Clinical trial Recruiting at 15 sites Observational Ages 2 and up

Characterizing people with propionic acidemia using past medical records

Official title: A Retrospective Cohort Study to Characterize Propionic Acidemia Patients

Run by ModernaTX, Inc. · NCT05769621 · Data updated 2026-11-12

This project collects and reviews medical records to see what health events and outcomes people with propionic acidemia experience.

Quick facts

Study typeObservational
Ages2 Years and up
SexAll
Enrollment60 (estimated)
SponsorModernaTX, Inc.
Industry-sponsored
Locations29 sites (Stanford, California and 28 other locations)
StatusRecruiting
StartedJune 16, 2023
Main results expectedSeptember 30, 2026
Study endsSeptember 30, 2026
Registry record updatedFebruary 5, 2026
Trial IDNCT05769621 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates have a confirmed genetic diagnosis (PCCA or PCCB mutations), have provided consent/assent, and have sufficient medical records documenting the required metabolic decompensation history.

Probably not a fit

Patients without molecular confirmation, without records dating back to birth or 01 January 2015 (or sufficient additional documentation), or without the specified history of metabolic decompensation are unlikely to be included and may not benefit directly.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a non-interventional, retrospective, multicenter effort that abstracts clinical data from medical records to describe participant characteristics, clinical outcomes, and event rates in propionic acidemia. Only records from people with molecular confirmation of PCCA or PCCB mutations and sufficient documentation of metabolic decompensation events are included, with data captured back to birth or January 1, 2015, as available. Clinical events are documented to support CEC adjudication and to quantify metabolic decompensation event (MDE) rates and other outcomes. Data are drawn from participating medical clinics, hospitals, and academic medical centers, including several US tertiary centers.

Why it matters

Potential benefit: If successful, the study could clarify the typical disease course and event rates in propionic acidemia to help clinicians plan care and inform future therapy development.

How similar studies have gone: Retrospective natural-history studies in propionic acidemia and related organic acidemias have previously provided useful clinical insights, so this approach is established though disease-specific data remain limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Participants' medical records are eligible for abstraction only if all of the following criteria apply:

* Confirmed diagnosis of PA based on diagnosis by molecular genetic testing (propionyl-CoA carboxylase subunitα\[PCCA\] and/or propionyl-CoA carboxylase subunitβ\[PCCB\] mutations).
* Participant provided informed consent (and assent, as applicable).
* Medical records with sufficient data to support medical encounter for CEC adjudication (MEA adjudication) must be available dating back to birth or 01 January 2015, whichever occurs later. Participants born prior to 2015 will require additional information to confirm eligibility.
* Experienced at least one MDE in the 24 months preceding the Index Date or experienced at least 3 MDEs within any one 12-month retrospective review period (based on Index Date) dating back to birth or 01 January 2015, whichever occurs later.
* Must have a confirmed age (months) of disease onset (early or late, where early is defined as the neonatal period).
* Participants who meet any of the censoring criteria listed below may be enrolled into the study if they have a minimum of 2 years of data available for abstraction prior to meeting the censoring criteria and they meet all inclusion criteria based on the data available for abstraction.

Censoring Criteria:

Participants medical records meeting the following censoring criterion will not be abstracted:

* Participation in a clinical study of any investigational agent.
* Received gene therapy treatment
* Confirmed organ transplantation
* Investigator is no longer able to obtain relevant clinical information of the participant.
* Death

Exclusion Criteria:

Participant's medical records will not be eligible for abstraction if the participant meets the following exclusion criteria:

\- Participation (prior or ongoing) in clinical study mRNA-3927-P101 (NCT04159103) or mRNA-3927-P101-EXT (NCT05130437).

