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RecruitingNCT07484945GENOPHENUpdated May 6, 2026

Multiomics Approach in Adult Patients With Phenylketonuria

An observational study in Phenylketonuria (PKU), sponsored by University Hospital, Tours. Recruiting at 15 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-06.

Sponsored by University Hospital, Tours · Observational

From the registry’s dates

  • Started Mar 2026; still recruiting 6 months later.
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
149
Ages
18 Years and older
Sex
All
01

Study summary

The GENOPHEN study aims to explore the links between the genome, metabolomic profile, and clinical phenotype in adults with early-treated PKU.

Read the detailed description
  • There is a wide clinical variability among PKU patients. Even siblings can present discrepancies regarding the phenotype. The reasons for that are not completely known. There are over 3,300 variants of the PAH gene, some of which influence the severity of the disease, but their impact in adulthood remains poorly understood. Other genes (SLC7A5, HULC, DNAJC12, SHANK family) could also modulate the phenotype.

Working Hypotheses:

  • Some genetic variants influence the severity of neuropsychological and systemic disorders in adults with early-treated PKU.
  • Metabolomic analysis of sera will identify new biomarkers correlated with the severity of the disease.

Methodology:

  • The study is based on the ECOPHEN cohort (187 adult PKU patients followed for 5 years), of which 150 will provide a DNA sample from saliva for whole-genome sequencing.
  • Genetic variants will be sought and correlated with clinical, biological, and neuropsychological data.
  • A non-targeted metabolomic analysis by LC-MS/MS will be performed on the sera, then the metabolic profiles will be associated with phenotypes and genotypes.

Objectives and Expected Outcomes:

  • Better understand the heterogeneity of the disease in adulthood.
  • Identify associations between genetic variants, metabolic profiles, and clinical evolution.
  • Pave the way for personalized management and new therapeutic approaches for adult PKU patients.
02

Conditions studied

  • Phenylketonuria (PKU)

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Keywords

  • saliva
  • genetics
03

In context

Phenylketonurias

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

This study's planned enrollment of 149 is above the median of 40 across 60 observational studies indexed under Phenylketonurias.

Browse Phenylketonurias studies →

Lead sponsor

University Hospital, Tours is the lead sponsor of 304 studies on the registry; 78 are open to participants now.

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

04

Who can participate

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

Study population

PKU adult patients

Inclusion criteria

  • PKU patients over the age of 18,
  • diagnosed through the newborn screening program,
  • patients who participated in the final visit of the ECOPHEN study,
  • affiliation with a health insurance plan,
  • informed consent dated and signed by patients for DNA analysis (saliva sample)

Exclusion criteria

Exclusion Criteria:

  • Patients whose PKU diagnosis was not detected during neonatal screening,
  • Patients who have not signed a dated informed consent form,
  • Patients who are unable to provide a saliva sample.
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
149 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. Identification of metabolite clusters

    untargeted metabolomic analysis of plasma samples collected during the ECOPHEN study Phenylalanine level (\> 900 µmol/L, 900-600 µmol/L, \< 600 µmol/L), response to BH4 (Complete response: decrease in Phe levels after treatment leading to normalization of Phe levels; partial response: 30% decrease without normalization; non-responder: decrease of less than 30% in Phe levels.)

    Time frame: Enrolment

  2. Identification of genetic variants DNAJC12, HULC, SLC7A5, and SHANK and other ones

    genome sequencing of DNA collected from saliva samples during the GENOPHEN study. The DNAJC12, HULC, SLC7A5, and SHANK (SHANK1, SHANK2, and SHANK3) variants will be listed and classified as frequent (allele frequency \> 1%) or rare (allele frequency \< 1%) according to the gnomAD database. The same will apply to other variants potentially identified by genome sequencing.

    Time frame: Enrolment

Secondary outcomes

  1. Number of patients with neurological complications

    Time frame: Enrolment

  2. average intelligence quotient (IQ)

    WAIS IV results identified in the ECOPHEN cohort study (\>= 130 : Very superior; 120-129 Superior; 110-119 High average; 90-109 Average; 80-89 : Low average; 70-79 Borderline; =\< 69 Extremely low)

    Time frame: Enrolment

  3. California Verbal Learning Test

    CVLT results identified in the ECOPHEN cohort study. There is no minimum or maximum score; it is a "raw" score.

    Time frame: Enrolment

  4. Trail Making Test

    TMT results identified in the ECOPHEN cohort study. This is the number of seconds it takes to finish connecting the points on a "path" consisting of 25 points; the lower the number, the better (the patient is faster), but there isn't really a minimum and no maximum.

    Time frame: Enrolment

  5. Beck Depression Inventory

    BDI test results identified in the ECOPHEN cohort study The score ranges from 0 to 63, with the following qualitative interpretations: 0-13: minimal depression; 14-19: mild depression; 20-28: moderate depression; 29-63: severe depression

    Time frame: Enrolment

  6. Weight changes

    Body mass index (Kg/m2)

    Time frame: Time of enrollment

  7. Bone mineral density changes

    Bone mineral density, measured by DWA, expressed as Z-scores

    Time frame: Enrolment

07

Study locations

1 of 15 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

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 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07484945
Lead sponsor
University Hospital, Tours
Responsible party
Sponsor
First posted
Mar 20, 2026
Start date
Mar 23, 2026
Primary completion
Mar 2028 (estimated)
Completion
Mar 2028 (estimated)
Last update
May 6, 2026

Study contacts

François MAILLOT, Pr
Contact
francois.maillot@univ-tours.fr
2.47.47.37.15 ext. +33
Yannick MOUPATAM-NGAMBY-ADRIAASEN, Sir
principal investigator · University, Tours

Oversight

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

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