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CompletedNCT05051657express plusUpdated May 18, 2026

Evaluation of the Express Plus Range

An interventional study of PKU express plus in Phenylketonurias, PKU and Homocystinuria, sponsored by Vitaflo International, Ltd. Completed at 6 sites in United Kingdom. Open to participants aged 3 Years and older. Per ClinicalTrials.gov, last updated 2026-05-18.

Sponsored by Vitaflo International, Ltd (part of Nestlé S.A.) · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
28
Allocation
Not applicable
Ages
3 Years and older
Sex
All
01

Study summary

A prospective, open label, acceptability study to evaluate PKU, MSUD, HCU, TYR and GA express plus in the dietary management of 40 patients with IEM. The following parameters will be assessed: adherence to prescribed dietary intakes, palatability, usability, gastrointestinal tolerance, clinically relevant routine biochemical parameters, timeframe to transition and contribution of the express plus range to overall protein substitute intake over a 28 day period.

Read the detailed description

This is a prospective acceptability study of the express plus range in 40 participants aged at least three years of age for the dietary management of IEM (PKU, MSUD, HCU, TYR and GA ).

The study will involve a Transition Period where patients will build-up to at least one sachet of express plus per day. During the Transition Period, daily intake of express plus and the patient's other PS will be recorded, including the time taken to consume.

The Transition Period will last a maximum of 6 weeks, after which the patient will enter a 28-day Evaluation Period. During the Evaluation Period, patients will continue to record intakes, as well as GI tolerance and a final evaluation of the product's palatability and usability. Some patients, likely adults, will not require a transition from their original protein substitute to at least one sachet of express plus. These patients can enter the Evaluation Period directly.

The end of the 4-week Evaluation Period is defined as the participant's End of Study. Following this, participants will be followed up as per standard of care. Some of this standard of care data may be relayed to the sponsor for a maximum of 26 weeks. This will last for a maximum of 26 weeks and will involve the collection of routine phe and tyrosine levels, as well as amount of PS prescribed and taken. Information will also be collected from patients regarding the reasons for the success or indeed failure of transition to PKU express plus. This data will come from routine clinical contact and will be recorded by the HCP, rather than by the patient.

02

Conditions studied

  • Phenylketonurias
  • PKU
  • Homocystinuria
  • Maple Syrup Urine Disease
  • Hereditary Tyrosinemia
  • Glutaric Acidemia I
03

In context

Phenylketonurias

191 studies on the registry are indexed under Phenylketonurias; 40 are open to participants now.

This study's enrollment of 28 is close to the median of 27 across 122 interventional studies indexed under Phenylketonurias.

Browse Phenylketonurias studies →

Lead sponsor

Vitaflo International, Ltd is the lead sponsor of 23 studies on the registry; none are open to participants now.

First submitted after Vitaflo International, Ltd became part of Nestlé S.A..

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

04

Who can participate

Ages eligible
3 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of PKU or associated disorder for example, Tetrahydrobiopterin (BH4) deficiency, requiring a low protein diet and Phe-free L-amino acid supplements (protein substitute).
  • Established on PKU express or an equivalent protein substitute
  • In the opinion of the study investigator, the participant is able to take the study product and meets at least one of the following criteria:

    1. taking an age inappropriate protein substitute
    2. struggling with adherence to current protein substitute
    3. delayed in transitioning
  • Aged 3 years and above
  • Willingly given, written, from patient or parent/guardian.
  • Willingly given, written assent (if appropriate).

