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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-A00437-32 | Other Identifier | ID-RCB number,ANSM |
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sponsor decision
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You were detected during the neonatal period for phenylketonuria and you benefited from the diagnosis of an adapted dietetic care, and this for a variable duration according to the recommendations followed at that time.
The recommendations for the management of phenylketonuria have evolved considerably over time, lengthening the duration, rigor of the diet and target rates. However, few studies have been able to determinate the influence of metabolic balance and pediatric management on fate in adulthood. As you know, the current recommendations are more stringent and prolonged, without taking into account the pediatric data of today's adult patients.
The objective of this study, which is aimed at all adult patients screened and followed by Lille University Hospital, according to the same care methods, allowing a homogeneous monitoring of patients, is to assess the influence of pediatric care (duration of the diet, metabolic balance, compliance) on the future in adulthood. This retrospective and current analysis work could help refine the current recommendations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adults Phenylketonuric | Adults patients screened in neonatal period for PKU and treated |
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| Measure | Description | Time Frame |
|---|---|---|
| Adult intelligence quotient (IQ) score | Adult intelligence quotient (IQ) score assessed at the last setback in the two groups defined by the duration of the hypoprotidic diet during childhood | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| The IQ score in adulthood assessed defined by the target Phenylalanine level in one subgroup treated during 8 years. | The IQ score in adulthood assessed at the last time of decline according to the two subgroups treated during 8 years, defined by the target Phenylalanine level ((2-5 mg/dl versus 8-12 mg/dl) | Baseline, at the last time of decline (= 8 years of low-protein diet) |
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Inclusion Criteria:
Exclusion Criteria:
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All adult patients screened in Nord Pas de Calais for PKU in the neonatal period since 1971 and treated with a diet and / or drug treatment
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| Name | Affiliation | Role |
|---|---|---|
| Karine MENTION, MD,PhD | University Hospital, Lille | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| chu de Lille | Lille | France |
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| ID | Term |
|---|---|
| D010661 | Phenylketonurias |
| ID | Term |
|---|---|
| D020739 | Brain Diseases, Metabolic, Inborn |
| D001928 | Brain Diseases, Metabolic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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Plasma and dried blood on blotter (dried blood spot) for Phe Rate Whole blood on EDTA for genetics
| The IQ score in adulthood assessed according to the length of expanding the Diet (Phe intake) during childhood for children treated during 10 years (target Phe level 2-5 mg/dl) | The IQ score in adulthood assessed according to length (and degree) of expanding the Diet (increasing Phe intake, during 6 months whatever the Phe levels or longer according the Phe levels) during childhood for children treated during 10 years (xith target Phe level 2-5 mg/dl) | Baseline,at the last time of decline (= 10 years of low-protein diet) |
| The IQ score in adulthood assessed defined by the metabolic biological parameters in childhood | The IQ score in adulthood assessed at the last time of decline according to the metabolic parameters during childhood | Baseline |
| The IQ score in adulthood assessed according to the first phenylalanine level in the target (< 5 mg/dl) | The IQ score in adulthood assessed according to the first phenylalanine level in the target (< 5 mg/dl) in the neonatal period | baseline |
| 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 |