RecruitingNCT06967831

Drug Repurposing for Mitochondrial Disorders Using iPSCs Derived Neural Cells

Using iPSC Derived Human Basal Ganglia Neurons From Patients With Leigh Syndrome for Metabolic Studies, Assay Development, and Drug Repurposing.


Sponsor

Charite University, Berlin, Germany

Enrollment

80 participants

Start Date

Mar 1, 2020

Study Type

OBSERVATIONAL

Conditions

Summary

In this project, the investigators are using iPSC lines derived from patients with Leigh syndrome that carry mutations in the mitochondrial (mtDNA) and in the nuclear DNA (nDNA) to reprogram them into neural progenitor cells and into dopaminergic neurons. The researchers are using this experimental system to screen FDA (Food and Drug Administration, USA) and EMA (European Medicines Agency) approved drugs for a positive effect on Leigh patient-derived neuronal cells (drug repurposing) using various biochemical, optic, and morphological outcome measures. Confirmed positive hits may be used for compassionate off-label use in Leigh patients when no standard treatment is available.


Eligibility

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Interventions

PROCEDUREskin biopsy

Taking a punch skin biopsy of 3 mm diameter under local anesthesia and culturing skin fibroblasts from them.

OTHERgeneration of iPSCs

Using cultured skin fibroblasts of the patients, iPSCs will be generated according to standard procedures.

DIAGNOSTIC_TESTblood drawing

Drawing blood from a peripheral vein for DNA and RNA isolation. The degree of heteroplasmy (mutation load) for the mtDNA mutation will be determined in the blood DNA.

DRUGoff-label compassionate drug use

In case the investigators identify a positive hit during drug repurposing with FDA and EMA approved substances, they will offer it as off-label compassionate use to patients for whom no standard treatment is available.


Locations(2)

Universitätsklinikum Düsseldorf

Düsseldorf, North Rhine-Westphalia, Germany

Charite - Universtaetsmedizin Berlin

Berlin, State of Berlin, Germany

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NCT06967831