Administration of Methionine in Patients With Pulmonary Alveolar Proteinosis by Mutation of the MARS Gene.
NCT03887169 · Status: COMPLETED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 3
Last updated 2025-11-20
Summary
The purpose of this study is to determine the safety and tolerance of an oral administration of methionine in the treatment of pulmonary alveolar proteinosis due to the double mutation Ala393Thr / Ser567Leu in the MARS gene. This disease is very severe and especially leads to chronic respiratory insufficiency. There is no curative treatment for this disease. The MARS gene encodes the methionine tRNA synthetase (MetRS). Mutations in this gene leads to a defect in MetRS function. In cultured mutated yeast, addition of methionine in culture medium restores MetRS function. Therefore, the investigators hypothesized that treatment of patients with methionine could have beneficial effects on the disease.
Conditions
- Pulmonary Alveolar Proteinosis
- Mutation Ala393Thr of the MARS Gene
- mutationSer567Leu of the MARS Gene
Interventions
- DRUG
-
Methionine
Administration of methionine from D1 to D60
- DRUG
-
Vitamin B12, B9, B6, C supplementation
In case of hyperhomocysteinemia
- DIAGNOSTIC_TEST
-
Methionine/homocysteine Dosage
Plasma concentration control of methionine and homocysteine from D0 to D75
- DIAGNOSTIC_TEST
-
Thoracic CT scan
At D60
- DIAGNOSTIC_TEST
-
Abdominal and liver ultrasound.
At D60
- DIAGNOSTIC_TEST
-
Brain MRI
In case of abnormal neurological examination
Sponsors & Collaborators
-
URC-CIC Paris Descartes Necker Cochin
collaborator OTHER -
Assistance Publique - Hôpitaux de Paris
lead OTHER
Principal Investigators
-
Alice HADCHOUEL, PhD · Hospital Necker Enfants Malades
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-09-16
- Primary Completion
- 2020-06-01
- Completion
- 2020-06-01
Countries
- France
Study Locations
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