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Porphyria, Acute IntermittentNCT06273644

Clinical Research on Acute Intermittent Porphyria and the Use of Carbohydrate-Rich Diet as a Treatment

A study testing Carbohydrates in people with Porphyria, Acute Intermittent, run by Nordlandssykehuset HF at 3 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The main aim of this clinical trial is to learn about the effect of carbohydrate-rich diet as a treatment for AIP (acute intermittent porphyria). Aim: Investigate the diet's impact on tissue and serum glucose, plasma insulin, cytokine levels, amino acids, and gut microbiota in AIP, and their correlation with PBG… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Porphyria, Acute Intermittent
What is being tested?
Carbohydrates
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
3 sitesin 2 countries
Study dates
27 Jan 2024to 31 Dec 2037
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of AIP

Who cannot join

  • Not having diagnosis of AIP
  • Undergoing treatment as part of other clinical research on AIP
  • Pregnancy
  • Diabetes
  • Below 18 years of age

Trial locations and contacts

3 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Elin Storjord, MD PhD contact

97072484

elin.storjord@nordlandssykehuset.no

3 sites in 2 countries

Sweden2 sites, 2 recruiting
  • Studieenheten, Akademiskt Specialistcentrum, Stockholm läns sjukvårdsområde, Region Stockholm

    Stockholm

    Eliane Sardh, MD PhD, (0)70 003 98 78 ext. +46, eliane.sardh@regionstockholm.se

    Lina Lundén-Bengtsberg, Master, (0)8-123 498 48 ext. +46, lina.lunden-bengtsberg@regionstockholm.se

    Recruiting
  • Norrland University Hospital

    Umeå

    Per Dahlqvist, MD PhD, 90-785 3390 ext. +46, per.dahlqvist@umu.se

    Inger Arnesjø, Bachelor, 907854391 ext. +46, inger.arnesjo@umu.se

    Recruiting

Other trials in Sweden

Norway1 site, 1 recruiting
  • Nordland Hospital Trust

    Bodø, Nordland, 8092

    Elin Storjord, MD PhD, +4797072484, elin.storjord@nordlandssykehuset.no

    Hilde Thunhaug, IC nurse, +47 95057864, hilde.thunhaug@nordlandssykehuset.no

    Recruiting

Other trials in Norway

About this study

The main aim of this clinical trial is to learn about the effect of carbohydrate-rich diet as a treatment for AIP (acute intermittent porphyria).

Aim: Investigate the diet's impact on tissue and serum glucose, plasma insulin, cytokine levels, amino acids, and gut microbiota in AIP, and their correlation with PBG (Porphobilinogen).

Read more

Aim: Assess the diet's effect on AIP symptoms and health status in AIP. Aim: Measure the effect of a high-carbohydrate diet on mitochondrial activity in AIP Aim: Map and detect potential mutations in mitochondrial genomic DNA in AIP Aim: Discover new markers in AIP through RNA sequencing and machine learning.

Participants will follow two diet plans, a 4-week intervention with 60-65 E% carbohydrates and a 4 week intervention with 40-45 E% carbohydrates.

Read the detailed description

Acute intermittent porphyria (AIP) is an inherited disease that leads to the accumulation of porphobilinogen (PBG), resulting in severe abdominal pain, paralysis, fatigue, low-grade inflammation, and an increased risk of kidney failure and liver cancer. Studies at the cellular level and in mice have shown that elevated levels of glucose and insulin can affect heme synthesis, potentially reducing PBG levels. The investigators have previously demonstrated that individuals with AIP consume less carbohydrate (E% 40) than recommended. The investigators aim to conduct a crossover study involving 50 participants with AIP, where 50% will be subjected to a 4-week intervention with 60-65 E% carbohydrates, while the other half will consume 40-45 E% carbohydrates for 4 weeks. After a 4-week intervention-free period, the two groups will switch to the respective carbohydrate percentages. Symptoms, PBG levels, continuous tissue glucose, plasma/serum insulin, glucose, cytokines, amino acid levels, microbiota in the gut, body composition, and physical activity measured using accelerometers will be assessed before and after each intervention and compared. Mitochondrial activity will be assessed at the cellular level as oxidative activity. Mutations in mitochondrial DNA and RNA will also be examined since defects in oxidative energy metabolism are known to be associated with inflammation and cancer. The work will be carried out at Nordland Hospital and at the University of Oslo. The study will be coordinated and conducted by the Postdoc and partners at Nordland Hospital, Karolinska University Hospital Stockholm and Norrland University Hospital, Umeå, the University of Oslo, the Arctic University of Tromsø, and Nord University. Clinical nutritionists will create dietary plans, and bioengineers will perform analyses. Stay abroad for postdoc, and research cooperation, with porphyria researchers at UTMB, Texas and MGH, Boston, US.

