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| Name | Class |
|---|---|
| Institut National de la Santé Et de la Recherche Médicale, France | OTHER_GOV |
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Phenylketonuria (PKU) is a metabolic disease of genetic origin. This is a rare disease (incidence 1 / 16000 births) which is the subject of a systematic neonatal screening in France, because it is treatable by a diet low in phenylalanine. This plan is required upon confirmation of diagnosis and continued until the age of 8 years. The current trend is to continue the scheme at least until adolescence. Unlike other countries, in France there are no recommendations for a plan "for life". Knowledge about the natural history of PKU in adulthood, the effects of pediatric age, the frequency of complicated shapes, and prognostic factors are poorly documented. On the other hand, there is no consensus on the therapeutic management of this disease in adulthood and monitoring that could be directed towards the detection of neurological disorders and nutrition. Social integration and quality of life of adults PKU patients living in France have not been studied.
The aim off this study is to follow a French cohort of young adult patients with PKU to:
Design:
Cohort :
Duration of the inclusion period: 2 years Duration of subject participation: 5 years Total duration of the study: 7 years
JUDGING CRITERIA:
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| Measure | Description | Time Frame |
|---|---|---|
| Evaluate a possible cognitive decline and incidence of neurological complications | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Determine the prognostic factors of neurological complications | Determine the prognostic factors of these complications, and the impact of the disease and its management on the quality of life (SF-36) and social and professional integration of patients. | 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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All adult patients with PKU during a consultation in Hospital care centers.
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| Name | Affiliation | Role |
|---|---|---|
| François MAILLOT, Pr | CHRU TOURS | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU-Hôpital Bretonneau - Service de Médecine Interne-Nutrition | Tours | Centre-Val de Loire | 37044 | France | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39919675 | Background | Dybal E, Maillot F, Feillet F, Fouilhoux A, Astudillo L, Lavigne C, Arnoux JB, Odent S, Gay C, Schiff M, Mazodier K, Kuster A, Rigalleau V, Thauvin-Robinet C, Leguy-Seguin V, Douillard C, Charriere S. Bone mineral density in French adults with early-treated phenylketonuria. Mol Genet Metab. 2025 Mar;144(3):109044. doi: 10.1016/j.ymgme.2025.109044. Epub 2025 Jan 27. | |
| 39666084 |
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| ID | Term |
|---|---|
| D010661 | Phenylketonurias |
| D010024 | Osteoporosis |
| ID | Term |
|---|---|
| D020739 | Brain Diseases, Metabolic, Inborn |
| D001928 | Brain Diseases, Metabolic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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Plasma an serum at the beginning of study and at 5 years
| CHU-ANGERS -Médecine Interne |
| Angers |
| 49933 |
| France |
| CHU_Service de Médecine Interne Nutrition A2-Hôpital du Haut Levèque | Bordeaux | 33000 | France |
| CHU du Morvan-Département de Pédiatrie et génétique médicale, | Brest | 29609 | France |
| Hôpital Femme-Mère-Enfant-Centre de Référence des Maladies Héréditaires du Métabolisme de Lyon | Bron | 69677 | France |
| CHU de Dijon--Hôpital des Enfants-Centre de Génétique | Dijon | 21079 | France |
| CHU de Grenoble-Hôpital MICHALLON-Unité de Neurologie Générale | Grenoble | 38043 | France |
| CHU de LILLE-Hôpital Claude HURIEZ-Service d'Endocrinologie | Lille | 59037 | France |
| APHM-Hôpital de la Conception -Médecine Interne | Marseille | 13005 | France |
| CHU-Service de Réanimation Pédiatrique / Néonatalogie, Consultation spécialisée en Maladies Héréditaires du Métabolisme | Nantes | 44000 | France |
| Hôpital Necker Enfants Malades, APHP-Maladies Métaboliques -Service de Pédiatrie | Paris | 75743 | France |
| CHU-RENNES-Hôpital Sud-Service de Génétique-Clinique | Rennes | 35203 | France |
| CHU de Rouen-Service de Pédiatrie | Rouen | 76031 | France |
| CHU de St Etienne-Hôpital Nord-Service de Pédiatrie | Saint-Etienne | 42055 | France |
| CHU-Toulouse-Hôpital PURPAN-Service de Médecine Interne | Toulouse | 31059 | France |
| University Hospital of NANCY | Vandœuvre-lès-Nancy | 54500 | France |
| Brachet M, Charriere S, Douillard C, Feillet F, Fouilhoux A, Astudillo L, Lavigne C, Arnoux JB, Odent S, Gay C, Schiff M, Mazodier K, Kuster A, Rigalleau V, Thauvin-Robinet C, Leguy-Seguin V, Gissot V, Maillot F. Neuropsychological profile of French adults with early-treated phenylketonuria: a multicenter study. J Neurol. 2024 Dec 12;272(1):53. doi: 10.1007/s00415-024-12840-0. |
| 41421263 | Result | Giret C, Charriere S, Feillet F, Fouilhoux A, Astudillo L, Lavigne C, Arnoux JB, Odent S, Gay C, Schiff M, Mazodier K, Kuster A, Rigalleau V, Thauvin C, Leguy-Seguin V, Levesque H, Sacaze E, Besson G, Thoreau B, Le Gouge A, Gissot V, Douillard C, Maillot F. Neurological and psychiatric issues in 187 adults with early-treated PKU: The ECOPHEN study. Mol Genet Metab. 2026 Jan;147(1):109706. doi: 10.1016/j.ymgme.2025.109706. Epub 2025 Dec 16. |
| D009422 | Nervous System Diseases |
| D000592 | Amino Acid Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D001851 | Bone Diseases, Metabolic |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |