The goal of this Phase 3, randomized study is to assess the safety, efficacy, tolerability, and pharmacokinetics (PK) of oral JNT-517 in adults (18 years of age or older) with PKU. Participants will receive either JNT-517 or placebo and will be blinded to their treatment assignment. Participants will have a 2 in 3 (or approximately 67%) chance of receiving JNT-517 during the first part of the study which will last approximately six weeks. During the second part of the study every participant who continues in the study will receive one of two doses of JNT-517 for an additional 46 weeks. The study requires a screening period of up to 35 days to ensure dietary stabilization and amino acid levels required to meet study eligibility. In total, participation in the study could last for up to 400 days. Participants will: Take 75 mg JNT-517 or 150 mg JNT-517, or a placebo BID (2x per day) for approximately 365 days; Visit the clinic or have a mobile health nurse visit your home for checkups and tests; Collect urine sample at home and bring to clinic on specified days; Keep a food diary 3 days before each study visit
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
120
JNT-517: 75 mg BID
JNT-517: 150 mg BID
Placebo Tablet: BID
University of California Los Angeles (UCLA) School of Medicine
Los Angeles, California, United States
RECRUITINGUniversity of Florida (UF) Health Shands Hospital
Gainesville, Florida, United States
RECRUITINGUniversity of South Florida
Tampa, Florida, United States
RECRUITINGAnn & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
Absolute Change in Plasma Phenylalanine (Phe) From Baseline to the Mean of Weeks 2, 4, and 6 in the JNT-517 150 mg BID Dose Group at End of Period 1
Time frame: Baseline to End of Period 1 (Week 6)
Percent Change in Plasma Phe From Baseline to the Mean of Weeks 2, 4, and 6 in the JNT-517 150 mg BID Dose Group at End of Period 1
Time frame: Baseline to End of Period 1 (Week 6)
Percentage of Participants Achieving Plasma Phe <600 Micromoles per Liter (µmol/L) at End of Period 1 Among Participants With Baseline ≥600 µmol/L in the 150 mg BID and 75 mg BID Groups
Time frame: Baseline to End of Period 1 (Week 6)
Percentage of Participants Achieving Plasma Phe <360 µmol/L at End of Period 1 in the 150 mg BID and 75 mg BID Groups
Time frame: Baseline to End of Period 1 (Week 6)
Absolute Change in Plasma Phe From Baseline to the Mean of Weeks 2, 4, and 6 in the JNT-517 75 mg BID Group at End of Period 1
Time frame: Baseline to End of Period 1 (Week 6)
Percent Change in Plasma Phe From Baseline to the Mean of Weeks 2, 4, and 6 in the JNT-517 75 mg BID Group at End of Period 1
Time frame: Baseline to End of Period 1 (Week 6)
Change From Baseline in ADHD Rating Scale-5 (ADHD-RS-5) Inattentive Subscore in Participants With Baseline Inattentive Subscore >9 in the JNT-517 150 mg BID and 75 mg BID dose Groups at End of Period 1
The ADHD Rating Scale-5 (ADHD-RS-5) Inattentive Subscore (sum of 9 inattentive items) ranges from 0 to 27, with higher scores indicating greater severity of inattentive symptoms. A decrease in the subscore represents an improvement in symptoms.
