Page last updated: 2024-10-20

porphobilinogen and Porphyria, Acute Intermittent

porphobilinogen has been researched along with Porphyria, Acute Intermittent in 115 studies

Porphyria, Acute Intermittent: An autosomal dominant porphyria that is due to a deficiency of HYDROXYMETHYLBILANE SYNTHASE in the LIVER, the third enzyme in the 8-enzyme biosynthetic pathway of HEME. Clinical features are recurrent and life-threatening neurologic disturbances, ABDOMINAL PAIN, and elevated level of AMINOLEVULINIC ACID and PORPHOBILINOGEN in the urine.

Research Excerpts

ExcerptRelevanceReference
"Patients with major forms of acute hepatic porphyria present acute neurological attacks with overproduction of porphobilinogen (PBG) and δ-aminolevulinic acid (ALA)."8.12ALAD Inhibition by Porphobilinogen Rationalizes the Accumulation of δ-Aminolevulinate in Acute Porphyrias. ( Bernardo-Seisdedos, G; Cendoya, X; Laín, A; Mateos, B; Mato, JM; Millet, O; Pereira-Ortuzar, T; Planes, FJ; San Juan, I; To-Figueras, J, 2022)
"Autosomal-dominant acute porphyria, a group of rare diseases, can lead to life-threatening neurovisceral attacks."5.48Rapid spectrophotometric quantification of urinary porphyrins and porphobilinogen as screening tool for attacks of acute porphyria. ( Heckl, C; Hennig, G; Homann, C; Lang, A; Sroka, R; Stauch, T; Stepp, H; Vogeser, M, 2018)
"The acute hepatic porphyrias (AHP) are rare, inborn errors of heme-metabolism and include acute intermittent porphyria, hereditary coproporphyria, variegate porphyria, and porphyria due to severe deficiency of 5-aminolevulinic acid dehydratase."5.41AGA Clinical Practice Update on Diagnosis and Management of Acute Hepatic Porphyrias: Expert Review. ( Balwani, M; Bonkovsky, HL; Lim, JK; Wang, B, 2023)
") Key secondary end points were levels of ALA and porphobilinogen and the annualized attack rate among patients with acute hepatic porphyria, along with hemin use and daily worst pain scores in patients with acute intermittent porphyria."5.34Phase 3 Trial of RNAi Therapeutic Givosiran for Acute Intermittent Porphyria. ( Anderson, KE; Balwani, M; Bissell, DM; Bonkovsky, HL; Chen, J; Garg, P; Gouya, L; Harper, P; Horie, Y; Ivanova, A; Kauppinen, R; Keel, SB; Kim, JB; Ko, JJ; Langendonk, JG; Liu, S; Minder, E; Parker, C; Peiró, PA; Penz, C; Phillips, J; Rees, DC; Sardh, E; Silver, SM; Simon, AR; Stein, PE; Stölzel, U; Sweetser, MT; Vaishnaw, A; Vassiliou, D; Ventura, P; Wang, B; Wang, JD; Windyga, J, 2020)
"Acute intermittent porphyria (AIP), caused by heterozygous germline mutations of the heme synthesis pathway enzyme HMBS (hydroxymethylbilane synthase), confers a high risk of hepatocellular carcinoma (HCC) development."4.12Bi-allelic hydroxymethylbilane synthase inactivation defines a homogenous clinico-molecular subtype of hepatocellular carcinoma. ( Amaddeo, G; Bayard, Q; Blanc, JF; Calderaro, J; Letouzé, E; Ma, X; Molina, L; Trépo, E; Zhu, J; Zucman-Rossi, J, 2022)
"Patients with major forms of acute hepatic porphyria present acute neurological attacks with overproduction of porphobilinogen (PBG) and δ-aminolevulinic acid (ALA)."4.12ALAD Inhibition by Porphobilinogen Rationalizes the Accumulation of δ-Aminolevulinate in Acute Porphyrias. ( Bernardo-Seisdedos, G; Cendoya, X; Laín, A; Mateos, B; Mato, JM; Millet, O; Pereira-Ortuzar, T; Planes, FJ; San Juan, I; To-Figueras, J, 2022)
"Demonstration of substantially increased urinary excretion of porphobilinogen is the cornerstone of diagnosing acute porphyria crisis."3.77Evaluation of a commercially available rapid urinary porphobilinogen test. ( Stauch, T; Vogeser, M, 2011)
"Accurate determinations of 5-aminolevulinic acid (ALA) and porphobilinogen (PBG) in physiologic fluids are required for the diagnosis and therapeutic monitoring of acute porphyrias."3.77A LC-MS/MS method for the specific, sensitive, and simultaneous quantification of 5-aminolevulinic acid and porphobilinogen. ( Balwani, M; Bishop, D; Desnick, RJ; Yasuda, M; Yu, C; Zhang, J, 2011)
"A new form of acute hepatic porphyria with double genetic defect--deficiency of porphobilinogen deaminase and coproporphyrinogen oxidase--is described."3.69Coexistence of hereditary coproporphyria with acute intermittent porphyria. ( Gregor, A; Kostrzewska, E; Stachurska, H; Tarczynska-Nosal, S, 1994)
"Acute intermittent porphyria (AIP) is a primary disorder of haem biosynthesis that is chemically characterised by raised urinary porphobilinogen (PBG)."3.66Family evaluations in acute intermittent porphyria using red cell uroporphyrinogen I synthetase. ( Frykholm, BC; Lamon, JM; Tschudy, DP, 1979)
"Acute hepatic porphyria (AHP) is a family of four rare genetic diseases, each involving deficiency in a hepatic heme biosynthetic enzyme."3.11Disease burden in patients with acute hepatic porphyria: experience from the phase 3 ENVISION study. ( Balwani, M; Cassiman, D; Kubisch, I; Liu, S; Sweetser, MT; Takase, KI; Thapar, M; Ventura, P; Wang, B, 2022)
" This phase I study evaluated the safety, pharmacokinetic, and pharmacodynamic profile of subcutaneously (SC) administered givosiran in patients with acute intermittent porphyria, the most common AHP type."2.94Pharmacokinetics and Pharmacodynamics of the Small Interfering Ribonucleic Acid, Givosiran, in Patients With Acute Hepatic Porphyria. ( Agarwal, S; Clausen, VA; Goel, V; Habtemariam, BA; Kim, JB; Robbie, GJ; Simon, AR, 2020)
" In AIP mice, preventive treatment with an experimental fusion protein of insulin and apolipoprotein A-I improved the disease by promoting fat mobilization in adipose tissue, increasing the metabolite bioavailability for the TCA cycle and inducing mitochondrial biogenesis in the liver."2.82Understanding Carbohydrate Metabolism and Insulin Resistance in Acute Intermittent Porphyria. ( Córdoba, KM; Ena, J; Enríquez de Salamanca, R; Fontanellas, A; Jericó, D; Morales-Conejo, M; Solares, I, 2022)
"No serious adverse events were observed."2.73Safety, pharmacokinetics and pharmocodynamics of recombinant human porphobilinogen deaminase in healthy subjects and asymptomatic carriers of the acute intermittent porphyria gene who have increased porphyrin precursor excretion. ( Andersson, DE; Harper, P; Rejkjaer, L; Sardh, E, 2007)
"Acute intermittent porphyria is one of eight disorders arising from disturbances in heme biosynthesis where the precursors, 5-aminolevulinate and porphobilinogen, are elevated in plasma and urine."1.72Peritoneal dialysis resulting in discontinuance of recurring attacks of acute intermittent porphyria: A case report. ( Erlandsen, EJ; Randers, E; Thomsen, HH; Østergaard, MGØ, 2022)
"Although classified as an acute hepatic porphyria (AHP), induction of the rate limiting hepatic enzyme 5-aminolevulinic acid synthase-1 (ALAS1) has not been demonstrated, and the marrow may also contribute excess 5-aminolevulinic acid (ALA)."1.565-Aminolevulinate dehydratase porphyria: Update on hepatic 5-aminolevulinic acid synthase induction and long-term response to hemin. ( Anderson, KE; Chan, A; Desnick, RJ; Lahiji, AP; Ramanujam, VMS; Simon, A, 2020)
" Finally, a theoretical hemin effect was implemented to illustrate the applicability of the model to dosage optimization in drug therapies."1.51Computational disease model of phenobarbital-induced acute attacks in an acute intermittent porphyria mouse model. ( Fontanellas, A; Jericó, D; Parra-Guillén, ZP; Sampedro, A; Serrano-Mendioroz, I; Trocóniz, IF; Vera-Yunca, D, 2019)
"Autosomal-dominant acute porphyria, a group of rare diseases, can lead to life-threatening neurovisceral attacks."1.48Rapid spectrophotometric quantification of urinary porphyrins and porphobilinogen as screening tool for attacks of acute porphyria. ( Heckl, C; Hennig, G; Homann, C; Lang, A; Sroka, R; Stauch, T; Stepp, H; Vogeser, M, 2018)
"Acute intermittent porphyria is a rare disorder, characterised clinically by variable patterns of neurological and metabolic disturbances."1.40Sudden bilateral reversible vision loss: a rare presentation of acute intermittent porphyria. ( Bhuyan, S; Gupta, V; Sharma, AK; Singh, PK; Sureka, RK, 2014)
"Acute intermittent porphyria is a metabolic disorder rarely seen in prepubertal children."1.38Acute intermittent porphyria: a diagnostic challenge. ( Ahn, SY; Anyaegbu, E; Goodman, M; Shinawi, M; Thangarajh, M; Wong, M, 2012)
"Acute intermittent porphyria is the most common of hepatic porphyrias and can tax the therapeutic capabilities of the physician to the limit."1.35Hemodialysis: a therapeutic option for severe attacks of acute intermittent porphyria in developing countries. ( Jayakumar, M; Manorajan, R; Prabahar, MR; Sathiyakumar, D; Soundararajan, P, 2008)
"Analysis of primary diagnosis of acute porphyria hepatica in Russia (region-related prevalence, duration of diagnosis, complications because of late pathogenetic treatment) demonstrates the importance of screening diagnosis of acute porphyria at the level of municipal clinics."1.34[Acute porphyrias: problem of primary diagnosis in Russia and CIS countries]. ( Karpova, IV; Kravshenko, SK; Kremenetskaia, AM; Luchinina, IuA; Luk'ianenko, AV; Pustovoĭt, IaS; Surin, VL, 2007)

