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History of Changes for Study: NCT05099640
A Study of PTC923 in Participants With Phenylketonuria
Latest version (submitted December 19, 2023) on ClinicalTrials.gov
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Study Record Versions
Version A B Submitted Date Changes
1 October 18, 2021 None (earliest Version on record)
2 April 19, 2022 Contacts/Locations, Study Status, Eligibility, Arms and Interventions and Study Description
3 July 13, 2022 Study Status
4 October 6, 2022 Study Status
5 November 23, 2022 Study Status and Contacts/Locations
6 May 22, 2023 Recruitment Status, Study Status, Contacts/Locations and Study Design
7 November 3, 2023
Quality Control Review has not concluded Returned: November 27, 2023
Outcome Measures, Study Status, Document Section and Study Design
8 December 19, 2023 Study Status, Outcome Measures
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Study NCT05099640
Submitted Date:  October 18, 2021 (v1)

Open or close this module Study Identification
Unique Protocol ID: PTC923-MD-003-PKU
Brief Title: A Study of PTC923 in Participants With Phenylketonuria
Official Title: A Phase 3 Study of PTC923 in Subjects With Phenylketonuria
Secondary IDs: 2021-000474-29 [EudraCT Number]
Open or close this module Study Status
Record Verification: October 2021
Overall Status: Recruiting
Study Start: September 30, 2021
Primary Completion: February 9, 2023 [Anticipated]
Study Completion: February 9, 2023 [Anticipated]
First Submitted: October 6, 2021
First Submitted that
Met QC Criteria:
October 18, 2021
First Posted: October 29, 2021 [Actual]
Last Update Submitted that
Met QC Criteria:
October 18, 2021
Last Update Posted: October 29, 2021 [Actual]
Open or close this module Sponsor/Collaborators
Sponsor: PTC Therapeutics
Responsible Party: Sponsor
Collaborators:
Open or close this module Oversight
U.S. FDA-regulated Drug: Yes
U.S. FDA-regulated Device: No
Data Monitoring:
Open or close this module Study Description
Brief Summary: The main purpose of this trial is to evaluate the efficacy of PTC923 in reducing blood phenylalanine (Phe) levels in participants with phenylketonuria as measured by mean change in blood Phe levels from baseline to Weeks 5 and 6 (that is, the average of each respective treatment dose 2-week period of double-blind treatment).
Detailed Description: The study includes 2 parts: Part 1 and 2. Part 1 of the study tests for responsiveness to PTC923, with 14 days of open-label treatment with PTC923. At the end of treatment in Part 1, the mean change in blood Phe levels over the 14-day treatment period for all participants will be assessed against their pretreatment (baseline) blood Phe level. Participants ≥2 years of age who experience a <15% reduction in blood Phe levels will be classified as non-responsive and participation in the study will be terminated. Participants (≥2 years of age) who experience a ≥15% reduction in blood Phe levels will continue into Part 2. Participants <2 years of age who experience ≥30% reduction in blood Phe levels will be offered the option to enroll directly into an open-label extension Study PTC923-MD-004-PKU. Following the minimum 14-day PTC923 washout period, all eligible participants will be randomized in Part 2 to receive either PTC923 or placebo. After 6 weeks of treatment with either PTC923 or placebo, participants will be offered the option to enter an open-label extension Study PTC923-MD-004-PKU.
Open or close this module Conditions
Conditions: Phenylketonuria
Keywords:
Open or close this module Study Design
Study Type: Interventional
Primary Purpose: Treatment
Study Phase: Phase 3
Interventional Study Model: Parallel Assignment
Number of Arms: 3
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Allocation: Randomized
Enrollment: 178 [Anticipated]
Open or close this module Arms and Interventions
Arms Assigned Interventions
Experimental: Part 1: PTC923
Participants will receive PTC923 7.5 milligrams (mg)/kilogram (kg (participants 0 to <6 months of age), 15 mg/kg (participants 6 to <12 months of age), 30 mg/kg (participants 12 months to <2 years of age), or 60 mg/kg (participants ≥2 years of age) orally once daily for 14 days.
Drug: PTC923
PTC923 powder for oral use will be suspended in water or apple juice prior to administration.
Experimental: Part 2: PTC923
Participants will receive PTC923 20 mg/kg daily for Weeks 1 and 2, then PTC923 40 mg/kg daily for Weeks 3 and 4, then PTC923 60 mg/kg daily for Weeks 5 and 6.
Drug: PTC923
PTC923 powder for oral use will be suspended in water or apple juice prior to administration.
Placebo Comparator: Part 2: Placebo
Participants will receive equivalent quantities of placebo to match the 20 to 40 to 60 mg/kg dose escalation of the PTC923 treatment arm.
Drug: Placebo
Placebo matching to PTC923
Open or close this module Outcome Measures
Primary Outcome Measures:
1. Change From Baseline in Phe Levels at Part 2 Weeks 5 and 6
[ Time Frame: Baseline, Weeks 5 and 6 (average of the 2-week period) ]

