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Completed

NCT Number: NCT06119048

Phe for Me? The Effects of L-Phe on PKU Carriers and Non-carriers

This is a clinical intervention study of PKU carriers (cases) and non-carriers (controls). Upon completing the informed consent process, participants will complete baseline measures of chronic mental health prior to the intervention (PHQ-9, GAD-7, BIS-11). Participants will attend the Human Nutraceutical Research Unit (HNRU) at the University of Guelph, fasted, and first undergo baseline measures of cognition and acute mental health (mood) and provide samples or saliva, urine and dried blood spots to evaluate phenylalanine (Phe), tyrosine (Tyr) and their metabolites (PAH pathway functioning) as well as for genetic testing of the PAH gene. Participants will also complete a brief questionnaire which will include age, sex, ethnicity, income, weight and height (measured using a stadiometer and calibrated weigh scale), and confirmation that participants arrived to the lab fasted (i.e. have only had water to drink and no other foods/ beverages prior to analyses). Blood pressure and heart rate will also be measured at baseline.

Following baseline tests, participants will consume a pure L-Phe supplement dosed at 100 mg/kg mixed with 125 mL of water and 125mL of orange juice. Blood pressure and heart rate will be repeated at 1-hour post-L-Phe consumption. Two-hours postprandial, participants will repeat the cognitive tests and acute mental health (mood) assessment, blood pressure and heart rate measurement and provide follow-up saliva, urine and dried blood spot samples. Participants will also be asked to report any side effects they experienced with the L-Phe consumption.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Guelph

Guelph, Ontario, N1G 2W1, Canada

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Carrier or non-carrier of PKU
  • At least 18 Years of age
  • Comfortable fasting the morning of the study (no food or drink other than water)

Exclusion criteria

  • Diagnosed with: PKU, severe neurodegenerative conditions affecting cognition (e.g. Alzheimer's, Parkinson's, dementia), melanoma, hypertension, liver disease and/or kidney disease
  • Diagnosed with hypertension or hypotension
  • Taking a monoamine oxidase inhibitor anti-depressant
  • Pregnant or breastfeeding
  • Orange/citrus allergy or intolerance
  • Body weight 150 kg or greater
  • History of fainting during blood sampling

Treatment and study plan

L-Phenylalanine

Dietary Supplement

100 mg/kg

Primary outcomes

  1. Stop Signal Reaction Time

    Time frame: Change from baseline to 2-hours post L-Phe supplementation

    Response Inhibition

Secondary outcomes

  1. Working Memory

    Time frame: Change from baseline to 2-hours post L-Phe supplementation

    N-Back Test Outcome

  2. Individual Coefficient of Variance (Variability in Reaction Time)

    Time frame: Change from baseline to 2-hours post L-Phe supplementation

    Stop Signal Task Outcome

  3. Phenylalanine Levels

    Time frame: Change from baseline to 2-hours post L-Phe supplementation

    Blood, saliva and urine sample analyses

  4. Tyrosine Levels

    Time frame: Change from baseline to 2-hours post L-Phe supplementation

    Blood, saliva and urine sample analyses

  5. Phenylalanine Metabolites

    Time frame: Change from baseline to 2-hours post L-Phe supplementation

    e.g. phenylethylamine, tyramine, phenylpyruvate, others

  6. Tyrosine Metabolites

    Time frame: Change from baseline to 2-hours post L-Phe supplementation

    e.g. L-DOPA, dopamine, norepinephrine, epinephrine, p-hydroxyphenylpyruvate, homogentisic acid, fumarate, others

  7. Mood

    Time frame: Change from baseline to 2-hours post L-Phe supplementation

    Profile of Mood State (POMS) Outcome

  8. Blood Pressure

    Time frame: Change from baseline to 1-hour and 2-hours post L-Phe supplementation

    Systolic and Diastolic

  9. Heart rate

    Time frame: Change from baseline to 1-hour and 2-hours post L-Phe supplementation

    BPM

  10. Side Effects Following L-Phe Consumption

    Time frame: 0-3 hours post L-Phe consumption

    To be monitored throughout the visit to the research unit

Other outcomes

  1. Chronic Anxiety

    Time frame: Baseline

    GAD-7 Outcome (higher scores indicate worse anxiety: range of 0 to >15)

  2. Chronic Depression

    Time frame: Baseline

    PHQ-9 Outcome (higher scores indicate worse depression: range of 0 to 27)

  3. Impulsivity

    Time frame: Baseline

    BIS-11 Outcome (higher scores indicate more impulsivity: range 30 to 120)

  4. Trial-by-Trial Analysis

    Time frame: Change from baseline to 2-hours post L-Phe supplementation

    to be conducted if there are significant findings from the four main stop signal task outcomes

Sponsors and collaborators

Lead sponsor

University of Guelph

Other

Collaborators

  • Laval University
  • McMaster University

Registry information

Official study title

Phe for Me? A Precision Nutrition Clinical Trial of Metabolic, Cardiovascular, and Neurocognitive Responses to Phenylalanine Among Carriers and Non-carriers of PKU

Acronym: Phe for Me

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Nov 7, 2023
Registry last updated
May 4, 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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