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Trial · NCT00355264

Safety and Efficacy Study of Phenoptin in Subjects With Hyperphenylalaninemia Due to BH4 Deficiency

NCT00355264, Phase 2, Completed, BioMarin Pharmaceutical; results first posted 2020-09-25

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety and Efficacy Study of Phenoptin in Subjects With Hyperphenylalaninemia Due to BH4 Deficiency. Trials, record NCT00355264. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00355264

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Safety and Efficacy Study of Phenoptin in Subjects With Hyperphenylalaninemia Due to BH4 Deficiency
NCT number
NCT00355264
Status
Completed
Phases
Phase 2
Enrollment
12 participants, actual
Lead sponsor
BioMarin Pharmaceutical
Conditions
Tetrahydrobiopterin Deficiencies, Hyperphenylalaninemia, Non-Phenylketonuric
Interventions
Phenoptin
First posted
2006-07-21
Last updated
2020-09-25
Results first posted
2020-09-25
Limitations and caveats
Due to the small sample size in this study, a single patient AE exceeded the 5% maximum AE reporting threshold. Many of these manifestations are due to primary BH4 deficiency disease and the associated inadequate neurotransmitters.

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryBlood Phenylalanine(Phe) Levels Measured at Specified TimepointsAt Baseline, Week 4 through Extension Week 130Baseline blood phenylalanine(Phe) value is the latest measurement taken prior to initiation of Phenoptin treatment. The ideal range for blood Phe levels is approximately 120-360 µmol/L.
PrimaryPercentage of Subjects With Blood Phenylalanine (Last Observation Carried Forward) < 360 μmol/LAt Baseline, Week 4 through Extension Week 130
Baseline blood phenylalanine(Phe) value is the latest measurement taken prior to initiation of Phenoptin treatment. The objective of this outcome was to compare to Phe levels achieved using previous treatment regimens.
SecondarySubjects Experiencing Adverse Events(AEs)Up to 35 Months
Intensity was determined by the Investigator. For symptomatic AEs the following definitions were applied. Mild = AE did not limit usual activities. Moderate = AE resulted in some limitation of usual activities. Severe = AE resulted in an inability to carry out usual activities. A treatment-emergent Adverse Events (TEAE) is any Adverse Events that newly appeared, increased in frequency or worsened in severity following initiation of study drug administration. Serious AE (SAE) resulted in death, was life-threatening, required in patient hospitalization or prolongation of an existing hospitalization, resulted in persistent or significant disability or incapacity, is a congenital anomaly or birth defect; or was an important medical event.
OtherAEs Consistent With Signs and/or Symptoms of BH4 DeficiencyUp to 35 months
Attention was paid to AEs that may be consistent with signs and/or symptoms associated with primary BH4 deficiency to determine if such signs and symptoms arose or increased in severity or frequency during the study. These included prematurity and low birth weight, inability to control body temperature, low muscle tone, decreased spontaneous movements, poor sucking, movement disorders, difficulty swallowing, hypersalivation, seizures or convulsions, behavioral problems, developmental delay, and mental retardation.

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYBlood Phenylalanine(Phe) Levels Measured at Specified TimepointsAt Baseline, Week 4 through Extension Week 130Efficacy analysis population are the subjects received at least 1 dose of Phenoptin and has at least 1 post-treatment measurement of blood Phe.μmol/LMEAN
PRIMARYPercentage of Subjects With Blood Phenylalanine (Last Observation Carried Forward) < 360 μmol/LAt Baseline, Week 4 through Extension Week 130Efficacy analysis population are the subjects received at least 1 dose of Phenoptin and has at least 1 post-treatment measurement of blood Phe.percentage of participantsNUMBER
SECONDARYSubjects Experiencing Adverse Events(AEs)Up to 35 MonthsparticipantsNUMBER
OTHER_PRE_SPECIFIEDAEs Consistent With Signs and/or Symptoms of BH4 DeficiencyUp to 35 months
AEs that are signs and symptoms of BH4 deficiency were reported for 3 subjects: One SAE of mild dyskinesia (required hospitalization) in one subject; events of severe dystonia and moderate Dyskinesia in one subject; and one event of mild vertigo in one subject. All events resolved and were considered unrelated to Phenoptin except mild vertigo.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group72

