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RECRUITINGPhase 3INTERVENTIONAL

A Study to Evaluate the Safety and Efficacy of JNT-517 in Participants With Phenylketonuria (PKU)

A Phase 3, Double-Blind, Randomized, Two-Period, Multicenter, Placebo-Controlled, Efficacy and Safety Study of JNT-517 for the Treatment of Participants With Phenylketonuria

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

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

Who May Be Eligible (Plain English)

Who May Qualify: 1. Males and females ≥18 years of age on Day 1 2. Clinical diagnosis of PKU 3. Average of at least 3 plasma Phe levels (after \>4-hour fast) during Screening period of ≥360 μmol/L 4. Not on pegvaliase within 4 weeks prior to Screening 5. If on sapropterin or large neutral amino acids, such as PheBloc®, NeoPhe®, and PreKunil® at Screening, must be on a stable dose 4 weeks prior to Screening and for the entire study duration. 6. Willing and able to maintain a stable diet in Phe and total protein (intact protein and medical food protein) and able to adjust diet through the duration of the study according to the Dietary Management Guidelines 7. Body weight \>45 kg 8. If biologically female of childbearing potential: 1. Must have a negative serum pregnancy test at Screening and a negative urine pregnancy test by Day 1 2. Must practice sexual abstinence, or if involved in any sexual intercourse that could lead to pregnancy, must agree to use 2 highly effective contraceptive methods from Screening until at least 30 days after the last study drug administration 3. If taking estrogen- or progesterone-based oral contraceptives, must agree to use 2 other highly effective methods of contraception or must agree to sexual abstinence during the study 4. Must refrain from donating ova during the course of the study and for 30 days after the last dose of the study drug. 9. If a biologically female not of childbearing potential or postmenopausal, defined as follows: 1. Has had surgical sterilization (hysterectomy, bilateral oophorectomy, or bilateral salpingectomy) 2. Has had amenorrhea for minimum of 1 year with confirmation by levels of follicle stimulating hormone testing 3. Has not achieved menarche (has not had first menstrual period). If a female achieves menarche during the study, she will need to follow the contraception requirement for females of childbearing potential ...See full criteria on ClinicalTrials.gov Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: 1. Males and females ≥18 years of age on Day 1 2. Clinical diagnosis of PKU 3. Average of at least 3 plasma Phe levels (after \>4-hour fast) during Screening period of ≥360 μmol/L 4. Not on pegvaliase within 4 weeks prior to Screening 5. If on sapropterin or large neutral amino acids, such as PheBloc®, NeoPhe®, and PreKunil® at Screening, must be on a stable dose 4 weeks prior to Screening and for the entire study duration. 6. Willing and able to maintain a stable diet in Phe and total protein (intact protein and medical food protein) and able to adjust diet through the duration of the study according to the Dietary Management Guidelines 7. Body weight \>45 kg 8. If biologically female of childbearing potential: 1. Must have a negative serum pregnancy test at Screening and a negative urine pregnancy test by Day 1 2. Must practice sexual abstinence, or if involved in any sexual intercourse that could lead to pregnancy, must agree to use 2 highly effective contraceptive methods from Screening until at least 30 days after the last study drug administration 3. If taking estrogen- or progesterone-based oral contraceptives, must agree to use 2 other highly effective methods of contraception or must agree to sexual abstinence during the study 4. Must refrain from donating ova during the course of the study and for 30 days after the last dose of the study drug. 9. If a biologically female not of childbearing potential or postmenopausal, defined as follows: 1. Has had surgical sterilization (hysterectomy, bilateral oophorectomy, or bilateral salpingectomy) 2. Has had amenorrhea for minimum of 1 year with confirmation by levels of follicle stimulating hormone testing 3. Has not achieved menarche (has not had first menstrual period). If a female achieves menarche during the study, she will need to follow the contraception requirement for females of childbearing potential 10. If biologically male, must practice sexual abstinence, or if involved in any sexual intercourse that could lead to pregnancy, must agree to use highly effective contraceptive methods from Day 1 until at least 30 days after the last study drug administration and must refrain from donating sperm during the course of the study and for 30 days after the last dose of the study drug NOTE: No restrictions are required for biological males who have undergone a documented vasectomy at least 4 months prior to Screening. If the vasectomy procedure is not documented or was performed less than 4 months prior to Screening, males must follow the same contraception as for non-vasectomized participants. 11. Participants with psychiatric illness must be well-controlled for the last 6 months prior to the Screening visit and if on medication, on stable medications for the last 3 months. 12. Capable of giving signed informed consent or parent/legal guardian to provide informed consent and the participant to give assent and confirm able to comply with study procedures Exclusion Criteria: * Exclusion Criteria Participants will be excluded from the study if any of the following criteria are met: 1. Any acute or uncontrolled 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 2. Positive for hepatitis B or C or human immunodeficiency virus 3. Any history of malignancy of any organ system (other than non-melanoma skin cancer or in situ cervical cancer), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases 4. Any history of significant liver disease 5. Any history of cataracts or more than minimal cataracts observed during the Screening ophthalmologic examination. Minimal cataracts are defined as changes similar to lens opacities classification system III (LOCS III), lens grade C1, N1 or P1 6. Any surgical or medical conditions that may affect study drug absorption, distribution, metabolism, or excretion 7. Estimated glomerular filtration rate (eGFR) \<60 mL/min/1.73 m2 by 2021 Chronic Kidney Disease Epidemiology Collaboration formula 8. Participation in another investigational drug trial within 30 days or, if known, 5 half-lives of the investigational drug (whichever is longer). For gene therapy or editing trials, participants must have received the intervention \>6 months prior to Screening visit and with stable plasma Phe in the past 2 months prior to Screening visit. 9. Alcohol consumption within 5 days of randomization and/or unwilling to limit to 1 alcoholic drink per day until after the 6-month study visit 10. History of drug/alcohol abuse in the last year 11. Use of any medications that are inhibitors or inducers of cytochrome P450 (CYP3A4) or inhibitors of the transporter P-glycoprotein (P-gp) within 4 weeks prior to randomization and unwilling and/or unable to avoid these medications throughout the treatment duration (Appendix A) 12. Use of any medications that are substrates of breast cancer resistance protein (BCRP), multidrug and toxin extrusion (MATE)1, or MATE2-K within 4 weeks prior to randomization and unwilling and/or unable to avoid these medications throughout the treatment duration (Appendix A) NOTE: Participants will be permitted to continue with estrogen- or progesterone-based oral contraceptives, but must agree to use 2 other methods of contraception, where at least 1 must be highly effective, or must agree to sexual abstinence during the study. 13. Current, recent, or suspected active viral or bacterial infection within 2 weeks prior to and during the Screening Period 14. Unable to tolerate oral medication or have a condition that would interfere with the absorption of JNT-517 15. Allergy to JNT-517 or any component of the investigational product 16. Any of the following laboratory values at the Screening visit: -Alanine aminotransferase or aspartate aminotransferase values \>1.5× the upper limit of normal (ULN)-Total bilirubin ˃ULN unless history of Gilbert Syndrome and then total bilirubin \>4 mg/dL is exclusionary-Hemoglobin \<11.0 g/dL (\<110.0 g/L)-White blood cell count \>ULN-Platelets \<150 × 109/L (\<150,000/mm3)