Research

Studies (115)

TimeframeStudies, this research(%)All Research%
pre-199018 (15.65)18.7374
1990's17 (14.78)18.2507
2000's25 (21.74)29.6817
2010's41 (35.65)24.3611
2020's14 (12.17)2.80

Authors

AuthorsStudies
Østergaard, MGØ1
Erlandsen, EJ1
Thomsen, HH1
Randers, E1
Molina, L1
Zhu, J1
Trépo, E1
Bayard, Q1
Amaddeo, G1
Blanc, JF1
Calderaro, J1
Ma, X1
Zucman-Rossi, J1
Letouzé, E1
Wang, B3
Ventura, P2
Takase, KI1
Thapar, M1
Cassiman, D1
Kubisch, I1
Liu, S2
Sweetser, MT2
Balwani, M7
San Juan, I1
Pereira-Ortuzar, T1
Cendoya, X1
Laín, A1
To-Figueras, J3
Mateos, B1
Planes, FJ1
Bernardo-Seisdedos, G1
Mato, JM1
Millet, O1
Solares, I1
Jericó, D2
Córdoba, KM1
Morales-Conejo, M1
Ena, J1
Enríquez de Salamanca, R1
Fontanellas, A3
Bonkovsky, HL5
Lim, JK1
Lissing, M1
Wester, A1
Vassiliou, D3
Floderus, Y3
Harper, P9
Sardh, E8
Wahlin, S3
Guzman, KJ1
Suthar, LA1
Golla, R1
Mukherjee, A1
Gone, RK1
Singh, H1
Pannu, AK1
Suri, V1
Bhalla, A1
Agarwal, S1
Simon, AR3
Goel, V1
Habtemariam, BA1
Clausen, VA1
Kim, JB3
Robbie, GJ1
Bustos, J1
Vargas, L1
Quintero, R1
Peiró, PA1
Rees, DC5
Stölzel, U1
Bissell, DM3
Windyga, J1
Anderson, KE5
Parker, C2
Silver, SM1
Keel, SB1
Wang, JD1
Stein, PE2
Phillips, J2
Ivanova, A1
Langendonk, JG1
Kauppinen, R3
Minder, E2
Horie, Y3
Penz, C2
Chen, J1
Ko, JJ1
Garg, P2
Vaishnaw, A2
Gouya, L2
Cerovac, A1
Brigic, A1
Softic, D1
Barakovic, A1
Adzajlic, S1
Lahiji, AP1
Chan, A1
Simon, A1
Desnick, RJ5
Ramanujam, VMS1
Fredrick, TW1
Braga Neto, MB1
Johnsrud, DO1
Camilleri, M1
Chedid, VG1
Lin, CN1
Huang, YC1
Ro, LS1
Liao, MF1
Ning, HC2
Kuo, HC3
Senn, JD1
Huber, LC1
Barman-Aksözen, J1
Ruspini, SF1
Zuccoli, JR1
Lavandera, JV1
Martínez, MDC1
Oliveri, LM1
Gerez, EN1
Batlle, AMDC1
Buzaleh, AM1
Lang, A1
Heckl, C1
Vogeser, M2
Stauch, T2
Homann, C1
Hennig, G1
Sroka, R1
Stepp, H1
Ren, Y1
Xu, LX1
Liu, YF1
Xiang, CY1
Gao, F1
Wang, Y1
Bai, T1
Yin, JH1
Zhao, YL1
Yang, J1
Storjord, E2
Dahl, JA1
Landsem, A1
Ludviksen, JK1
Karlsen, MB1
Karlsen, BO1
Brekke, OL2
Yasuda, M4
Gan, L2
Chen, B3
Yu, C3
Zhang, J2
Gama-Sosa, MA1
Pollak, DD1
Berger, S1
Phillips, JD2
Edelmann, W1
Vera-Yunca, D1
Serrano-Mendioroz, I1
Sampedro, A2
Trocóniz, IF1
Parra-Guillén, ZP1
Stein, P1
Rees, D1
Desnick, R1
Chan-Daniels, A1
He, Q1
Querbes, W1
Fitzgerald, K1
Barreda-Sánchez, M1
Buendía-Martínez, J1
Glover-López, G1
Carazo-Díaz, C1
Ballesta-Martínez, MJ1
López-González, V1
Sánchez-Soler, MJ1
Rodriguez-Peña, L1
Serrano-Antón, AT1
Gil-Ferrer, R1
Martínez-Romero, MDC1
Carbonell-Meseguer, P1
Guillén-Navarro, E1
Tatari, MM1
McCain, JD1
Cowdell, JC1
Yin, Z1
Ellis, EC1
Ericzon, BG2
Nowak, G1
Larion, S1
Caballes, FR1
Hwang, SI1
Lee, JG1
Rossman, WE1
Parsons, J1
Steuerwald, N1
Li, T1
Maddukuri, V1
Groseclose, G1
Finkielstein, CV1
Marsden, JT3
Mumoli, N2
Vitale, J2
Cei, M2
Füessl, HS1
Sabatini, S1
Cocciolo, M1
Gambaccini, L1
Masi, L1
Bhuyan, S1
Sharma, AK1
Sureka, RK1
Gupta, V1
Singh, PK1
Pallet, N1
Mami, I1
Schmitt, C1
Karim, Z1
François, A1
Rabant, M1
Nochy, D1
Deybach, JC3
Xu-Dubois, Y1
Thervet, E1
Puy, H3
Karras, A1
Erwin, AL1
Liu, LU1
Kadirvel, S1
Fiel, MI1
Gordon, RE1
Clavero, S1
Arvelakis, A1
Naik, H2
Martin, LD1
Sadagoparamanujam, VM1
Florman, SS1
Marcos, J1
Ibañez, M1
Ventura, R1
Segura, J1
Pozo, OJ1
Patell, R1
Dosi, R1
Joshi, H1
Shah, P1
Tripathi, R1
Oosthuizen, NM1
Olivier, J1
Martins, J1
Schutte, C1
Pillay, TS1
Singh, P1
Seth, A1
Debnath, EM1
Doheny, D1
Billoo, AG1
Lone, SW1
Luder, AS1
Mamet, R3
Farbstein, I1
Schoenfeld, N3
Andersson, DE5
Henrichson, A1
Pfäfflin, A1
Unzu, C1
Mauleón, I1
Vanrell, L1
Dubrot, J1
de Salamanca, RE1
González-Aseguinolaza, G1
Melero, I1
Prieto, J1
Andersson, C4
Tébar, MT1
Aguilera, L1
Webber, PR1
Aarsand, AK2
Sandvik, AK1
Skadberg, Ø1
Lindberg, M1
Sandberg, S2
Paradisi, I1
Arias, S1
Bouizegarene, P1
da Silva, VP1
Masuda, T1
Ota, R1
Ando, T1
Maeda, N2
Yoshimura, T1
Motomura, M1
Kawakami, A1
Bishop, D1
Huang, CC2
Chu, CC1
Lee, MJ2
Chuang, WL2
Wu, CL1
Wu, T1
Liu, CY1
Anyaegbu, E1
Goodman, M1
Ahn, SY1
Thangarajh, M1
Wong, M1
Shinawi, M1
Beliaev, AM1
Foliaki, A1
Ha, L1
Boswell, DR1
Benton, CM2
Couchman, L2
Moniz, C2
Lim, CK3
Badminton, MN1
Barth, JH2
Sarkany, R1
Stewart, MF1
Cox, TM1
von und zu Fraunberg, M1
Hultdin, J1
Schmauch, A1
Wikberg, A1
Dahlquist, G1
WESTALL, RG1
GOLDBERG, A1
RIMINGTON, C1
BLEIFER, SB1
ALPHAS, SJ1
ACKNER, B1
COOPER, JE1
GRAY, CH1
KELLY, M1
NICHOLSON, DC1
WATSON, CJ1
BOSSENMAIER, I1
CARDINAL, R1
WITH, TK1
JAMES, GW1
RUDOLPH, SG1
ABBOTT, LD1
SMITH, SG1
KELENYI, G1
ARATO, G1
BUDA, V1
ORBAN, S1
GRANICK, S1
VANDEN SCHRIECK, HG1
Warholm, C1
Wilczek, H1
ERIKSEN, L2
Herrick, AL1
McColl, KE1
Möller, C1
Rejkjaer, L2
Petersen, PH1
Prunty, FT1
Badenas, C1
Carrera, C1
Muñoz, C1
Milá, M1
Lecha, M1
Herrero, C1
Nielsen, EW1
Karpova, IV2
Pustovoĭt, IaS2
Luchinina, IuA1
Surin, VL1
Luk'ianenko, AV1
Kravshenko, SK1
Kremenetskaia, AM2
Feder, ZM1
Mironova, TS1
Shtabnitskiĭ, AM1
Kurtser, MA1
Sokolova, MIu1
Murashko, LE1
Shmakov, RG1
Petrova, VI1
Ignashina, EV1
Pustovoĭt, LA1
Kravchenko, SK1
Charytan, DM1
Albrich, WC1
Brown, RS1
Prabahar, MR1
Manorajan, R1
Sathiyakumar, D1
Soundararajan, P1
Jayakumar, M1
Romeo, G1
Elcock, D1
Norris, A1
Ben-Chetrit, E1
Putterman, C1
Gregor, A1
Kostrzewska, E1
Tarczynska-Nosal, S1
Stachurska, H1
Helson, L1
Braverman, S1
Mangiardi, J1
Stevens, JJ1
Kneeshaw, JD1
Usalan, C1
Erdem, Y1
Altun, B1
Gürsoy, M1
Celik, I1
Yasavul, U1
Turgan, C1
Cağlar, S1
Sasaki, H1
Kaneko, K1
Tsuneyama, H1
Daimon, M1
Yamatani, K1
Manaka, H1
Luo, JL1
Deka, J1
Sztern, M1
Rosipal, R1
Lamoril, J1
Martasek, P1
Nordmann, Y1
Goerz, G1
Bolsen, K1
Böhrer, H1
Fritsch, C1
Kalka, K1
Rominger, KL1
Allen, KR1
Rushworth, PA1
Degg, TJ1
Schattenberg, AV1
de Pauw, BE1
Bylesjö, I1
Lithner, F1
Morales Ortega, X1
Wolff Fernández, C1
Leal Ibarra, T1
Montaña Navarro, N1
Armas-Merino, R1
Sasaki, Y1
Ueta, E1
Adachi, K1
Nanba, E1
Kawasaki, H1
Kudo, Y1
Kondo, M1
Oomman, A1
Sharma, RN1
Vilasini, K1
Sykes, RM1
Elder, GH1
Hift, RJ1
Hiraki, T1
Oishi, K1
Kano, T1
Gorchein, A1
McConville, ML1
Charles, HP1
Lamon, JM1
Frykholm, BC1
Tschudy, DP1
Iwanov, ED1
Adjarov, D1
Tsanev, R1
Knudsen, KB1
Sparberg, M1
Lecocq, F1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
ENVISION: A Phase 3 Randomized, Double-blind, Placebo-Controlled Multicenter Study With an Open-label Extension to Evaluate the Efficacy and Safety of Givosiran in Patients With Acute Hepatic Porphyrias[NCT03338816]Phase 394 participants (Actual)Interventional2017-11-16Completed
Dental Health, Diet, Inflammation and Biomarkers in Patients With Acute Intermittent Porphyria(AIP)[NCT01617642]100 participants (Actual)Observational2012-07-01Active, not recruiting
A Phase 1, Single-ascending Dose, Multiple-ascending Dose, and Multi-dose Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics Study of Subcutaneously Administered ALN AS1 in Patients With Acute Intermittent Porphyria (AIP)[NCT02452372]Phase 140 participants (Actual)Interventional2015-05-06Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Annualized Rate of Hemin Administration in Participants With AIP