Baseline blood Phe level will be the mean of Day -1 and Day 1 (predose) blood Phe levels.
Secondary Outcome Measures:
1. Percentage of Participants With Baseline Phe Levels ≥600 micromoles (μmol)/liter (L) who Achieved Phe Levels <600 μmol/L at the End of the Double-Blind Treatment Period
[ Time Frame: Baseline to Week 6 ]

2. Change From Baseline in Mean Blood Phe Levels at Each PTC923 Dose Level (Average of the Each 2-Week Period in Part 2)
[ Time Frame: Baseline, Weeks 1 and 2, Weeks 3 and 4, and Weeks 5 and 6 ]

Baseline blood Phe level will be the mean of Day -1 and Day 1 (predose) blood Phe levels.
Open or close this module Eligibility
Minimum Age:
Maximum Age:
Sex: All
Gender Based:
Accepts Healthy Volunteers: No
Criteria:

Inclusion Criteria:

  • Blood Phe level ≥360 μmol/L anytime during screening, or blood Phe level ≥360 μmol/L when taking the average of the 3 most recent Phe levels from the participant's medical history (inclusive of the screening value).
  • Clinical diagnosis of phenylketonuria with hyperphenylalaninemia (HPA) documented by past medical history of at least 2 blood Phe measurements ≥600 μmol/L.
  • Women of childbearing potential must have a negative pregnancy test at screening and agree to abstinence or the use of at least one highly effective form of contraception for the duration of the study, and for up to 30 days after the last dose of study drug.
  • Males who are sexually active with women of childbearing potential who have not had a vasectomy must agree to use a barrier method of birth control during the study and for up to 90 days after the last dose of study drug. Males must also refrain from sperm donations during this time period.
  • Willing to continue current diet unchanged while participating in the study.

Exclusion Criteria:

