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valproic acid and Metabolism, Inborn Errors

valproic acid has been researched along with Metabolism, Inborn Errors in 12 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Metabolism, Inborn Errors: Errors in metabolic processes resulting from inborn genetic mutations that are inherited or acquired in utero.

Research Excerpts

ExcerptRelevanceReference
" Valproic acid appears to be use cautionally in obese females with epilepsy."5.24Evaluate the effects of long-term valproic acid treatment on metabolic profiles in newly diagnosed or untreated female epileptic patients: A prospective study. ( Sadhotra, A; Sidhu, HS; Srinivas, R, 2017)
" The pathogenesis of VPA hepatotoxicity is unclear but may relate to the accumulation of a toxic metabolite of VPA which impairs fatty-acid oxidation."1.28The high incidence of valproate hepatotoxicity in infants may relate to familial metabolic defects. ( Applegarth, DA; Appleton, RE; Davidson, AG; Dimmick, JE; Farrell, K; Wong, LT, 1990)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19903 (25.00)18.7374
1990's4 (33.33)18.2507
2000's3 (25.00)29.6817
2010's2 (16.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Sidhu, HS1
Srinivas, R1
Sadhotra, A1
LaBuzetta, JN1
Yao, JZ1
Bourque, DL1
Zivin, J1
Shinka, T1
Ohfu, M1
Hirose, S1
Kuhara, T1
Meshitsuka, S1
Koeda, T1
Muro, H1
Silva, MF1
Aires, CC1
Luis, PB1
Ruiter, JP1
IJlst, L1
Duran, M1
Wanders, RJ1
Tavares de Almeida, I1
Mortensen, PB1
Sherratt, HS1
Veitch, RK1
Treem, WR1
Tein, I1
DiMauro, S1
Xie, ZW1
De Vivo, DC1
Kelley, RI1
Appleton, RE1
Farrell, K1
Applegarth, DA1
Dimmick, JE1
Wong, LT1
Davidson, AG1
Hjelm, M1
de Silva, LV1
Seakins, JW1
Oberholzer, VG1
Rolles, CJ1

Clinical Trials (3)

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
[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

Reviews

3 reviews available for valproic acid and Metabolism, Inborn Errors

ArticleYear
Adult nonhepatic hyperammonemia: a case report and differential diagnosis.
    The American journal of medicine, 2010, Volume: 123, Issue:10

    Topics: Ammonia; Diagnosis, Differential; Humans; Hyperammonemia; Liver Diseases; Male; Metabolism, Inborn E

2010
Valproic acid metabolism and its effects on mitochondrial fatty acid oxidation: a review.
    Journal of inherited metabolic disease, 2008, Volume: 31, Issue:2

    Topics: Animals; Anticonvulsants; Biotransformation; Chemical and Drug Induced Liver Injury; Fatty Acids; Fa

2008
Inherited and acquired syndromes of hyperammonemia and encephalopathy in children.
    Seminars in liver disease, 1994, Volume: 14, Issue:3

    Topics: Ammonia; Child; Hepatic Encephalopathy; Humans; Liver Diseases; Metabolism, Inborn Errors; Reye Synd

1994

Trials

2 trials available for valproic acid and Metabolism, Inborn Errors

ArticleYear
Evaluate the effects of long-term valproic acid treatment on metabolic profiles in newly diagnosed or untreated female epileptic patients: A prospective study.
    Seizure, 2017, Volume: 48

    Topics: Adiponectin; Adolescent; Adult; Anticonvulsants; Blood Glucose; Body Mass Index; Cholesterol; Choles

2017
The role of carnitine supplementation in valproic acid therapy.
    Pediatrics, 1994, Volume: 93, Issue:6 Pt 1

    Topics: Carnitine; Child; Double-Blind Method; Fatty Acid Desaturases; Humans; Metabolism, Inborn Errors; Va

1994

Other Studies

7 other studies available for valproic acid and Metabolism, Inborn Errors

ArticleYear
Effect of valproic acid on the urinary metabolic profile of a patient with succinic semialdehyde dehydrogenase deficiency.
    Journal of chromatography. B, Analytical technologies in the biomedical and life sciences, 2003, Jul-15, Volume: 792, Issue:1

    Topics: Aldehyde Oxidoreductases; Anticonvulsants; Gas Chromatography-Mass Spectrometry; Humans; Hydroxybuty

2003
Direct observation of 3-keto-valproate in urine by 2D-NMR spectroscopy.
    Clinica chimica acta; international journal of clinical chemistry, 2003, Volume: 334, Issue:1-2

