Mitochondrial NeuroGastroIntestinal Encephalopathy (MNGIE)
Conditions
Keywords
MNGIE, Mitochondrial, Mitochondrial Neurogastrointestinal encephalopathy
Brief summary
This is a multi-center natural history study of Mitochondrial NeurogastroIntestinal Encephalopathy (MNGIE). Patients will be followed over time to assess clinical symptoms. The investigators hope to learn more about the disease of MNGIE as well as develop useful measures of disease status for use in future clinical trials. Additional clinical centers will be listed as they become available.
Detailed description
The investigators will examine a total of 20 patients at six month intervals for up to five years. The investigators will evaluate gastrointestinal function, lean body mass, neuropathy, neuropsychological capability, quality of life, nutrition, motor function and biochemical parameters.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Thymidine Phosphorylase (TP) defect: 1. homozygous or 2. compound heterozygous mutations in the TYMP gene, and/or 3. TP enzyme activity of \<20% of normal. 2. Increased plasma Thd \> 3 micromole/L 3. Increased plasma dUrd \> 7.5 micromole/L 4. Age requirement of at least 5 years of age.
Exclusion criteria
1. Participation in an interventional (study medication or other experimental intervention) study (within 1 month of participation in this study). 2. Unable to travel to site for research visits. 3. Unwillingness to sign informed consent form. 4. Substance abuser
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Timed Water Swallow | 5 years | The timed water swallow test evaluates the time it takes to swallow a small cup of water |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Degree of Neuropathy | 5 years | A general neurological exam will be performed to assess the degree of neuropathy. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Score on Mini Mental State Exam | 5 years | A short assessment of cognitive function will be performed. |
Countries
United States