Page last updated: 2024-10-18

glycerol and Hyperammonemia

glycerol has been researched along with Hyperammonemia in 6 studies

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Hyperammonemia: Elevated level of AMMONIA in the blood. It is a sign of defective CATABOLISM of AMINO ACIDS or ammonia to UREA.

Research Excerpts

ExcerptRelevanceReference
" Recent studies provide new evidence for the use of lactulose, probiotics and rifaximin, as well as closure of large portosystemic shunts in the treatment of hepatic encephalopathy."4.90Treatment of hyperammonemia in liver failure. ( Jalan, R; Jover-Cobos, M; Khetan, V, 2014)
" Glycerol phenylbutyrate (GPB) is safe and effective in reducing ammonia levels in patients with UCD above 2 months of age."1.62Glycerol phenylbutyrate efficacy and safety from an open label study in pediatric patients under 2 months of age with urea cycle disorders. ( Ah Mew, N; Bannick, AA; Berry, SA; Canavan, C; Conway, RL; Diaz, GA; Hainline, B; Inbar-Feigenberg, M; Kok, T; Lichter-Konecki, U; Longo, N; McCandless, SE; Porter, MH; Schulze, A; Vescio, T; Zori, R, 2021)
" The primary endpoint was the rate of adverse events (AEs)."1.51Long-term safety and efficacy of glycerol phenylbutyrate for the management of urea cycle disorder patients. ( Bartholomew, D; Berquist, W; Berry, SA; Canavan, C; Diaz, GA; Feigenbaum, A; Gallagher, RC; Harding, CO; Holt, RJ; Lichter-Konecki, U; Longo, N; McCandless, SE; Merritt, JL; Rhead, W; Schulze, A; Smith, WE; Vescio, T; Vockley, J; Wong, D; Zori, R, 2019)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's5 (83.33)24.3611
2020's1 (16.67)2.80

Authors

AuthorsStudies
Longo, N3
Diaz, GA3
Lichter-Konecki, U3
Schulze, A3
Inbar-Feigenberg, M1
Conway, RL1
Bannick, AA1
McCandless, SE3
Zori, R2
Hainline, B1
Ah Mew, N1
Canavan, C2
Vescio, T2
Kok, T1
Porter, MH1
Berry, SA3
Rhead, W2
Feigenbaum, A2
Wong, D1
Merritt, JL1
Berquist, W2
Gallagher, RC2
Bartholomew, D1
Smith, WE1
Harding, CO2
Vockley, J1
Holt, RJ1
Rockey, DC1
Vierling, JM1
Mantry, P1
Ghabril, M1
Brown, RS1
Alexeeva, O1
Zupanets, IA1
Grinevich, V1
Baranovsky, A1
Dudar, L1
Fadieienko, G1
Kharchenko, N1
Klaryts'ka, I1
Morozov, V1
Grewal, P1
McCashland, T1
Reddy, KG1
Reddy, KR1
Syplyviy, V1
Bass, NM1
Dickinson, K1
Norris, C1
Coakley, D1
Mokhtarani, M2
Scharschmidt, BF2
Córdoba, J1
Ventura-Cots, M1
Jover-Cobos, M1
Khetan, V1
Jalan, R1
Lee, B1
Le Mons, C1
Bartley, J1
Nagamani, SC1
Smith, W1
Marino, M1
Rowell, R1
Coakley, DF1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study of the Safety and Efficacy of HPN-100 for Maintaining Remission in Subjects With Cirrhosis and Episodic Hepatic Encephalopathy[NCT00999167]Phase 2189 participants (Actual)Interventional2009-12-31Completed
Effect of Polyethylene Glycol Versus Lactulose on Hepatic Encephalopathy in Patients With Liver Cirrhosis; a Randomized Clinical Trial (PEGHE Trial)[NCT04436601]Phase 4102 participants (Anticipated)Interventional2020-03-09Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Part B: Proportion of Subjects Who Exhibit an HE Episode, Defined as Either of the Following During the Treatment Phase: WH ≥2; WH Grade and Asterixis Grade Increase of 1 Each, if Baseline WH = 0

"An HE event was defined as occurrences of either a West Haven (WH) Grade ≥2 or a WH Grade 1 and asterixis grade increase of 1 (if baseline WH = 0).~The WH criteria are widely used for rating the severity of HE and are summarized below:~Grade 1: trivial lack of awareness, euphoria or anxiety, shortened attention span, impaired performance of addition Grade 2: lethargy or apathy, minimal disorientation for time or place, subtle personality change, inappropriate behavior, impaired performance of subtraction Grade 3: somnolence to semi-stupor but responsive to verbal stimuli, confusion, gross disorientation Grade 4: coma (unresponsive to verbal or noxious stimuli)~Asterixis was assessed after arm and forearm extension along with wrist dorsiflexion for 30 seconds and assigned a grade according to the following criteria:~Grade 1: rare flaps Grade 2: occasional irregular flaps Grade 3: frequent flaps Grade 4: continuous flaps" (NCT00999167)
Timeframe: Part B: 112 Days

