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Not yet recruitingNCT07927608Updated Nov 10, 2026

A First-in-Human Study of Phelimin in Healthy Volunteers and Adults With PKU

A Phase 1 interventional study of Phelimin in Phenylketonuria (PKU) and Phenylketonuria, sponsored by MipSalus Aps. Not yet recruiting at 1 site in Denmark. Open to male participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by MipSalus Aps · Phase 1, Interventional, and Treatment

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
7
Allocation
Not applicable
Ages
18 Years to 60 Years
Sex
Male
01

Study summary

This first-in-human study will evaluate the safety and tolerability of phelimin, an investigational oral treatment being developed for people with phenylketonuria (PKU). Phelimin is designed to bind the amino acid phenylalanine in the gut, which may reduce its absorption from food and support its removal from the body in stool. The study will include healthy volunteers and adults with classical PKU. Participants will receive single doses of phelimin at increasing dose levels and will undergo safety assessments, including monitoring for side effects, laboratory tests, and gastrointestinal symptoms. The study will also explore whether phelimin affects blood phenylalanine levels after a standardised protein challenge.

02

Conditions studied

  • Phenylketonuria (PKU)
  • Phenylketonuria

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03

In context

Phenylketonurias

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

This study's planned enrollment of 7 is below the median of 27 across 122 interventional studies indexed under Phenylketonurias.

Browse Phenylketonurias studies →

Lead sponsor

This is the only study on the registry with MipSalus Aps as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

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

COMMON FOR BOTH PARTICIPANT GROUPS

  1. Age 18-60 years at screening.
  2. Male gender.
  3. Body weight 60-90 kg.
  4. (BMI): ≤32 kg/m\^2.
  5. Negative alcohol breath test and urine drugs of abuse test on the day of screening.
  6. Males, and their female partners of , must be willing to use highly effective methods of during the study period and until 90 days after end of treatment. Highly effective methods of birth control are defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly. Such methods include:

i. combined (oestrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation

  • oral
  • intravaginal
  • transdermal ii. progestogen-only hormonal contraception associated with inhibition of ovulation
  • oral
  • injectable
  • implantable iii. intrauterine device iv. intrauterine hormone-releasing system v. bilateral tubal occlusion vi. vasectomized partner vii. sexual abstinence (if this is the preferred and usual lifestyle of the patient) g. Signed and dated form (ICF).

For HEALTHY VOLUNTEERS h. Good health in the opinion of the Investigator based on medical history, physical examination, vital signs, (ECG) and laboratory measurements of standard blood and urine parameters.

For PKU PATIENTS i. Diagnosis of classical PKU based on medical history (genotyping and/or p-Phe concentration >1200 μmol/L at any time in life).

j. Currently, and prior to screening, reasonably well controlled (see below) on low protein diet; with no single p-Phe measurement >1200 μmol/L during last 3 months prior to screening k. Within study, p-Phe ≤900 μmol/L taken in the clinic at screening and confirmed at the baseline visit (visit 2) prior to protein challenge and at the 'Day -3' sampling prior to each clinic visit l. With the exception of the underlying PKU diagnosis, good health in the opinion of the Investigator based on medical history, physical examination, vital signs, ECG and laboratory measurements of standard blood and urine parameters.

Exclusion criteria

Exclusion Criteria:

COMMON

  1. Any condition (such as irritable bowel syndrome, inflammatory bowel disease, chronic gastritis, peptic ulcer disease, celiac disease) or receiving prescription medication or any over-the-counter (OTC) product that may possibly affect absorption of nutrients or IMP.
  2. History of severe GI problems, incl. gastrectomy, bypass surgery or ileostomy.
  3. Active or past history of any GI bleeding within 60 days prior to the screening visit.
  4. Active laxative use within 14 days prior to baseline, and during trial.
  5. Abnormal liver function tests defined by:

    • (AST), alanine aminotransferase (ALT) or alkaline phosphatase (ALP) >3x the (ULN). Elevated gamma-glutamyl transferase (GGT) values exceeding >3x ULN are allowed but these GGT cases will be carefully assessed alongside other clinical and laboratory data by the investigator.
  6. Any other laboratory abnormality as determined by the investigator.
  7. Ongoing, active infectious disease.
  8. Known (HIV)-positive status or suffering from any other disease.
  9. Current participation in any other drug trial or use of any investigational agent within 30 days or 5 half-lives before screening, whichever is longer.
  10. Any acute or chronic medical, surgical or social condition (e.g. history or presence of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, GI, endocrine, immunologic, dermatologic, neurological, oncologic, or psychiatric disease) that may increase the patient's risk associated with study participation, compromise adherence to study procedures and requirements, or may confound interpretation of study results, and in other ways, in the judgement of the investigator, would make the patient inappropriate for enrolment.
  11. Patients with documented or suspected, clinically significant, alcohol (i.e., > 24 g/d for men) or drug abuse within the past 12 months.
  12. Any other significant, unstable medical condition that would interfere with the completion of the study or interpretation of results.
  13. Is unable, in the opinion of the investigator, to comply with the requirements of the study.