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of persistent hyperphenylalaninaemia, or mild PKU not requiring dietary intervention with a low protein diet and protein substitute.
  • Patients who are tube-fed.
  • Individuals, who in the opinion of the investigator, are unable to comply with the requirements of the protocol.
  • Any co-morbidity/condition which in the opinion of the Investigator, would preclude participation in the study.
  • Patients who are currently participating in, plan to participate in, or have participated in an interventional drug, food or medical device trial within 30 days prior to screening.
  • Use of additional macro/micronutrient supplements during the study period, unless clinically indicated and prescribed by the investigator (must be recorded in patient case record file).
  • Women who are pregnant / breastfeeding at the start of the study or planning to become pregnant during the study period. (N.B.: Women who become pregnant unexpectedly during this study may, in consultation with their doctor, continue on the study's dietary product if they wish but will not have any investigations that would not normally be carried out during pregnancy.)
  • Those with allergies to fish, milk or soya.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
28 participants (actual)

Study arms

  • Experimental
    express pus range (PKU, MSUD, HCU, TYR and GA)

    express plus to be transitioned onto over a maximum of 6 weeks and then incorporated into each participants usual diet for 28 days. Amount taken and frequency to be determined by dietitian.

    Dietary Supplement: PKU express plus

Interventions

  • Dietary supplementPKU express plus

    PKU express plus is a powdered protein substitute for the dietary management of PKU. It is formulated in a variety of flavours to provide a convenient, low volume, lower calorie, pre-measured protein substitute, containing a full micronutrient profile.

06

What researchers measure

Primary outcomes

  1. Questionnaire of self-reported adherence to the prescribed amount of study product

    Participants will record the amount of PKU express taken each day compared to the amount recommended by their dietitian

    Time frame: Days 1-28

  2. Transition time

    Time taken for participants to transition from their current diet to the inclusion of one sachet of PKU express plus per day

    Time frame: Transition period Weeks 1-6 (maximum)

  3. Change in gastrointestinal tolerance from week 1 to week 4

    Participants will self-report any gastrointestinal symptoms experience over the course of the study in daily study diaries

    Time frame: Days 1-7 and days 21-28

  4. Product acceptability rated on a Likert scale by the patient after 28-day intake

    Participants will answer questions relating to PKU express plus' palatability and ease of use following the end of study

    Time frame: Visit 2 (end of 28 day evaluation period)

  5. Change in general neophobia

    Participants to complete general neophobia questionnaire at baseline and end of study to compare results

    Time frame: Visit 1 (Day 1) and Visit 2 (end of 28 day evaluation period)

  6. Change in food neophobia

    Participants to complete food neophobia questionnaire at baseline and end of study to compare results

    Time frame: Visit 1 (Day 1) and Visit 2 (end of 28 day evaluation period)

  7. Nutritional suitability: change Phenylalanine levels

    PKU express plus' nutritional suitability will be assessed by evaluating Phenylalanine levels recorded as part of routine care

    Time frame: Visit 1 until visit 2 (day 28)

  8. Nutritional suitability: change Tyrosine levels

    PKU express plus' nutritional suitability will be assessed by evaluating Tyrosine levels recorded as part of routine care

    Time frame: Visit 1 until visit 2 (day 28)

07

Study locations

6 sites
  • Royal Belfast Hospital for Sick Children
    Belfast, BT12 6BA, United Kingdom
  • Birmingham Women's and Children's Hospital
    Birmingham, B15 2TG, United Kingdom
  • Bristol Royal Hospital for Children
    Bristol, BS2 8BJ, United Kingdom
  • Greater Glasgow and Clyde NHS Foundation Trust
    Glasgow, G12 0XH, United Kingdom
  • Great Ormond Street Hospital for Children
    London, WC1N 3JH, United Kingdom
  • Nottingham Children's Hospital
    Nottingham, NG7 2UH, United Kingdom
08

References and documents

Individual participant data

Plan to share: No — No plans to share IPD

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 May 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05051657
Responsible party
Sponsor
First posted
Sep 21, 2021
Start date
Jun 14, 2021
Primary completion
Sep 30, 2025
Completion
Jan 21, 2026
Last update
May 18, 2026

Study contacts

Anita MacDonald
study director · Birmingham Women's and Children's Hospital

Oversight

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

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