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Completed

NCT Number: NCT05781399

First-in-Human, Multiple Part Clinical Study of JNT-517 in Healthy Participants and in Participants With Phenylketonuria

The goal of Parts A and B of this Phase 1/2, first-in-human, randomized study is to assess the safety, tolerability, and pharmacokinetics (PK) of single (SAD) and multiple (MAD) ascending doses of oral JNT-517 in healthy participants. In Part C, the goal is to evaluate the differences in bioavailability between a tablet and suspension formulation of JNT-517 and the food effect in healthy volunteers. All participants in Part C will receive JNT-517. The goal of Part D is to assess the safety, tolerability, PK, and effect on urinary Phe and other amino acids of JNT-517 in participants with phenylketonuria (PKU). Participants in Part D will receive either JNT-517 or placebo and will be blinded to their treatment assignment.

The study consists of 6 parts:

* Part A: SAD in healthy participants -randomized, double-blind, placebo-controlled * Part B: MAD in healthy participants (14 days)-randomized, double-blind, placebo-controlled * Part C: Relative bioavailability of 2 formulations and food effect in healthy participants-randomized, open-label * Part D: Phase 2 in participants with PKU (4 weeks)-randomized, double-blind, placebo-controlled * Part E: Phase 2 in participants with PKU (4 weeks) open label * Part F: SAD Phase 1 in healthy participants, randomized, double-blind, placebo-controlled

In each part, participants will complete a Screening Period, a Treatment Period, and a Follow-up Period for safety.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Nucleus Network Melbourne, Melbourne, Melbourne VIC, Australia

Loading trial locations.

Who can participate

Healthy volunteers accepted: Yes

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

Key Inclusion Criteria:

Parts A, B, C, and F:

  • Males and females 18 to 55 years of age.
  • Medically healthy with no clinically significant medical history.
  • Body mass index (BMI) of 18-40 kg/m2 and total body weight >50 kg (110 lbs).
  • Non-smoker for at least 2 weeks prior to dosing and willing to abstain during the study.

Part D and E:

  • Males and females 18 to 65 years of age, inclusive.
  • Diagnosis of PKU with a confirmed genotype.
  • At least 2 plasma Phe levels >600 μM over the past 12 months.
  • BMI of 18-40 kg/m2.

All Parts:

  • Females of childbearing potential must agree to use 2 highly effective contraceptive methods.
  • Capable of giving signed informed consent and able to comply with study procedures.

Key Exclusion Criteria:

All Parts:

  • Any acute or chronic medical condition that would prevent the participant from complying with the procedures or place the participant at risk if they participate in the study.
  • Positive for hepatitis B or C or human immunodeficiency virus.
  • Any history of malignancy in the last 5 years, excluding non-melanoma skin cancer.
  • Any history of liver disease.
  • Any surgical or medical conditions that may affect study drug absorption, distribution, metabolism, or excretion.
  • Participation in another investigational drug trial within 30 days or, if known, 5 half-lives of the investigational drug (whichever is longer).
  • History of drug/alcohol abuse in the last year.
  • Current, recent, or suspected infection within 4 weeks of Screening of SARS-CoV-2/COVID-19.
  • Received a vaccine for SARS-CoV-2/COVID-19 within 14 days of Screening.
  • Unable to tolerate oral medication.
  • Allergy to JNT-517 or any component of the investigational product.
  • Received >50 mL of blood or plasma within 30 days of Screening or >500 mL of blood or plasma within 60 days of Screening.

Treatment and study plan

JNT-517 Suspension

Drug

JNT-517 in on-site compounded suspension

Placebo Suspension

Drug

On-site compounded placebo suspension

JNT-517 Tablet

Drug

JNT-517 tablets, 25 mg and 75 mg

Placebo Tablet

Drug

Matching film-coated placebo tablet

Primary outcomes

  1. Number of participants with treatment-emergent adverse events

    Time frame: Parts A/C/F: Screening to Day 8; Part B: Screening to Day 21; Part D/E: Screening to Day 35

    Reported based on results of 12-lead ECGs, vital signs, clinical laboratory tests, and other medical assessments.

Secondary outcomes

  1. Plasma area under the concentration-time curve (AUC) of JNT-517

    Time frame: Parts A/C/F: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D/E: pre-dose to 4 hrs post-dose on Days 1, 14, 28

  2. Maximum observed plasma concentration (Cmax) of JNT-517

    Time frame: Parts A/C/F: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D/E: pre-dose to 4 hrs post-dose on Days 1, 14, 28

  3. Time to maximum plasma concentration (Tmax) of JNT-517

    Time frame: Parts A/C/F: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D/E: pre-dose to 4 hrs post-dose on Days 1, 14, 28

  4. Plasma terminal half-life (t1/2) of JNT-517

    Time frame: Parts A/C/F: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D/E: pre-dose to 4 hrs post-dose on Days 1, 14, 28

  5. Comparison of Tmax of JNT-517 in fed and fasted states

    Time frame: Pre-dose to 72 hrs post-dose on Day 1

    Part C only

  6. Comparison of Cmax of JNT-517 in fed and fasted states

    Time frame: Pre-dose to 72 hrs post-dose on Day 1

    Part C only

  7. Comparison of AUC of JNT-517 in fed and fasted states

    Time frame: Pre-dose to 72 hrs post-dose on Day 1

    Part C only

  8. Changes in urinary amino acid levels

    Time frame: Screening and Days 1, 7, 14, 21, 28

    Part D/E only. Urine samples will be collected at the indicated timepoints and analyzed for amino acid levels, including Phe.

Sponsors and collaborators

Lead sponsor

Otsuka Pharmaceutical Development & Commercialization, Inc.

Industry

Registry information

Official study title

A Phase 1/2, First-In-Human, Multiple Part, Single Ascending and Multiple Dose Study of JNT-517 in Healthy Participants and in Participants With Phenylketonuria

Important dates

Study start
2022
Primary completion
2025
Study completion
2025
First posted
Mar 23, 2023
Registry last updated
Jul 16, 2026

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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