Observing the progression of Mitochondrial NeuroGastroIntestinal Encephalopathy

The Rare Disease Clinical Research Network Natural History Study of MNGIE

Observational Columbia University · NCT01694953

This study is following 20 patients with Mitochondrial NeuroGastroIntestinal Encephalopathy for up to five years to see how their symptoms change over time and to learn more about the condition.

Quick facts

Study typeObservational
Enrollment20 (estimated)
Ages5 Years and up
SexAll
SponsorColumbia University Academic / other
Locations1 site (New York, New York)
Trial IDNCT01694953 on ClinicalTrials.gov

What this trial studies

This observational study aims to follow patients with Mitochondrial NeuroGastroIntestinal Encephalopathy (MNGIE) over a period of up to five years, assessing various clinical symptoms and disease progression. A total of 20 patients will be evaluated at six-month intervals, focusing on gastrointestinal function, lean body mass, neuropathy, neuropsychological capabilities, quality of life, nutrition, motor function, and biochemical parameters. The goal is to gain insights into the natural history of MNGIE and develop useful measures for future clinical trials.

Who should consider this trial

Good fit: Ideal candidates include individuals aged 5 years and older with specific genetic mutations or enzyme activity related to Thymidine Phosphorylase defects.

Not a fit: Patients who are unable to travel to the study site or have participated in other interventional studies within the last month may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance understanding of MNGIE and improve future treatment strategies for patients.

How similar studies have performed: While this study focuses on the natural history of MNGIE, similar observational studies have successfully contributed to understanding other rare diseases, indicating potential for valuable insights.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Thymidine Phosphorylase (TP) defect:

   1. homozygous or
   2. compound heterozygous mutations in the TYMP gene, and/or
   3. TP enzyme activity of \<20% of normal.
2. Increased plasma Thd \> 3 micromole/L
3. Increased plasma dUrd \> 7.5 micromole/L
4. Age requirement of at least 5 years of age.

Exclusion Criteria:

1. Participation in an interventional (study medication or other experimental intervention) study (within 1 month of participation in this study).
2. Unable to travel to site for research visits.
3. Unwillingness to sign informed consent form.
4. Substance abuser

Where this trial is running

New York, New York

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Mitochondrial NeuroGastroIntestinal EncephalopathyMNGIEMitochondrialMitochondrial Neurogastrointestinal encephalopathy
Last reviewed 2026-06-13 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.