Where it's running

  • Johns Hopkins University
    Baltimore, Maryland, United States
    Recruiting
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Seattle Children's Hospital
    Seattle, Washington, United States
    Recruiting
  • CHU Toulouse
    Toulouse, Haute-Garonne, France
    Recruiting
  • Hôpital Necker - Enfants Malades
    Paris, Paris, France
    Recruiting
  • CHU de Marseille - Hôpital de la Timone
    Marseille, France
    Recruiting
Show 23 more locations
  • Azienda Ospedaliera Universitaria Federico II
    Naples, Campania, Italy
    Recruiting
  • Azienda Ospedaliero Universitaria A Meyer - INCIPIT - PIN
    Florence, Tuscany, Italy
    Recruiting
  • Hospital Sant Joan de Deu
    Esplugues de Llobregat, Barcelona, Spain
    Recruiting
  • Hospital Universitario Marques de Valdecilla
    Santander, Cantabria, Spain
    Recruiting
  • Hospital Universitario Cruces
    Barakaldo, Spain
    Recruiting
  • Hospital Universitario Raymon y Cajal
    Madrid, Spain
    Recruiting
  • Hospital Universitario Virgen del Rocio - PPDS
    Seville, Spain
    Recruiting
  • Hospital Universitari I Politecnic La Fe de Valencia
    Valencia, Spain
    Recruiting
  • University Hospital Birmingham
    Birmingham, United Kingdom
    Recruiting
  • University of Stanford Medical Center
    Stanford, California, United States
    Not yet recruiting
  • University of Michigan Hospital
    Ann Arbor, Michigan, United States
    Active not recruiting
  • Texas Children's Hospital
    Houston, Texas, United States
    Terminated
  • Royal Children's Hospital Melbourne
    Parkville, Victoria, Australia
    Withdrawn
  • Stollery Children's Hospital University of Alberta
    Edmonton, Alberta, Canada
    Withdrawn
  • CHRU Nancy Hôpital des Enfants
    Vandœuvre-lès-Nancy, Meurthe-et-Moselle, France
    Withdrawn
  • ASST di Monza - Azienda Ospedaliera San Gerardo
    Monza, Monza A Brianza, Italy
    Active not recruiting
  • Fujita Health University Hospital
    Toyoake, Aichi-ken, Japan
    Not yet recruiting
  • The Jikei University School of Medicine
    Minato, Tokyo, Japan
    Not yet recruiting
  • Erasmus MC
    Rotterdam, South Holland, Netherlands
    Not yet recruiting
  • Hospital Universitario 12 de Octubre
    Madrid, Spain
    Active not recruiting
  • Victoria Hospital
    Kirkcaldy, Fife, United Kingdom
    Withdrawn
  • St Mary's Hospital - PPDS
    Manchester, Lancashire, United Kingdom
    Active not recruiting
  • Great Ormond Street Hospital
    City of London, London, United Kingdom
    Active not recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • AAV-based gene therapy for Propionic Acidemia in young children

    This trial tests whether an AAVrh10-PCCA gene therapy can be given safely to children with Propionic Acidemia to help their bodies manage the metabolic problem.

    Recruiting Phase 1 Mayo Clinic · Rochester, Minnesota · NCT07643844

  • Long-term safety assessment of mRNA-3927 for propionic acidemia patients

    This study is testing the long-term safety and effectiveness of the mRNA-3927 treatment for people with propionic acidemia who have already participated in a previous study.

    Recruiting at 12 sites Phase 1/2 ModernaTX, Inc. · Los Angeles, California and 21 other locations · NCT05130437

  • Observing the effects of Carbaglu® in treating MMA and PA in patients

    This study is testing how safe Carbaglu® is for treating high ammonia levels in people with Methylmalonic Acidemia and Propionic Acidemia, both kids and adults.

    Recruiting at 5 sites Recordati Group · Washington D.C., District of Columbia and 4 other locations · NCT05040178

  • Long-term management of organic acidemia with CARBAGLU®

    This study looks at how well carglumic acid helps people with propionic acidemia and methylmalonic acidemia over a long time, while also talking to patients and caregivers about their experiences.

    Recruiting at 31 sites Recordati Group · Bordeaux and 31 other locations · NCT04176523

  • Treatment for Propionic Acidemia using mRNA-3927

    This study is testing a new treatment called mRNA-3927 to see if it is safe and effective for people with propionic acidemia, including infants and older children.

    Recruiting at 19 sites Phase 1/2 ModernaTX, Inc. · Los Angeles, California and 34 other locations · NCT04159103

  • Understanding Propionic Acidemia and Its Effects

    This study is trying to learn more about propionic acidemia by looking at how it affects people with the condition and their families over time.

    Recruiting at 2 sites National Institutes of Health Clinical Center (CC) · Bethesda, Maryland and 1 other locations · NCT02890342

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.