Surveillance of Carbaglu for NAGS deficiency

Orphan Europe Carbaglu® Surveillance Protocol

Children's National Research Institute · NCT03409003

This study is tracking the long-term safety of Carbaglu for people with NAGS deficiency to see how well it works and if there are any side effects.

Quick facts

Study typeObservational
Enrollment30 (estimated)
SexAll
SponsorChildren's National Research Institute (other)
Locations3 sites (Washington D.C., District of Columbia and 2 other locations)
Trial IDNCT03409003 on ClinicalTrials.gov

What this trial studies

This observational study aims to conduct post-marketing surveillance of carglumic acid (Carbaglu) to gather long-term clinical safety data for patients with N-acetylglutamate synthase (NAGS) deficiency. It will collect information on patient demographics, treatment details, adverse events, and pregnancy outcomes. The data will be submitted to the FDA annually, with a comprehensive final report due 15 years post-approval. The study will leverage existing data from the Longitudinal Study of Urea Cycle Disorders.

Who should consider this trial

Good fit: Ideal candidates include individuals with a confirmed diagnosis or suspicion of NAGS deficiency who are receiving treatment with Carbaglu.

Not a fit: Patients with hyperammonemia due to other urea cycle disorders or those with specific exclusions such as primary liver disease will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance the understanding of the long-term safety and efficacy of Carbaglu in treating NAGS deficiency.

How similar studies have performed: Other studies on post-marketing surveillance of rare disease treatments have shown success in providing valuable safety data, making this approach both relevant and necessary.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Confirmed diagnosis of NAGS deficiency or suspicion of NAGS deficiency
* Carbaglu intake for the treatment of NAGS
* Enrolled in the Longitudinal Study of Urea Cycle Disorders (RDCRN protocol #5101)

Exclusion Criteria:

* Cases of hyperammonemia caused by other urea cycle disorders
* Organic acidemia, lysinuric protein intolerance
* Mitochondrial disorders
* Congenital lactic acidemia,
* Fatty acid oxidation defects
* Primary liver disease will be excluded
* Individuals with extreme low birth weight (\<1,500 grams) will be also excluded.

Where this trial is running

Washington D.C., District of Columbia and 2 other locations

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.

View on ClinicalTrials.gov →

Conditions: N-acetylglutamate Synthase Deficiency, urea cycle disorder

Last reviewed 2026-05-15 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.