The purpose of this study is to collect information about the effects of EPP/XLP in adults and adolescents. This is an observational study in which participants will not receive any treatment. Study details include:
* The study duration will be up to 6 months for each participant.
* After Screening, participants will have a Baseline (Day 1) visit and return for visits every 4 weeks through 24 weeks.
* Assessments to evaluate EPP/XLP will include clinical laboratory tests, physical exams, vital signs measurement, blood draws for PPIX concentration, reporting of EPP/XLP-related symptoms (including completion of a daily diary), light dosimetry.
Eligibility
Sex
ALL
Min age
12 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
1. Aged 12 years and older.
2. Confirmed diagnosis of EPP or XLP as follows:
1. Genetic confirmation of EPP (FECH mutation with reduced ferrochelatase activity) OR
2. Genetic confirmation of XLP (ALAS2 gain-of-function mutation) OR
3. Elevated free PPIX levels in RBCs consistent with EPP/XLP, supported by clinical and/or family history.
3. Currently has symptoms of EPP/XLP.
4. History of consistent, non-painful prodrome within approximately 45 minutes of sunlight exposure and prior to phototoxic attacks, as self-reported by the participant.
5. Willing and able to wear a light dosimetry device during the study.
6. Willing and able to complete a daily diary of EPP/XLP symptoms.
7. Willing and able to keep skin sites chosen for provocative sunlight exposure testing covered by opaque material when outside or exposed to potentially triggering light beginning 2 days prior to testing.
8. Willing and able to provide informed consent and/or assent for the study.
9. Study participants and LAR (as appropriate) are willing and able to comply with study visits and study procedures.
Exclusion Criteria:
1. Diagnosis of another porphyria or another photodermatosis that may confound the characterization of EPP/XLP.
2. Has a clinically significant disease or condition that, at the discretion of the Investigator or Sponsor, would interfere with the evaluation of EPP/XLP or study participation, or would make study participation not in the best interest of the participant.
3. Is taking, or has taken within 60 days of Day 1, any medication, vitamin, or supplement that alters sensitivity to light exposure (eg, afamelanotide, melanotan, beta carotene, dersimelagon, or bitopertin).
4. Concurrent or anticipated participation in an interventional clinical trial during the study period.
Primary outcome measure(s)
Plasma Protoporphyrin IX (PPIX) Levels Over Time — Screening; Baseline; Weeks 4, 8, 12, 16, 20, 24 Plasma protoporphyrin IX (PPIX) concentrations measured at specified study visits.
Clinical History of Phototoxic Symptoms and Prodrome Timing — Screening, Baseline, Weeks 4, 8, 12, 16, 20, 24 Medical history of EPP/XLP symptoms, including time to onset of prodromal sensations and occurrence of phototoxic reactions.
Skin Damage Manifestations — Screening, Baseline, Weeks 4, 8, 12, 16, 20, 24 Skin damage manifestations associated with EPP/XLP, including swelling, erythema, and chronic skin changes.
Light Exposure and Phototoxic Reaction Data From Daily Diary — Screening, Baseline, Weeks 4, 8, 12, 16, 20, 24 Daily recorded light exposure (including time spent outdoors), light dosimetry measurements, and occurrence of phototoxic reactions as captured in participant diaries.
Sunlight Exposure Required to Induce Prodromal Symptoms — Baseline and Weeks 4, 8, 12, 16, 20 Amount of sunlight exposure associated with onset of prodromal symptoms, along with corresponding plasma protoporphyrin IX (PPIX) levels.
Trial sites (19)
Facility
City
Region
Status
Massachusetts General Hospital
Boston
Massachusetts
Recruiting
Mount Sinai School of Medicine
New York
New York
Recruiting
Wake Forest University Baptist Health - Dept of Gastroenterology
Wake Forest
North Carolina
Recruiting
Temple University
Philadelphia
Pennsylvania
Not Yet Recruiting
University of Texas Health - Ertan Digestive Disease Center
Houston
Texas
Recruiting
UZ Leuven
Leuven
Belgium
Not Yet Recruiting
University of Alberta Hospital
Edmonton
Canada
Not Yet Recruiting
Centre Hospitalier Universitaire de Bordeaux - Hopital Saint - Andre
Bordeaux
France
Not Yet Recruiting
AP-HP Hopital Bichat - Claude Bernard
Paris
France
Not Yet Recruiting
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano
Milan
Italy
Not Yet Recruiting
Azienda Ospedaliero-Universitaria di Modena
Modena
Italy
Not Yet Recruiting
Haukeland University Hospital
Bergen
Norway
Not Yet Recruiting
Hospital Universitario 12 de Octubre
Madrid
Spain
Recruiting
Consorcio Hospital General Universitario de Valencia
Valencia
Spain
Not Yet Recruiting
Gazi University Faculty of Medicine
Ankara
Turkey (Türkiye)
Not Yet Recruiting
University Hospital of Wales
Cardiff
United Kingdom
Recruiting
Ninewells Hospital
Dundee
United Kingdom
Recruiting
Guy's Hospital
London
United Kingdom
Recruiting
Salford Royal Hospital
Manchester
United Kingdom
Recruiting
Official registry record
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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