SORD Deficiency

What you need to know

Applied Therapeutics is a clinical-stage biopharmaceutical company conducting an international phase III randomized interventional trial for patients with Sorbitol Dehydrogenase (SORD) Deficiency called INSPIRE. This trial is designed to investigate the ability of AT-007 versus placebo to reduce toxic sorbitol levels and to evaluate the effect of AT-007 on improving disease symptoms over a longer period. HNF has been instrumental in helping to facilitate and accelerate the approval of their clinical lead product AT-007, an Aldose Reductase Inhibitor (ARI) currently in clinical trials.

Genetic Testing for SORD

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Research Opportunity: CMT-SORD

Research Opportunity: CMT-SORD

I am writing to you today because there is a research opportunity you may be eligible for. When you joined HNF’s Global Registry for Inherited Neuropathies (GRIN), you agreed to be contacted regarding these opportunities.

Since 2001, the Hereditary Neuropathy Foundation has been committed to improving the lives of those living with CMT through research, awareness, and advocacy. GRIN is the ONLY comprehensive patient registry collecting patient-reported information about living with CMT in combination with genetic reports, clinical assessments, electronic health records and other critical data for research. GRIN is critical for characterizing and understanding how the different types of CMT, for which there are currently no treatments or cures, affect patients. Not only is GRIN expected to provide valuable information for families and health care providers to make the best care decisions possible, it can also help researchers decide which are the most critical challenges to address. Furthermore, GRIN can help investigators to find patients who might be a good match for their studies. Another important aspect of GRIN is to provide data to the FDA, EMA and other regulatory agencies when applicable; and industry to help design clinical trials and facilitate patient recruitment.

CMT-SORD: WHAT IS YOUR STORY?

For many with CMT, the journey through diagnosis, acceptance, and living with this progressive disease can be isolating. Most research is conducted through a clinical lens that aims to improve symptoms. However, CMT does not affect only the body. It affects a human being who has remarkable lived experiences to share.

This study aims to diversify the conversation around CMT. Medicines treat symptoms to improve one’s quality of life. However, without sharing people’s stories and learning about their lived experiences, the clinical field might miss opportunities to render more effective healthcare. Having these conversations is especially important for CMT.

WHAT IS THIS CMT RESEARCH OPPORTUNITY?

This CMT research opportunity is our chance to understand how CMT-SORD impacts the person. Through ethnographic data collection, this study will record the stories of how CMT-SORD has impacted the everyday lives of those living with this unique type of CMT.

Ethnographic data collection is a research method involving talking with people to understand their daily lives and how things, such as living with a progressive disease, impact them. The goal is to create a comprehensive account of daily life from the participants’ perspective.

WHERE IS THIS CMT RESEARCH TAKING PLACE?

This CMT research takes place right in the comfort of your own home. Participants will participate in at least 3 online or in-person interviews. These interviews may last from one hour to several hours (depending on your preference). Participation is voluntary and interviews can be stopped at any time. You should have access to a private space or one you feel comfortable in to freely speak about your experiences. Some of the topics discussed in these interviews may bring about uncomfortable emotions depending on your life experiences. For example, “What was it like to go through the diagnosis process? How did you feel?”

Clarissa Lesky is leading this study. She is a CMT-SORD community member and researcher at UCLA in Los Angeles, California, and will conduct the interviews. A few participants may be selected to have the interviews conducted in person. In-person interviews are voluntary, and your decision will not influence your participation eligibility.

WHO IS ELIGIBLE TO PARTICIPATE IN THIS CMT RESEARCH?

Anybody with a confirmed genetic diagnosis (genetic confirmation) of CMT-SORD, who is at least 18 years old, and who lives within the continental United States is invited to participate. Since phone/video interviews are the main components of this study, participants must be fluent in English.

HOW DO I PARTICIPATE IN THIS CMT RESEARCH OPPORTUNITY?

If you or someone you know might be eligible to participate in this research, please contact the principal investigator (PI), Clarissa, at [email protected]. In the email subject line, please mention “SORD Study”, “SORD Interview”. Be sure to include that you are in GRIN. Your de-identified data can then be shared with the researcher for a more robust patient profile.

WHAT DOES THIS CMT RESEARCH OPPORTUNITY MEAN FOR ME?

This CMT research opportunity is your chance not only to help increase the understanding of CMT but also to help accelerate advancements towards treatments and, ultimately, a cure for this disease.

The main goal of this CMT research project is to understand better how CMT-SORD affects the person in their daily life, to gain insights that will guide future treatment research needs, and to improve how providers deliver healthcare to the community.

Update your GRIN profile today!.

What is Sorbitol Dehydrogenase (SORD) Deficiency?

Sorbitol Dehydrogenase (SORD) Deficiency is a recently discovered rare, genetic metabolic disease. 

People with SORD Deficiency are missing a key enzyme needed to metabolize a sugar called sorbitol.

Before the discovery of the SORD gene, patients with SORD Deficiency were diagnosed based on their symptoms as having Charcot-Marie-Tooth disease (CMT2) or distal hereditary motor neuropathy (dHMN). The recent discovery that disease symptoms in CMT2 and dHMN can be caused by genetic mutations in the SORD enzyme, now gives people living with SORD Deficiency, and their physicians, greater understanding of their specific disease.  It also provides the opportunity to participate in a clinical trial of an investigational new treatment targeting the underlying cause of SORD Deficiency.

How many people have SORD Deficiency?

SORD Deficiency is a rare disease that impacts 1 in every 100,000 people.  In the US, it is estimated that there are only 3,300 individuals living with the disease.

SORD Deficiency is a form of hereditary neuropathy, which means that this disease was passed down from both parents’ genes.  Not all people with SORD Deficiency have a family history of hereditary neuropathy.

What happens in the body of someone living with SORD Deficiency?

Glucose is a simple sugar that the body converts into fructose for energy.  One of the ways the body breaks down glucose is through a two-step metabolic pathway.

In this metabolic pathway, two enzymes work to process glucose and then sorbitol.

  1. In the first step, the enzyme Aldose Reductase metabolizes glucose into sorbitol
  2. In the second step, the enzyme Sorbitol Dehydrogenase (SORD) converts sorbitol into fructose

Inspire Clinical Trial - PDF

An introduction to SORD Deficiency - PDF

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