a 3-week course of ceftriaxone (Rocephin) IV injection (daily dose 2g/day)

+ oral metronidazole (daily dose 1500mg) followed by a 3-week course of oral rifampicin (Rifadin with 10mg/kg/day) + moxifloxacin (Izilox daily dose 400mg) + metronidazole (daily dose 1500mg) followed by a 6-week course of oral rifampicin (Rifadin with 10mg/kg/day) + moxifloxacin (Izilox daily dose 400mg).

A placebo for lymecycline will also be administered during this intensive treatment phase

a 3-week course of ceftriaxone injection + oral metronidazole followed by a 3-week course of oral rifampicin + moxifloxacin +metronidazole followed by a 6-week course of oral rifampicin + moxifloxacin

ROCEPHIN, metronidazole, RIFADIN, IZILOX, placebo combination therapy

12-week course of oral lymecycline (Tetralysal daily dose 452mg) Placebos for all experimental drugs will also be administered during this intensive treatment phase

Lymecyclin and corresponding placebos of the experimental arm

Marie-Aleth Richard, MD, PhD

Maïa Delage-Toriel, MD

Aude Nassif

Anne-Bénédicte Duval-Modeste, Dr

Intervention group will receive culturally-tailored portion-control Mediterranean-like advice through monthly individual counseling for 6 months, reinforced with daily text messages for 12 months, and a monthly household supply of legumes (i.e., beans and peanuts), vegetable oils (i.e., olive oil + a blend of canola and soybean), and locally sourced assorted fruit and vegetables for 18 months. From months 18 to 24, we will monitor maintenance of behavior (no food or counseling) with support from the nutritionist available.

Puerto Rico-tailored education includes strategies for healthy eating, preferences for traditional healthy foods, recommendations for limiting unhealthy traditional foods, portion sizes, etc.

Culturally tailored food and diet advice

Control group will receive portion-control standard non-tailored nutritional counseling in monthly individual sessions for 6 months, reinforced with daily text messages for 12 months, and monthly assistance to purchase healthy foods for 18 months. From months 18 to 24, we will monitor maintenance of behavior (no voucher or counseling), with support from the nutritionist available.

Standard healthy eating education includes strategies, foods, portions, and cooking and eating tips included in the My Plate For A Healthy Puerto Rico dietary recommendations.

Standard healthy eating advice

Sylvia Lillquist, MS, RDN, MPH

Jose F Rodriguez-Orengo, PhD

Patients receive recombinant vesicular stomatitis virus-expressing interferon-beta and tyrosinase related protein 1 IT and IV over 30-60 minutes 2-4 hours later on day 1.

Recombinant Vesicular Stomatitis Virus-expressing Interferon-beta and Tyrosinase Related Protein 1

Patients receive recombinant vesicular stomatitis virus-expressing interferon-beta and tyrosinase related protein 1 IT and IV over 30-60 minutes 2-4 hours later on day 1. Cycle 1 continues for 28 days, with subsequent cycles repeating every 21 days in the absence of disease progression or unacceptable toxicity.

Participants first receive NEUROEQUIP-SMA (Equine-Assisted Physiotherapy Based on Neuro-proprioceptive Facilitation and Inhibition) for six consecutive days, followed by a washout period of 6 weeks to 3 months, and then Standard Individual Outpatient Physiotherapy Based on Neuro-proprioceptive Facilitation and Inhibition (SMA-SOC-N) for six consecutive days. Each phase includes standardized Therapeutic Grooming.

Equine-assisted physiotherapy applying the principles of neuro-proprioceptive facilitation and inhibition. Conducted twice daily for 15 minutes over six consecutive days under the supervision of a certified physiotherapist and a trained horse leader. The intervention utilizes the horse's rhythmic, three-dimensional movement to generate dynamic proprioceptive, vestibular, and tactile stimuli that activate physiological postural reactions and coordinated muscle chains. The goal is to improve trunk stability, breathing control, movement symmetry, and functional motor coordination in children with spinal muscular atrophy. The therapy is delivered in a controlled equine environment, using manual facilitation and specific body positioning to modulate neuronal excitability and enhance neuromuscular function.