    Topics: Adolescent; Anticonvulsants; Consanguinity; Epilepsy; Humans; Indicators and Reagents; Ketones; Magn

2003
Inhibition of fatty acid oxidation by valproate.
    Lancet (London, England), 1980, Oct-18, Volume: 2, Issue:8199

    Topics: Fatty Acids; Humans; Metabolism, Inborn Errors; Oxidation-Reduction; Valproic Acid

1980
Animal models for dicarboxylic aciduria.
    Journal of inherited metabolic disease, 1984, Volume: 7 Suppl 1

    Topics: Animals; Dicarboxylic Acids; Disease Models, Animal; Epoxy Compounds; Fatty Acids, Monounsaturated;

1984
Valproic acid impairs carnitine uptake in cultured human skin fibroblasts. An in vitro model for the pathogenesis of valproic acid-associated carnitine deficiency.
    Pediatric research, 1993, Volume: 34, Issue:3

    Topics: Biological Transport; Carnitine; Cells, Cultured; Child; Dose-Response Relationship, Drug; Fibroblas

1993
Valproic acid impairs carnitine uptake in cultured human skin fibroblasts. An in vitro model for the pathogenesis of valproic acid-associated carnitine deficiency.
    Pediatric research, 1993, Volume: 34, Issue:3

    Topics: Biological Transport; Carnitine; Cells, Cultured; Child; Dose-Response Relationship, Drug; Fibroblas

1993
Valproic acid impairs carnitine uptake in cultured human skin fibroblasts. An in vitro model for the pathogenesis of valproic acid-associated carnitine deficiency.
    Pediatric research, 1993, Volume: 34, Issue:3

    Topics: Biological Transport; Carnitine; Cells, Cultured; Child; Dose-Response Relationship, Drug; Fibroblas

1993
Valproic acid impairs carnitine uptake in cultured human skin fibroblasts. An in vitro model for the pathogenesis of valproic acid-associated carnitine deficiency.
    Pediatric research, 1993, Volume: 34, Issue:3

    Topics: Biological Transport; Carnitine; Cells, Cultured; Child; Dose-Response Relationship, Drug; Fibroblas

1993
Valproic acid impairs carnitine uptake in cultured human skin fibroblasts. An in vitro model for the pathogenesis of valproic acid-associated carnitine deficiency.
    Pediatric research, 1993, Volume: 34, Issue:3

    Topics: Biological Transport; Carnitine; Cells, Cultured; Child; Dose-Response Relationship, Drug; Fibroblas

1993
Valproic acid impairs carnitine uptake in cultured human skin fibroblasts. An in vitro model for the pathogenesis of valproic acid-associated carnitine deficiency.
    Pediatric research, 1993, Volume: 34, Issue:3

    Topics: Biological Transport; Carnitine; Cells, Cultured; Child; Dose-Response Relationship, Drug; Fibroblas

1993
Valproic acid impairs carnitine uptake in cultured human skin fibroblasts. An in vitro model for the pathogenesis of valproic acid-associated carnitine deficiency.
    Pediatric research, 1993, Volume: 34, Issue:3

    Topics: Biological Transport; Carnitine; Cells, Cultured; Child; Dose-Response Relationship, Drug; Fibroblas

1993
Valproic acid impairs carnitine uptake in cultured human skin fibroblasts. An in vitro model for the pathogenesis of valproic acid-associated carnitine deficiency.
    Pediatric research, 1993, Volume: 34, Issue:3

    Topics: Biological Transport; Carnitine; Cells, Cultured; Child; Dose-Response Relationship, Drug; Fibroblas

1993
Valproic acid impairs carnitine uptake in cultured human skin fibroblasts. An in vitro model for the pathogenesis of valproic acid-associated carnitine deficiency.
    Pediatric research, 1993, Volume: 34, Issue:3

    Topics: Biological Transport; Carnitine; Cells, Cultured; Child; Dose-Response Relationship, Drug; Fibroblas

1993
The high incidence of valproate hepatotoxicity in infants may relate to familial metabolic defects.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 1990, Volume: 17, Issue:2

    Topics: Chemical and Drug Induced Liver Injury; Humans; Infant; Liver Diseases; Male; Metabolism, Inborn Err

1990
Evidence of inherited urea cycle defect in a case of fatal valproate toxicity.
    British medical journal (Clinical research ed.), 1986, Jan-04, Volume: 292, Issue:6512

    Topics: Adult; Ammonia; Child; Child, Preschool; Female; Humans; Male; Metabolism, Inborn Errors; Middle Age

1986