  • Gastrointestinal disease (such as irritable bowel syndrome, inflammatory bowel disease, chronic gastritis, and peptic ulcer disease, etc.) that could affect the absorption of study drug.
  • History of gastric surgery, including Roux-en-Y gastric bypass surgery or an antrectomy with vagotomy, or gastrectomy.
  • History of allergies or adverse reactions to synthetic tetrahydrobiopterin (BH4) or sepiapterin.
  • Current participation in any other investigational drug study or use of any investigational agent within 30 days prior to screening.
  • Any clinically significant laboratory abnormality as determined by the investigator.
  • A female who is pregnant or breastfeeding, or considering pregnancy.
  • Serious neuropsychiatric illness (for example, major depression) not currently under medical control, that in the opinion of the investigator or sponsor, would interfere with the participant's ability to participate in the study or increase the risk of participation for that participant.
  • Past medical history and/or evidence of renal impairment and/or condition including moderate/severe renal insufficiency (glomerular filtration rate [GFR] <60 milliliters [mL]/minute [min]) and/or under care of a nephrologist.
  • Any abnormal physical examination and/or laboratory findings indicative of signs or symptoms of renal disease, including calculated GFR <60 mL/min/1.73 square meter (m^2).
  • Requirement for concomitant treatment with any drug known to inhibit folate synthesis (for example, methotrexate).
  • Clinical diagnosis of a primary BH4 deficiency.
  • Major surgery within the prior 90 days of screening.
  • Concomitant treatment with BH4 supplementation (for example, sapropterin dihydrochloride, KUVAN) or pegvaliase-pqpz (PALYNZIQ).
  • Unwillingness to washout from BH4 supplementation (for example, sapropterin dihydrochloride, KUVAN) or pegvaliase-pqpz (PALYNZIQ)
Open or close this module Contacts/Locations
Central Contact Person: Patient Advocacy
Telephone: 1-866-562-4620
Email: medinfo@ptcbio.com
Locations: United States, Colorado
University of Colorado and the Children's Hospital CO
[Not yet recruiting]
Aurora, Colorado, United States, 80045
Contact:Principal Investigator: Janet Thomas
United States, Florida
UF College of Medicine, Department of Pediatrics Division of Genetics and Metabolism
[Not yet recruiting]
Gainesville, Florida, United States, 32608
Contact:Principal Investigator: Roberto Zori
United States, Indiana
Indiana University School of Medicine
[Not yet recruiting]
Indianapolis, Indiana, United States, 46202
Contact:Principal Investigator: Melissa Lah
United States, Massachusetts
Boston Children's Hospital
[Not yet recruiting]
Boston, Massachusetts, United States, 02115
Contact:Principal Investigator: Stephanie Sacharow
United States, New York
Icahn School of Medicine at Mount Sinai (ISMMS)
[Not yet recruiting]
New York, New York, United States, 01009
Contact:Principal Investigator: George Diaz
United States, Pennsylvania
UPMC Children's Hospital of Pittsburgh
[Not yet recruiting]
Pittsburgh, Pennsylvania, United States, 15224
Contact:Principal Investigator: Gerald Vockley
United States, Texas
Children's Medical Center Dallas
[Not yet recruiting]
Dallas, Texas, United States, 75235
Contact:Principal Investigator: Markey McNutt
University of Texas Health Science Center of Texas
[Not yet recruiting]
Houston, Texas, United States, 77030
Contact:Principal Investigator: Hope Northrup
United States, Utah
University of Utah, Division of Medical Genetics (pediatric and adult clinic)
[Not yet recruiting]
Salt Lake City, Utah, United States, 84108
Contact:Principal Investigator: Nichola Longo
United States, Wisconsin
Medical College of Wisconsin
[Not yet recruiting]
Milwaukee, Wisconsin, United States, 53226
Contact:Principal Investigator: Donald Basel
Australia, New South Wales
Children's Hospital at Westmead
[Not yet recruiting]
Westmead, New South Wales, Australia, 2145
Contact:Principal Investigator: Katherine Lewis
Westmead Hospital
[Not yet recruiting]
Westmead, New South Wales, Australia, 2145
Contact:Principal Investigator: Michel Tchan
Australia, South Australia
PARC Clinical Research
[Recruiting]
Adelaide, South Australia, Australia, SA 5000
Contact:Principal Investigator: Drago Bratkovic
Brazil, Rio Grande Do Sul
Hospital Presidente Vargas
[Not yet recruiting]
Porto Alegre, Rio Grande Do Sul, Brazil, 90035-074
Contact:Principal Investigator: Paula Vargas
Hospital de clinicas de Porto Alegre
[Not yet recruiting]