Annualized rate of hemin doses was evaluated as annualized days of hemin use. (NCT03338816)
Timeframe: 6 months

Interventionannualized rate of use (Mean)
Placebo29.71
Givosiran 2.5 mg/kg6.77

Annualized Rate of Porphyria Attacks in Participants With Acute Intermittent Porphyria (AIP)

Porphyria attacks were defined as meeting all of the following criteria: an acute episode of neurovisceral pain in the abdomen, back, chest, extremities and/or limbs, no other medically determined cause, and required treatment with intravenous (IV) dextrose or hemin, carbohydrates, or analgesics, or other medications such as antiemetics at a dose or frequency beyond the participant's usual daily porphyria management. The annualized rate of porphyria attacks is a composite endpoint which included porphyria attacks requiring hospitalization, urgent healthcare visit, or IV hemin administration at home. (NCT03338816)
Timeframe: 6 months

Interventionannualized attack rate (Mean)
Placebo12.52
Givosiran 2.5 mg/kg3.22

Annualized Rate of Porphyria Attacks in Participants With AHP

Porphyria attacks were defined as meeting all of the following criteria: an acute episode of neurovisceral pain in the abdomen, back, chest, extremities and/or limbs, no other medically determined cause, and required treatment with intravenous (IV) dextrose or hemin, carbohydrates, or analgesics, or other medications such as antiemetics at a dose or frequency beyond the participant's usual daily porphyria management. The annualized rate of porphyria attacks is a composite endpoint which included porphyria attacks requiring hospitalization, urgent healthcare visit, or IV hemin administration at home. (NCT03338816)
Timeframe: 6 months

Interventionannualized attack rate (Mean)
Placebo12.26
Givosiran 2.5 mg/kg3.35

Area Under the Curve (AUC) of the Change From Baseline in Weekly Mean Score of Daily Worst Pain as Measured by the Brief Pain Inventory-Short Form (BPI-SF) Numeric Rating Scale (NRS) in Participants With AIP

Participants rated worst daily pain score in an eDiary using the 11-point BPI-SF NRS, in which 0=no pain and 10=worst pain. Daily eDiary entries were averaged into a weekly (i.e. 7 day) score. The change from baseline in weekly mean scores is defined as the post baseline weekly mean score minus the baseline score. Lower scores indicate an improvement. The 6-month AUC was calculated based on change from baseline in weekly mean scores. (NCT03338816)
Timeframe: Baseline and 6 months

Interventionscore on a scale*week (Median)
Placebo5.286
Givosiran 2.5 mg/kg-11.514

AUC of the Change From Baseline in Weekly Mean Score Daily Worst Nausea Score as Measured by NRS in Participants With AIP

Participants rated worst daily nausea score in an eDiary using an 11-point NRS, in which 0=no nausea and 10=worst nausea. Daily eDiary entries were averaged into a weekly (i.e. 7 day) score. The change from baseline in weekly mean scores is defined as the postbaseline weekly mean score minus the baseline score. Lower scores indicate an improvement. The 6-month AUC was calculated based on change from baseline in weekly mean scores. (NCT03338816)
Timeframe: Baseline and 6 months

