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Phase 3 N=206 Randomized Quadruple-blind Treatment

Safety and Therapeutic Effects of Sapropterin Dihydrochloride on Neuropsychiatric Symptoms in Phenylketonuria (PKU) Patients

Phenylketonuria

Enrolled (actual)
206
Serious AEs
1.1%
Results posted
Feb 2016
Primary outcome: Primary: Change in Attention-Deficit Hyperactivity Disorder Rating Scale-IV (ADHD-RS) / Adult ADHD Self-Report Scale (ASRS) Total Score From Baseline to Week 13 — -4.9; -9.1 units on a scale — p=0.085

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Sapropterin dihydrochloride (Drug); Placebo (Drug)
Age
Pediatric, Adult, Older Adult · 8+ yrs
Sex
All
Sponsor
BioMarin Pharmaceutical
Primary completion
Mar 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Attention-Deficit Hyperactivity Disorder Rating Scale-IV (ADHD-RS) / Adult ADHD Self-Report Scale (ASRS) Total Score From Baseline to Week 13
-4.9; -9.1 0.085
PRIMARY
Number of Participants With a Score of 1 or 2 in Global Function Evaluation (CGI-I) From Baseline to Week 13.
15; 13 0.67
SECONDARY
Change in Hamilton Anxiety Rating Scale (HAM-A) Score From Baseline to Week 13
-3.6; -3.2 0.669
SECONDARY
Change in Hamilton Depression Rating Scale (HAM-D) Score From Baseline to Week 13
-2.5; -2.1 0.588
SECONDARY
Change in Clinical Global Impression-Severity (CGI-S) From Baseline to Week 13
-0.5; -0.6 0.531
SECONDARY
Change in Behavior Rating Inventory of Executive Function (BRIEF) Adult-Global Executive Composite (GEC) T Score From Baseline to Week 13
-8.1; -9.1 0.661
SECONDARY
Change in Behavior Rating Inventory of Executive Function (BRIEF) Parent-Global Executive Composite (GEC) T Score From Baseline to Week 13
-0.7; -4.8 0.034 sig
SECONDARY
Change in Attention-Deficit Hyperactivity Disorder Rating Scale-IV (ADHD-RS) / Adult ADHD Self-Report Scale (ASRS) Total Score From Week 13 to Week 26
-4.0; -1.4 0.312
SECONDARY
Change in Hamilton Anxiety Rating Scale (HAM-A) Score From Week 13 to Week 26
0.1; -0.5 0.590
SECONDARY
Change in Hamilton Depression Rating Scale (HAM-D) Score From Week 13 to Week 26
0.1; 0.5 0.636
SECONDARY
Change in Clinical Global Impression-Severity (CGI-S) From Week 13 to Week 26
-0.0; 0.1 0.510
SECONDARY
Change in Behavior Rating Inventory of Executive Function (BRIEF) Adult-Global Executive Composite (GEC) T Score From Week 13 to Week 26
-0.7; 0.9 0.395
SECONDARY
Change in Behavior Rating Inventory of Executive Function (BRIEF) Parent-Global Executive Composite (GEC) T Score From Week 13 to Week 26
-1.3; 0.0 0.443
SECONDARY
Change in Attention-Deficit Hyperactivity Disorder Rating Scale-IV (ADHD-RS) / Adult ADHD Self-Report Scale (ASRS) Total Score From Baseline to Week 26
-9.5; -9.3 0.953
SECONDARY
Change in Hamilton Anxiety Rating Scale (HAM-A) Score From Baseline to Week 26
-3.9; -4.2 0.733
SECONDARY
Change in Hamilton Rating Scale For Depression (HAM-D) Score From Baseline to Week 26
-2.6; -2.0 0.522
SECONDARY
Change in Clinical Global Impression-Severity (CGI-S) From Baseline to Week 26
-0.6; -0.5 0.564
SECONDARY
Change in Behavior Rating Inventory of Executive Function (BRIEF) Adult-Global Executive Composite (GEC) T Score From Baseline to Week 26
-7.1; -7.7 0.833
SECONDARY
Change in Behavior Rating Inventory of Executive Function (BRIEF) Parent-Global Executive Composite (GEC) T Score From Baseline to Week 26
-2.6; -4.8 0.279

Summary

This double-blind, placebo-controlled, randomized study is designed to evaluate the safety and therapeutic effects of sapropterin dihydrochloride on neuropsychiatric symptoms in subjects with PKU.

Eligibility Criteria

Inclusion Criteria

  • ≥ 8 years of age
  • Confirmed diagnosis of PKU
  • Willing to continue current diet (typical diet for the 3 months prior to study entry) unchanged while participating in the study
  • Willing and able to provide written, signed informed consent or in the case of subjects under the age of 18, provide written assent (if required) and written informed consent by a legally authorized representative after the nature of the study has been explained, and prior to any research-related procedures
  • Sexually active subjects must be willing to use an acceptable method of contraception while participating in the study and for at least 30 days following the last dose of sapropterin dihydrochloride
  • Females of childbearing potential must have a negative pregnancy test at screening and be willing to have additional pregnancy tests during the study. Females considered not of childbearing potential include those who have been in menopause at least 2 years, or had tubal ligation at least 1 year prior to screening, or have had total hysterectomy.
  • Willing and able to comply with all study procedure

Exclusion Criteria

  • Has known hypersensitivity to sapropterin dihydrochloride or its excipients
  • Subject breastfeeding at screening or planning to become pregnant (subject or partner) at any time during the study
  • Use of any investigational product or investigational medical device within 30 days prior to screening, or requirement for any investigational agent prior to the completion of all scheduled study assessments
  • Received sapropterin dihydrochloride within 16 weeks of randomization
  • Have initiated or adjusted medication for treatment of ADHD, depression, or anxiety ≤ 8 weeks prior to randomization
  • Taking medication known to inhibit folate synthesis (eg, methotrexate)
  • Any condition requiring treatment with levodopa or any PDE-5 inhibitor
  • Concurrent disease or condition that would interfere with study participation, compliance or safety as determined by the Investigator
  • Any condition that, in the view of the Investigator, places the subject at high risk of poor treatment compliance or of not completing the study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01114737). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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