Porto Alegre, Rio Grande Do Sul, Brazil, 90035-903
Contact:Principal Investigator: Ida Schwartz
Brazil, São Paulo
Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
[Not yet recruiting]
Ribeirão Preto, São Paulo, Brazil, 14051-140
Contact:Principal Investigator: Maria Avanise Yumi Minami
Canada, Alberta
Metabolics and Genetics in Calgary (MAGIC) Clinic, Ltd.
[Not yet recruiting]
Calgary, Alberta, Canada, AB T2M 0L6
Contact:Principal Investigator: Aneal Khan
Canada, Ontario
The Hospital for Sick Children University of Toronto, Adult Clinic: The Fred A Litwin Family Centre in Genetic Medicine University Health Network & Mt. Sinai Hospital
[Not yet recruiting]
Toronto, Ontario, Canada, M5G 1X8
Contact:Principal Investigator: Neal Sondheimer
Denmark
Copenhagen University Hospital, Rigshospitalet
[Not yet recruiting]
Copenhagen, Denmark, DK-2100
Contact:Principal Investigator: Allan Lund
France, Centre-Val De Loire
Bretonneau Hospital - CHRU de Tours
[Not yet recruiting]
Tours, Centre-Val De Loire, France, 37000
Contact:Principal Investigator: Adrien Bigot
CHRU de Tours- Hôpital Pédiatrique de Clocheville
[Not yet recruiting]
Tours, Centre-Val De Loire, France, 37044
Contact:Principal Investigator: Francois Labarthe
Georgia
Pediatric Surgery Center
[Recruiting]
Tbilisi, Georgia, 159
Contact:Principal Investigator: Lali Margvelashvili
Germany
University Children's Hospital Hamburg Eppendorf (Kinder-UKE)
[Not yet recruiting]
Hamburg, Germany, 20246
Contact:Principal Investigator: Ania Carolina Muntau
Universitätsklinikum Münster
[Not yet recruiting]
Münster, Germany, 48149
Contact:Principal Investigator: Frank Rutsch
Italy, Lazio
Policlinico Umberto I
[Not yet recruiting]
Rome, Lazio, Italy, 00185
Contact:Principal Investigator: Vincenzo Leuzzi
Italy, Veneto
Division of Inherited Metabolic Diseases, Azienda Ospedaliera-Università Padova
[Not yet recruiting]
Padua, Veneto, Italy, 35128
Contact:Principal Investigator: Alberto Burlina
Mexico, Jalisco
PanAmerican Clinical Research
[Not yet recruiting]
Guadalajara, Jalisco, Mexico, 44670
Contact:Principal Investigator: Ixiu del Carmen Cabrales Guerra
Mexico, Mexico City
Grupo Médico Camino SC
[Not yet recruiting]
Benito Juarez, Mexico City, Mexico, 3310
Contact:Principal Investigator: Mara Medeiros Domingo
Netherlands
UMCG Beatrix Children's Hospital
[Not yet recruiting]
Groningen, Netherlands, 9713 GZ
Contact:Principal Investigator: Francjan Van Spronsen
Portugal, Douro Litoral
Centro Hospitalar Universitário Do Porto, Epe
[Not yet recruiting]
Porto, Douro Litoral, Portugal, 4099-001
Contact:Principal Investigator: Esmeralda Martins
Portugal, Estremadura
CENTRO HOSPITALAR UNIVERSITÁRIO LISBOA NORTE Hospital de Santa Maria,
[Not yet recruiting]
Lisboa, Estremadura, Portugal, 1649-035
Contact:Principal Investigator: Patricia Janeiro
CENTRO HOSPITALAR UNIVERSITÁRIO LISBOA NORTE Hospital de Santa Maria
[Not yet recruiting]
Lisboa, Estremadura, Portugal, 1649-035
Contact:Principal Investigator: Anabela Oliveira
Spain
Hospital Universitario Ramón y Cajal
[Not yet recruiting]
Madrid, Spain, 28034
Contact:Principal Investigator: Amaya Belanger-Quintana
Spain, Esplugues De Llobregat
Hospital Sant Joan de Déu
[Not yet recruiting]
Barcelona, Esplugues De Llobregat, Spain, 8950
Contact:Principal Investigator: Jaume Campistol
Turkey
Cukurova Üniversity Balcali Hospital Health Application and Research Center
[Not yet recruiting]
Adana, Turkey, 1130
Contact:Principal Investigator: Neslihan Mungan
Turkey, Ankara
Hacettepe University Medical Faculty
[Not yet recruiting]
Altındağ, Ankara, Turkey, 6230
Contact:Principal Investigator: Serap Sivri
Gazi University Medical Faculty
[Not yet recruiting]
Yenimahalle, Ankara, Turkey, 6560
Contact:Principal Investigator: Faith Ezgu
Turkey, Istanbul
Istanbul University
[Not yet recruiting]
Fatih, Istanbul, Turkey, 34098
Contact:Principal Investigator: Ertugrul Kiykim
Turkey, Izmir
Ege University Faculty of Medicine Children Hospital
[Not yet recruiting]
Bornova, Izmir, Turkey, 35100
Contact:Principal Investigator: Ebru Canda
United Kingdom
Birmingham Children's Hospital NHS Foundation Trust
[Not yet recruiting]
Birmingham, United Kingdom, B4 6DH
Contact:Principal Investigator: Suresh Vijay
Great Ormond Street Hospital
[Not yet recruiting]
London, United Kingdom, WC1N 3JH
Contact:Principal Investigator: Anupam Chakrapani
Open or close this module IPDSharing
Plan to Share IPD:
Open or close this module References
Citations:
Links:
Available IPD/Information:

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