Table 2.
Summary of dietary treatment including tripheptanoin (C7) in 12 Austrian LC-FAOD patients
| Patient | Age at start of C7 therapy (years) | Total duration of C7 therapy (years) | Reported adverese events | Triheptanoin (C7) intake | Middle chain fat | Total amount fat including C7 [%] | Daily calorie intake (kcal) | Late evening meals or night feeds | Current weight | Current height | Current BMI | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| g/day | g/kg/ day | C7 in diet [%] of total calories | MCT in diet [%]of total calories | Approx. time | Intake of | kg | percentile | cm | percentile | kg/m2 | percentile | ||||||
| 1 | 4.8 | 15.7 | None | 40 | 0.50 | 11.0 | 0 | 20 | 2200 | 22:00 | Late meale | 79.6 | 88 | 185 | 76 | 23.1 | 50 |
| 2 | 0.7 | 13.5 | None | 30 | 0.57 | 7.5 | 7.5 | 30 | 2200 | 22:00 | Late meal | 52.0 | 70 | 159 | 45 | 20.5 | 60 |
| 3 | 0.6 | 8.5 | None | 15 | 0.48 | 7.5 | 7.5 | 30 | 1900 | No | 31.0 | 50 | 148 | 97 | 14.2 | 10 | |
| 4 | 1.0 | 3.8 | None | 14 | 0.80 | 7.5 | 7.5 | 30 | 1500 | 22:00 | 200 ml MCT based formula | 17.4 | 50 | 111 | 77 | 14.1 | 20 |
| 5 | 1.0 | 4.0 | None | 40 | 1.00 | 7.5 | 7.5 | 30 | 1500 | 22:00 | 250 ml skimmed 0.1% milk | 18.4 | 60 | 115 | 96 | 13.8 | 13 |
| 6 | 0.0 | 3.2 | None | 10 | 0.59 | 15.0 | 10.0 | 30 | 1000 | 22:00 | 200 ml MCT based formula | 16.8 | 90 | 100 | 67 | 16.9 | 80 |
| 7 | 0.1 | 4.0 | None | 10 | 0.47 | 7.5 | 7.5 | 30 | 1000 | No | 21.0 | 99 | 116 | 99 | 15.6 | 50 | |
| 8 | 0.1 | 4.0 | None | 10 | 0.58 | 7.5 | 7.5 | 30 | 1000 | No | 17.0 | 60 | 109 | 90 | 14.3 | 20 | |
| 9 | 7.9 | 1.2a | Abdominal paina | 20 | 0.52 | 13.0 | 8.0 | 30 | 1900 | 22:00 | Late meal | 38.0 | 99 | 131 | 30 | 22.0 | 95 |
| 10 | 3.7 | 1.3b | Abdominal painb | 0b | 1.00 | 0.0 | 30.0 | 40 | 2000 | 03:00 | maltodextrin and MCT based formula | 37.5 | 40 | 141 | 11 | 18.9 | 60 |
| 11 | 11.6 | 2.1 | None | 80 | 1.30 | 30 | 0.0 | 45 | 2200 | 03:00 | 70 ml MCT based formula | 62.0 | 70 | 163 | 30 | 23.3 | 80 |
| 12 | 29.4 | 2.2c | Abdominal painc | 60 | 0.70 | 20 | 0.0 | up to 30 | 2520 | 22:00 | Late meal and 80 g uncooked corn starch | 84.0 | 82d | 180 | 55d | 26.0 | 89d |
| median | 1.0 | 3.9 | 0.58 | 7.5 | 7.5 | 30 | 60 | 77 | 50 | ||||||||
Patients 1, 2, 3 and 10 were previously reported: In: Orphanet J Rare Dis. (2015) 10:21, Karall et al. (https://doi.org/10.1186/s13023-015-0236-7), Patient 1 is Patient 2, Patient 2 is Patient 4, Patient 3 is Patient 6, Patient 10 is Patient 8
Patient 1 was previously reported in JIMD Reports (2014), Karall et al. (https://doi.org/10.1007/8904_2014_313
Patient 10 was previously reported in: Orphanet J Rare Dis. (2018) 13: 122, Lotz-Havla et. al. (https://doi.org/10.1186/s13023-018-0875-6), Patient 10 is Patient 3
aPatient 9 discontinued C7 therapy (1 g/kg/day) for 1.5 months due to abdominal pain and recommenced at a reduced dosage (0.55 g/kg/day) with no further side-effects reported
bIn 07/2013, at the age of 5 years, Patient 10 discontinued therapy after 15 months due to abdominal pain;
cPatient 12 discontinued C7 therapy (1.2 g/kg/day) for seven months due to abdominal pain and recommenced at a reduced dosage (0.7 g/kg/day) with no further side-effects reported
dAdult patient, percentiles at age 18; Kromeyer-Hauschild [13] and Zürcher Longitudinalstudien (1955–2009) [12]
ePatient 1 together with the late meal takes: 30 g pegylated corn starch and 200 ml = 300 kcal drink with hydrolyzed protein and fiber, but fat, lactose and gluten free [14]