Deficiency Disease, Aspartoacylase, Infantile Canavan Disease
Conditions
Keywords
Canavan Disease, Aspartoacylase Deficiency, NAA, Acetate, Glyceryltriacetate
Brief summary
The purpose of this study is to determine whether oral supplementation of glyceryl triacetate improves the clinical prognosis of Canavan Disease.
Detailed description
Canavan Disease is caused by a deficiency in the enzyme named Aspartoacylase (ASPA). This disease is a devastating, progressive disease with no available treatment. As a result of the ASPA deficiency, there are high levels of N-acetylaspartate (NAA) and low levels of L-aspartate and acetate. We hypothesize that one of the functions of ASPA is to provide sufficient levels of acetate for CNS myelinization. For this reason, we offer to supplement acetate levels by the oral administration of glyceryl triacetate (GTA). Such treatment must be offered to patients before the age of 18 months, prior to the termination of CNS myelinization. 1. Two patients, aged less than 15 months, will receive daily doses of oral GTA 2. The daily dose will be increased incrementally until the maintenance dose is reached. This will be done under close monitoring of the patients, including periodic blood gas sampling. 3. GTA has not been shown to cause any known toxicity, according to the Cosmetic Ingredient Review Expert Panel (Fiume, 2003).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age below 15 months * Biochemically diagnosed with Canavan Disease
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| All primary outcome will be evaluated 4 months following the initiation of treatment: | — |
| Neurological Status | — |
| Brain Imaging: MRI & MRS | — |
| NAA Levels in Urine | — |
| Ophthalmologic Examination | — |
Countries
Israel