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CompletedNCT03856203Updated Jun 2, 2026

Nutrition Status of Adults With PKU Before and During Treatment With Pegvaliase

An observational study in Phenylketonurias, sponsored by Boston Children's Hospital. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-06-02.

Sponsored by Boston Children's Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
12
Ages
18 Years to 65 Years
Sex
All
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Study summary

Conduct a prospective, longitudinal study to evaluate nutritional status in adults with phenylketonuria (PKU) before and during treatment with pegvaliase (Palynziq™).

Read the detailed description

The investigators will compare intra-subject change in adults with PKU who follow a protein-restricted diet (protein intake less than the RDA for protein based on weight (0.8 g/kg/day) with or without a PKU medical food) within 90 days of starting pegvaliase (baseline) and 9 and 15 months later. The investigators will collect laboratory measures of nutrition status, anthropometrics, Dual-Energy X-Ray Absorptiometry (DXA) to measure body composition and bone mineral density (BMD), and indirect calorimetry to measure resting energy expenditure (REE). In addition, three-day food records will be obtained to assess protein intake and overall diet quality.

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Conditions studied

  • Phenylketonurias

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03

In context

Phenylketonurias

183 studies on the registry are indexed under Phenylketonurias; 38 are open to participants now.

This study's enrollment of 12 is below the median of 40 across 60 observational studies indexed under Phenylketonurias.

Browse Phenylketonurias studies →

Lead sponsor

Boston Children's Hospital is the lead sponsor of 598 studies on the registry; 151 are open to participants now.

Of its 31 completed or terminated interventional studies of FDA-regulated products, 18 (58%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This study will recruit adults with PKU who are starting therapy with pegvaliase and currently following a protein-restricted diet with or without medical food.

Inclusion criteria

  • Diagnosis of phenylketonuria
  • Aged 18-65 years
  • Following a protein-restricted diet with or without medical food within the last 30 days
  • Routine natural protein intake from food is less than the RDA for protein based on weight (0.8 g/kg/day).
  • If not consuming animal proteins, recommended protein intake is 115% RDA due to lower bioavailability of plant proteins.
  • Within ±90 days of starting treatment with pegvaliase at time of study enrollment

Exclusion criteria

Exclusion Criteria:

  • Unable to consent to study
  • Under age 18 or over age 65 years
  • Routine natural protein intake is greater than the RDA for protein (0.8 g/kg/d) within the last 30 days.
  • Females who are currently pregnant or lactating
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
12 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Intra-subject change in intact and medical food protein intake (grams/day) as reported on three-day food records at months 0, 9, and 15.

    Time frame: 15 months

  2. Intra-subject change in serum markers of protein status at months 0, 9, and 15.

    Time frame: 15 months

  3. Intra-subject difference in lean body mass (%LBM) from month 0 to 15.

    Time frame: 15 months

  4. Intra-subject difference in bone mineral density from month 0 to 15.

    Time frame: 15 months

Secondary outcomes

  1. Intra-subject change in concentrations of serum markers of micronutrient status at months 0, 9, and 15.

    Time frame: 15 months

  2. Intra-subject change in serum concentrations of essential fatty acid nutriture at months 0, 9, and 15.

    Time frame: 15 months

  3. Intra-subject change in BMI at months 0, 9, and 15.

    Time frame: 15 months

  4. Intra-subject change in serum markers of cardiovascular status at months 0, 9, and 15.

    Time frame: 15 months

  5. Intra-subject change in emotional eating, cognitive restraint, uncontrolled eating at months 0, 9, and 15.

    Three-Factor Eating Questionnaire (TFEQ)-18 is an 18-item questionnaire measured on a four-point scale cognitive restraint (6 items), uncontrolled eating (9 items) and emotional eating (3 items). Responses are measured on a four-point scale and the raw scores for each subscale are transformed to correspond to a 0-100 point scale. Higher scores in the respective scales are indicative of greater cognitive restraint, emotional eating, and uncontrolled eating.

    Time frame: 15 months

  6. Intra-subject change in food neophobia at months 0, 9, and 15.

    Food Neophobia Scale, which was adapted for a PKU population, includes nine questions measured on a seven-point scale with a higher total score indicative of greater food neophobia (score range 9-63).

    Time frame: 15 months

  7. Intra-subject change in Epicurean eating tendencies at months 0, 9, and 15.

    Epicurean eating tendencies questionnaire includes seven items measured with a seven-point scale (range 7-49). Higher scores indicative of greater Epicurean eating tendencies.

    Time frame: 15 months

07

Study locations

1 site
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03856203
Lead sponsor
Boston Children's Hospital
Collaborators
BioMarin Pharmaceutical
Responsible party
Sponsor
First posted
Feb 27, 2019
Start date
Mar 8, 2019
Primary completion
Dec 31, 2022
Completion
Oct 20, 2023
Last update
Jun 2, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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