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Trial · NCT01599286

Short-Term Outcome of N-Carbamylglutamate in the Treatment of Acute Hyperammonemia

NCT01599286, Phase 2, Completed, Mendel Tuchman; results first posted 2021-02-15

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Short-Term Outcome of N-Carbamylglutamate in the Treatment of Acute Hyperammonemia. Trials, record NCT01599286. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01599286

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Short-Term Outcome of N-Carbamylglutamate in the Treatment of Acute Hyperammonemia
NCT number
NCT01599286
Status
Completed
Phases
Phase 2
Enrollment
35 participants, actual
Lead sponsor
Mendel Tuchman
Conditions
Propionic Acidemia, Type I and/or Type II, Methylmalonic Acidemia, Carbamoyl-Phosphate Synthase I Deficiency Disease, Ornithine Carbamoyltransferase Deficiency
Interventions
Carbaglu, Placebo
First posted
2012-05-16
Last updated
2021-02-15
Results first posted
2021-02-15

Source ClinicalTrials.gov

Registered outcomes1

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime to the Primary Outcome (Earlier of Ammonia <50 µmol/L or Hospital Discharge)Average of all measurements of hyperammonemia, for up to 7 days
The composite primary intention to treat (ITT) outcome of the earlier of time to reach an ammonia level of ≤50 µmol/L or hospital discharge. Data presented as a hazard ratio based on the time to reach an ammonia level of ≤50 µmol/L. The outcome measure was a survival analysis based on time to reach the earlier of an ammonia level of ≤50 µmol/L or time to discharge, which was considered to be a point where the patient was no longer at risk of neurological injury from ammonia. The outcome of survival analysis was a hazard ratio reflecting the ratio of probabilities in each group (drug vs placebo) of reaching the earlier of an ammonia level of ≤50 µmol/L or discharge. We measured multiple post-treatment ammonia levels at uncontrolled times during an episode, so it is difficult to compute a meaningful average that would not be biased by the frequency and timing of ammonia testing during episodes.

Outcomes1

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to the Primary Outcome (Earlier of Ammonia <50 µmol/L or Hospital Discharge)Average of all measurements of hyperammonemia, for up to 7 days
Patients were randomized to either study drug or placebo at each episode of hyperammonemia analysed by diagnosis. Data presented as a hazard ratio based on the time to reach an ammonia level of ≤50 µmol/L. Higher ratios reflect an NCG advantage.
Hazard RatioNUMBER

Results by group2

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time to the Primary Outcome (Earlier of Ammonia <50 µmol/L or Hospital Discharge)PA/MMA Episodes1.3795% Confidence Interval 0.88 to 2.13Hazard Ratio
Time to the Primary Outcome (Earlier of Ammonia <50 µmol/L or Hospital Discharge)CPS1D/OTCD Episodes0.7995% Confidence Interval 0.22 to 2.81Hazard Ratio

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDEpisodes of N-Carbamylglutamate2454
Overall StudySTARTEDEpisodes of Placebo2352
Overall StudyCOMPLETEDEpisodes of N-Carbamylglutamate2454
Overall StudyCOMPLETEDEpisodes of Placebo2352
Overall StudyNOT COMPLETEDEpisodes of N-Carbamylglutamate00
Overall StudyNOT COMPLETEDEpisodes of Placebo00

Adverse events38

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBlood/LymphaticBlood and lymphatic system disordersPlacebo3244
otherBlood/LymphaticBlood and lymphatic system disordersN-carbamylglutamate (NCG)4256
otherCardiacCardiac disordersPlacebo1241
otherCardiacCardiac disordersN-carbamylglutamate (NCG)1251
otherGastrointestinalGastrointestinal disordersPlacebo4249
otherGastrointestinalGastrointestinal disordersN-carbamylglutamate (NCG)4258
otherGeneralGeneral disordersPlacebo3245
otherGeneralGeneral disordersN-carbamylglutamate (NCG)1252
otherInfectionsInfections and infestationsPlacebo3244
otherInfectionsInfections and infestationsN-carbamylglutamate (NCG)1251

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo1024
Total, all-cause mortalityN-carbamylglutamate (NCG)1425
Total, other adverse eventsPlacebo924
Total, other adverse eventsN-carbamylglutamate (NCG)1125
Total, serious adverse eventsPlacebo624
Total, serious adverse eventsN-carbamylglutamate (NCG)825

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
33006765DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
N-carbamylglutamate (NCG) vs Placebo: deaths from any causeTrial comparisons
N-carbamylglutamate (NCG) vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01599286

GET https://conductscience.org/api/trials/v1/NCT01599286/events?page=2