Trial Outcomes & Findings for Glutamine Therapy for Hemolysis-Associated Pulmonary Hypertension (NCT NCT01048905)

NCT ID: NCT01048905

Last Updated: 2021-06-10

Results Overview

Erythrocyte Glutamine/Glutamate Ratio: a novel biomarker of oxidative stress

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

13 participants

Primary outcome timeframe

8 weeks

Results posted on

2021-06-10

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment: L-glutamine
Patients will receive an 8-week course of oral L-glutamine 10 grams TID L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children \< 15 years of age.
Overall Study
STARTED
13
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Blood work only available for N=6 participants, as reported here.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment: L-glutamine
n=13 Participants
Patients will receive an 8-week course of oral L-glutamine 10 grams TID L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children \< 15 years of age.
Age, Continuous
45.8 years
STANDARD_DEVIATION 13.8 • n=13 Participants
Sex: Female, Male
Female
8 Participants
n=13 Participants
Sex: Female, Male
Male
5 Participants
n=13 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=13 Participants
Race (NIH/OMB)
Asian
0 Participants
n=13 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=13 Participants
Race (NIH/OMB)
Black or African American
13 Participants
n=13 Participants
Race (NIH/OMB)
White
0 Participants
n=13 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=13 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=13 Participants
Region of Enrollment
United States
13 participants
n=13 Participants
Erythrocyte Glutamine/Glutamate Ratio
1.75 Ratio
STANDARD_DEVIATION 0.6 • n=6 Participants • Blood work only available for N=6 participants, as reported here.
Plasma Glutamine
704.5 µmol/L
STANDARD_DEVIATION 137 • n=6 Participants • Blood work only available for N=6 participants, as reported here.
Tricuspid Regurgitant Jet Velocity on Doppler Echocardiography
3.0 Meters per second
STANDARD_DEVIATION 0.6 • n=13 Participants
6 Minute Walk Distance
386 Meters
STANDARD_DEVIATION 94 • n=13 Participants
Liver Function Tests
Alanine aminotransferase (ALT)
40 U/L
STANDARD_DEVIATION 42 • n=13 Participants
Liver Function Tests
Aspartate aminotransferase (AST)
73 U/L
STANDARD_DEVIATION 40 • n=13 Participants
Renal Function Tests
Creatinine
0.9 mg/dL
STANDARD_DEVIATION 0.4 • n=13 Participants
Renal Function Tests
Blood urea nitrogen (BUN)
14 mg/dL
STANDARD_DEVIATION 10 • n=13 Participants

PRIMARY outcome

Timeframe: 8 weeks

Population: Blood work only available for N=6 participants, as reported here.

Erythrocyte Glutamine/Glutamate Ratio: a novel biomarker of oxidative stress

Outcome measures

Outcome measures
Measure
Treatment: L-glutamine
n=6 Participants
Patients will receive an 8-week course of oral L-glutamine 10 grams TID L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children \< 15 years of age.
Erythrocyte Glutamine/Glutamate Ratio at 8 Weeks
2.40 Ratio
Standard Deviation 1.6

SECONDARY outcome

Timeframe: 8 weeks

Outcome measures

Outcome measures
Measure
Treatment: L-glutamine
n=12 Participants
Patients will receive an 8-week course of oral L-glutamine 10 grams TID L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children \< 15 years of age.
Plasma Glutamine
685.8 µmol/L
Standard Deviation 139

SECONDARY outcome

Timeframe: 8 week

Population: Data available for 11 participants only because one patient missed their appointment for their week 8 echocardiogram and was lost to follow up, and another patient died of sepsis before week 8 visit.

Tricuspid Regurgitant Jet Velocity was measured using Doppler Echocardiography in meters per second.

Outcome measures

Outcome measures
Measure
Treatment: L-glutamine
n=11 Participants
Patients will receive an 8-week course of oral L-glutamine 10 grams TID L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children \< 15 years of age.
Tricuspid Regurgitant Jet Velocity on Doppler Echocardiography
2.8 Meters per second
Standard Deviation 0.5

SECONDARY outcome

Timeframe: 8 weeks

The six-minute walk test (6MWT) measures the distance in meters an individual is able to walk over a total of six minutes on a hard, flat surface.

Outcome measures

Outcome measures
Measure
Treatment: L-glutamine
n=12 Participants
Patients will receive an 8-week course of oral L-glutamine 10 grams TID L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children \< 15 years of age.
6 Minute Walk Distance
366 Meters
Standard Deviation 109

SECONDARY outcome

Timeframe: 8 weeks

Alanine aminotransferase (ALT) Aspartate aminotransferase (AST)

Outcome measures

Outcome measures
Measure
Treatment: L-glutamine
n=12 Participants
Patients will receive an 8-week course of oral L-glutamine 10 grams TID L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children \< 15 years of age.
Liver Function Tests
ALT
38 U/L
Standard Deviation 27
Liver Function Tests
AST
63 U/L
Standard Deviation 26

SECONDARY outcome

Timeframe: 8 weeks

Creatinine Blood urea nitrogen (BUN)

Outcome measures

Outcome measures
Measure
Treatment: L-glutamine
n=12 Participants
Patients will receive an 8-week course of oral L-glutamine 10 grams TID L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children \< 15 years of age.
Renal Function Tests
BUN
17 mg/dL
Standard Deviation 7
Renal Function Tests
Creatinine
0.9 mg/dL
Standard Deviation 0.3

Adverse Events

Treatment: L-glutamine

Serious events: 4 serious events
Other events: 1 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Treatment: L-glutamine
n=13 participants at risk
Patients will receive an 8-week course of oral L-glutamine 10 grams TID L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children \< 15 years of age.
General disorders
Pain
23.1%
3/13 • 8 weeks
General disorders
Acute Chest Syndrome
7.7%
1/13 • 8 weeks
Infections and infestations
Sepsis
7.7%
1/13 • 8 weeks

Other adverse events

Other adverse events
Measure
Treatment: L-glutamine
n=13 participants at risk
Patients will receive an 8-week course of oral L-glutamine 10 grams TID L-Glutamine: Oral L-glutamine 10 grams TID or (0.1g/kg TID) for children \< 15 years of age.
Reproductive system and breast disorders
Sexually Transmitted Disease Related Pain
7.7%
1/13 • 8 weeks

Additional Information

Claudia R. Morris MD, FAAP

Emory University School of Medicine

Phone: 404-727-5500

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place