Time frame: Baseline to End of Period 1 (Week 6)
Change From Baseline in Dietary Phe Intake While Achieving Plasma Phe <360 µmol/L
Time frame: Baseline to End of Period 1 (Week 6)
Number of Participants With Treatment-Emergent Adverse Events and Serious Treatment-Emergent Adverse Events
Time frame: From first dose of the study drug through Week 56
Percentage of Participants With ≥30% and ≥50% Reduction From Baseline in Plasma Phe at Week 6
Time frame: Baseline to End of Period 1 (Week 6)
Percentage of Participants Achieving Plasma Phe <120 µmol/L at End of Period 1 in the 150 mg BID and 75 mg BID Groups
Time frame: End of Period 1 (Week 6)
Absolute Change in Plasma Phe From Baseline to Weeks 2, 4, and 6 of Period 1 in the JNT-517 150 mg BID and 75 mg BID Groups
Time frame: Baseline to End of Period 1 (Week 6)
Percent Change in Plasma Phe From Baseline to Weeks 2, 4, and 6 of Period 1 in the JNT-517 150 mg BID and 75 mg BID Groups
Time frame: Baseline to End of Period 1 (Week 6)
Percentage of Participants Achieving Plasma Phe <600 µmol/L Among Participants With Baseline ≥600 µmol/L in the JNT-517 150 mg BID and 75 mg BID Dose Groups at the End of Period 2
Time frame: Baseline to End of Period 2 (Week 52)
Percentage of Participants Achieving Plasma Phe <360 µmol/L in the JNT-517 150 mg BID and 75 mg BID Dose Groups at the End of Period 2
Time frame: End of Period 2 (Week 52)
Percentage of Participants Achieving Plasma Phe <120 µmol/L in the JNT-517 150 mg BID and 75 mg BID Dose Groups at the End of Period 2
Time frame: End of Period 2 (Week 52)
Absolute Change From Baseline in Plasma Phe in the JNT-517 75 mg BID and 150 mg BID Dose Groups During Period 2
Time frame: Baseline to End of Period 2 (Week 52)
Percent Change From Baseline in Plasma Phe in the JNT-517 75 mg BID and 150 mg BID Dose Groups During Period 2
Time frame: Baseline to End of Period 2 (Week 52)
Percentage of Participants With ≥30% and ≥50% Reduction From Baseline in Plasma Phe During Period 2
Time frame: Baseline to End of Period 2 (Week 52)
Change From Baseline in Cambridge Neuropsychological Test Automated Battery (CANTAB) Stop Signal Reaction Time at End of Period 1
The CANTAB Stop Signal Task measures response inhibition. Stop Signal Reaction Time (SSRT) reflects the time required to inhibit a response, with longer times indicating poorer inhibitory control. A decrease from baseline indicates improvement.
Time frame: Baseline to End of Period 1 (Week 6)
Change From Baseline in CANTAB Stop Signal Reaction Time During Period 2
The CANTAB Stop Signal Task measures response inhibition. SSRT reflects the time required to inhibit a response, with longer times indicating poorer inhibitory control. A decrease from baseline indicates improvement.
Time frame: Baseline to End of Period 2 (Week 52)
Change From Baseline in ADHD Rating Scale-5 (ADHD-RS-5) Inattentive Subscore in Participants with Baseline Inattentive Subscore >9 in the JNT-517 150 mg BID and 75 mg BID Dose Groups During Period 2
The ADHD Rating Scale-5 (ADHD-RS-5) Inattentive Subscore (sum of 9 inattentive items) ranges from 0 to 27, with higher scores indicating greater severity of inattentive symptoms. A decrease in the subscore represents an improvement in symptoms.
Time frame: Baseline to End of Period 2 (Week 52)
Change From Baseline in Dietary Protein Intake While Maintaining Plasma Phe <360 µmol/L
Time frame: Baseline to End of Period 2 (Week 52)
Percentage of Participants Achieving Recommended Dietary Allowance (RDA) for Natural Intact Protein Intake While Maintaining Plasma Phenylalanine <360 µmol/L
Time frame: End of Period 2 (Week 52)
Percentage of Participants Achieving Two Times the RDA for Natural Intact Protein Intake Consistent With an Unrestricted Diet While Maintaining Plasma Phenylalanine <360 µmol/L
Time frame: End of Period 2 (Week 52)
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Oregon Health and Science University
Portland, Oregon, United States
RECRUITINGUniversity of Pittsburgh Medical Center (UPMC) - Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, United States
RECRUITINGVanderbilt University Medical Center
Nashville, Tennessee, United States
RECRUITINGUniversity of Texas Southwestern
Dallas, Texas, United States
RECRUITINGUniversity of Texas Health (UTHealth) Science Center at Houston
Houston, Texas, United States
RECRUITINGUtah Health - The University of Utah Hospital
Salt Lake City, Utah, United States
RECRUITING...and 16 more locations