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PhenylketonuriaPhase 3NCT05166161

A Long-Term Safety Study of PTC923 in Participants With Phenylketonuria

A Phase 3 study testing PTC923 in people with Phenylketonuria, run by PTC Therapeutics at 46 sites in 19 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The main purpose of this study is to evaluate the long-term safety of PTC923 in participants with phenylketonuria, and to evaluate the changes from baseline in dietary phenylalanine (Phe)/protein consumption. Read more about this study

Who is it for?
Any age
Conditions the study is for
Phenylketonuria
What is being tested?
PTC923
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
247 participants
Where
46 sitesin 19 countries
Study dates
14 Feb 2022to 21 Jul 2026
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Clinical diagnosis of PKU 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 90 days after the last dose of the 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 (unless specifically instructed to change diet during the study by the investigator).

Who cannot join

  • Inability to tolerate oral medication.
  • 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 PTC, 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] min as estimated most recently during qualifying participation in a feeder study) and/or under care of a nephrologist.
  • Any other condition that in the opinion of the investigator or PTC, would interfere with the participant's ability to participate in the study or increase the risk of participation for that participant.
  • Requirement for concomitant treatment with any drug known to inhibit folate synthesis (for example, methotrexate).
Show all 14Show fewer
  • Concomitant treatment with tetrahydrobiopterin (BH4) supplementation (for example, sapropterin dihydrochloride, KUVAN) or pegvaliase-pqpz (PALYNZIQ).
  • Additional criteria for non-feeder participants who did not participate in a feeder study:
  • 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 BH4 or sepiapterin.
  • Any clinically significant laboratory abnormality as determined by the investigator.
  • Any abnormal physical examination and/or laboratory findings indicative of signs or symptoms of renal disease, including calculated GFR <60 milliliters (mL)/minute/1.73 square meter (m^2).
  • Confirmed diagnosis of a primary BH4 deficiency as evidenced by biallelic pathogenic mutations in 6-pyruvoyltetrahydropterin synthase, recessive GTP cyclohydrolase I, sepiapterin reductase, quinoid dihydropteridine reductase, or pterin-4-alphacarbinolamine dehydratase genes.

Trial locations and contacts

46 sites in 19 countries.

46 sites in 19 countries

United States7 sites
  • Children's Hospital Colorado

    Aurora, Colorado, 80045

  • Boston Children's Hospital

    Boston, Massachusetts, 02115

  • UF College of Medicine, Department of Pediatrics Division of Genetics and Metabolism

    Gainesville, Florida, 32610

  • Indiana University School of Medicine Department of Medical and Molecular Genetics

    Indianapolis, Indiana, 46202

  • Icahn School of Medicine at Mount Sinai (ISMMS)

    New York, New York, 10009

  • UPMC Children's Hospital of Pittsburgh

    Pittsburgh, Pennsylvania, 15224

  • University of Utah

    Salt Lake City, Utah, 84108

Other trials in United States

Turkey (Türkiye)5 sites
  • Çukurova Üniversitesi Tıp Fakültesi Balcalı Hastanesi

    Adana, 01330

  • Hacettepe University Medical Faculty

    Altındağ, Ankara, 06230

  • Ege University Faculty of Medicine Children Hospital

    Bornova, İzmir, 35100

  • İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi

    Fatih, Istanbul, 34098

  • Gazi Üniversitesi Tıp Fakültesi

    Yenimahalle, Ankara, 06500

Other trials in Turkey (Türkiye)

Australia4 sites
  • PARC Clinical Research

    Adelaide, South Australia, SA 5000

  • Royal Children's Hospital

    Parkville, Victoria, 3052

  • The Queensland Children's Hospital

    South Brisbane, Brisbane

  • Westmead Hospital

    Westmead, New South Wales, 2145

Other trials in Australia

Canada3 sites
  • Metabolics and Genetics in Calgary (MAGIC) Clinic, Ltd.

    Calgary, Alberta, T2E 7Z4

  • McMaster Children's Hospital Hamilton Health Sciences

    Hamilton, Ontario, L8N 3Z5

  • 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

    Toronto, Ontario, M5G 1X8

Other trials in Canada

Germany3 sites
  • University Children's Hospital Hamburg Eppendorf (Kinder-UKE) Klinik für Kinder- und Jugendmedizin (Kinder-UKE)

    Hamburg, 20246

  • Universitätsklinikum Heidelberg / Zentrum für Kinder- und Jugendmedizin / Sektion für Neuropädiatrie & Stoffwechselmedizin