Interventionparticipants (Number)
HPN-10019
Placebo32

Time to Meeting the Primary Endpoint

Secondary efficacy endpoint. The time to the first HE episode during the treatment period was calculated using the Kaplan-Meier method. Subjects who did not experience an HE episode were censored at the time of their last asterixis assessment. Subjects who had no post-randomization data for the primary endpoint were considered to have an HE episode at Day 1. (NCT00999167)
Timeframe: 112 Days

InterventionDays (Median)
HPN-100NA
PlaceboNA

Total Number of HE Events

Secondary efficacy endpoint. The total number of HE events during the treatment phase for subjects in the placebo and active arms. (NCT00999167)
Timeframe: 112 Days

InterventionHE event (Number)
HPN-10035
Placebo57

Change From Baseline in Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Score

Changes from Baseline to Day 56 and the Final Visit were compared between treatment groups using an ANCOVA model for the total index RBANS score ). The index score is a sum of the scores for each of the 5 individual domains (immediate memory, visuospatial/constructional, language, attention). The minimum and maximum total index scores are 40 and 160, respectively; a higher score is better. (NCT00999167)
Timeframe: Day 56, Final Visit (D112)

,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to D56 (Total Score)Change from Baseline to Final Visit (Total Score)
HPN-100-0.5-10.7
Placebo3.2-9.7

Part A: The Rate of AEs and Tolerability of HPN-100

Part A: The rate of AEs and tolerability of 6 mL and 9 mL doses of HPN-100 were considered the primary safety endpoints for Part A. Safety assessments included adverse events, laboratory tests (including ammonia, hematology, coagulation, liver function and serum chemistry parameters), vital signs, physical and neurological examinations, and electrocardiograms. (NCT00999167)
Timeframe: Part A: 28 days

InterventionSubjects (Number)
Any AEGastrointestinal disordersMetabolism and nutrition disordersInfection and infestationsNervous system disordersBlood and lymphatic system disordersInjury, poisoning and procedural complicationsMusculoskeletal and connective tissue disordersPsychiatric disordersAny SAEDeath
HPN-100 BID119744222252

Reviews

1 review available for glycerol and Hyperammonemia

ArticleYear
Treatment of hyperammonemia in liver failure.
    Current opinion in clinical nutrition and metabolic care, 2014, Volume: 17, Issue:1

    Topics: Ammonia; Brain; Glycerol; Hepatic Encephalopathy; Humans; Hyperammonemia; Lactulose; Phenylbutyrates

2014

Trials

2 trials available for glycerol and Hyperammonemia

ArticleYear
Randomized, double-blind, controlled study of glycerol phenylbutyrate in hepatic encephalopathy.
    Hepatology (Baltimore, Md.), 2014, Volume: 59, Issue:3

    Topics: Adult; Aged; Ammonia; Double-Blind Method; Female; Glutamine; Glycerol; Hepatic Encephalopathy; Huma

2014
Randomized, double-blind, controlled study of glycerol phenylbutyrate in hepatic encephalopathy.
    Hepatology (Baltimore, Md.), 2014, Volume: 59, Issue:3

    Topics: Adult; Aged; Ammonia; Double-Blind Method; Female; Glutamine; Glycerol; Hepatic Encephalopathy; Huma

2014
Randomized, double-blind, controlled study of glycerol phenylbutyrate in hepatic encephalopathy.
    Hepatology (Baltimore, Md.), 2014, Volume: 59, Issue:3

    Topics: Adult; Aged; Ammonia; Double-Blind Method; Female; Glutamine; Glycerol; Hepatic Encephalopathy; Huma

2014
Randomized, double-blind, controlled study of glycerol phenylbutyrate in hepatic encephalopathy.
    Hepatology (Baltimore, Md.), 2014, Volume: 59, Issue:3

    Topics: Adult; Aged; Ammonia; Double-Blind Method; Female; Glutamine; Glycerol; Hepatic Encephalopathy; Huma

2014
Glutamine and hyperammonemic crises in patients with urea cycle disorders.
    Molecular genetics and metabolism, 2016, Volume: 117, Issue:1

    Topics: Adolescent; Adult; Ammonia; Biomarkers; Child; Child, Preschool; Fasting; Female; Glutamine; Glycero

2016

Other Studies

3 other studies available for glycerol and Hyperammonemia

ArticleYear
Glycerol phenylbutyrate efficacy and safety from an open label study in pediatric patients under 2 months of age with urea cycle disorders.
    Molecular genetics and metabolism, 2021, Volume: 132, Issue:1

    Topics: Age of Onset; Ammonia; Child, Preschool; Female; Glycerol; Humans; Hyperammonemia; Infant; Infant, N

2021
Long-term safety and efficacy of glycerol phenylbutyrate for the management of urea cycle disorder patients.
    Molecular genetics and metabolism, 2019, Volume: 127, Issue:4

    Topics: Adolescent; Adult; Canada; Child; Child, Preschool; Disease Management; Female; Follow-Up Studies; G

2019
Drug-induced removal of nitrogen derivatives in urine: a new concept whose time has come.
    Hepatology (Baltimore, Md.), 2014, Volume: 59, Issue:3

    Topics: Ammonia; Female; Glycerol; Hepatic Encephalopathy; Humans; Hyperammonemia; Male; Phenylbutyrates

2014