Interventionscore on a scale (Least Squares Mean)
Placebo-4.011
Givosiran 2.5 mg/kg1.481

AUC of the Change From Baseline in Weekly Mean Score of Daily Worst Fatigue Score as Measured by the Brief Fatigue Inventory-Short Form (BFI-SF) NRS in Participants With AIP

Participants rated daily worst fatigue score in an eDiary using the 11-point BFI-SF NRS, in which 0=no fatigue and 10=worst fatigue. Daily eDiary entries were averaged into a weekly (i.e. 7 day) score. The change from baseline in weekly mean scores is defined as the post baseline weekly mean score minus the baseline score. Lower scores indicate an improvement. The 6-month AUC was calculated based on change from baseline in weekly mean scores. (NCT03338816)
Timeframe: Baseline and 6 months

Interventionscore on a scale*week (Least Squares Mean)
Placebo-4.208
Givosiran 2.5 mg/kg-11.148

Average Change From Baseline in Weekly Mean Score Daily Worst Nausea Score as Measured by NRS in Participants With AIP

Participants rated worst daily nausea score in an eDiary using an 11-point NRS, in which 0=no nausea and 10=worst nausea. Daily eDiary entries were averaged into a weekly (i.e. 7 day) score. The change from baseline in weekly mean scores is defined as the postbaseline weekly mean score minus the baseline score. Lower scores indicate an improvement. (NCT03338816)
Timeframe: Baseline and 6 months

Interventionscore on a scale (Least Squares Mean)
Placebo-0.181
Givosiran 2.5 mg/kg0.067

Average Change From Baseline in Weekly Mean Score of Daily Worst Fatigue Score as Measured by the Brief Fatigue Inventory-Short Form (BFI-SF) NRS in Participants With AIP

Participants rated daily worst fatigue score in an eDiary using the 11-point BFI-SF NRS, in which 0=no fatigue and 10=worst fatigue. Daily eDiary entries were averaged into a weekly (i.e. 7 day) score. The change from baseline in weekly mean scores is defined as the postbaseline weekly mean score minus the baseline score. Lower scores indicate an improvement. (NCT03338816)
Timeframe: Baseline and 6 months

Interventionscore on a scale (Least Squares Mean)
Placebo-0.182
Givosiran 2.5 mg/kg-0.502

Average Change From Baseline in Weekly Mean Score of Daily Worst Pain as Measured by the Brief Pain Inventory-Short Form (BPI-SF) Numeric Rating Scale (NRS) in Participants With AIP

Participants rated worst daily pain score in an eDiary using the 11-point BPI-SF NRS, in which 0=no pain and 10=worst pain. Daily eDiary entries were averaged into a weekly (i.e. 7 day) score. The change from baseline in weekly mean scores is defined as the postbaseline weekly mean score minus the baseline score. Lower scores indicate an improvement. (NCT03338816)
Timeframe: Baseline and 6 months

Interventionscore on a scale (Median)
Placebo0.245
Givosiran 2.5 mg/kg-0.506

Change From Baseline in the Physical Component Summary (PCS) of the 12-Item Short Form Survey (SF-12) in Participants With AIP

The SF-12 is a survey designed for use in patients with multiple chronic conditions. This 12-item scale can be used to assess the physical and mental health of respondents. 10 of the 12 questions are answered on a 5 point likert scale and 2 are answered on a 3 point likert scale. The questions are then scored and weighted into 2 subscales, physical health and mental health. Respondents can have a score that ranges from 0-100 with 100 being the best score and indicating high physical or mental health. A 3 point change in SF-12 score reflects a meaningful difference. A higher score indicates improvement. (NCT03338816)
Timeframe: Baseline and 6 months

Interventionscore on a scale (Least Squares Mean)
Placebo1.431
Givosiran 2.5 mg/kg5.369

The PD Effect of Givosiran on Urine Levels of Porphobilinogen (PBG) in Participants With AIP

The PD effect of givosiran was evaluated by spot urine PBG levels normalized to spot urine creatinine levels. (NCT03338816)
Timeframe: 6 months

Interventionmmol/mol Cr (Least Squares Mean)
Placebo49.110
Givosiran 2.5 mg/kg12.906

The Pharmacodynamic (PD) Effect of Givosiran on Urine Levels of Delta-aminolevulinic Acid (ALA) in Participants With AIP

The PD effect of givosiran was evaluated by spot urine ALA levels normalized to spot urine creatinine levels. (NCT03338816)
Timeframe: 3 and 6 months

,
Interventionmmol/mol creatinine (Cr) (Least Squares Mean)
Month 3Month 6
Givosiran 2.5 mg/kg1.7564.013
Placebo19.96523.150

Reviews

10 reviews available for porphobilinogen and Porphyria, Acute Intermittent

ArticleYear
Understanding Carbohydrate Metabolism and Insulin Resistance in Acute Intermittent Porphyria.
    International journal of molecular sciences, 2022, Dec-20, Volume: 24, Issue:1

    Topics: Aminolevulinic Acid; Animals; Carbohydrate Metabolism; Glucose; Heme; Humans; Hydroxymethylbilane Sy

2022
AGA Clinical Practice Update on Diagnosis and Management of Acute Hepatic Porphyrias: Expert Review.
    Gastroenterology, 2023, Volume: 164, Issue:3

    Topics: Abdominal Pain; Aminolevulinic Acid; Antiemetics; Carcinoma, Hepatocellular; Creatinine; Female; Hem

2023
Porphyria.
    The New England journal of medicine, 2017, Aug-31, Volume: 377, Issue:9

    Topics: Female; Heme; Hemin; Humans; Male; Phlebotomy; Porphobilinogen; Porphyria Cutanea Tarda; Porphyria,

2017
[CME: Acute Intermittent Porphyria: When to Think of It? What Must be Checked? How to Treat?]
    Praxis, 2018, Volume: 107, Issue:3

    Topics: Arginine; Combined Modality Therapy; Diagnosis, Differential; Female; Genetic Predisposition to Dise

2018
Acute Intermittent Porphyria in children: A case report and review of the literature.
    Molecular genetics and metabolism, 2016, Volume: 119, Issue:4

    Topics: Child; Female; Genetic Testing; Heme; Humans; Hydroxymethylbilane Synthase; Male; Mutation; Porphobi

2016
Molecular diagnostics of acute intermittent porphyria.
    Expert review of molecular diagnostics, 2004, Volume: 4, Issue:2

    Topics: Genetic Testing; Humans; Molecular Diagnostic Techniques; Mutation; Porphobilinogen; Porphyria, Acut

2004
Acute intermittent porphyria.
    Best practice & research. Clinical gastroenterology, 2005, Volume: 19, Issue:2

    Topics: Abdominal Pain; Adult; Aminolevulinic Acid; Cytochrome P-450 Enzyme System; Erythrocytes; Female; He

2005
The hepatic porphyrias.
    Progress in medical genetics, 1980, Volume: 4

    Topics: 5-Aminolevulinate Synthetase; Acute Disease; Adolescent; Adult; Aminolevulinic Acid; Chemical Phenom

1980
[Perplexing acute or chronic somatic or psychiatric symptoms: possibly due to porphyria].
    Nederlands tijdschrift voor geneeskunde, 1998, Aug-08, Volume: 142, Issue:32

    Topics: Abdominal Pain; Adult; Aminolevulinic Acid; Disease Management; Female; Humans; Laparotomy; Mental D

1998
Treatment of acute porphyria.
    Hospital medicine (London, England : 1998), 2001, Volume: 62, Issue:7

    Topics: Adolescent; Adult; Analgesics, Opioid; Arginine; Clinical Trials as Topic; Dietary Carbohydrates; Fe

2001

Trials

6 trials available for porphobilinogen and Porphyria, Acute Intermittent

ArticleYear
Disease burden in patients with acute hepatic porphyria: experience from the phase 3 ENVISION study.
    Orphanet journal of rare diseases, 2022, 08-26, Volume: 17, Issue:1

    Topics: Cost of Illness; Hemin; Humans; Pain; Porphobilinogen; Porphobilinogen Synthase; Porphyria, Acute In

2022
Pharmacokinetics and Pharmacodynamics of the Small Interfering Ribonucleic Acid, Givosiran, in Patients With Acute Hepatic Porphyria.
    Clinical pharmacology and therapeutics, 2020, Volume: 108, Issue:1