    Heidelberg, 69120

  • Universitätsklinikum Münster

    Münster, 48149

Other trials in Germany

Japan3 sites
  • PTC Clinical Site 1

    Multiple Locations

  • PTC Clinical Site 2

    Multiple Locations

  • PTC Clinical Site 3

    Multiple Locations

Other trials in Japan

Portugal3 sites
  • CENTRO HOSPITALAR UNIVERSITÁRIO LISBOA NORTE Hospital de Santa Maria,

    Lisbon, Estremadura, 1649-035

  • CENTRO HOSPITALAR UNIVERSITÁRIO LISBOA NORTE Hospital de Santa Maria

    Lisbon, Estremadura, 1649-035

  • Centro Hospitalar Universitário Do Porto, Epe

    Porto, 4099-001

Other trials in Portugal

Spain3 sites
  • Hospital Sant Joan de Déu

    Barcelona, Esplugues de Llobregat, 08950

  • Hospital Universitario Ramón y Cajal

    Madrid, 28034

  • Hospital Universitario Virgen del Rocío

    Seville, 41013

Other trials in Spain

United Kingdom3 sites
  • Birmingham Children's Hospital NHS Foundation Trust

    Birmingham, B4 6NH

  • UNIVERSITY HOSPITALS BIRMINGHAM NHS Foundation Trust

    Birmingham

  • Great Ormond Street Hospital

    London, WC1N 3JH

Other trials in United Kingdom

Brazil2 sites
  • Hospital de clinicas de Porto Alegre

    Porto Alegre, Rio Grande do Sul, 90035-903

  • Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo

    Ribeirão Preto, São Paulo, 14051-140

Other trials in Brazil

Italy2 sites
  • Azienda Ospedaliera-Universita Padova

    Padua, Veneto, 35129

  • Department of Human Neuroscience, Child and Adolescent Neuropsychiatry, Policlinico Umberto I

    Rome, 00185

Other trials in Italy

Czechia1 site
  • Fakultní nemocnice Královské Vinohrady Klinika dětí a dorostu Ambulance pro léčbu PKU a HPA

    Prague, 100 34

Other trials in Czechia

Denmark1 site
  • Copenhagen University Hospital, Rigshospitalet

    Copenhagen, DK-2100

Other trials in Denmark

France1 site
  • Hôpital Necker-Enfants Malades - Centre de Référence des Maladies Héréditaires du Métabolisme

    Paris, 75015

Other trials in France

Georgia1 site
  • Medical Genetics and Laboratory Diagnostics Center

    Tbilisi, 0159

Other trials in Georgia

Mexico1 site
  • PanAmerican Clinical Research

    Guadalajara, Jalisco, 44670

Other trials in Mexico

Netherlands1 site
  • UMCG Beatrix Children's Hospital

    Groningen, 9713 GZ

Other trials in Netherlands

Poland1 site
  • Pomorski Uniwersytet Medyczny w Szczecinie Centrum Wsparcia Badań Klinicznych

    Szczecin, 71-252

Other trials in Poland

Slovenia1 site
  • Univerzitetni klinicni center Ljubljana

    Ljubljana, 1000

Other trials in Slovenia

About this study

Official title: A Phase 3 Open-Label Study of PTC923 (Sepiapterin) in Phenylketonuria

The main purpose of this study is to evaluate the long-term safety of PTC923 in participants with phenylketonuria, and to evaluate the changes from baseline in dietary phenylalanine (Phe)/protein consumption.

Read the detailed description

Eligible participants are:

Feeder participants: those who have completed a Phase 3 PTC Therapeutics (PTC) sponsored feeder study.

Non-feeder controlled participants: those who have not completed a feeder study and have blood Phe levels <360 μmol/L at study entry.

Non-feeder uncontrolled participants: those who have not completed a feeder study and have blood Phe levels ≥360 μmol/L at study entry.

Conditions
Phenylketonuria
Being tested
PTC923
Medical subject headings
Phenylketonurias

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PTC923Drug

    Also called Sepiapterin, Sephience

    PTC923 powder for oral use will be suspended in water or apple juice prior to administration.

Study groups in NCT05166161
Study groupRoleWhat they receive
PTC923ExperimentalParticipants will receive PTC923 7.5 mg/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 a minimum of 12 months or until participant experiences lack of efficacy, adverse events (AEs) that lead to discontinuation, withdraws from treatment, or PTC923 is authorized and commercially available in the specific country.
Receives: Drug: PTC923

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Treatment-Emergent Adverse Events (TEAEs)

    A TEAE is any unfavorable or unintended sign (including an abnormal laboratory finding), symptom or disease in a study participant who is administered study drug in this study

    Measured: Baseline up to end of study (up to 4 years)

  2. Change From Baseline in Dietary Phe/Protein Consumption at Week 26, Measured During Phe Tolerance Assessment Period

    Phe tolerance is defined as the total amount of dietary Phe (milligrams [mg]/kilogram [kg] per day) ingested while maintaining blood Phe levels within the range of 40 to 360 micromoles (μmol)/liter (L) (defined as ≥40 to <360 μmol/L).

