| Evaluation of long-term treatment of children with congenital lactic acidosis with dichloroacetate. | |
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MedLine Citation:
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PMID: 18411236 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this research was to report results on long-term administration of dichloroacetate in 36 children with congenital lactic acidosis who participated previously in a controlled trial of this drug. PATIENTS AND METHODS: We conducted a randomized control trial, followed by an open-label study. Data were analyzed for each patient from the time they began treatment through May 2005. RESULTS: Subject exposure to dichloroacetate totaled 110.42 years. Median height and weight increased over time, but the standardized values declined slightly and remained below the first percentile. There were no significant changes in biochemical metabolic indices, except for a 2% rise in total protein and a 22% increase in 24-hour urinary oxalate. Both the basal and carbohydrate meal-induced rises in lactate were blunted by dichloroacetate. The median cerebrospinal fluid lactate also decreased over time. Conduction velocity decreased and distal latency increased in peroneal nerves. Mean 3-year survival for all of the subjects was 79%. CONCLUSIONS: Oral dichloroacetate is generally well tolerated in young children with congenital lactic acidosis. Although continued dichloroacetate exposure is associated with evidence of peripheral neuropathy, it cannot be determined whether this is attributable mainly to the drug or to progression of underlying disease. |
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Authors:
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Peter W Stacpoole; Lesa R Gilbert; Richard E Neiberger; Paul R Carney; Edward Valenstein; Douglas W Theriaque; Jonathan J Shuster |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. Date: 2008-04-14 |
Journal Detail:
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Title: Pediatrics Volume: 121 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-02 Completed Date: 2008-06-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: e1223-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Medicine, General Clinical Research Center, JHMHC, Gainesville, FL 32610-0226, USA. peter.stacpoole@medicine.ufl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acidosis, Lactic
/
complications,
congenital*,
drug therapy*,
metabolism Administration, Oral Adolescent Adult Child Child, Preschool Dichloroacetate / administration & dosage*, adverse effects Double-Blind Method Female Humans Infant Kaplan-Meiers Estimate Lactic Acid / blood Male Mitochondrial Encephalomyopathies / complications Neural Conduction Pyruvate Dehydrogenase Complex Deficiency Disease / complications |
| Grant Support | |
ID/Acronym/Agency:
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FD-R-001500/FD/FDA HHS; M01 RR00082/RR/NCRR NIH HHS; P42 ES 07375/ES/NIEHS NIH HHS; R01 ES07355/ES/NIEHS NIH HHS |
| Chemical | |
Reg. No./Substance:
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13425-80-4/Dichloroacetate; 50-21-5/Lactic Acid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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