NCT07672756 A Clinical Study on the Safety and Tolerability of PL54 Injection in Adult Patients With Phenylketonuria (PKU)

Eligibility & Interventions

Eligibility Fast-Check

Enter your details for a quick preliminary check. This does not replace medical advice.

What to Expect as a Participant

You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.

Phase 1 is the earliest stage of human testing — safety and dosage are the primary focus. Visits are frequent and medical supervision is intensive. You will be among the first people to receive this treatment.

This trial targets 48 participants in total. It began in 2025-07-20 with a primary completion date of 2027-06-01.

Brief Summary

The primary objective of this clinical trial is to evaluate the safety and tolerability of single and multiple administrations of PL54 in patients aged 18-55 years. The key questions it aims to answer include: How safe and tolerable is PL54 in PKU patients following single and multiple administrations? Researchers will compare the safety and tolerability profiles between single and multiple dosing regimens to assess PL54. Participants will be required to: Phase Ia (Single Administration): Receive a single subcutaneous injection of PL54 based on body weight. Undergo a 28-day observation period post-injection. Visit the clinic for assessments on: D1 (administration day), D2, D7, D8, D10, D15, D22, and D29. Phase Ib (Multiple Administrations): Receive subcutaneous injections of PL54 every 7 days (4 doses total) based on body weight. Undergo a 35-day observation period after the last injection. Visit the clinic for assessments on: D1 (first administration), D3, D8, D15, D21, D22, D29, D36, D43, and D57 Data to be recorded include: Incidence, severity, seriousness, relationship to PL54 treatment, duration, and outcome of adverse events (AEs). Change from baseline in blood phenylalanine (Phe) concentration.

Eligibility Criteria

Key Inclusion Criteria: * Adult patients aged 18 to 55 years, inclusive, regardless of sex. * Subjects with a prior diagnosis of phenylketonuria (PKU) meeting the following criteria: * Blood Phe concentration ≥600 µmol/L at screening; * Average blood Phe concentration ≥600 μmol/L within the 12 months prior to screening (with at least two test results available); * Genetic test report confirming the presence of phenylalanine hydroxylase (PAH) gene defects. * Ability to maintain dietary stability from 3 days prior to screening through the end of the trial. * Subjects (including partners) capable of practicing effective contraception during the trial period, with no plans for conception within 3 months after trial completion. * Voluntarily sign the informed consent form and, in the investigator's judgment, able to comply with all study requirements. Key Exclusion Criteria: * Known hypersensitivity to PL54 injection or any of its excipients. * Medical conditions or history assessed by the investigator that may increase the risk of severe allergic reactions (e.g., acute exacerbation of allergic asthma, atopic constitution, history of anaphylaxis, etc.). * Use of any medication for PKU (including large neutral amino acids) within 14 days prior to study drug administration or within 5 half-lives of the drug (whichever is longer). * Use or planned use of any injectable medication containing polyethylene glycol (PEG) (except the investigational drug) within 3 months prior to screening or during the study period, including medroxyprogesterone acetate injection. * Prior use of Pegvaliase (PALYNZIQ®). * History of any of the following manifestations associated with prior PEG-containing product use: systemic symptoms (e.g., respiratory or gastrointestinal symptoms, hypotension, angioedema, allergic reactions). The investigator will determine eligibility based on the severity of previous symptoms. * Clinically significant abnormal vital signs, physical examination, laboratory tests, or other relevant findings at screening, deemed by the investigator to render the subject unsuitable for enrollment. * Significant medical history of immunological, cardiovascular, respiratory, gastrointestinal, endocrine, renal, hematological, neurological, psychiatric, or malignant diseases (except basal cell carcinoma of the skin or carcinoma in situ of the cervix that has been excised with no evidence of recurrence) assessed by the investigator prior to screening. * Stable use of immunosuppressants (e.g., cyclosporine, azathioprine) within 4 weeks prior to screening, with inability to discontinue use during the study period. * Vaccination within 4 weeks prior to screening or planned vaccination during the study period. * Positive serology for Treponema pallidum-specific antibodies, human immunodeficiency virus (HIV) antibodies, hepatitis C virus (HCV) antibodies, or hepatitis B virus (HBV) surface antigen. * Serum creatinine ratio \> 1.5 × upper limit of normal (ULN). * Alanine aminotransferase (ALT) \> 2 × ULN. * Pregnant or breastfeeding women. * Participation in any investigational drug trial and receipt of an investigational product within 3 months prior to screening. * Prior use of any gene therapy for phenylketonuria (including participation in clinical studies). * Any other condition deemed by the investigator to preclude participation in the trial.

Contact & Investigator

Frequently Asked Questions

Related Trials