria for Main Study: * Males and females, from 0 (including newborns) to \< 18 years of age at time of randomization * Confirmed diagnosis of LC-FAOD * Have a caregiver(s) willing and able to assist in all applicable study requirements * Have a legally authorized representative willing and able to provide written informed consent after the nature of the study has been explained and prior to any research-related procedures, and the study participant to be able to provide age-appropriate written assent * Have ANY ONE of the following significant clinical manifestations of LC-FAOD: * At least 2 in the prior year, or 3 in the prior 2 years, of severe major episodes of metabolic decompensation (eg, hypoglycemia, rhabdomyolysis, or exacerbation of cardiomyopathy, requiring ER/urgent care unit visits or hospitalizations) * Recurrent symptomatic hypoglycemia (clinical symptoms of hypoglycemia) requiring intervention * Susceptibility to hypoglycemia after short periods of fasting (less than 4 to 12 hours, depending on age) * Evidence of functional cardiomyopathy requiring ongoing medical management or clinical manifestation of heart failure * Sibling(s) with the same pathogenic variant who presented with MCEs * Participant with pathogenic variants that are known or suspected to be associated with absent or severely reduced enzyme activity or with severe disease manifestations. * From the period following informed consent to 5 days after the last dose of study drug, females of childbearing potential and fertile males must consent to use highly effective contraception. If female, agree not to become pregnant. If male, agree not to father a child or donate sperm Inclusion Criteria for Liver Substudy: * Enrollment in the Main Study of Study UX007-CL302 * Age \> 2 years * Liver fat content ≥ 2% and \< 20% PDFF as assessed by 1 H-MRS * Body mass index \< 95th percentile * Able to comply with instructions (remaining still during scan) and requirements (eg, constraints on recent meals, no metallic items or implanted devices in the body, no recent contrast agents) for liver 1 H-MRS scan Exclusion Criteria for Main Study: * Enrolled in a clinical study involving concurrent use of an investigational drug product within 30 days before Screening * Use of a prohibited medication (eg, valproate products or pancreatic lipase inhibitors) within 30 days before Screening, or unwilling to avoid a prohibited medication or other substance that may confound study objectives * Treatment with triheptanoin within 60 days of Screening * History of known hypersensitivity to triheptanoin or MCT or its excipients that, in the judgement of the Investigator, places the subject at increased risk for adverse effects * Caregiver unwilling or unable to sign informed consent, or release of medical records, or follow study procedures * Have any comorbid conditions, including unstable major organ-system disease(s), that in the opinion of the Investigator places the subject at increased risk of complications, interferes with study participation or compliance, or confounds study objectives or interpretation of results. History of metabolic decompensation(s) with metabolic acidosis, hyperammonemia, and/or liver enzyme elevations does not constitute an exclusion criterion unless in the opinion of the Investigator places the subject at increased risk of complications, interferes with study participation or compliance, or confounds study objectives or interpretation of results. * Have a diagnosis of pancreatic insufficiency * Pregnant, breastfeeding, or planning to become pregnant (self or partner) at any time during the study Exclusion Criteria for Liver Substudy: * Acute or chronic liver disease other than LC-FAOD that presents with increased risk of liver fat (eg, hepatic cirrhosis, viral toxic or drug hepatitis, diabetes mellitus) and/or metabolic syndrome * Need for anesthesia/sedation to perform liver 1 H-MRS

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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.

Contacts and locations

Locations

  • Cerrahpasa Medical Faculty

    Istanbul, 34116, Turkey (Türkiye)

  • Cukurova University

    Adana, Turkey (Türkiye)

  • Ege University

    Bornova-İzmir, Turkey (Türkiye)

  • Gazi University

    Ankara, Turkey (Türkiye)

  • Gdańksi Uniwersytet Medyczny

    Gdansk, Pomeranian Voivodeship, 80-952, Poland

  • General University Hospital in Prague-GUH (Všeobecná fakultní nemocnice v Praze- VFN)

    Prague, 120-08, Czechia

  • Instytut Pomnik-Centrum Zdrowia Dziecka

    Warsaw, Masovian Voivodeship, 04-730, Poland

  • Istanbul Universitesi Istanbul Tip Fakultesi Hastanesi

    Istanbul, 34093, Turkey (Türkiye)

  • Juntendo University Hospital

    Bunkyo City, Tokyo, 113-8431, Japan

  • King Faisal Specialist Hospital & Research Centre

    Riyadh, 11211, Saudi Arabia

  • Sant Joan de Deu Hospital (SJD)

    Barcelona, Esplugues de Llobregat, 08950, Spain

  • The Jikei University Hospital

    Minato, Tokyo, Japan

  • University Hospital 12 de Octubre

    Madrid, 28041, Spain

  • University Hospital Santiago de Compostela

    A Coruña, 15706, Spain

  • Universitätsklinikum Freiburg

    Freiburg im Breisgau, 79106, Germany

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Other studies related to the condition(s) this trial covers.