    Measured: Baseline, Week 26

Secondary outcomes (7)
  1. Change From Baseline in Quality of Life (QOL) Using Phenylketonuria-Quality of Life (PKU-QOL) Questionnaire at Months 8, 14, 20, 26, 32, and 38

    QOL using PKU-QOL questionnaire will be assessed in the subset of participants who are able to complete the PKU-QOL (that is, participants whose primary language is English [British or American], Turkish, Dutch, German, Spanish, Italian, Portuguese, or French) (ages 6 to 8 years Parent PKU-QOL; ages 9 to 11 years Child PKU-QOL; ages 12 to 17 years Adolescent PKU-QOL; ages ≥18 years Adult PKU-QOL).

    Measured: Baseline, Months 8, 14, 20, 26, 32, and 38

  2. Change From Baseline in QOL Using the European Quality of Life - 5 Dimensions (EQ-5D) at Months 8, 14, 20, 26, 32, and 38

    QOL will be assessed using the EQ-5D (EQ-5D-Y Proxy Version 1 [3 to 7 years]; EQ-5D-Y [8 to 15 years]; EQ-5D-5L ([≥16 years]).

    Measured: Baseline, Months 8, 14, 20, 26, 32, and 38

  3. Palatability of PTC923

    For participants <5 years of age, palatability will be indirectly assessed by the parent(s)/caregiver(s) of participants using the following: On the basis of the reaction/facial expression of your child, do you think that the medication is (pleasant, not sure, unpleasant)?

    Measured: Month 1 Day 1

  4. Acceptability/Ease of Administration of PTC923

    For all participants <12 years of age, parent(s)/caregiver(s) will rate the acceptability/ease of administration, with the following question: Do you sometimes have problems in giving the medication to your child because he/she refuses to take it or throws it up? (Yes/No).

    Measured: Month 1 Day 1

  5. Taste/Flavor Assessment Using a Facial Hedonic Scale

    For participants ≥5 to <18 years of age who are able to comply with the instructions, the participant will rate the taste/flavor using a facial hedonic scale (5=really good; 4=good; 3=not sure; 2=bad; 1=really bad).

    Measured: Month 1 Day 1

  6. Plasma Sepiapterin Concentration

    Measured: Month 1 Day 1 up to Month 11 Day 1

  7. Plasma BH4 Concentration

    Measured: Month 1 Day 1 up to Month 11 Day 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Dec 2021
  2. Study start14 Feb 2022
  3. Primary completion21 Jul 2026
  4. Study completion21 Jul 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
247 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05166161
Sponsor's protocol ID
PTC923-MD-004-PKU
Other IDs
2021-000497-28, 2023-509229-31-00, 2023
Status last verified
Aug 2026
First submitted
8 Dec 2021
Last updated
9 Sep 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • van Spronsen F, Peters H, Margvelashvili L, Agladze D, Schwartz IVD, Gizewska M, Hamazaki T, Guilder L, MacDonald A, Vijay S, Inwood A, Minami M, Fjellbirkeland O, Lund A, Lah M, Thomas JA, Longo N, Kiykim E, Ishige M, Burlina A, Belanger-Quintana A, Rutsch F, Opladen T, Mungan H, Ezgu F, Bratkovic D, Chakrapani A, Ito T, Guimas A, Zori R, Tchan M, Sacharow S, Oliveira A, Janeiro P, Guerra IC, Plana JC, Yildiz Y, Canda E, Khan A, Vockley J, Breilyn MS, Manti F, Larkin A, Hughes C, Liu E, Gao L, Ingalls K, Smith N, Muntau AC. Effect of long-term sepiapterin treatment on dietary phenylalanine tolerance in patients with phenylketonuria: Interim results from the phase 3 APHENITY Extension Study. Genet Med. 2026 Apr;28(4):101683. doi: 10.1016/j.gim.2026.101683. Epub 2026 Jan 12.

    PubMed 41537382

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing PTC923 in people with Phenylketonuria, run by PTC Therapeutics at 46 sites in 19 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 46 sites in United States, Turkey (Türkiye), Australia, Canada, Germany and 14 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Treatment-Emergent Adverse Events (TEAEs) (time frame: Baseline up to end of study (up to 4 years)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05166161, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Sep 2026.

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