    Topics: Acetylgalactosamine; Adult; Aminolevulinic Acid; Dose-Response Relationship, Drug; Drug Administrati

2020
Phase 3 Trial of RNAi Therapeutic Givosiran for Acute Intermittent Porphyria.
    The New England journal of medicine, 2020, 06-11, Volume: 382, Issue:24

    Topics: Acetylgalactosamine; Adult; Aminolevulinic Acid; Double-Blind Method; Fatigue; Female; Humans; Injec

2020
Phase 1 Trial of an RNA Interference Therapy for Acute Intermittent Porphyria.
    The New England journal of medicine, 2019, 02-07, Volume: 380, Issue:6

    Topics: 5-Aminolevulinate Synthetase; Acetylgalactosamine; Adult; Amides; Dose-Response Relationship, Drug;

2019
Plasma porphobilinogen as a sensitive biomarker to monitor the clinical and therapeutic course of acute intermittent porphyria attacks.
    European journal of internal medicine, 2009, Volume: 20, Issue:2

    Topics: Acute Disease; Adult; Aminolevulinic Acid; Arginine; Biomarkers; Chromatography, Ion Exchange; Drug

2009
Safety, pharmacokinetics and pharmocodynamics of recombinant human porphobilinogen deaminase in healthy subjects and asymptomatic carriers of the acute intermittent porphyria gene who have increased porphyrin precursor excretion.
    Clinical pharmacokinetics, 2007, Volume: 46, Issue:4

    Topics: Adult; Aged; Aminolevulinic Acid; Antibody Formation; Area Under Curve; Chromatography, Liquid; Dose

2007

Other Studies

99 other studies available for porphobilinogen and Porphyria, Acute Intermittent

ArticleYear
Peritoneal dialysis resulting in discontinuance of recurring attacks of acute intermittent porphyria: A case report.
    Seminars in dialysis, 2022, Volume: 35, Issue:1

    Topics: Aged; Heme; Humans; Male; Pain; Peritoneal Dialysis; Porphobilinogen; Porphyria, Acute Intermittent;

2022
Bi-allelic hydroxymethylbilane synthase inactivation defines a homogenous clinico-molecular subtype of hepatocellular carcinoma.
    Journal of hepatology, 2022, Volume: 77, Issue:4

    Topics: beta Catenin; Carcinoma, Hepatocellular; Female; Heme; Humans; Hydroxymethylbilane Synthase; Liver N

2022
ALAD Inhibition by Porphobilinogen Rationalizes the Accumulation of δ-Aminolevulinate in Acute Porphyrias.
    Biochemistry, 2022, 11-01, Volume: 61, Issue:21

    Topics: Humans; Hydroxymethylbilane Synthase; Porphobilinogen; Porphyria, Acute Intermittent; Porphyrias, He

2022
Porphyrin precursors and risk of primary liver cancer in acute intermittent porphyria: A case-control study of 188 patients.
    Journal of inherited metabolic disease, 2023, Volume: 46, Issue:6

    Topics: Aged; Aminolevulinic Acid; Case-Control Studies; Humans; Liver Neoplasms; Middle Aged; Porphobilinog

2023
Axonal Polyneuropathy in a Man Treated for Pulmonary Cocci: A Case of Acute Intermittent Porphyria.
    The American journal of case reports, 2019, Sep-18, Volume: 20

    Topics: Aged; Antifungal Agents; Coccidioidomycosis; Fluconazole; Humans; Lung Diseases, Fungal; Male; Polyn

2019
Acute intermittent porphyria and anti-tuberculosis therapy.
    QJM : monthly journal of the Association of Physicians, 2020, Mar-01, Volume: 113, Issue:3

    Topics: Adolescent; Antitubercular Agents; Brain; Glucose; Humans; Magnetic Resonance Imaging; Male; Porphob

2020
Acute intermittent porphyria: A case report
    Biomedica : revista del Instituto Nacional de Salud, 2020, 03-01, Volume: 40, Issue:1

    Topics: Delayed Diagnosis; Female; Gastrointestinal Diseases; Hemin; Humans; Neurons; Porphobilinogen; Porph

2020
Uncontrolled Acute Intermittent Porphyria as a Cause of Spontaneous Abortion.
    Medical archives (Sarajevo, Bosnia and Herzegovina), 2020, Volume: 74, Issue:2

    Topics: Abortion, Spontaneous; Adult; Aminolevulinic Acid; Contraceptives, Oral, Hormonal; Disease Progressi

2020
5-Aminolevulinate dehydratase porphyria: Update on hepatic 5-aminolevulinic acid synthase induction and long-term response to hemin.
    Molecular genetics and metabolism, 2020, Volume: 131, Issue:4

    Topics: 5-Aminolevulinate Synthetase; Adolescent; Adult; Child; Child, Preschool; Female; Heme; Hemin; Human

2020
Turning Purple with Pain.
    The New England journal of medicine, 2021, 08-05, Volume: 385, Issue:6

    Topics: Abdominal Pain; Adult; Constipation; Diagnosis, Differential; Female; Glucose; Humans; Hyponatremia;

2021
Validation and evaluation of two porphobilinogen deaminase activity assays for diagnosis of acute intermittent porphyria.
    Clinica chimica acta; international journal of clinical chemistry, 2018, Volume: 479

    Topics: Adolescent; Adult; Aged; Child; DNA; Female; Fluorometry; Hematocrit; Hemoglobins; Humans; Hydroxyme

2018
Effects of volatile anaesthetics on heme metabolism in a murine genetic model of Acute Intermittent Porphyria. A comparative study with other porphyrinogenic drugs.
    Biochimica et biophysica acta. General subjects, 2018, Volume: 1862, Issue:6

    Topics: Anesthetics; Animals; Female; Heme; Hydroxymethylbilane Synthase; Male; Mice; Mice, Inbred C57BL; Mi

2018
Rapid spectrophotometric quantification of urinary porphyrins and porphobilinogen as screening tool for attacks of acute porphyria.
    Journal of biomedical optics, 2018, Volume: 23, Issue:5

    Topics: Algorithms; Equipment Design; Humans; Porphobilinogen; Porphyria, Acute Intermittent; Porphyrins; Sp

2018
A novel 55-basepair deletion of hydroxymethylbilane synthase gene found in a Chinese patient with acute intermittent porphyria and her family: A case report.
    Medicine, 2018, Volume: 97, Issue:37

    Topics: Asian People; Base Pairing; China; Codon, Terminator; Female; Frameshift Mutation; Humans; Hydroxyme

2018
Lifestyle factors including diet and biochemical biomarkers in acute intermittent porphyria: Results from a case-control study in northern Norway.
    Molecular genetics and metabolism, 2019, Volume: 128, Issue:3

    Topics: Acute Disease; Adult; Aged; Aminolevulinic Acid; Biomarkers; Case-Control Studies; Cross-Sectional S

2019
Homozygous hydroxymethylbilane synthase knock-in mice provide pathogenic insights into the severe neurological impairments present in human homozygous dominant acute intermittent porphyria.
    Human molecular genetics, 2019, 06-01, Volume: 28, Issue:11

    Topics: Aminolevulinic Acid; Animals; Central Nervous System; Gene Knock-In Techniques; Genes, Dominant; Hom

2019
Computational disease model of phenobarbital-induced acute attacks in an acute intermittent porphyria mouse model.
    Molecular genetics and metabolism, 2019, Volume: 128, Issue:3

    Topics: Aminolevulinic Acid; Animals; Computer Simulation; Disease Models, Animal; Male; Mice; Mice, Inbred

2019
High penetrance of acute intermittent porphyria in a Spanish founder mutation population and CYP2D6 genotype as a susceptibility factor.
    Orphanet journal of rare diseases, 2019, 02-26, Volume: 14, Issue:1

    Topics: Adolescent; Adult; Aged; Creatinine; Cytochrome P-450 CYP2D6; Female; Genetic Predisposition to Dise

2019
28-Year-Old Woman With Severe Generalized Abdominal Pain.
    Mayo Clinic proceedings, 2019, Volume: 94, Issue:7

    Topics: Abdominal Pain; Adult; Contraceptive Agents, Female; Female; Humans; Medroxyprogesterone Acetate; Po

