About this trial
Mevalonate kinase deficiency (HyperIgD syndrome, HIDS) is an inborn error of immunity caused by a block in the mevalonate pathway. The subsequent lack of isoprenoids with antiinflammatory properties might contribute to the autoinflammatory nature of the disease.
A pilot study aims to verify the safety and efficacy of the dietary supplement Geranylgeraniol, aiming at a mitigation of isoprenoids deficiency caused by the above-mentioned block in the MVK pathway.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Patients older than 12 years with genetically confirmed MVK deficiency
Overall good clinical status apart from the clinical presentation of the MVK deficiency
Normal liver tests
Compliance with the study protocol
Disqualifiers
None
Trial design
Single group
Treatments tested in this trial
geranylgeraniol
Dietary supplementGG Pure (Extendlife Natural Products) containing GG gold®30 Annatto Extract, 500 mg capsule, use for 3 months, once daily
Treatment groups
Trial outcomes
Primary outcomes
Change in inflammatory parameters
Monitoring inflammatory markers before and after intervention - CRP (C reactive protein) and SAA (serum amyloid A) levels will be measured before and after the intervention (time 0 and time 3 months of GG use). These values tend to be elevated in patients with MVK deficiency due to their inflammatory status compared to normal values defined in clinical laboratories (UHMotol CRP \< 8 mg/l, SAA \< 10 mg/l). The expected outcome would result in a decrease in inflammatory markers.
Secondary outcomes
Change in the clinical status of patients
Monitoring of general clinical status and defined parameters - general condition, fatigue, fever, skin manifestations, abdominal pain, and headache using a questionnaire. The questionnaire is designed for daily monitoring of the parameters mentioned above. The scale of the questionnaire is from 1 to 10, with 1 being the best, normal condition, and 10 being the worst degree of disability.
Sponsors and contacts
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University Hospital, Motol
Lead sponsor
Washington University School of Medicine
Collaborator