NCT04196959

Brief Summary

For 28 days, 20 patients with tyrosinaemia will take TYR sphere as part of the usual dietary management of their condition. Patients will record their adherence to recommended intakes each day, gastrointestinal symptoms (if any) experienced each day of weeks one and four, and the palatability of the product at the end of the trial. Metabolic control will be evaluated by dried blood spots collected during the Baseline and End of Study visits, and weekly during the 28 days of the study itself. Trial data will be used in an application to make TYR sphere available via the NHS.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
18

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Oct 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2019

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

December 6, 2019

Completed
6 days until next milestone

First Posted

Study publicly available on registry

December 12, 2019

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2020

Completed
Last Updated

February 16, 2024

Status Verified

February 1, 2024

Enrollment Period

10 months

First QC Date

December 6, 2019

Last Update Submit

February 15, 2024

Conditions

Keywords

TyrosinaemiaAKUFood for Special Medical Purposes

Outcome Measures

Primary Outcomes (6)

  • Adherence to prescribed intake of TYR sphere

    Patient reported data on actual compared to prescribed intakes of TYR sphere

    Days 1 to 28

  • Patient record of gastrointestinal tolerance, week 1

    Patient reported data on any gastrointestinal symptoms experienced

    Days 1 - 7

  • Patient record of gastrointestinal tolerance, week 4

    Patient reported data on any gastrointestinal symptoms experienced

    Days 21 - 28

  • Patient assessment of palatability of TYR sphere

    Patient reported data on the taste, texture, appearance, smell and ease of use of TYR sphere at the end of the trial period.

    Day 28

  • Change in metabolic control (tyrosine) over study period

    Tyrosine levels obtained from dried blood spots

    One at Baseline Visit (Day 1) one per week during Evaluation Period (Days 1 - 28) and one at End of Study visit (Day 28)

  • Change in metabolic control (phenylalanine) over study period

    Phenylalanine levels obtained from dried blood spots

    One at Baseline Visit (Day 1) one per week during Evaluation Period (Days 1 - 28) and one at End of Study visit (Day 28)

Secondary Outcomes (2)

  • Change in height

    Baseline Visit (Day 1) and End of Study Visit (Day 28)

  • Change in weight

    Baseline Visit (Day 1) and End of Study Visit (Day 28)

Study Arms (1)

Single Arm

EXPERIMENTAL

All patients will receive TYR sphere, a Food for Special Medical Purposes, as part of thier restricted diet for 28 consecutive days.

Dietary Supplement: TYR sphere

Interventions

TYR sphereDIETARY_SUPPLEMENT

TYR sphere is a powdered protein substitute for patients with tyrosinaemia.

Single Arm

Eligibility Criteria

Age3 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosed with tyrosinaemia.
  • Aged ≥ 3 years.
  • In the opinion of the Investigator, can comply with the study protocol and take at least one sachet of the study product per day.
  • Willingly given, written, informed consent from patient or parent/guardian.
  • Willingly given, written assent (if appropriate).

You may not qualify if:

  • Individuals who are allergic to milk, fish and soya (these allergens are inherent in the study product ingredients).
  • Use of additional macro/micronutrient supplements during the study period, unless clinically indicated and prescribed by the Investigator (must be recorded in patient case report form CRF).
  • Women who are pregnant / breastfeeding at the start of the study or planning to become pregnant during the study period.
  • Individuals who, in the opinion of the investigator, are unable to comply with the requirements of the protocol.
  • Any co-morbidity, which, in the opinion of the Investigator, would preclude participation in the study.
  • Patients who are currently participating in, plan to participate in, or have participated in an interventional investigational drug, food or medical device trial within 30 days prior to screening visit.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

National Alkaptonuria Centre, Royal Liverpool University Hospital

Liverpool, Merseyside, L7 8XP, United Kingdom

Location

Birmingham Children's Hospital

Birmingham, West Midlands, B4 6NH, United Kingdom

Location

MeSH Terms

Conditions

TyrosinemiasAlkaptonuria

Condition Hierarchy (Ancestors)

Brain Diseases, Metabolic, InbornBrain Diseases, MetabolicBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesAmino Acid Metabolism, Inborn ErrorsMetabolism, Inborn ErrorsGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesMetabolic DiseasesNutritional and Metabolic Diseases

Study Officials

  • Anita MacDonald

    Anita.MacDonald@NHS.Net

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Masking Details
Non-blinded.
Purpose
SUPPORTIVE CARE
Intervention Model
SINGLE GROUP
Model Details: Single group, open label.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 6, 2019

First Posted

December 12, 2019

Study Start

October 1, 2019

Primary Completion

August 1, 2020

Study Completion

August 1, 2020

Last Updated

February 16, 2024

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will not share

Locations