Propionic Acidaemia — Research Summary
Printed from RareWays (rareways.com.au) on 11 September 2026
For general awareness only. Not medical advice. Discuss all care options with your healthcare team.
5 Most Recent Research Articles
- 1.
Adeno-Associated Virus Gene Therapy Translation: Lessons from Early Regulatory Meetings.
Stan Rodica et al. — Human gene therapy (1 October 2026)
https://pubmed.ncbi.nlm.nih.gov/42321968/
- 2.
Propionic acidemia as a framework for understanding the impact of disturbed propionyl-CoA on histone modifications.
Swietach Pawel et al. — Biochemical Society transactions (23 September 2026)
https://pubmed.ncbi.nlm.nih.gov/42657490/
- 3.
Targeted gene editing of
Álvarez Mar et al. — Molecular therapy. Nucleic acids (8 September 2026)
https://pubmed.ncbi.nlm.nih.gov/42441117/
- 4.
Renal tubular injury and inflammation in patients with methylmalonic and propionic acidemias: the role of β2-microglobulin.
Dos Reis Bianca Gomes et al. — Archives of biochemistry and biophysics (8 September 2026)
https://pubmed.ncbi.nlm.nih.gov/42705431/
- 5.
Precision metabolic therapy for propionic acidemia.
Subramaniyan Boopathi et al. — Biochemical pharmacology (1 September 2026)
https://pubmed.ncbi.nlm.nih.gov/42341992/
Clinical Trials — Currently Recruiting (Australia)
Ask your doctor whether you or your child may be eligible for any of these trials.
- 1.
A Retrospective Study to Characterize Participants With Propionic Acidemia
Recruiting — ModernaTX, Inc.
https://clinicaltrials.gov/study/NCT05769621
- 2.
Rare Disease Patient Registry & Natural History Study - Coordination of Rare Diseases at Sanford
Recruiting — Sanford Health
https://clinicaltrials.gov/study/NCT01793168
Source: RareWays research directory. Data from PubMed, Europe PMC, OpenAlex, ClinicalTrials.gov.
Always verify information with your healthcare team before making any decisions about your care.
Propionic Acidaemia
Propionic acidaemia is a rare inherited metabolic condition in which the body cannot fully break down certain proteins and fats, so harmful acids build up in the blood. It often appears in newborns with poor feeding, vomiting, low energy and metabolic crises, and can affect the heart and development. Management involves a protein-restricted diet, carnitine, emergency plans for illness, and specialist metabolic care.
Most Recent Research
The Platform Vector-Gene Therapy (PaVe-GT) program is a National Institutes of Health (NIH) initiative that aims to develop adeno-associated virus (AAV) gene therapies for four monogenic rare diseases, two organic acidemias and two congenital myasthenic syndromes. PaVe-GT's platform-based approach identifies and diminishes redundancies and applies efficiencies in preclinical, clinical, and regulatory activities. The program's hypothesis is that implementing these efficiencies can accelerate clinical trial initiation. Based on its platform-centric experience and public-serving mission, the PaVe-GT program actively shares its scientific and regulatory learnings with the public to benefit the development of similar gene therapy products for rare diseases. PaVe-GT's first investigational AAV gene therapy candidate is AAV serotype 9 human propionyl-CoA carboxylase alpha subunit (AAV9-hPCCA) for propionic acidemia caused by PCCA deficiency, which received initial feedback from the Food and Drug Administration (FDA) in an INitial Targeted Engagement for Regulatory Advice on CBER/Center for Drug Evaluation and Research (CDER) ProducTs (INTERACT) meeting. Upon further product development that took into consideration the FDA's initial advice, the program obtained the Agency's feedback in pre-investigational new drug (IND) (Type B) and Type C meetings. Here, we share our experience from these meetings, including strategy, preparation, pre- and post-meeting feedback from the FDA, and lessons learned during the AAV9-hPCCA regulatory process, which the program plans to apply across the PaVe-GT platform. Topics discussed in the regulatory meetings included animal model and efficacy studies, toxicology study plans, manufacturing of the investigational AAV product, and clinical trial design. The main lessons learned from the pre-IND and Type C meetings for AAV9-hPCCA are: (1) Pharmacology/Toxicology studies in a single rodent species are sufficient for filing an initial IND; (2) FDA feedback guides product quality improvements and early development of a quantitative potency assay; (3) use of biomarkers as potential surrogate endpoints in a future efficacy trial benefits from collection of data in the natural history study and the first-in-human Phase 1/2 study; and (4) evidence from the Phase 1/2 clinical trial could be leveraged to support a license application. Lightly redacted regulatory documents and comprehensive templates developed by the PaVe-GT team are available on the PaVe-GT website.
Common Questions
What is Propionic Acidaemia?
Propionic acidaemia is a rare inherited metabolic condition in which the body cannot fully break down certain proteins and fats, so harmful acids build up in the blood. It often appears in newborns with poor feeding, vomiting, low energy and metabolic crises, and can affect the heart and development. Management involves a protein-restricted diet, carnitine, emergency plans for illness, and specialist metabolic care.
How many clinical trials are available for Propionic Acidaemia?
RareWays currently indexes 18 clinical trials for Propionic Acidaemia, of which 8 are actively recruiting. Trial availability changes as new studies are registered — check the trials tab for current status.
Where does the research data for Propionic Acidaemia come from?
RareWays aggregates research from PubMed, Europe PMC, OpenAlex, and ClinicalTrials.gov. Data is updated regularly by Rocky, RareWays' automated research engine. All articles and trials link directly to their original sources.
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This information is for general awareness only.
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