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Could a daily powder shield Kids' brains from PKU damage?

NCT ID NCT06302348

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 24, 2026 · Last updated Aug 28, 2026 · Updated 4 times

Summary

This study tests whether sepiapterin, a powder taken daily, can preserve intelligence and quality of life in children with phenylketonuria (PKU) when started early in childhood. The trial will follow 56 children for years, measuring IQ and other outcomes. It is an open-label phase 3 study, meaning everyone knows they are getting the drug, which may limit how strong the conclusions are.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
sepiapterin (also called PTC923 or Sephience), a powder mixed in water or apple juice
What this could lead to
If it works, this could show that early treatment with sepiapterin helps children with PKU maintain normal intelligence and quality of life as they grow.
What could go wrong
This is an open-label study with no placebo group, so results may be less reliable. It is also small (56 children) and focuses on long-term outcomes, so benefits may take years to confirm.

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 3

Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.

Participants

About 56 people

The number the study aims to enrol. It can still change while the study runs.

Started

Mar 2024

Expected to finish

Feb 2031

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

Up to 9 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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Key Inclusion Criteria: For all participants: * 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 at least 90 days after the last dose of the study drug. * Willing to maintain prescribed daily protein/Phe during Screening and Part 1. For participants ≥1 month of age at Screening: * Established diagnosis of PKU with hyperphenylalaninemia (HPA) evidenced by at least 2 blood Phe measurement ≥600 micromoles (μmol)/liter (L) as documented in the medical history. * A minimum of 1 documented blood Phe measurement \<480 μmol/L within 1 month prior to Screening. * Two screening blood Phe concentration values must be in the range ≥120 to ≤480 μmol/L. For participants \<1 month of age at the time of informed consent/assent only: * Blood Phe at newborn screening ≥600 μmol/L. For participants ≥30 months to \<10 years of age: * Baseline FSIQ score ≥80. Key Exclusion Criteria: * History of allergies or adverse reactions to any of the ingredients or excipients of synthetic tetrahydrobiopterin (BH4) or sepiapterin. * Serious neuropsychiatric illness (for example, major depression) not currently under medical control or other concurrent disease or condition 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. * Treatment with BH4 supplementation (sapropterin, Kuvan®) within 3 months prior to Screening. * Current participation in another investigational drug study or use of any investigational agent within 30 days prior to Screening. * Confirmed diagnosis of a primary BH4 deficiency as evidenced by biallelic pathogenic mutations in 6-pyruvoyltetrahydropterin synthase, recessive Guanosine-5'-triphosphate (GTP) cyclohydrolase I, sepiapterin reductase, quinoid dihydropteridine reductase, or pterin 4-alphacarbinolamine dehydratase genes. * Any clinically significant laboratory abnormality as determined by the investigator. * Any past medical history of an abnormal physical examination and/or laboratory findings indicative of signs or symptoms of renal disease, including calculated (Bedside Schwartz Equation) glomerular filtration rate (GFR) \<60 milliliters (mL)/minute (min)/1.73 square meter (m\^2). * Major surgery within 90 days prior to Screening visit. * Previous treatment for \>6 weeks with sepiapterin (that is, Sephience). Note: Other protocol-defined inclusion and exclusion criteria may apply.

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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.

  1. The study's own enquiry address

    This study publishes an address for enquiries. See it below .

  2. The places running it

    10 sites in 6 countries. The list below names each one and where it is.

  3. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  4. 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

Study contacts

  • Contact

    Email: •••••@•••••

Locations

  • Assistance Publique - Hôpitaux de Paris (AP-HP) - Hôpital Necker-Enfants Malades

    RECRUITING

    Paris, 75015, France

  • Birmingham Women's and Children's NHS Foundation Trust

    RECRUITING

    Birmingham, B4 6NH, United Kingdom

  • Centre Hospitalier Régional Universitaire (CHRU) de Tours - Hôpital Clocheville

    RECRUITING

    Tours, 37044, France

  • Centre Hospitalier Universitaire (CHU) de Lille - Hôpital Jeanne de Flandre

    RECRUITING

    Lille, 59800, France

  • Children's Health Ireland (CHI)

    RECRUITING

    Dublin, D01 YC67, Ireland

  • Indiana University School of Medicine

    RECRUITING

    Indianapolis, Indiana, 46202, United States

  • Instytut Matki i Dziecka

    RECRUITING

    Warsaw, 01-211, Poland

  • Pomorski Uniwersytet Medyczny w Szczecinie

    RECRUITING

    Szczecin, 70-204, Poland

  • The Royal Children's Hospital

    RECRUITING

    Parkville, VIC 3052, Australia

  • Women and Children Hospital

    RECRUITING

    North Adelaide, SA 5006, Australia

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