Effect of Theophylline in Pseudohypoparathyroidism

Purpose

The study evaluates the effect of theophylline in 100 subjects with Pseudohypoparathyroidism.

Conditions

  • PHP Ia
  • PHP IB
  • Php1C

Eligibility

Eligible Ages
Between 5 Years and 21 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Subjects with known diagnosis of PHP1A and PHP1B - Age >5 years

Exclusion Criteria

  • • Significant kidney disease, i.e. any CKD stage - Hypercalciuria - Kidney stones - Severe Heart disease - Uncontrolled seizure disorder - Peptic ulcer - Liver dysfunction - Bleeding disorder - Allergy to theophylline preparation - Muscle disorder - Infection - Any neurologic disease - Chronic drugs interacting with theophylline

Study Design

Phase
Phase 4
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Intervention Model Description
Open label intervention study, off label use of theophylline
Primary Purpose
Other
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Single arm open labeled intervention study
Subjects with PHP will be given theophylline to decrease the end organ resistance by increasing levels of cAMP, a second messenger. Theophylline will be dosed twice a day for a period of 52 weeks.
  • Drug: Theophylline
    Theophylline will be given to maintain a peak level between 10-15 mcg/mL

Recruiting Locations

Massachusetts General Hospital
Boston, Massachusetts 02114
Contact:
Amita Sharma
617-726-2908
asharma5@mgh.harvard.edu

More Details

Status
Recruiting
Sponsor
Massachusetts General Hospital

Study Contact

AMITA SHARMA, MD
6177262908
asharma5@mgh.harvard.edu

Detailed Description

It is an open label intervention study for the off-label use of theophylline in psuedohypoparathyroidism (PHP).Theophylline is a is non-specific phosphodiesterase inhibitor which increases the levels of secondary messenger,cAMP. PHP patients have end organ resistance to hormones involving cAMP signaling. Thus, theophylline has a potential to abrogate hormone resistance. Also, it may have a role in bone maturation, neurocognition and metabolism.