Being tested
Carbohydrates
Medical subject headings
Porphyria, Acute Intermittent

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CarbohydratesOther

    Half of the patients will initially follow Diet Plan A with 60-65 E% carbohydrates for 4 weeks, followed by a 4-week washout period, and then Diet Plan B with 40-45 E% carbohydrates for 4 weeks. The other half will start with Diet Plan B for 4 weeks, followed by a 4-week washout period, and then Diet Plan A for 4 weeks . Diet Plans A and B contain recommended and adequate nutrients according to the Nordic Nutrition Recommendations 2023 (NNR2023) for maintaining a stable weight.

Study groups in NCT06273644
Study groupRoleWhat they receive
60-65 E% CarbohydratesExperimentalDiet plan A with 60-65 E% Carbohydrates in 4 weeks
Receives: Other: Carbohydrates
40-45% CarbohydratesActive comparatorDiet plan B with 40-45 E% Carbohydrates in 4 weeks
Receives: Other: Carbohydrates

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Urine Porphobilinogen/creatinine

    AIP biochemical disease activity. First morning Urine Porphobilinogen/creatinine.

    Change from baseline before diet A to immediately after diet A, and change from baseline before diet B to immediately after diet B

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  2. Urine Porphobilinogen/creatinine concentration, percentage change of repeated measurements

    AIP biochemical disease activity, repeated measurements Percentage change in the median of repeated measurements of Urine Porphobilinogen/creatinine concentrations between Diet A and Diet B The repeated measurements in urine analyzed in urine samples from Day 1 ,4, 8, 11, 15, 18, 22, 25 and 29 of Diet A and of Diet B, and calculated median of Urine Porphobilinogen/creatinine concentration for diet A and median for diet B

    Measured: Day 1 ,4, 8, 11, 15, 18, 22, 25 and 29 of Diet Intervention A and of Diet Intervention B

Secondary outcomes (18)
  1. Number of Hospitalizations,sick leaves, and doctor visits due to AIP

    Using questionnaire counting Number of hospitalizations, sick leaves, and doctor visits due to AIP

    • In the 4 weeks before Diet A, measured at baseline immediately before Diet A
    • In the 4 weeks of Diet A, measured immediately after Diet A.
    • In the 4 weeks before Diet B, measured at baseline immediately before Diet B
    • in the 4 weeks of Diet B, measured immediately after Diet B

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  2. Health status

    A standardized questionnaire assessing health (RAND-36) with a 4-week time frame from 0 (worst functioning) to 100 (best functioning), where 2 to 5 points represent a clinically meaningful difference based on data from other chronic diseases.

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  3. Plasma Glucose level

    Plasma glucose concentration

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  4. Interstitial fluid glucose level

    Glucose measured in the interstitial fluid (ISF) Measuring is performed continuously by ISF glucose sensor FreeStyle Libre 3 in the 4 weeks of Diet A and in the 4 weeks of Diet B. Outcome is percentage change in the mean of repeated measurements between Diet A and Diet B.

    Each tissue glucose sensor lasts 14 days, and hence the outcome measure will be assessed each 14 days, and read in the LibreView program. The sensor is placed on the back of the participants upper arm

    Measured: Day 15 and 29 of diet A and day 15 and 29 of diet B

  5. Number of hypoglycemic events

    Tissue glucose measured continuously by tissue glucose sensor FreeStyle Libre 3 (Abbott) in the 4 weeks during diet A and in the 4 weeks of diet B.

    Counting number of hypoglycemic events during the 4 weeks of diet A and comparing to counted number of hypoglycemic events during the 4 weeks of diet B.

    Each tissue glucose sensor lasts 14 days, and hence the outcome measure will be assessed each 14 days, and read in the LibreView program. Assessing is performed day 15 and day 29 of diet A and day 15 and 29 of diet B.