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Blood Phenylalanine(Phe) Levels Measured at Specified TimepointsAll SubjectsBaseline132.9Standard Deviation 134.7μmol/L
Blood Phenylalanine(Phe) Levels Measured at Specified TimepointsSubgroup: Subjects With Synthesis Enzymatic DefectBaseline72.2Standard Deviation 13.4μmol/L
Blood Phenylalanine(Phe) Levels Measured at Specified TimepointsSubgroup: Subjects With Recycling Enzyme DefectBaseline315.0Standard Deviation 180.9μmol/L
Blood Phenylalanine(Phe) Levels Measured at Specified TimepointsAll SubjectsPart 2: Week 4104.1Standard Deviation 66.7μmol/L
Blood Phenylalanine(Phe) Levels Measured at Specified TimepointsSubgroup: Subjects With Synthesis Enzymatic DefectPart 2: Week 478.2Standard Deviation 28.4μmol/L
Blood Phenylalanine(Phe) Levels Measured at Specified TimepointsSubgroup: Subjects With Recycling Enzyme DefectPart 2: Week 4181.7Standard Deviation 96.1μmol/L
Blood Phenylalanine(Phe) Levels Measured at Specified TimepointsAll SubjectsPart 2: Week 6120.8Standard Deviation 119.0μmol/L
Blood Phenylalanine(Phe) Levels Measured at Specified TimepointsSubgroup: Subjects With Synthesis Enzymatic DefectPart 2: Week 670.2Standard Deviation 17.2μmol/L
Blood Phenylalanine(Phe) Levels Measured at Specified TimepointsSubgroup: Subjects With Recycling Enzyme DefectPart 2: Week 6272.7Standard Deviation 175.1μmol/L
Blood Phenylalanine(Phe) Levels Measured at Specified TimepointsAll SubjectsPart 2: Week 8112.3Standard Deviation 106.8μmol/L

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Part 1 (2 Weeks)STARTEDPhenoptin12
Part 1 (2 Weeks)COMPLETEDPhenoptin12
Part 1 (2 Weeks)NOT COMPLETEDPhenoptin0
Part 2 (8 Weeks)STARTEDPhenoptin12
Part 2 (8 Weeks)COMPLETEDPhenoptin12
Part 2 (8 Weeks)NOT COMPLETEDPhenoptin0
Part 3 (7 Weeks of Extension)STARTEDPhenoptin2
Part 3 (7 Weeks of Extension)COMPLETEDPhenoptin2
Part 3 (7 Weeks of Extension)NOT COMPLETEDPhenoptin0
Extension (Variable Duration)STARTEDPhenoptin12

Adverse events77

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNeutropeniaBlood and lymphatic system disordersPhenoptin112
otherVertigoEar and labyrinth disordersPhenoptin112
otherAbdominal pain upperGastrointestinal disordersPhenoptin212
otherConstipationGastrointestinal disordersPhenoptin112
otherDiarrhoeaGastrointestinal disordersPhenoptin712
otherDyspepsiaGastrointestinal disordersPhenoptin112
otherNauseaGastrointestinal disordersPhenoptin112
otherVomitingGastrointestinal disordersPhenoptin412
otherFatigueGeneral disordersPhenoptin212
otherIrritabilityGeneral disordersPhenoptin112

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPhenoptin012
Total, other adverse eventsPhenoptin1212
Total, serious adverse eventsPhenoptin212

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00355264

GET https://conductscience.org/api/trials/v1/NCT00355264/results?page=2