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Completed

NCT Number: NCT03777826

Effects of Synergy on Nutrient Intake and Acceptability in Phenylketonuria (PKU)

Phenylketonuria (PKU) is a rare inherited metabolic disorder, where subjects are born with a genetic deficiency in the phenylalanine hydroxylase enzyme (PAH), which leaves them unable to convert Phenylalanine (Phe) into Tyrosine (Tyr). Patients with mild PKU or partly responsive to the drug synthetic tetrahydrobiopterin (BH4) (Kuvan®) can change to a more relaxed diet. However due to difficulty to adapt their diet, these patients are at risk of an imbalanced nutritional status and an insufficient intake of specific micronutrients, essential amino acids and DHA (Docosahexaenoic acid). The study product is designed to improve the nutritional status of the patients.

The study investigates if the nutritional status is indeed improved following 24 week use of the study product, and also the study aims to evaluate product acceptability.

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Key information

Age range

12 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University hospital Leipzig, Leipzig, Germany

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • PKU subjects identified by newborn screening and started low-Phe diet before 3 months of age
  • PKU subjects (with or without current AAM use) with an increased Phe-tolerance/intake due to:
  • Mild PKU phenotype
  • BH4 treatment
  • If treated with BH4, PKU subjects should be on a stable BH4 treatment for at least 26 consecutive weeks up to start test product intake
  • Age≥12 years
  • If subjects (irrespective whether BH4 users or mild PKU) use amino-acid mixture(s; AAM), then a maximum of 25 Protein Equivalents (PE) derived from the AAM per day applies and usage on a daily basis for at least 26 consecutive weeks up to Visit 1
  • If subjects (irrespective whether BH4 users or mild PKU) use AAMs they should be capable and willing to substitute their current AAM(s; maximum of 25 PE per day) with one portion of the test product per day
  • If subjects (irrespective whether BH4 users or mild PKU) use omega-3, antioxidant, and/or vitamin supplements, to stop usage of the supplements and be able and willing to substitute with the test product
  • Willing and able to comply with study procedures
  • Willing and able to provide informed consent (and assent in case of minors if required by local law/regulations)
  • For women of childbearing potential: not to have the intention to become pregnant during the study

Exclusion criteria

  • For women: Currently pregnant or lactating
  • Current or prior use of the test product within six weeks prior to entry into the study
  • Concurrent conditions (including renal failure and severe hepatic failure) and medication that could interfere with participation, outcome parameters or safety (as determined by Investigator)
  • Psychotropic medication (i.e. medication affecting the nervous system) and inotropic medication
  • Any condition creating high risk of poor compliance with study
  • Participation in any other studies involving investigational or marketed products concomitantly or within six weeks prior to entry into the study. Except for studies related to Kuvan® (synthetic tetrahydrobiopterin (BH4)) without diagnostic, therapeutic or experimental intervention.

Treatment and study plan

PKU Synergy

Other

PKU Synergy is a citrus flavored, powdered amino-acid mixture (containing traces of Phe, 4,3mg per portion; and 20 gr. Protein Equivalent (PE)) with a tailored amino acid and micronutrient profile adapted for the special requirements of HPA/PKU (Hyperphenylalaninemia/Phenylketonuria) subjects over 10 years of age with an increased Phenylalanine-(Phe) tolerance/intake.

Primary outcomes

  1. Nutrient intake

    Time frame: 24 weeks

    Change in nutrient intake after 24 weeks by analysis of 3 day diet diary. Nutrients (energy, micronutrients, essential amino acids and DHA) in [(m)/(micro)gram/day] or [mg/day or mg/kg/day]

  2. Product acceptability

    Time frame: 24 weeks

    Product acceptability questionnaire [category/score] [0-10] and [0-5]

Secondary outcomes

  1. Compliance

    Time frame: 24 weeks

    Compliance (product consumption) using daily product intake diary [number of products used per week; per sachet of 33g]

  2. Phenylalanine (Phe) levels

    Time frame: 24 weeks

    Dried bloodspot Phenylalanine (Phe) levels [µmol/L]

  3. Blood chemistry: nutritional status

    Time frame: 24 weeks

    Blood chemistry: levels measured in blood: Full Fatty acid profile [For each FA Erythrocyte Membranes level (%FA)], full Amino acid profile [µmol/L], Vitamin B12 [pM], Vitamin D [ng/ml /nmol/L]; Folic acid [nM]; Selenium [µM]; Iodine [µg/L/ ng/mL]; Calcium [mg/dL]; Zinc [µmol/L]; Iron [µg/L] analyzed in blood samples by central laboratories

  4. Anthropometrics: weight

    Time frame: 24 weeks

    Anthropometrics: Weight [kg]

  5. Anthropometrics: height

    Time frame: 24 weeks

    Anthropometrics: Height [cm or m]

  6. Anthropometrics: BMI

    Time frame: 24 weeks

    Anthropometrics: BMI [kg/m2], calculated from weight/height

Other outcomes

  1. Safety Parameters (Incidence, frequency, seriousness, severity and relatedness of (Serious) Adverse Events)

    Time frame: 24 weeks

    Incidence, frequency, seriousness, severity and relatedness of (Serious) Adverse Events

  2. Tolerance (Standard gastrointestinal questionnaire reporting)

    Time frame: 24 weeks

    Tolerance: Standard gastrointestinal questionnaire reporting of diarrhea constipation, abdominal distension, nausea, vomiting, burping, flatulence, regurgitation, and colic/cramps (0, 1, 12 and 24 weeks) [absent, mild, moderate, severe]

  3. Subject characteristics

    Time frame: week 0

    • Age [years]
    • Sex [male/female]
    • Country [Germany/Netherlands]
  4. Phe tolerance level and/or range

    Time frame: week 0

    [mg Phe/day]

  5. PKU phenotype

    Time frame: week 0

    Recording of PKU (Phenylketonuria) genotype from medical history [hyperphenylalaninemia (HPA) or mild/moderate/classic PKU]

Sponsors and collaborators

Lead sponsor

Nutricia Research

Industry

Registry information

Official study title

An Open-label, Explorative, Post Launch, Multicenter, Multi-country Intervention Study of PKU Synergy (an Amino-acid Mixture) to Evaluate Change in Nutrient Intake in PKU Subjects With an Increased Phe-tolerance/Intake

Acronym: ESSENTIAL

Important dates

Study start
2019
Primary completion
2021
Study completion
2021
First posted
Dec 17, 2018
Registry last updated
Dec 9, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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