JNT-517 treatment for adults with phenylketonuria (PKU)
Official title: 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
Run by Otsuka Pharmaceutical Development & Commercialization, Inc. · NCT06971731 · Data updated 2026-11-12
This study will test whether taking JNT-517 pills twice daily lowers high blood phenylalanine and is safe for adults with PKU.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 4 Years and up |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | Otsuka Pharmaceutical Development & Commercialization, Inc. Industry-sponsored |
| Locations | 26 sites (Los Angeles, California and 25 other locations) |
| Status | Recruiting |
| Started | October 20, 2025 |
| Main results expected | March 1, 2028 |
| Study ends | April 1, 2028 |
| Registry record updated | October 21, 2026 |
| Trial ID | NCT06971731 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older with a clinical diagnosis of PKU and an average of at least three fasting plasma phenylalanine measurements ≥360 μmol/L who can maintain a stable Phe/protein diet and meet other medication stability requirements are the intended participants.
✕Probably not a fit
People with well-controlled phenylalanine levels below the eligibility threshold, pregnant individuals, those unable to maintain a stable diet, or those recently treated with pegvaliase are unlikely to be eligible or to benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3, randomized, double-blind study gives adults with PKU either JNT-517 or placebo for an initial ~6-week blinded period with about a 2 in 3 chance of receiving active drug. After that, participants who continue will receive one of two JNT-517 doses for an additional 46 weeks, and total participation can last up to ~400 days including screening. Dosing is oral JNT-517 75 mg or 150 mg twice daily (BID) or matching placebo, with clinic visits or mobile nurse home visits for monitoring, safety labs, and pharmacokinetic sampling. The study requires dietary stabilization and multiple fasting plasma phenylalanine measurements during screening to confirm eligibility and stable dietary intake.
Why it matters
Potential benefit: If successful, JNT-517 could lower blood phenylalanine levels and offer an additional oral treatment option that may reduce dietary burden and improve symptoms for adults with PKU.
How similar studies have gone: Other approved PKU therapies such as sapropterin and pegvaliase have shown benefit in subsets of patients, but oral small-molecule treatments like JNT-517 are a more novel approach with limited late‑stage data to date.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Male or female participants aged 4 years or older. 2. Diagnosed with phenylketonuria. 3. Have phenylalanine levels that meet study requirements. 4. Meet study-specific requirements regarding current treatment for phenylketonuria. 5. Willing and able to follow study dietary requirements. 6. Weigh at least 12.5 kilograms. 7. If able to become pregnant or father a child, willing to follow the study's contraception requirements. 8. Any ongoing mental health condition must be stable before entering the study. 9. Able to provide informed consent (or have consent provided by a parent or legal guardian, when applicable) and comply with study procedures. Exclusion Criteria: Participants will be excluded from the study if any of the following criteria are met: 1. Significant medical condition that, in the investigator's opinion, could make participation unsafe or interfere with study participation. 2. Significant liver disease or impaired kidney function. 3. Certain eye conditions, including significant cataracts. 4. Active infection requiring medical evaluation. 5. History of certain cancers within the past 5 years. 6. Allergy or hypersensitivity to JNT-517 or its ingredients. 7. Prior treatment with JNT-517. 8. Recent participation in another investigational study or receipt of an investigational treatment that does not meet study requirements. 9. Use of medications that are not permitted during the study. 10. Abnormal laboratory or heart test results that would make study participation inappropriate. 11. Conditions that could affect the absorption of oral study medication. 12. History of recent substance or alcohol abuse. 13. Unwillingness to follow study requirements, including restrictions on intentional weight loss.
Where it's running
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University of California Los Angeles (UCLA) School of Medicine
Los Angeles, California, United States Recruiting -
University of Florida (UF) Health Shands Hospital
Gainesville, Florida, United States Recruiting -
University of South Florida
Tampa, Florida, United States Recruiting -
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States Recruiting -
Oregon Health and Science University
Portland, Oregon, United States Recruiting -
University of Pittsburgh Medical Center (UPMC) - Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, United States Recruiting
Show 20 more locations
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Vanderbilt University Medical Center
Nashville, Tennessee, United States Recruiting -
University of Texas Southwestern
Dallas, Texas, United States Recruiting -
University of Texas Health (UTHealth) Science Center at Houston
Houston, Texas, United States Recruiting -
Utah Health - The University of Utah Hospital
Salt Lake City, Utah, United States Recruiting -
Royal Adelaide Hospital
Adelaide, Australia Recruiting -
Royal Melbourne Hospital
Parkville, Australia Recruiting -
Mater Health - Mater Hospital Brisbane
South Brisbane, Australia Recruiting -
M.A.G.I.C Clinic
Calgary, Alberta, Canada Recruiting -
Fakultní nemocnice Královské Vinohrady
Prague, Czechia Recruiting -
Centre Hospitalier Régional Universitaire (CHRU) de Tours - Hôpital Bretonneau
Tours, France Recruiting -
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz
Mainz, Germany Recruiting -
Universitätsklinikum Münster
Münster, Germany Recruiting -
Nihon University Hospital
Chiyoda-ku, Japan Recruiting -
Osaka Metropolitan University Hospital
Osaka, Japan Recruiting -
Fujita Health University
Toyoake, Japan Recruiting -
Universitair Medisch Centra (AMC)- Amsterdam
Amsterdam, Netherlands Recruiting -
Beatrix Children's Hospital
Groningen, Netherlands Recruiting -
Pomorski Uniwersytet Medyczny w Szczecinie
Szczecin, Poland Recruiting -
Hospital Universitario Ramón y Cajal
Madrid, Spain Recruiting -
Hospital Clinico Universitario de Santiago de Compostela
Santiago de Compostela, Spain Recruiting
Study contacts
- Study coordinator: Otsuka Call Center
- Email: Otsuka-ProfessionalServices@otsuka-us.com
- Phone: 844-687-8522
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Impact of a Phenylalanine-Restricted Diet on Gut Health in Children with PKU
This study looks at how a Phe-restricted diet, with or without sapropterin or sepiapterin, might affect gut health in kids with PKU.
-
How Repinatrabit is processed in adults with liver or kidney impairment versus normal function
This study tests how Repinatrabit is handled by the body in adults with moderate liver impairment or severe kidney impairment compared to adults with normal liver function.
-
Eating disorders in people with phenylketonuria
This study looks at whether eating disorders and BMI issues are more common in people with phenylketonuria who are followed at a French hospital.
-
GenSci144 tablets early-dose study for phenylketonuria treatment
This early-phase trial tests a single dose of GenSci144 tablets in healthy adults to see if it is safe and tolerable, while also looking at how the body processes the drug.
-
Immune Modulation During Palynziq Treatment in Adults
This study tests whether adding low-dose methotrexate can help people with PKU tolerate Palynziq better and achieve better blood levels of phenylalanine.
-
AG-181 safety and tolerability in people with phenylketonuria
This trial will test AG-181 for safety and tolerability in people with PKU who have high blood phenylalanine and at least one R408W PAH mutation.
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.