Effects of Synergy on Nutrient Intake and Acceptability in Phenylketonuria (PKU) (ESSENTIAL)
Primary Purpose
Phenylketonurias
Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
PKU Synergy
Sponsored by
About this trial
This is an interventional treatment trial for Phenylketonurias
Eligibility Criteria
Inclusion criteria:
- PKU subjects identified by newborn screening and started low-Phe diet before 3 months of age
PKU subjects (with or without current AAM use) with an increased Phe-tolerance/intake due to:
- Mild PKU phenotype
- BH4 treatment
- If treated with BH4, PKU subjects should be on a stable BH4 treatment for at least 26 consecutive weeks up to start test product intake
- Age≥12 years
- If subjects (irrespective whether BH4 users or mild PKU) use amino-acid mixture(s; AAM), then a maximum of 25 Protein Equivalents (PE) derived from the AAM per day applies and usage on a daily basis for at least 26 consecutive weeks up to Visit 1
- If subjects (irrespective whether BH4 users or mild PKU) use AAMs they should be capable and willing to substitute their current AAM(s; maximum of 25 PE per day) with one portion of the test product per day
- If subjects (irrespective whether BH4 users or mild PKU) use omega-3, antioxidant, and/or vitamin supplements, to stop usage of the supplements and be able and willing to substitute with the test product
- Willing and able to comply with study procedures
- Willing and able to provide informed consent (and assent in case of minors if required by local law/regulations)
- For women of childbearing potential: not to have the intention to become pregnant during the study
Exclusion Criteria:
- For women: Currently pregnant or lactating
- Current or prior use of the test product within six weeks prior to entry into the study
- Concurrent conditions (including renal failure and severe hepatic failure) and medication that could interfere with participation, outcome parameters or safety (as determined by Investigator)
- Psychotropic medication (i.e. medication affecting the nervous system) and inotropic medication
- Any condition creating high risk of poor compliance with study
- Participation in any other studies involving investigational or marketed products concomitantly or within six weeks prior to entry into the study. Except for studies related to Kuvan® (synthetic tetrahydrobiopterin (BH4)) without diagnostic, therapeutic or experimental intervention.
Sites / Locations
- University hospital Leipzig
- University hospital Münster
- University Medical Center Groningen (UMCG)
Arms of the Study
Arm 1
Arm Type
Other
Arm Label
Open label (1 arm)
Arm Description
Open label use of study product (post-marketing): PKU Synergy
Outcomes
Primary Outcome Measures
Nutrient intake
Change in nutrient intake after 24 weeks by analysis of 3 day diet diary. Nutrients (energy, micronutrients, essential amino acids and DHA) in [(m)/(micro)gram/day] or [mg/day or mg/kg/day]
Product acceptability
Product acceptability questionnaire [category/score] [0-10] and [0-5]
Secondary Outcome Measures
Compliance
Compliance (product consumption) using daily product intake diary [number of products used per week; per sachet of 33g]
Phenylalanine (Phe) levels
Dried bloodspot Phenylalanine (Phe) levels [µmol/L]
Blood chemistry: nutritional status
Blood chemistry: levels measured in blood: Full Fatty acid profile [For each FA Erythrocyte Membranes level (%FA)], full Amino acid profile [µmol/L], Vitamin B12 [pM], Vitamin D [ng/ml /nmol/L]; Folic acid [nM]; Selenium [µM]; Iodine [µg/L/ ng/mL]; Calcium [mg/dL]; Zinc [µmol/L]; Iron [µg/L] analyzed in blood samples by central laboratories
Anthropometrics: weight
Anthropometrics: Weight [kg]
Anthropometrics: height
Anthropometrics: Height [cm or m]
Anthropometrics: BMI
Anthropometrics: BMI [kg/m2], calculated from weight/height
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03777826
Brief Title
Effects of Synergy on Nutrient Intake and Acceptability in Phenylketonuria (PKU)
Acronym
ESSENTIAL
Official Title
An Open-label, Explorative, Post Launch, Multicenter, Multi-country Intervention Study of PKU Synergy (an Amino-acid Mixture) to Evaluate Change in Nutrient Intake in PKU Subjects With an Increased Phe-tolerance/Intake
Study Type
Interventional
2. Study Status
Record Verification Date
December 2021
Overall Recruitment Status
Completed
Study Start Date
June 26, 2019 (Actual)
Primary Completion Date
May 27, 2021 (Actual)
Study Completion Date
May 27, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nutricia Research
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Phenylketonuria (PKU) is a rare inherited metabolic disorder, where subjects are born with a genetic deficiency in the phenylalanine hydroxylase enzyme (PAH), which leaves them unable to convert Phenylalanine (Phe) into Tyrosine (Tyr). Patients with mild PKU or partly responsive to the drug synthetic tetrahydrobiopterin (BH4) (Kuvan®) can change to a more relaxed diet. However due to difficulty to adapt their diet, these patients are at risk of an imbalanced nutritional status and an insufficient intake of specific micronutrients, essential amino acids and DHA (Docosahexaenoic acid). The study product is designed to improve the nutritional status of the patients.
