Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
10833645 | Molecular Genetics and Metabolism | 2013 | 10 Pages |
Abstract
A trans-National Institutes of Health initiative, Nutrition and Dietary Supplement Interventions for Inborn Errors of Metabolism (NDSI-IEM), was launched in 2010 to identify gaps in knowledge regarding the safety and utility of nutritional interventions for the management of inborn errors of metabolism (IEM) that need to be filled with evidence-based research. IEM include inherited biochemical disorders in which specific enzyme defects interfere with the normal metabolism of exogenous (dietary) or endogenous protein, carbohydrate, or fat. For some of these IEM, effective management depends primarily on nutritional interventions. Further research is needed to demonstrate the impact of nutritional interventions on individual health outcomes and on the psychosocial issues identified by patients and their families. A series of meetings and discussions were convened to explore the current United States' funding and regulatory infrastructure and the challenges to the conduct of research for nutritional interventions for the management of IEM. Although the research and regulatory infrastructure are well-established, a collaborative pathway that includes the professional and advocacy rare disease community and federal regulatory and research agencies will be needed to overcome current barriers.
Keywords
ODSDietary Supplement Health and Education ActFDAOrphan Drug ActPCORIPCMHDSHEACDERClinical and Translational Science AwardCTSANCATSRDCRNNICHDLTFUHIENIHPAHRDPACAPHEPKUIRBHRSAphenylketonuriaODAHealth Resources and Services AdministrationIEMPatient-Centered Medical HomeRare diseaseshealth information exchangeComparative effectiveness researchPatient Protection and Affordable Care ActInborn errors of metabolismFood and Drug AdministrationCerMedical foodsNewborn screeningPhenylalanine hydroxylasePhenylalanineNational Institutes of HealthCenter for Drug Evaluation and ResearchPatient-Centered Outcomes Research InstituteDietary supplementsinstitutional review boardLong-term follow-upGeneticEunice Kennedy Shriver National Institute of Child Health and Human Development
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Authors
Kathryn M. Camp, Michele A. Lloyd-Puryear, Lynne Yao, Stephen C. Groft, Melissa A. Parisi, Andrew Mulberg, Rashmi Gopal-Srivastava, Stephen Cederbaum, Gregory M. Enns, Abby G. Ershow, Dianne M. Frazier, John Gohagan, Cary Harding, R. Rodney Howell,