Page last updated: 2024-11-02

4-phenylbutyric acid and Adult Spinal Muscular Atrophy

4-phenylbutyric acid has been researched along with Adult Spinal Muscular Atrophy in 3 studies

4-phenylbutyric acid: RN refers to the parent cpd
4-phenylbutyric acid : A monocarboxylic acid the structure of which is that of butyric acid substituted with a phenyl group at C-4. It is a histone deacetylase inhibitor that displays anticancer activity. It inhibits cell proliferation, invasion and migration and induces apoptosis in glioma cells. It also inhibits protein isoprenylation, depletes plasma glutamine, increases production of foetal haemoglobin through transcriptional activation of the gamma-globin gene and affects hPPARgamma activation.

Research Excerpts

ExcerptRelevanceReference
"Proximal spinal muscular atrophy (SMA) is a leading genetic cause for infant death in the world and results from the selective loss of motor neurons in the spinal cord."1.91Evaluation of the orally bioavailable 4-phenylbutyrate-tethered trichostatin A analogue AR42 in models of spinal muscular atrophy. ( Burghes, AHM; Butchbach, MER; Connell, AJ; Harris, AW; Kirk, RW; Lumpkin, CJ; Pellizzoni, L; Saieva, L; Whiting, JA, 2023)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (66.67)29.6817
2010's0 (0.00)24.3611
2020's1 (33.33)2.80

Authors

AuthorsStudies
Lumpkin, CJ1
Harris, AW1
Connell, AJ1
Kirk, RW1
Whiting, JA1
Saieva, L1
Pellizzoni, L1
Burghes, AHM1
Butchbach, MER1
Andreassi, C1
Angelozzi, C2
Tiziano, FD2
Vitali, T1
De Vincenzi, E1
Boninsegna, A1
Villanova, M2
Bertini, E2
Pini, A2
Neri, G2
Brahe, C2
Mercuri, E1
Messina, S1
Solari, A1
D'Amico, A1
Battini, R1
Berardinelli, A1
Boffi, P1
Bruno, C1
Cini, C1
Colitto, F1
Kinali, M1
Minetti, C1
Mongini, T1
Morandi, L1
Orcesi, S1
Pane, M1
Pelliccioni, M1
Vita, G1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
In Vivo Study of Safety, Tolerability and Dosing Effect on SMN mRNA and Protein Levels of Valproic Acid in Patients With Spinal Muscular Atrophy[NCT00374075]Phase 142 participants Interventional2003-09-30Completed
Phase I/II Trial of Valproic Acid and Carnitine in Infants With Spinal Muscular Atrophy Type I (CARNI-VAL Type I)[NCT00661453]Phase 1/Phase 240 participants (Actual)Interventional2008-04-30Completed
Multi-center Phase II Trial of Valproic Acid and Carnitine in Patients With Spinal Muscular Atrophy (SMA CARNI-VAL Trial)[NCT00227266]Phase 294 participants (Actual)Interventional2005-09-30Completed
Phenylbutyrate for Monogenetic Developmental and Epileptic Encephalopathy[NCT04937062]Early Phase 150 participants (Anticipated)Interventional2021-03-01Enrolling by invitation
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Anthropometric Measures of Nutritional Status (Body Mass Index [BMI] Z-scores, Weight for Length Ratios, Lean/Fat Mass Via DEXA, Growth Parameters, and Triceps Skinfold Measures)

(NCT00661453)
Timeframe: -2 weeks, time 0, 3 months, 6 months

Interventiong (Mean)
Lean Mass BaselineLean Mass 3 monthsLean Mass 6 monthsFat Mass BaselineFat Mass 3 monthsFat Mass 6 months
SMA Type 14317.154993.925133.833011.373618.254316.08

Max CMAP Amplitude (Mean)

The maximum Compound Motor Action Potential (CMAP) is a measurement obtained through EMG testing that is associated with disease progression. In this study, we measure the maximum CMAP by stimulating one nerve in the hand and measuring the response of the muscle. This is done multiple times, the outcome used is the highest peak, or response observed. (NCT00227266)
Timeframe: 1 month prior to official enrollment, beginning of study (0 months), 6 months, 12 months (data point not available)

,,
InterventionmV (Mean)
Baseline6 months
Cohort 1a Sitters Placebo Then Treatment2.282.32
Cohort 1b Sitters Treatment2.932.37
Cohort 2 Standers and Walkers - Treatment5.526.56

Max CMAP Amplitude Median

The maximum Compound Motor Action Potential (CMAP) is a measurement obtained through EMG testing that is associated with disease progression. In this study, we measure the maximum CMAP by stimulating one nerve in the hand and measuring the response of the muscle. This is done multiple times, the outcome used is the highest peak, or response observed. (NCT00227266)
Timeframe: 1 month prior to official enrollment, beginning of study (0 months), 6 months, 12 months (data point not available)

,,
InterventionmV (Median)
Baseline6 months
Cohort 1a Sitters Placebo Then Treatment1.911.44
Cohort 1b Sitters Treatment2.21.8
Cohort 2 Standers and Walkers - Treatment5.35.85

Max CMAP Area (Mean)

The maximum Compound Motor Action Potential (CMAP) area is a measurement obtained through EMG testing that is associated with disease progression. In this study, we measure the maximum CMAP by stimulating one nerve in the hand and measuring the response of the muscle. This procedure is repeated multiple times. The maximum area is the response that results in the largest area under the response curve. (NCT00227266)
Timeframe: 1 month prior to official enrollment, beginning of study (0 months), 6 months, 12 months (data point not available)

,,
InterventionmVms (Mean)
Baseline6 months
Cohort 1a Sitters Placebo Then Treatment5.465.28
Cohort 1b Sitters Treatment5.455.26
Cohort 2 Standers and Walkers - Treatment14.8516.26

