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Table 2 Summary of dietary treatment including tripheptanoin (C7) in 12 Austrian LC-FAOD patients

From: Long-term experience with triheptanoin in 12 Austrian patients with long-chain fatty acid oxidation disorders

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

  
  1. 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
  2. Patient 1 was previously reported in JIMD Reports (2014), Karall et al. (https://doi.org/10.1007/8904_2014_313
  3. 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
  4. 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
  5. bIn 07/2013, at the age of 5 years, Patient 10 discontinued therapy after 15 months due to abdominal pain;
  6. 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
  7. dAdult patient, percentiles at age 18; Kromeyer-Hauschild [13] and Zürcher Longitudinalstudien (1955–2009) [12]
  8. 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]