    Measured: Day 15 and 29 of diet A and day 15 and 29 of diet B

  6. Amino acid profile

    Levels of amino acids measured

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  7. Plasma insulin, glucose, c-peptide

    Concentration levels measured in plasma

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  8. HOMA score

    HOMA score (Homeostatic Model Assessment) including estimated beta cell function, HOMA%B (%B), insulin sensitivity, HOMA%S (%S), and insulin resistance HOMA-IR (IR), calculated from insulin, glucose and C-peptide in plasma, using an Excel spreadsheet from the University of Oxford.

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  9. HbA1c

    Concentration levels measured in blood

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  10. Cytokines in plasma

    Cytokines, chemokines and growth factors measured using Multiplex assay from BioRad Lab, Bio-Plex 27-plex kit: Interleukin (IL)-1β, IL-1RA (IL-1 receptor antagonist), IL-2, IL-4, IL-5, IL-6, IL-7, chemokine (C-X-C) motif 8 (CXCL8), IL-9, IL-10, IL-12 (p70), IL-13, IL-15, IL-17, chemokine (C-C motif) ligand 5 (CCL5), chemokine ligand 11 (CCL11), basic fibroblast growth factor (FGF), granulocyte colony-stimulating factor (G-CSF), granulocyte-macrophage colony-stimulating factor (GM-CSF), interferon (IFN)-γ, CXCL10, CCL2, CCL3, CCL4, platelet-derived growth factor-BB (PDGF-BB), tumour necrosis factor (TNF) and vascular endothelial growth factor (VEGF).

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  11. Intestinal microbiota composition

    Sequencing of fecal samples, Gut Health Panel from Bio-Me, covering 100 different bacterias

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  12. Physical activity

    Accelerometer (AX3 Axivity Newcastle, UK), attached to the thigh and worn for 7 consecutive days in the first week of diet A and in the first week of diet B.

    Moderate to vigorous physical activity (MVPA) is detected in 5-second intervals. Measuring time (min/day) spent in MVPA during the first week of diet A and during the first week of diet B.

    Measured: Immediately after one week of Diet A, and immediately after one week of Diet B

  13. Blood pressure

    20 min measurement

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  14. Body composition, metabolic age

    Tanita Body Composition Analyzer

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  15. Mitochondrial oxygen consumption rate

    SeaHorse, mononuclear cells in peripheral blood

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  16. ALAS1mRNA

    TaqMan gene expression assay

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  17. Urine-ALA/creatinine & urine-porphyrins

    level measurement of concentration in urine

    Measured: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B

  18. Mitochondrial function-related genes

    Paxgen tubes, qPCR, Mitochondrial genome sequencing

    Measured: At baseline immediately before each participants first diet intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Feb 2024
  2. Study start27 Jan 2024
  3. Primary completion31 Oct 2027 (estimated)
  4. Study completion31 Dec 2037 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Model description
The study is a crossover study involving 50 individuals with AIP. The study design was chosen to determine whether the treatment has an effect compared to baseline analyses and whether the sequence of treatment has an effect, as well as whether one of the interventions is more effective than the other.
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06273644
Sponsor's protocol ID
HNF1719-24
Status last verified
Aug 2025
First submitted
8 Feb 2024
Last updated
27 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Selected Individual participant data that underlie the results reported in published articles, can be accessed upon reasonable request to the principal investigator, but in each case the data will be deidentified, and the data can only be shared if it is considered that it will not be possible to reidentify persons from the data, and if in each case the data protection officer has advised it and the principal investigator has granted it. Due to Norwegian law on sensitive data, raw data of this type cannot be submitted to public repositories, e.g DNA sequencing data. Study protocol and the template for informed consent form is available upon reasonable request.

Questions about this trial

What is this clinical trial studying?

A study testing Carbohydrates in people with Porphyria, Acute Intermittent, run by Nordlandssykehuset HF at 3 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Sweden, Norway. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Elin Storjord, MD PhD (97072484, elin.storjord@nordlandssykehuset.no), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Urine Porphobilinogen/creatinine (time frame: Baseline before diet A and immediately after the 4 weeks of diet A, baseline before diet B and immediately after the 4 weeks of diet B). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Mar 2026.

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