2019
Hepatocyte transplantation ameliorates the metabolic abnormality in a mouse model of acute intermittent porphyria.
    Cell transplantation, 2014, Volume: 23, Issue:9

    Topics: 5-Aminolevulinate Synthetase; Aminolevulinic Acid; Animals; Aryl Hydrocarbon Hydroxylases; Cells, Cu

2014
Circadian rhythms in acute intermittent porphyria--a pilot study.
    European journal of clinical investigation, 2013, Volume: 43, Issue:7

    Topics: 5-Aminolevulinate Synthetase; Adult; Aged; Case-Control Studies; Circadian Clocks; Circadian Rhythm;

2013
Urinary excretion of porphyrins, porphobilinogen and δ-aminolaevulinic acid following an attack of acute intermittent porphyria.
    Journal of clinical pathology, 2014, Volume: 67, Issue:1

    Topics: Aminolevulinic Acid; Female; Half-Life; Humans; Male; Porphobilinogen; Porphyria, Acute Intermittent

2014
Images in emergency medicine. Acute intermittent porphyria.
    Annals of emergency medicine, 2014, Volume: 63, Issue:2

    Topics: Aged; Emergency Service, Hospital; Female; Humans; Porphobilinogen; Porphyria, Acute Intermittent

2014
[Dark red urine].
    MMW Fortschritte der Medizin, 2014, Apr-17, Volume: 156, Issue:7

    Topics: Aged; Diagnosis, Differential; Female; Hematuria; Humans; Porphobilinogen; Porphyria, Acute Intermit

2014
Prevalence and clinical features of acute intermittent porphyria: a retrospective analysis.
    Journal of the American Geriatrics Society, 2014, Volume: 62, Issue:9

    Topics: Abdominal Pain; Aged, 80 and over; Alcoholism; Bradycardia; Confusion; Female; Humans; Hypotension,

2014
Sudden bilateral reversible vision loss: a rare presentation of acute intermittent porphyria.
    The Journal of the Association of Physicians of India, 2014, Volume: 62, Issue:5

    Topics: Abdomen, Acute; Blindness; Brain; Epilepsy, Tonic-Clonic; Female; Follow-Up Studies; Humans; India;

2014
High prevalence of and potential mechanisms for chronic kidney disease in patients with acute intermittent porphyria.
    Kidney international, 2015, Volume: 88, Issue:2

    Topics: Aged; Aminolevulinic Acid; Apoptosis; Cells, Cultured; Endoplasmic Reticulum Stress; Epithelial Cell

2015
Liver Transplantation for Acute Intermittent Porphyria: Biochemical and Pathologic Studies of the Explanted Liver.
    Molecular medicine (Cambridge, Mass.), 2015, Jun-05, Volume: 21

    Topics: 5-Aminolevulinate Synthetase; Adult; Aminolevulinic Acid; Female; Heme; Humans; Hydroxymethylbilane

2015
Mass spectrometric characterisation of a condensation product between porphobilinogen and indolyl-3-acryloylglycine in urine of patients with acute intermittent porphyria.
    Journal of mass spectrometry : JMS, 2015, Volume: 50, Issue:7

    Topics: Adult; Biomarkers; Female; Glycine; Humans; Male; Mass Spectrometry; Middle Aged; Porphobilinogen; P

2015
Challenges in the successful management of a case of acute intermittent porphyria in India.
    Tropical doctor, 2016, Volume: 46, Issue:3

    Topics: Abdominal Pain; Administration, Intravenous; Adolescent; Arginine; Heme; Humans; India; Male; Porpho

2016
Red-Brown Urine in a Patient with Chronic HIV Infection and Quadriparesis.
    Clinical chemistry, 2016, Volume: 62, Issue:9

    Topics: Adult; Antiretroviral Therapy, Highly Active; Chronic Disease; Diagnosis, Differential; Female; HIV

2016
A family with acute intermittent porphyria.
    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2008, Volume: 18, Issue:5

    Topics: Adolescent; Aminolevulinic Acid; Family; Female; Genetic Predisposition to Disease; Humans; Pedigree

2008
Awareness is the name of the game: clinical and biochemical evaluation of a case of a girl diagnosed with acute intermittent porphyria associated with autism.
    Cellular and molecular biology (Noisy-le-Grand, France), 2009, Feb-16, Volume: 55, Issue:1

    Topics: Adolescent; Aminolevulinic Acid; Autistic Disorder; Female; Humans; Hydroxymethylbilane Synthase; Mu

2009
Porphyrin precursors and porphyrins in three patients with acute intermittent porphyria and end-stage renal disease under different therapy regimes.
    Cellular and molecular biology (Noisy-le-Grand, France), 2009, Feb-16, Volume: 55, Issue:1

    Topics: Adult; Aminolevulinic Acid; Female; Humans; Kidney Failure, Chronic; Middle Aged; Peritoneal Dialysi

2009
Remarks on the acute intermittent porphyria.
    Annals of clinical biochemistry, 2009, Volume: 46, Issue:Pt 4

    Topics: Coproporphyrins; Female; Humans; Intracranial Aneurysm; Male; Porphobilinogen; Porphyria, Acute Inte

2009
Porphobilinogen deaminase over-expression in hepatocytes, but not in erythrocytes, prevents accumulation of toxic porphyrin precursors in a mouse model of acute intermittent porphyria.
    Journal of hepatology, 2010, Volume: 52, Issue:3

    Topics: Aminolevulinic Acid; Animals; Bone Marrow Transplantation; Disease Models, Animal; Erythrocytes; Fem

2010
Combined liver and kidney transplantation in acute intermittent porphyria.
    Transplant international : official journal of the European Society for Organ Transplantation, 2010, Volume: 23, Issue:6

    Topics: Female; Humans; Hydroxymethylbilane Synthase; Kidney Transplantation; Liver Transplantation; Middle

2010
[Acute intermittent porphyria and inappropriate ADH syndrome].
    Revista espanola de anestesiologia y reanimacion, 2010, Volume: 57, Issue:5

    Topics: Abdominal Pain; Adult; Aminolevulinic Acid; Coproporphyrins; Delayed Diagnosis; Dietary Carbohydrate

2010
Acute porphyrias may be overlooked in patients taking methenamine hippurate.
    Clinical chemistry and laboratory medicine, 2010, Volume: 48, Issue:9

    Topics: Aged; Aminolevulinic Acid; Artifacts; Diagnostic Errors; Female; Hippurates; Humans; Methenamine; Po

2010
Marked geographic aggregation of acute intermittent porphyria families carrying mutation Q180X in Venezuelan populations, with description of further mutations.
    Journal of inherited metabolic disease, 2010, Volume: 33 Suppl 3

    Topics: Adolescent; Adult; Biomarkers; Child; Child, Preschool; DNA Mutational Analysis; Female; Founder Eff

2010
[Porphyria. What to think in the absence of a cause of abdominal pain].
    La Revue du praticien, 2010, Dec-20, Volume: 60, Issue:10

    Topics: Abdominal Pain; Aminolevulinic Acid; Female; Humans; Porphobilinogen; Porphyria, Acute Intermittent;

2010
False-positive accumulation of metaiodobenzylguanidine in a case with acute intermittent porphyria.
    Internal medicine (Tokyo, Japan), 2011, Volume: 50, Issue:9

    Topics: 3-Iodobenzylguanidine; Adrenal Gland Neoplasms; Adult; Catecholamines; Diagnosis, Differential; Fals

2011
Evaluation of a commercially available rapid urinary porphobilinogen test.
    Clinical chemistry and laboratory medicine, 2011, Volume: 49, Issue:9

    Topics: Humans; Porphobilinogen; Porphyria, Acute Intermittent; Time Factors; Urinalysis

2011
A LC-MS/MS method for the specific, sensitive, and simultaneous quantification of 5-aminolevulinic acid and porphobilinogen.
    Journal of chromatography. B, Analytical technologies in the biomedical and life sciences, 2011, Aug-15, Volume: 879, Issue:24

    Topics: Adolescent; Adult; Aminolevulinic Acid; Animals; Child; Child, Preschool; Chromatography, Liquid; Di

2011
Neurological complications of acute intermittent porphyria.
    European neurology, 2011, Volume: 66, Issue:5

    Topics: Adolescent; Adult; Aminolevulinic Acid; Brain; Electroencephalography; Electromyography; Female; Hum

2011
Acute intermittent porphyria: a diagnostic challenge.
    Journal of child neurology, 2012, Volume: 27, Issue:7

    Topics: Brain; Child; Complement C3; Electroencephalography; Humans; Hypertension; Magnetic Resonance Imagin