Max CMAP Area (Median)

The maximum Compound Motor Action Potential (CMAP) area is a measurement obtained through EMG testing that is associated with disease progression. In this study, we measure the maximum CMAP by stimulating one nerve in the hand and measuring the response of the muscle. This procedure is repeated multiple times. The maximum area is the response that results in the largest area under the response curve. (NCT00227266)
Timeframe: 1 month prior to official enrollment, beginning of study (0 months), 6 months, 12 months (data point not available)

,,
InterventionmVms (Median)
Baseline6 months
Cohort 1a Sitters Placebo Then Treatment3.63.74
Cohort 1b Sitters Treatment4.63.4
Cohort 2 Standers and Walkers - Treatment13.6516.85

Modified Hammersmith Change From Baseline to 6 Months

Comparison of Modified Hammersmith Change from baseline to 6 months. Scores range from 0 to 40. A higher score indicates a better outcome. This scale is used to assess gross motor abilities of non-ambulant children with SMA in multiple research trials as well as in clinical settings. (NCT00227266)
Timeframe: 0 months, 6 months

,
InterventionScore (Mean)
Baseline visit (0 weeks)6 Month visit (V2)Change from Baseline
Cohort 1a Sitters Placebo Then Treatment20.020.60.6
Cohort 1b Sitters Treatment16.616.80.2

Modified Hammersmith Extend Baseline

"Baseline Modified Hammersmith Extend testing. The baseline test is the score they receive during their screening visits. This scale ranges from 0 to 56. A higher score indicates a better outcome.~This scale is used to assess gross motor abilities of children with SMA in multiple research trials as well as in clinical settings." (NCT00227266)
Timeframe: 1 month prior to enrollment, at enrollment (0 months)

InterventionScore (Mean)
Modified Hammersmith Extend at S1 (-4 weeks)Modified Hammersmith Extend at S2 (0 weeks)
Cohort 2 Experimental47.048.3

Trials

1 trial available for 4-phenylbutyric acid and Adult Spinal Muscular Atrophy

ArticleYear
Randomized, double-blind, placebo-controlled trial of phenylbutyrate in spinal muscular atrophy.
    Neurology, 2007, Jan-02, Volume: 68, Issue:1

    Topics: Child; Child, Preschool; Double-Blind Method; Female; Humans; Male; Muscular Atrophy, Spinal; Phenyl

2007

Other Studies

2 other studies available for 4-phenylbutyric acid and Adult Spinal Muscular Atrophy

ArticleYear
Evaluation of the orally bioavailable 4-phenylbutyrate-tethered trichostatin A analogue AR42 in models of spinal muscular atrophy.
    Scientific reports, 2023, 06-26, Volume: 13, Issue:1

    Topics: Animals; Disease Models, Animal; Histone Deacetylase Inhibitors; Mice; Motor Neurons; Muscular Atrop

2023
Phenylbutyrate increases SMN expression in vitro: relevance for treatment of spinal muscular atrophy.
    European journal of human genetics : EJHG, 2004, Volume: 12, Issue:1

    Topics: Base Sequence; Blotting, Western; Cell Culture Techniques; Cyclic AMP Response Element-Binding Prote

2004
Phenylbutyrate increases SMN expression in vitro: relevance for treatment of spinal muscular atrophy.
    European journal of human genetics : EJHG, 2004, Volume: 12, Issue:1

    Topics: Base Sequence; Blotting, Western; Cell Culture Techniques; Cyclic AMP Response Element-Binding Prote

2004
Phenylbutyrate increases SMN expression in vitro: relevance for treatment of spinal muscular atrophy.
    European journal of human genetics : EJHG, 2004, Volume: 12, Issue:1

    Topics: Base Sequence; Blotting, Western; Cell Culture Techniques; Cyclic AMP Response Element-Binding Prote

2004
Phenylbutyrate increases SMN expression in vitro: relevance for treatment of spinal muscular atrophy.
    European journal of human genetics : EJHG, 2004, Volume: 12, Issue:1

    Topics: Base Sequence; Blotting, Western; Cell Culture Techniques; Cyclic AMP Response Element-Binding Prote

2004
Phenylbutyrate increases SMN expression in vitro: relevance for treatment of spinal muscular atrophy.
    European journal of human genetics : EJHG, 2004, Volume: 12, Issue:1

    Topics: Base Sequence; Blotting, Western; Cell Culture Techniques; Cyclic AMP Response Element-Binding Prote

2004
Phenylbutyrate increases SMN expression in vitro: relevance for treatment of spinal muscular atrophy.
    European journal of human genetics : EJHG, 2004, Volume: 12, Issue:1

    Topics: Base Sequence; Blotting, Western; Cell Culture Techniques; Cyclic AMP Response Element-Binding Prote

2004
Phenylbutyrate increases SMN expression in vitro: relevance for treatment of spinal muscular atrophy.
    European journal of human genetics : EJHG, 2004, Volume: 12, Issue:1

    Topics: Base Sequence; Blotting, Western; Cell Culture Techniques; Cyclic AMP Response Element-Binding Prote

2004
Phenylbutyrate increases SMN expression in vitro: relevance for treatment of spinal muscular atrophy.
    European journal of human genetics : EJHG, 2004, Volume: 12, Issue:1

    Topics: Base Sequence; Blotting, Western; Cell Culture Techniques; Cyclic AMP Response Element-Binding Prote

2004
Phenylbutyrate increases SMN expression in vitro: relevance for treatment of spinal muscular atrophy.
    European journal of human genetics : EJHG, 2004, Volume: 12, Issue:1

    Topics: Base Sequence; Blotting, Western; Cell Culture Techniques; Cyclic AMP Response Element-Binding Prote

2004