Treatments Being Tested

DRUG

JNT-517 Tablet

JNT-517: 75 mg BID

DRUG

JNT-517 Tablet

JNT-517: 150 mg BID

DRUG

Placebo Tablet: BID

Placebo Tablet: BID

Locations (20)

University of California Los Angeles (UCLA) School of Medicine
Los Angeles, California, United States
University of Florida (UF) Health Shands Hospital
Gainesville, Florida, United States
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
Oregon Health and Science University
Portland, Oregon, United States
University of Pittsburgh Medical Center (UPMC) - Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, United States
Vanderbilt University Medical Center
Nashville, Tennessee, United States
University of Texas Southwestern
Dallas, Texas, United States
University of Texas Health (UTHealth) Science Center at Houston
Houston, Texas, United States
Utah Health - The University of Utah Hospital
Salt Lake City, Utah, United States
Royal Adelaide Hospital
Adelaide, Australia
Royal Melbourne Hospital
Parkville, Australia
Mater Health - Mater Hospital Brisbane
South Brisbane, Australia
M.A.G.I.C Clinic
Calgary, Alberta, Canada
Fakultní nemocnice Královské Vinohrady
Prague, Czechia
Centre Hospitalier Régional Universitaire (CHRU) de Tours - Hôpital Bretonneau
Tours, France
Universitätsklinikum Münster
Münster, Germany
Nihon University Hospital
Chiyoda-ku, Japan
Fujita Health University
Kutsukake-cho, Japan
Osaka Metropolitan University Hospital
Osaka, Japan
Universitair Medisch Centra (AMC)- Amsterdam
Amsterdam, Netherlands