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4-phenylbutyric acid and Disease Exacerbation

4-phenylbutyric acid has been researched along with Disease Exacerbation in 7 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
"Proteinuria is one of the primary risk factors for the progression of chronic kidney disease (CKD) and has been implicated in the induction of endoplasmic reticulum (ER) stress."1.46Endoplasmic reticulum stress inhibition limits the progression of chronic kidney disease in the Dahl salt-sensitive rat. ( Ask, K; Brimble, E; Carlisle, RE; Chahal, J; Dickhout, JG; Lu, C; Upagupta, C; Yum, V, 2017)
"The therapeutic potency of 4PB in these patients was tested by oral administration of this drug with gradually increasing dosage (200, 350, and 500 mg/kg/day) for 6 months."1.40Intractable itch relieved by 4-phenylbutyrate therapy in patients with progressive familial intrahepatic cholestasis type 1. ( Bessho, K; Hanada, K; Hasegawa, Y; Hayashi, H; Igarashi, K; Kimura, T; Kondou, H; Konishi, A; Kusuhara, H; Miyoshi, Y; Nagasaka, H; Nakao, K; Naoi, S; Ozono, K, 2014)
"Experimental allergic encephalomyelitis (EAE) is the animal model for multiple sclerosis."1.32Sodium phenylacetate inhibits adoptive transfer of experimental allergic encephalomyelitis in SJL/J mice at multiple steps. ( Banik, NL; Dasgupta, S; Jana, M; Pahan, K; Zhou, Y, 2003)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (28.57)29.6817
2010's3 (42.86)24.3611
2020's2 (28.57)2.80

Authors

AuthorsStudies
Alfahel, L1
Argueti-Ostrovsky, S1
Barel, S1
Ali Saleh, M1
Kahn, J1
Azoulay-Ginsburg, S1
Rothstein, A1
Ebbinghaus, S1
Gruzman, A1
Israelson, A1
Paganoni, S1
Macklin, EA1
Hendrix, S1
Berry, JD1
Elliott, MA1
Maiser, S1
Karam, C1
Caress, JB1
Owegi, MA1
Quick, A1
Wymer, J1
Goutman, SA1
Heitzman, D1
Heiman-Patterson, T1
Jackson, CE1
Quinn, C1
Rothstein, JD1
Kasarskis, EJ1
Katz, J1
Jenkins, L1
Ladha, S1
Miller, TM1
Scelsa, SN1
Vu, TH1
Fournier, CN1
Glass, JD1
Johnson, KM1
Swenson, A1
Goyal, NA1
Pattee, GL1
Andres, PL1
Babu, S1
Chase, M1
Dagostino, D1
Dickson, SP1
Ellison, N1
Hall, M1
Hendrix, K1
Kittle, G1
McGovern, M1
Ostrow, J1
Pothier, L1
Randall, R1
Shefner, JM1
Sherman, AV1
Tustison, E1
Vigneswaran, P1
Walker, J1
Yu, H1
Chan, J1
Wittes, J1
Cohen, J1
Klee, J1
Leslie, K1
Tanzi, RE1
Gilbert, W1
Yeramian, PD1
Schoenfeld, D1
Cudkowicz, ME1
Hasegawa, Y1
Hayashi, H1
Naoi, S1
Kondou, H1
Bessho, K1
Igarashi, K1
Hanada, K1
Nakao, K1
Kimura, T1
Konishi, A1
Nagasaka, H1
Miyoshi, Y1
Ozono, K1
Kusuhara, H1
Yum, V1
Carlisle, RE1
Lu, C1
Brimble, E1
Chahal, J1
Upagupta, C1
Ask, K1
Dickhout, JG1
Schultz, J1
Ibrahim, SM1
Vera, J1
Kunz, M1
Chan, JY1
Luzuriaga, J1
Bensellam, M1
Biden, TJ1
Laybutt, DR1
Dasgupta, S1
Zhou, Y1
Jana, M1
Banik, NL1
Pahan, K1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Evaluation of the Safety, Tolerability, Efficacy and Activity of AMX0035, a Fixed Combination of Phenylbutyrate (PB) and Tauroursodeoxycholic Acid (TUDCA), for the Treatment of ALS[NCT03127514]Phase 2137 participants (Actual)Interventional2017-06-22Completed
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

Accurate Testing of Limb Isometric Strength (ATLIS) Total Score Change

The ATLIS device assess the isometric muscle strength of six upper-limb and six lower-limb muscle groups. At least two trials are performed for each muscle group to assess change in rate of decline of isometric muscle strength over treatment duration. Values are standardized to the percentage of predicted normal strength based on sex, age, weight, and height. Results are presented as percent of predicted normal. (NCT03127514)
Timeframe: 24 Weeks

Intervention% of Predicted Normal Change Per Month (Least Squares Mean)
Placebo-3.54
AMX0035-3.03

Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) Slope Change

Change in slope of Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) over treatment duration. The ALSFRS-R consists of 12 items across 4 subdomains of function (bulbar, fine motor, gross motor, and breathing) with each item scored on a scale from 0 (total loss of function) to 4 (no loss of function). Total scores range from 0 to 48, with higher scores indicating better function. (NCT03127514)
Timeframe: 24 Weeks

InterventionChange in ALSFRS-R Total Score Per Month (Least Squares Mean)
Placebo-1.66
AMX0035-1.24

Change in Plasma Levels of Phosphorylated Axonal Neurofilament H Subunit (pNF-H)

Neuronal degeneration releases phosphorylated axonal neurofilament H subunit (pNF-H) into the cerebrospinal fluid and subsequently the blood and is thought to be a potential biomarker of motor neuron degeneration; elevated plasma levels of pNF-H are presumed to correlate with neuronal injury. Change in levels of plasma pNF-H were measured from baseline to week 24 (NCT03127514)
Timeframe: 24 Weeks

Interventionpg/ml Per Month (Least Squares Mean)
Placebo-2.34
AMX00353.58

Death, Tracheostomy, and Hospitalization

The composite outcome was defined as death, a death-equivalent event (which consisted of only tracheostomy in one participant in this trial), or hospitalization, whichever occurred first; there were no instances of permanent ventilation delivered by noninvasive means in the study. (NCT03127514)
Timeframe: 24 Weeks

Interventionevents (Number)
Placebo17
AMX003518

Number of Participants in Each Group Able to Remain on Study Drug Until Planned Discontinuation

A comparison of the number of participants in each group able to remain on study drug until planned discontinuation between groups (NCT03127514)
Timeframe: 24 weeks

InterventionParticipants (Count of Participants)
Placebo38
AMX003561

Number of Participants With Adverse Events

Comparison Between Groups of Number of Participants With Adverse Events Until Planned Completion (NCT03127514)
Timeframe: 24 Weeks

InterventionParticipants (Count of Participants)
Placebo46
AMX003586

Rate of Decline in Slow Vital Capacity (SVC)

Respiratory muscle function was assessed according to slow vital capacity (SVC). SVC was measured in an upright position for at least three trials per assessment. SVC volumes were standardized to the percentage of predicted normal value based on age, sex, and height. (NCT03127514)
Timeframe: 24 Weeks

Intervention% of Predicted Normal Change Per Month (Least Squares Mean)
Placebo-4.03
AMX0035-3.10

Trials

1 trial available for 4-phenylbutyric acid and Disease Exacerbation

ArticleYear
Trial of Sodium Phenylbutyrate-Taurursodiol for Amyotrophic Lateral Sclerosis.
    The New England journal of medicine, 2020, 09-03, Volume: 383, Issue:10

    Topics: Aged; Amyotrophic Lateral Sclerosis; Disease Progression; Double-Blind Method; Drug Combinations; Fe

2020

Other Studies

6 other studies available for 4-phenylbutyric acid and Disease Exacerbation

ArticleYear
4-Phenylbutyric Acid (4-PBA) Derivatives Prevent SOD1 Amyloid Aggregation In Vitro with No Effect on Disease Progression in SOD1-ALS Mice.
    International journal of molecular sciences, 2022, Aug-20, Volume: 23, Issue:16

    Topics: Amyloid; Amyloidogenic Proteins; Amyotrophic Lateral Sclerosis; Animals; Butylamines; Disease Models

2022
Intractable itch relieved by 4-phenylbutyrate therapy in patients with progressive familial intrahepatic cholestasis type 1.
    Orphanet journal of rare diseases, 2014, Jul-15, Volume: 9

    Topics: Administration, Oral; Adolescent; Child; Child, Preschool; Cholestasis, Intrahepatic; Disease Progre

2014
Endoplasmic reticulum stress inhibition limits the progression of chronic kidney disease in the Dahl salt-sensitive rat.
    American journal of physiology. Renal physiology, 2017, 01-01, Volume: 312, Issue:1

    Topics: Animals; Blood Pressure; Disease Models, Animal; Disease Progression; Endoplasmic Reticulum Stress;

2017
14-3-3sigma gene silencing during melanoma progression and its role in cell cycle control and cellular senescence.
    Molecular cancer, 2009, Jul-30, Volume: 8

    Topics: 14-3-3 Proteins; Antineoplastic Agents; Azacitidine; Biomarkers, Tumor; Cell Cycle; Cell Line, Tumor

2009
Failure of the adaptive unfolded protein response in islets of obese mice is linked with abnormalities in β-cell gene expression and progression to diabetes.
    Diabetes, 2013, Volume: 62, Issue:5

    Topics: Animals; Antioxidants; Apoptosis Regulatory Proteins; Cytokines; Diabetes Mellitus, Type 2; Disease

2013
Sodium phenylacetate inhibits adoptive transfer of experimental allergic encephalomyelitis in SJL/J mice at multiple steps.
    Journal of immunology (Baltimore, Md. : 1950), 2003, Apr-01, Volume: 170, Issue:7

    Topics: Acute Disease; Administration, Oral; Adoptive Transfer; Animals; Anti-Inflammatory Agents, Non-Stero

2003