Can a common arthritis drug make PKU treatment safer and more effective?
NCT ID NCT07477691
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding methotrexate (a drug that calms the immune system) can help adults with PKU tolerate and respond better to Palynziq, a protein-based treatment. About 12 adults who either haven't taken Palynziq before or have high blood Phe levels despite treatment will receive both drugs for 6 months. The goal is to see if methotrexate reduces immune reactions that can limit Palynziq's effectiveness.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 12 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
May 2026
- Expected to finish
-
Sep 2027
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 65 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults between 18 and 65 years old * Have a confirmed diagnosis of phenylketonuria (PKU) * Are in generally good health based on medical evaluation * Are willing and medically eligible to receive Palynziq and methotrexate (MTX) Cohort A: Have never taken Palynziq before and are willing to start it during the study Cohort B: Have blood \> 600 μmol/L after taking Palynziq for at least 24 weeks, are on a daily dose of at least 20mg and unable to increase the dose further * Agree to use required contraception if they or their partner could become pregnant * Are willing to carry two epinephrine devices at all times during Palynziq treatment Exclusion Criteria: * Pregnant, breastfeeding, planning to become pregnant, planning to father a child, or not using effective birth control if applicable * Have a known severe allergy or hypersensitivity reaction to methotrexate (MTX), Palynziq, or other PEG-containing medications * Have a serious active infection or a history of severe or recurrent infections * Have significant medical conditions that may affect safety or participation (such as serious heart, lung, liver, kidney, immune, neurological, psychiatric, or cancer-related conditions) * Have a history of substance or alcohol abuse within the past 12 months * Have had an organ transplant or are taking chronic immunosuppressive medications * Are currently taking medications that are not allowed in the study, including other PKU treatments besides Palynziq * Are using, or plan to use, injectable PEG-containing medications other than Palynziq during the study * Have major surgery planned during the study participation period * Are currently participating in another clinical study involving Palynziq * In the opinion of the study doctor, are not a suitable candidate for the study or may have difficulty complying with study requirements
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Phenylketonuria are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The study's own enquiry address
This study publishes an address for enquiries. See it below .
-
The places running it
12 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
By submitting, you agree to our Terms of use
Study contacts
-
Contact
Email: •••••@•••••
Locations
-
Ann & Robert H. Lurie Children's Hospital of Chicago
NOT_YET_RECRUITINGChicago, Illinois, 60611, United States
-
Children's Hospital Colorado
NOT_YET_RECRUITINGAurora, Colorado, 80045, United States
-
Children's Hospital of Wisconsin
NOT_YET_RECRUITINGMilwaukee, Wisconsin, 53226, United States
-
Indiana University School of Medicine
NOT_YET_RECRUITINGIndianapolis, Indiana, 46202, United States
-
Oregon Health & Science University (OHSU) - PARENT
NOT_YET_RECRUITINGPortland, Oregon, 97239, United States
-
UCLA Dept. of Human Genetics
NOT_YET_RECRUITINGLos Angeles, California, 90095, United States
-
UT Southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
-
University Of South Florida Medical Center
NOT_YET_RECRUITINGTampa, Florida, 33613, United States
-
University of Minnesota Medical School
NOT_YET_RECRUITINGMinneapolis, Minnesota, 55455, United States
-
University of Pittsburgh Medical Center (UPMC) - Children's Hospital of Pittsburgh
NOT_YET_RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
-
University of Rochester Medical Center (URMC)
NOT_YET_RECRUITINGRochester, New York, 14642, United States
-
University of Utah Hospital
NOT_YET_RECRUITINGSalt Lake City, Utah, 84108, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could a PKU diet reshape the gut microbiome? a study investigates
- Study aims to tailor PKU drug dosing for patients with organ impairment
- Hidden eating disorders may affect PKU patients on strict diets
- New pill could tame phenylketonuria by blocking amino acid absorption
- PKU diagnosis: a study on breaking the news to families
- New pill for PKU shows promise in early human testing