The purpose of this study is to evaluate whether weekly injections of phenylalanine ammonia lyase (rAvPAL-PEG) can reduce blood phenylalanine concentrations in PKU subjects and whether repeated administration is safe.
This is a 2 part, Phase 2, open-label dose-finding study in approximately 35 subjects with PKU. Seven dose cohorts are planned, each consisting of 5 subjects. In Part 1, the planned starting dose levels are those tested in PAL 001 (0.001, 0.003, 0.01, 0.03, 0.1, 0.3, and 1.0 mg/kg), provided no dose limiting toxicity was observed in PAL 001. In Parts 1 and 2, study drug will be administered by clinic staff. Subjects who completed participation in PAL 001 will receive priority to participate in PAL 002. rAvPAL PEG naïve subjects will be enrolled to fill any dose cohort vacancies resulting from subjects who did not complete PAL 001 or who chose not to continue into PAL 002. In addition, if the number of dose cohorts determined in PAL 001 is less than 7, additional naïve subjects may be added to the existing dose cohorts to provide a total of approximately 35 subjects entering Part 1 of PAL 002. Furthermore, if serial dosing of cohorts in Part 1 of PAL 002 is stopped, additional subjects (either naïve subjects or PAL 001 subjects) may be added to the existing cohorts so that total study enrollment is approximately 35 subjects. In any of these cases, additional subjects will be enrolled sequentially from lowest to highest dose cohort. Diet will not be altered during the course of this study, except as necessary for safety. Subjects will be evaluated for safety and for blood Phe concentrations throughout the study. Toxicity will be measured according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), version 3. A Data Monitoring Committee will monitor the study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
In Part 1, the planned starting dose levels is 0.001 mg/kg
In Part 1, the planned starting dose levels is 0.003 mg/kg
In Part 1, the planned starting dose levels is 0.01 mg/kg
The Children's Hospital
Aurora, Colorado, United States
Emory Universty
Decatur, Georgia, United States
Children's Memorial Hospital
Chicago, Illinois, United States
Blood Phenylalanine Concentrations
Time frame: Baseline, Week 1/Day 5, Week 7, Week 16/Day 106
Study Drug Related Adverse Events
Time frame: Screening, Weeks 1-22
Number of Participants With Positive PAL IgG Antibody
Antibody against PAL (phenylalanine ammonia lyase) measured over time
Time frame: Baseline, Week 12
Number of Participants With Positive PAL IgM Antibody
Antibody positivity over time
Time frame: Baseline, Week 12
Number of Participants With Positive PEG IgM Antibody
Antibody positivity over time
Time frame: Baseline, Week 16
Number of Participants With Positive PEG IgG Antibody
Antibody positivity over time
Time frame: Baseline, Week 16
Percentage of Participants With Positive Neutralizing Antibodies [NAb]
Antibody positivity over time
Time frame: Baseline, Week 12
Percentage of Participants With Positive PAL IgE Antibody
Antibody positivity over time
Time frame: Baselline, Week 12
Percentage of Participants With Positive Anti-PAL-PEG IgE Antibodies
Antibody positivity over time
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
In Part 1, the planned starting dose levels is 0.03 mg/kg
In Part 1, the planned starting dose levels is 0.1 mg/kg
University of Minnesota Medical Center-Fairview
Minneapolis, Minnesota, United States
Washington University Center for Applied Research Sciences
St Louis, Missouri, United States
Albany Medical Center
Albany, New York, United States
Mount Sinai School of Medicine
New York, New York, United States
Akron Children's Hospital
Akron, Ohio, United States
Oregon Health & Science University
Portland, Oregon, United States
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States
...and 1 more locations
Time frame: Baseline, Week 12