Equine-Assisted Physiotherapy based on Neuro-proprioceptive "Facilitation and Inhibition"

Standardized outpatient physiotherapy program based on neuro-proprioceptive facilitation and inhibition, performed once daily for 30 minutes over six consecutive days. Delivered by an experienced physiotherapist in a clinical setting, the intervention includes active and assisted movement exercises, breathing techniques, stretching, postural correction, and positioning strategies to prevent contractures, maintain range of motion, and support trunk and respiratory control. The therapy applies targeted afferent stimuli to modulate motoneuron excitability and improve voluntary activation of motor units. The approach follows international standards of SMA rehabilitation, focusing on optimizing postural alignment, movement efficiency, and overall motor performance.

Standard Individual Outpatient Physiotherapy Based on Neuro-proprioceptive Facilitation and Inhibition

Structured horse-care activity included in both treatment periods to control for psychosocial and environmental effects of horse interaction. Conducted once daily for approximately 20 minutes under therapist supervision, therapeutic grooming involves guided brushing, tactile contact, and communication with the horse in a safe and supportive setting. The activity promotes sensory integration, body awareness, and emotional regulation, while preparing the child for subsequent equine-assisted sessions. Although not a primary therapeutic modality, it standardizes the environmental exposure across study arms and supports comfort, motivation, and engagement in children participating in physiotherapeutic interventions.

Therapeutic grooming

Participants first undergo six days of standard individual outpatient physiotherapy based on neuro-proprioceptive facilitation and inhibition (SMA-SOC-N), followed by a washout period of 6-12 weeks, and then six days of equine-assisted physiotherapy based on neuro-proprioceptive facilitation and inhibition (NEUROEQUIP-SMA). Each phase includes a standardized therapeutic grooming component.

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회원 모집 중

여러분은 혼자가 아닙니다. 힘내세요(Stay Strong), 계속 나아갑시다(Press on).

<dl class="v3-editor-content-dictionary">
<dt>알라질 증후군 이란?</dt>
<dd>알라질 증후군(Alagille's syndrome)은 간내 담도의 수가 현저하게 감소하고 담즙정체를 나타내며 심혈관계, 골격계, 안구, 안면, 췌장, 신경발달의 장애를 동반할 수 있는 증후군입니다.</dd>
<dd> </dd>
<dd><a href="rarenote://MedicalNewsDetail?id=d0179964-8d3b-41be-b7ac-e61810909f13">질환에 대해 더 알아보기</a></dd>
</dl>
'알라질 증후군 환우모임' 밴드는 국내 알라질 증후군 환자와 보호자들을 위한 커뮤니티로, 2025년에 설립되었어요.
네이버 밴드로 운영되며, 알라질 증후군 관련 정보를 교류하고 소통할 수 있는 공간입니다.

알라질 증후군 환우모임

네이버 밴드

비정형 용혈요독증후군 환우·보호자들이 모여있는 오픈 채팅방으로 질환 및 치료에 대한 정보를 공유하고, 일상을 공감합니다.

비정형 용혈요독증후군(aHUS) 카카오톡 오픈채팅방

오픈 채팅방

저인산효소증 환우·보호자들이 모여있는 오픈 채팅방으로 질환 및 치료에 대한 정보를 공유하고, 일상을 공감합니다.

저인산효소증(HPP) 카카오톡 오픈채팅방

진행성 가족성 간내 담즙정체증 환우·보호자들이 모여있는 오픈 채팅방으로 질환 및 치료에 대한 정보를 공유하고, 일상을 공감합니다.

임상시험 현황

ROCEPHIN, 메트로니다졸, RIFADIN, IZILOX, 위약 병용 요법, Lymecyclin 및 실험군의 해당 위약

문화에 맞는 음식 및 식단 조언, 표준 건강식 조언

인터페론-베타 및 티로시나제 관련 단백질 1을 발현하는 재조합 수포성 구내염 바이러스

말 보조 물리치료(신경 고유수용감각 "촉진 및 억제" 기반), 표준 외래 환자 물리치료(신경 고유수용감각 촉진 및 억제 기반), 치료적 미용

환자 모임 정보