Introduction and Aims: Treatment of Wilson Disease (WD) with chelating agents such as d-Penicillamine (DPA)
or trientine decreases the pathologic accumulation of copper and removes circulating
non-ceruloplasmin bound copper (NCC). There are no prior controlled studies comparing
DPA with trientine. The study aim is to determine if maintenance therapy for WD with
a novel tetrahydrochloride trientine formulation (TETA4) is safe and effective when
compared to DPA.
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© 2022 Published by Elsevier Inc.