Amino acid therapy for Mitochondrial ARS deficiencies (AT MARS) study

  • Research type

    Research Study

  • Full title

    An Open-label Phase 1/2 historical controlled study, evaluating the safety and efficacy of amino acid therapy in children and adolescents with mitochondrial aminoacyl-tRNA synthetase (ARS) deficiencies

  • IRAS ID

    344709

  • Contact name

    Srivdya Sreekantam

  • Contact email

    ssreekantam1@nhs.net

  • Sponsor organisation

    Birmingham Women's and Children's Hospital

  • Duration of Study in the UK

    2 years, 0 months, 0 days

  • Research summary

    Aminoacyl RNA Synthetase (ARS) deficiencies are severe multi-organ diseases with limited treatment options.
    The ARS enzymes play a key role in protein synthesis. As a result, ARS deficiencies cause severe symptoms in various organs, especially in the first year of life and during infections and may lead to death.
    Amino acid supplementation can lead to improved protein translation by enhancing aminoacylation or the coupling of amino acids with the tRNA, which is an important step in protein synthesis. This may benefit patients in terms of growth, development, their ability to cope with infections and overall quality of life.

    This is a historical controlled study of amino acid supplementation in paediatric patients with mitochondrial ARS deficiencies.
    We will study the safety and tolerability of amino acid supplementation and its impact on overall quality of life, growth, clinical symptoms, infections and neurodevelopmental outcome.

  • REC name

    East of England - Cambridge South Research Ethics Committee

  • REC reference

    26/EE/0056

  • Date of REC Opinion

    16 Apr 2026

  • REC opinion

    Further Information Favourable Opinion