2012
Acute non-specific abdominal pain with port-wine urine.
    ANZ journal of surgery, 2012, Volume: 82, Issue:6

    Topics: Abdomen, Acute; Biomarkers; Color; Female; Humans; Porphobilinogen; Porphyria, Acute Intermittent; Y

2012
Direct and simultaneous determination of 5-aminolaevulinic acid and porphobilinogen in urine by hydrophilic interaction liquid chromatography-electrospray ionisation/tandem mass spectrometry.
    Biomedical chromatography : BMC, 2012, Volume: 26, Issue:8

    Topics: Aminolevulinic Acid; Analysis of Variance; Chromatography, Liquid; Humans; Hydrophobic and Hydrophil

2012
Acute intermittent porphyria: fatal complications of treatment.
    Clinical medicine (London, England), 2012, Volume: 12, Issue:3

    Topics: Abdominal Pain; Adolescent; Analgesics; Arginine; Disease Management; Fatal Outcome; Female; Halluci

2012
Direct and simultaneous quantitation of 5-aminolaevulinic acid and porphobilinogen in human serum or plasma by hydrophilic interaction liquid chromatography-atmospheric pressure chemical ionization/tandem mass spectrometry.
    Biomedical chromatography : BMC, 2013, Volume: 27, Issue:2

    Topics: Aminolevulinic Acid; Chromatography, Liquid; Humans; Hydrophobic and Hydrophilic Interactions; Least

2013
Molecular and biochemical studies of acute intermittent porphyria in 196 patients and their families.
    Clinical chemistry, 2002, Volume: 48, Issue:11

    Topics: Adolescent; Adult; Aged; Aminolevulinic Acid; DNA; Family; Feces; Female; Humans; Hydroxymethylbilan

2002
Acute intermittent porphyria in childhood: a population-based study.
    Acta paediatrica (Oslo, Norway : 1992), 2003, Volume: 92, Issue:5

    Topics: Adolescent; Age Factors; Aminolevulinic Acid; Child; Child, Preschool; Female; Humans; Male; Photose

2003
Isolation of porphobilinogen from the urine of a patient with acute porphyria.
    Nature, 1952, Oct-11, Volume: 170, Issue:4328

    Topics: Animals; Body Fluids; Humans; Porifera; Porphobilinogen; Porphyria, Acute Intermittent; Porphyrias

1952
Fate of porphobilinogen in the rat: relation to acute porphyria in man.
    Lancet (London, England), 1954, Jul-24, Volume: 267, Issue:6830

    Topics: Animals; Humans; Male; Porphobilinogen; Porphyria, Acute Intermittent; Porphyrins; Rats

1954
Acute intermittent porphyria; report of a case associated with porphobilinogen in the urine of four of five children.
    The New England journal of medicine, 1959, May-07, Volume: 260, Issue:19

    Topics: Body Fluids; Child; Humans; Medical Records; Porphobilinogen; Porphyria, Acute Intermittent; Porphyr

1959
Excretion of porphobilinogen and 5-aminolaevulinic acid in acute porphyria.
    Lancet (London, England), 1961, Jun-10, Volume: 1, Issue:7189

    Topics: Amino Acids; Humans; Porphobilinogen; Porphyria, Acute Intermittent; Porphyrias; Pyrroles

1961
Acute intermittent porphyria. Urinary porphobilinogen and other Ehrlich reactors in diagnosis.
    JAMA, 1961, Mar-25, Volume: 175

    Topics: Humans; Porphobilinogen; Porphyria, Acute Intermittent; Porphyrias

1961
Excretion of porphobilinogen and Delta-aminolaevulinic acid in acute porphyria.
    Lancet (London, England), 1961, Aug-26, Volume: 2, Issue:7200

    Topics: Amino Acids; Aminolevulinic Acid; Biological Products; Humans; Pigments, Biological; Porphobilinogen

1961
Delta-amino-levulinic acid, porphobilinogen, and porphyrin excretion throughout pregnancy in a patient with acute intermittent porphyria with "passive porphyria" in the infant.
    The Journal of laboratory and clinical medicine, 1961, Volume: 58

    Topics: Amino Acids; Aminolevulinic Acid; Female; Humans; Infant, Newborn, Diseases; Porphobilinogen; Porphy

1961
The porphobilinogen in fresh postmortem tissues from a case of acute intermittent porphyria.
    Archives of pathology, 1960, Volume: 70

    Topics: Animals; Autopsy; Humans; Porifera; Porphobilinogen; Porphyria, Acute Intermittent; Porphyrias; Porp

1960
Urinary excretion of porphobilinogen in acute porphyria.
    Lancet (London, England), 1960, Feb-20, Volume: 1, Issue:7121

    Topics: Humans; Porphobilinogen; Porphyria, Acute Intermittent; Porphyrias

1960
Porphobilinogen and delta-amino levulinic acid in acute porphyria.
    Proceedings of the Society for Experimental Biology and Medicine. Society for Experimental Biology and Medicine (New York, N.Y.), 1955, Volume: 88, Issue:2

    Topics: Aminolevulinic Acid; Humans; Keto Acids; Ketones; Porphobilinogen; Porphyria, Acute Intermittent; Po

1955
Renal transplantation in a case of acute intermittent porphyria.
    Journal of clinical pharmacology, 2003, Volume: 43, Issue:10

    Topics: Aminolevulinic Acid; Azathioprine; Creatinine; Cyclosporine; Drug Interactions; Female; Graft Reject

2003
Acute porphyria. II. Some observations on the conversion products from porphobilinogen.
    Scandinavian journal of clinical and laboratory investigation, 1951, Volume: 3, Issue:2

    Topics: Humans; Porphobilinogen; Porphyria, Acute Intermittent; Porphyrias

1951
Acute porphyria. III. The separation of preformed porphyrin and porphobilinogen in the urine in acute porphyria; a coproporphyrin chromogen in normal and pathological urine.
    Scandinavian journal of clinical and laboratory investigation, 1951, Volume: 3, Issue:2

    Topics: Coproporphyrins; Humans; Naphthalenesulfonates; Porphobilinogen; Porphyria, Acute Intermittent; Porp

1951
Variations in porphobilinogen and 5-aminolevulinic acid concentrations in plasma and urine from asymptomatic carriers of the acute intermittent porphyria gene with increased porphyrin precursor excretion.
    Clinical chemistry, 2006, Volume: 52, Issue:4

    Topics: Adult; Aminolevulinic Acid; Chromatography, High Pressure Liquid; Female; Heterozygote; Humans; Male

2006
Estimation and application of biological variation of urinary delta-aminolevulinic acid and porphobilinogen in healthy individuals and in patients with acute intermittent porphyria.
    Clinical chemistry, 2006, Volume: 52, Issue:4

    Topics: Adult; Aminolevulinic Acid; Child; Female; Humans; Male; Middle Aged; Porphobilinogen; Porphyria, Ac

2006
Acute porphyria: Some properties of porphobilinogen.
    The Biochemical journal, 1945, Volume: 39, Issue:5

    Topics: Humans; Porphobilinogen; Porphyria, Acute Intermittent; Porphyrins

1945
Genetic and biochemical characterization of 16 acute intermittent porphyria cases with a high prevalence of the R173W mutation.
    Journal of inherited metabolic disease, 2006, Volume: 29, Issue:4

    Topics: Adolescent; Adult; DNA Mutational Analysis; Female; Humans; Hydroxymethylbilane Synthase; Male; Midd

2006
Individualized workup: a new approach to the biochemical diagnosis of acute attacks of neuroporphyria.
    Physiological research, 2006, Volume: 55 Suppl 2

    Topics: Adolescent; Adult; Female; Humans; Male; Middle Aged; Porphobilinogen; Porphyria, Acute Intermittent

2006
Acute intermittent porphyria with peripheral neuropathy: a follow-up study after hematin treatment.
    Journal of the neurological sciences, 2007, Sep-15, Volume: 260, Issue:1-2

    Topics: Adult; Aminolevulinic Acid; DNA Mutational Analysis; Female; Follow-Up Studies; Genetic Markers; Gen

2007
Safe usage of isotretinoin in a woman with latent acute intermittent porphyria.
    Acta dermato-venereologica, 2007, Volume: 87, Issue:3