    For PKU PATIENTS, only

  14. Use of any medication including sapropterin, sepiapterin, pegvaliase or LNAAs intended to treat PKU.
Terms in these criteria, in plain language(11)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
7 participants (estimated)

Study arms

  • Experimental
    Protein/water followed by protein/phelimin

    Drug: Phelimin

Interventions

  • DrugPhelimin

    Phelimin is an orally administered investigational medicinal product based on molecular imprinted polymer technology designed to bind phenylalanine and phenylalanine-containing oligopeptides in the GI tract, facilitating their elimination without systemic absorption.

06

What researchers measure

Primary outcomes

  1. Treatment-Emergent Adverse Events

    * Frequency of any TEAEs * Frequency of any TEAE by system organ class (SOC), * Frequency of any TEAE by preferred term (PT), * Frequency of any TEAE by severity, and * Frequency of any TEAE by relationship of TEAEs to IMP.

    Time frame: From enrollment to 4 weeks after last dose.

  2. AEs

    * Frequency of any AE * Frequency of any AE by SOC, * Frequency of any AE by PT, * Frequency of any AE by severity, and * Frequency of any AE by relationship of AEs to IMP.

    Time frame: From enrollment to 4 weeks after last dose

  3. Serious adverse events (SAE)

    * Frequency of any SAE * Frequency of any SAE by SOC, * Frequency of any SAE by PT, * Frequency of any SAE by severity and * Frequency of any SAE by relationship of SAEs to IMP.

    Time frame: From enrollment to 4 weeks after the last dose.

Secondary outcomes

  1. Adverse Events of Special Interest (AESIs; related to GI symptoms)

    * Frequency of any AESI * Frequency of any AESIs by SOC, * Frequency of any AESIs by PT, * Frequency of any AESIs by severity, and * Frequency of any AESIs by relationship of AESIs to IMP.

    Time frame: From enrollment to 4 weeks after last dose.

  2. Discontinuation rate

    * Overall * Due to TEAEs

    Time frame: From enrollment to 4 weeks after last dose.

  3. Safety laboratory variables

    For each safety laboratory variable: * Frequency of below normal range (clinically significant) * Frequency of below normal range (not clinically significant) * Frequency of within normal range * Frequency of above normal range (not clinically significant) * Frequency of above normal range (clinically significant)

    Time frame: From enrollment to 4 weeks after last dose

  4. To investigate other aspects related to tolerability

    For the vital signs parameters: systolic blood pressure, diastolic blood pressure. Measured values will be presented descriptively with means per dosing cohort. Any significant intraindividual changes between study visits will be tabulated.

    Time frame: From enrolment to 4 weeks after last dose

  5. To investigate other aspects related to tolerability

    For the vital signs parameters: Heart rate. Measured values will be presented descriptively with means per dosing cohort. Any significant intraindividual changes between study visits will be tabulated.

    Time frame: From enrolment to 4 weeks after last dose

  6. To investigate other aspects related to tolerability

    For the vital signs parameters: Body temperature. Measured values will be presented descriptively with means per dosing cohort. Any significant intraindividual changes between study visits will be tabulated.

    Time frame: From enrolment to 4 weeks after last dose

  7. To investigate other aspects related to tolerability

    For the vital signs parameters: Respiration rate. Measured values will be presented descriptively with means per dosing cohort. Any significant intraindividual changes between study visits will be tabulated.

    Time frame: From enrolment to 4 weeks after last dose

  8. To investigate other aspects related to tolerability

    Body weight (kg). Measured values will be presented descriptively with means per dosing cohort. Any significant intraindividual changes between study visits will be tabulated.

    Time frame: From enrolment to 4 weeks after last dose

  9. To investigate other aspects related to tolerability

    Physical examinations: Any new findings or changes to previous findings considered to be clinically significant will be tabulated.

    Time frame: From enrollment until 4 weeks after last dose

  10. Plasma concentration of each of the AAs in the total amino acids (tAA)

    * Area-Under-the-Curve (AUC) from baseline to each time-point * Plasma concentration fluctuations

    Time frame: From enrollment to 4 weeks after last dose

  11. Plasma concentration of each of the AAs in the total amino acids (tAA)

    * Maximum plasma concentration (Cmax) * Plasma concentration fluctuations

    Time frame: From enrollment to 4 weeks after last dose

  12. Evaluate palatability of the phelimin formulation

    Participant reported assessment of palatability attributes following administration of phelimin, measured using a five category Likert scale with response options: great, good, OK, bad, and terrible.

    Time frame: 1 hour after each administration of study intervention, from enrollment to 4 weeks after last dose

07

Study locations

1 site
  • Centre for Inherited Metabolic Diseases, Rigshospitalet
    Copenhagen, Denmark
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07927608
Lead sponsor
MipSalus Aps
Collaborators
Smerud Medical Research International AS, Copenhagen University Hospital, Rigshospitalet
Responsible party
Sponsor
First posted
Nov 10, 2026
Start date
Nov 2026 (estimated)
Primary completion
Jun 2027 (estimated)
Completion
Jun 2027 (estimated)
Last update
Nov 10, 2026

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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