Clinical trial Recruiting at 26 sites Phase 3 Interventional Ages 4 and up

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.

More Phenylketonuria trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages4 Years and up
SexAll
Enrollment120 (estimated)
SponsorOtsuka Pharmaceutical Development & Commercialization, Inc.
Industry-sponsored
Locations26 sites (Los Angeles, California and 25 other locations)
StatusRecruiting
StartedOctober 20, 2025
Main results expectedMarch 1, 2028
Study endsApril 1, 2028
Registry record updatedOctober 21, 2026
Trial IDNCT06971731 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.