Effects of short-term phenylalanine increases on brain and thinking in adult PKU carriers
Official title: The Impact of Phenylalanine Elevations on Metabolic, Cognitive, and Neural Functioning in Adults Heterozygous for Phenylketonuria (PKU)
Run by University of Missouri-Columbia · NCT07220265 · Data updated 2026-11-12
This research will test whether taking a dose of phenylalanine raises brain Phe, changes brain activity on MRI, and temporarily affects thinking in adults who carry the PKU gene compared with non-carriers.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 60 Years |
| Sex | All |
| Enrollment | 36 (estimated) |
| Sponsor | University of Missouri-Columbia Academic / other |
| Locations | 1 site (Columbia, Missouri) |
| Status | Recruiting |
| Started | December 19, 2025 |
| Main results expected | March 1, 2027 |
| Study ends | March 1, 2027 |
| Registry record updated | October 22, 2026 |
| Trial ID | NCT07220265 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–60 who are genetically confirmed PKU carriers (or healthy non-carrier volunteers without a family history of PKU), medically stable, and eligible for MRI are ideal candidates.
✕Probably not a fit
People with major neurologic disorders, BMI over 30, positive nicotine tests, pregnancy or MRI contraindications, or inability to complete repeated in-person MRI sessions are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a double-blind, crossover study enrolling 18 genetically confirmed heterozygous PKU carriers and 18 non-carrier controls who each receive an oral phenylalanine dose and a placebo on separate visits. At each visit participants complete baseline, 2-hour, and 4-hour assessments including blood tests, MRI scans (resting-state and fMRI n-back working memory task), and a battery of cognitive tests. Brain and blood levels of phenylalanine and tyrosine will be measured at each timepoint to compare time courses between carriers and non-carriers. The repeated-measures design and genetic confirmation aim to detect acute neurophysiologic and cognitive effects of dietary Phe with higher rigor than prior work.
Why it matters
Potential benefit: If successful, the results could clarify whether PKU carriers experience short-term brain or cognitive changes after phenylalanine intake and help shape dietary guidance or monitoring for carriers.
How similar studies have gone: Prior smaller or methodologically limited studies have suggested possible subtle cognitive differences in PKU carriers, but robust, genetically confirmed crossover imaging data are limited, making this approach relatively novel and more rigorous.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18-60 years * For the PKU carrier group: Individuals who are the parent of an individual with PKU or who are otherwise have confirmed PKU carrier status (e.g., a sibling of someone with PKU who has had genetic testing done) * For the non-carrier group: Individuals who do not have PKU or a family history of PKU Exclusion Criteria: * Obesity as defined by a body mass index (BMI) over 30\* * Taking oral contraceptives on the day of testing session\* * Positive cotinine urine test showing nicotine use * History of major neurologic condition (e.g., multiple sclerosis, severe closed head injury, Parkinson's disease)) unrelated to PKU and known to adversely impact brain health and function * Contraindications for safe MRI participation such as (a) pregnancy or plans to become pregnant during period of study enrollment; or (b) metallic objects inside the body (e.g., surgical staples left in the body following surgery, middle ear prosthesis, metal foreign objects lodged inside the eye, heart pacemakers).
Where it's running
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University of Missouri-Columbia
Columbia, Missouri, United States Recruiting
Study contacts
- Study coordinator: Shawn Christ
- Email: christse@missouri.edu
- Phone: 573-884-8140
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.