New oil therapy could slash Life-Threatening events in kids with rare metabolic disease
NCT ID NCT05933200
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 Hide 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
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Long-chain fatty acid oxidation disorders (LC-faod) are added.
Genom att skicka in godkänner du våra Användarvillkor
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
More trials for these conditions
Other studies related to the condition(s) this trial covers.