    Topics: Acne Vulgaris; Adult; Aminolevulinic Acid; Dermatologic Agents; Female; Humans; Isotretinoin; Porpho

2007
[Acute porphyrias: problem of primary diagnosis in Russia and CIS countries].
    Terapevticheskii arkhiv, 2007, Volume: 79, Issue:8

    Topics: Adolescent; Adult; Aminolevulinic Acid; Diagnosis, Differential; Female; Humans; Hydroxymethylbilane

2007
[Management of pregnancy in women with acute porphyria. Case reports].
    Terapevticheskii arkhiv, 2007, Volume: 79, Issue:8

    Topics: Adult; Arginine; Female; Follow-Up Studies; Heme; Humans; Infant, Newborn; Male; Porphobilinogen; Po

2007
The case: a pregnant woman with hyponatremia.
    Kidney international, 2007, Volume: 72, Issue:9

    Topics: Acute Disease; Adult; Diagnosis, Differential; Female; Humans; Hyponatremia; Inappropriate ADH Syndr

2007
Hemodialysis: a therapeutic option for severe attacks of acute intermittent porphyria in developing countries.
    Hemodialysis international. International Symposium on Home Hemodialysis, 2008, Volume: 12, Issue:1

    Topics: Adolescent; Aminolevulinic Acid; Developing Countries; Female; Humans; India; Porphobilinogen; Porph

2008
Elevated porphyrins following propofol anaesthesia in acute intermittent porphyria.
    Anaesthesia, 1994, Volume: 49, Issue:11

    Topics: Adult; Aminolevulinic Acid; Anesthesia, General; Humans; Male; Porphobilinogen; Porphyria, Acute Int

1994
Clinical problem-solving. Still hazy after all these years.
    The New England journal of medicine, 1994, Oct-06, Volume: 331, Issue:14

    Topics: Abdominal Pain; Acute Disease; Adult; Diagnosis, Differential; Familial Mediterranean Fever; Female;

1994
Coexistence of hereditary coproporphyria with acute intermittent porphyria.
    Annals of medicine, 1994, Volume: 26, Issue:2

    Topics: Adolescent; Adult; Aged; Aminolevulinic Acid; Child; Female; Humans; Male; Middle Aged; Pedigree; Po

1994
delta-Aminolevulinic acid effects on neuronal and glial tumor cell lines.
    Neurochemical research, 1993, Volume: 18, Issue:12

    Topics: Aminolevulinic Acid; Cell Survival; Deferoxamine; Glioblastoma; Hemin; Humans; Nervous System Diseas

1993
Mitral valve replacement in a patient with acute intermittent porphyria.
    Anesthesia and analgesia, 1996, Volume: 82, Issue:2

    Topics: Anesthesia; Cardiopulmonary Bypass; Heart Valve Prosthesis; Humans; Hypothermia, Induced; Male; Midd

1996
Severe hyponatremia due to SIADH provoked by acute intermittent porphyria.
    Clinical nephrology, 1996, Volume: 45, Issue:6

    Topics: Adult; Female; Humans; Hyponatremia; Inappropriate ADH Syndrome; Porphobilinogen; Porphyria, Acute I

1996
Family study of acute intermittent porphyria and hereditary coproporphyria in Niigata and Akita Prefectures, Japan.
    Journal of clinical epidemiology, 1996, Volume: 49, Issue:10

    Topics: Adolescent; Adult; Aged; Biomarkers; Child; Coproporphyrins; Feces; Female; Humans; Japan; Male; Mid

1996
Determination of 5-aminolaevulinic acid dehydratase activity in erythrocytes and porphobilinogen in urine by micellar electrokinetic capillary chromatography.
    Journal of chromatography. A, 1996, Jan-26, Volume: 722, Issue:1-2

    Topics: Aminolevulinic Acid; Electrophoresis, Capillary; Erythrocytes; Humans; Hydrogen-Ion Concentration; L

1996
Yeast, creatinine and false diagnosis of porphyria.
    Cellular and molecular biology (Noisy-le-Grand, France), 1997, Volume: 43, Issue:1

    Topics: Alanine Transaminase; Chromatography, High Pressure Liquid; Colorimetry; Creatinine; Diagnostic Erro

1997
Molecular analysis of porphobilinogen (PBG) deaminase gene mutations in acute intermittent porphyria: first study in patients of Slavic origin.
    Scandinavian journal of clinical and laboratory investigation, 1997, Volume: 57, Issue:3

    Topics: Aminolevulinic Acid; Czech Republic; Exons; Genetic Testing; Humans; Hydroxymethylbilane Synthase; I

1997
Effects of clonidine in a primed rat model of acute hepatic porphyria.
    Arzneimittel-Forschung, 1997, Volume: 47, Issue:6

    Topics: 5-Aminolevulinate Synthetase; Allylisopropylacetamide; Aminolevulinic Acid; Aminopyrine N-Demethylas

1997
Measurement of urinary porphobilinogen and porphyrins: preliminary data from a pilot QA scheme.
    Annals of clinical biochemistry, 1997, Volume: 34 ( Pt 5)

    Topics: Chemistry, Clinical; Coproporphyrins; Humans; Pilot Projects; Porphobilinogen; Porphyria Cutanea Tar

1997
Effects of diabetes mellitus on patients with acute intermittent porphyria.
    Journal of internal medicine, 1999, Volume: 245, Issue:2

    Topics: Age of Onset; Aged; Aged, 80 and over; Carcinoma, Hepatocellular; Diabetes Mellitus, Type 2; Female;

1999
[Porphyric crisis: experience of 30 episodes].
    Medicina, 1999, Volume: 59, Issue:1

    Topics: Adolescent; Adult; Female; Hemin; Humans; Male; Middle Aged; Porphobilinogen; Porphyria, Acute Inter

1999
A splicing mutation in the hydroxymethylbilane synthase gene in a Japanese family with acute intermittent porphyria.
    Clinical biochemistry, 1999, Volume: 32, Issue:6

    Topics: Adult; Aminolevulinic Acid; Child, Preschool; Deoxyribonucleases, Type II Site-Specific; Erythrocyte

1999
Acute intermittent porphyria presenting postmenopausally for the first time.
    The Journal of the Association of Physicians of India, 1999, Volume: 47, Issue:10

    Topics: Diagnosis, Differential; Female; Humans; Middle Aged; Porphobilinogen; Porphyria, Acute Intermittent

1999
Acute intermittent porphyria, seizures, and antiepileptic drugs: a report on a 3-year-old Nigerian boy.
    Seizure, 2001, Volume: 10, Issue:1

    Topics: Anticonvulsants; Carbamazepine; Child, Preschool; Epilepsy, Generalized; Humans; Male; Phenobarbital

2001
[Anesthetic management of a patient with a history of acute intermittent porphyria and an elevation of urinary porphobilinogen].
    Masui. The Japanese journal of anesthesiology, 2001, Volume: 50, Issue:8

    Topics: Anesthesia, General; Arthroplasty, Replacement, Hip; Female; Femoral Neck Fractures; Humans; Middle

2001
Testing for porphobilinogen in urine.
    Clinical chemistry, 2002, Volume: 48, Issue:3

    Topics: Humans; Porphobilinogen; Porphyria, Acute Intermittent; Sensitivity and Specificity

2002
Mutants of Escherichia coli K12 accumulating porphobilinogen: a new locus, hemC.
    Journal of general microbiology, 1979, Volume: 111, Issue:1

    Topics: Chromosome Mapping; Escherichia coli; Genes; Heme; Mutation; Porphobilinogen; Porphyria, Acute Inter

1979
Family evaluations in acute intermittent porphyria using red cell uroporphyrinogen I synthetase.
    Journal of medical genetics, 1979, Volume: 16, Issue:2

    Topics: Ammonia-Lyases; Erythrocytes; Female; Genes, Dominant; Humans; Hydroxymethylbilane Synthase; Male; P

1979
[Uroporphyrinogen-I-synthetase in erythrocytes in acute intermittent porphyria].
    Acta biologica et medica Germanica, 1977, Volume: 36, Issue:5-6

    Topics: Adolescent; Aminolevulinic Acid; Ammonia-Lyases; Bulgaria; Erythrocytes; Female; Humans; Hydroxymeth

1977
Porphyria precipitated by fasting.
    The New England journal of medicine, 1967, Aug-17, Volume: 277, Issue:7

    Topics: Adolescent; Fasting; Humans; Male; Porphobilinogen; Porphyria, Acute Intermittent

1967