About this trial
The Peroxisome Biogenesis Disorders (PBD) are a group of inherited disorders due to defects in peroxisome assembly causing complex developmental and metabolic sequelae. In spite of advancements in peroxisome biology, the pathophysiology remains unknown, the spectrum of phenotypes poorly characterized and the natural history not yet systematically reported. Our aims are to further define this population clinically, biochemically and genetically. The investigators will prospectively follow patients from Canada, the US and internationally, and collect data from medical evaluations, blood, urine and imaging studies that would be performed on a clinical care basis. For patients who are unable to attend our clinic, we will collect all medical records and images since birth as well as subsequent records/images for the next 5 years or until the end of the study. Clinical data from medical records will be banked in our Peroxisomal Disorder Research Databank and Biobank. The investigators will use this information to identify standards of care and improve management.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of PBD or
Single peroxisome enzyme/protein defect with phenotype similar to PBD
Disqualifiers
Not a PBD
Not a single peroxisome enzyme/protein defect with phenotype similar to PBD
Trial population
Any patient with a PBD diagnosis- or related single enzyme/protein defect
Trial design
Cohort
Other
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Documentation of the clinical findings
Clinical findings include but are not limited to: life span, growth parameters, development, vision, hearing, neurological examinations, renal problems, adrenal function, skeletal problems, and any other system involvement.
Secondary outcomes
Peroxisome function testing
To include very long chain saturated, branched and polyunsaturated fatty acids, bile acids, plasmalogens, pipecolic acid, adrenal functions, liver functions, and urine oxalate.
Development of leukodystrophy
Identification of patterns and course by MRI
Scoring of fundus photography (OCT and FAF)
Identification of patterns and course
Genotype-phenotype correlation
Correlation of mutation type to peroxisome biochemistry, number and type of disease complications.
Sponsors and contacts
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