The study investigates if the nutritional status is indeed improved following 24 week use of the study product, and also the study aims to evaluate product acceptability.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Phenylketonurias
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
13 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Open label (1 arm)
Arm Type
Other
Arm Description
Open label use of study product (post-marketing): PKU Synergy
Intervention Type
Other
Intervention Name(s)
PKU Synergy
Intervention Description
PKU Synergy is a citrus flavored, powdered amino-acid mixture (containing traces of Phe, 4,3mg per portion; and 20 gr. Protein Equivalent (PE)) with a tailored amino acid and micronutrient profile adapted for the special requirements of HPA/PKU (Hyperphenylalaninemia/Phenylketonuria) subjects over 10 years of age with an increased Phenylalanine-(Phe) tolerance/intake.
Primary Outcome Measure Information:
Title
Nutrient intake
Description
Change in nutrient intake after 24 weeks by analysis of 3 day diet diary. Nutrients (energy, micronutrients, essential amino acids and DHA) in [(m)/(micro)gram/day] or [mg/day or mg/kg/day]
Time Frame
24 weeks
Title
Product acceptability
Description
Product acceptability questionnaire [category/score] [0-10] and [0-5]
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
Compliance
Description
Compliance (product consumption) using daily product intake diary [number of products used per week; per sachet of 33g]
Time Frame
24 weeks
Title
Phenylalanine (Phe) levels
Description
Dried bloodspot Phenylalanine (Phe) levels [µmol/L]
Time Frame
24 weeks
Title
Blood chemistry: nutritional status
Description
Blood chemistry: levels measured in blood: Full Fatty acid profile [For each FA Erythrocyte Membranes level (%FA)], full Amino acid profile [µmol/L], Vitamin B12 [pM], Vitamin D [ng/ml /nmol/L]; Folic acid [nM]; Selenium [µM]; Iodine [µg/L/ ng/mL]; Calcium [mg/dL]; Zinc [µmol/L]; Iron [µg/L] analyzed in blood samples by central laboratories
Time Frame
24 weeks
Title
Anthropometrics: weight
Description
Anthropometrics: Weight [kg]
Time Frame
24 weeks
Title
Anthropometrics: height
Description
Anthropometrics: Height [cm or m]
Time Frame
24 weeks
Title
Anthropometrics: BMI
Description
Anthropometrics: BMI [kg/m2], calculated from weight/height
Time Frame
24 weeks
Other Pre-specified Outcome Measures:
Title
Safety Parameters (Incidence, frequency, seriousness, severity and relatedness of (Serious) Adverse Events)
Description
Incidence, frequency, seriousness, severity and relatedness of (Serious) Adverse Events
Time Frame
24 weeks
Title
Tolerance (Standard gastrointestinal questionnaire reporting)
Description
Tolerance: Standard gastrointestinal questionnaire reporting of diarrhea constipation, abdominal distension, nausea, vomiting, burping, flatulence, regurgitation, and colic/cramps (0, 1, 12 and 24 weeks) [absent, mild, moderate, severe]
Time Frame
24 weeks
Title
Subject characteristics
Description
Age [years]
Sex [male/female]
Country [Germany/Netherlands]
Time Frame
week 0
Title
Phe tolerance level and/or range
Description
[mg Phe/day]
Time Frame
week 0
Title
PKU phenotype
Description
Recording of PKU (Phenylketonuria) genotype from medical history [hyperphenylalaninemia (HPA) or mild/moderate/classic PKU]
Time Frame
week 0
10. Eligibility
Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria:
PKU subjects identified by newborn screening and started low-Phe diet before 3 months of age
PKU subjects (with or without current AAM use) with an increased Phe-tolerance/intake due to:
Mild PKU phenotype
BH4 treatment
If treated with BH4, PKU subjects should be on a stable BH4 treatment for at least 26 consecutive weeks up to start test product intake
Age≥12 years
If subjects (irrespective whether BH4 users or mild PKU) use amino-acid mixture(s; AAM), then a maximum of 25 Protein Equivalents (PE) derived from the AAM per day applies and usage on a daily basis for at least 26 consecutive weeks up to Visit 1
If subjects (irrespective whether BH4 users or mild PKU) use AAMs they should be capable and willing to substitute their current AAM(s; maximum of 25 PE per day) with one portion of the test product per day
If subjects (irrespective whether BH4 users or mild PKU) use omega-3, antioxidant, and/or vitamin supplements, to stop usage of the supplements and be able and willing to substitute with the test product
Willing and able to comply with study procedures
Willing and able to provide informed consent (and assent in case of minors if required by local law/regulations)
For women of childbearing potential: not to have the intention to become pregnant during the study
Exclusion Criteria:
For women: Currently pregnant or lactating
Current or prior use of the test product within six weeks prior to entry into the study
Concurrent conditions (including renal failure and severe hepatic failure) and medication that could interfere with participation, outcome parameters or safety (as determined by Investigator)
Psychotropic medication (i.e. medication affecting the nervous system) and inotropic medication
Any condition creating high risk of poor compliance with study
Participation in any other studies involving investigational or marketed products concomitantly or within six weeks prior to entry into the study. Except for studies related to Kuvan® (synthetic tetrahydrobiopterin (BH4)) without diagnostic, therapeutic or experimental intervention.
Facility Information:
Facility Name
University hospital Leipzig
City
Leipzig
Country
Germany
Facility Name
University hospital Münster
City
Münster
Country
Germany
Facility Name
University Medical Center Groningen (UMCG)
City
Groningen
Country
Netherlands
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Effects of Synergy on Nutrient Intake and Acceptability in Phenylketonuria (PKU)
We'll reach out to this number within 24 hrs