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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05781399
Registration number
NCT05781399
Ethics application status
Date submitted
11/02/2023
Date registered
23/03/2023
Date last updated
30/07/2024
Titles & IDs
Public title
First-in-Human, Multiple Part Clinical Study of JNT-517 in Healthy Participants and in Participants With Phenylketonuria
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Scientific title
A Phase 1, First-In-Human, Multiple Part, Single Ascending and Multiple Dose Study of JNT-517 in Healthy Participants and in Participants With Phenylketonuria
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Secondary ID [1]
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JNT517-101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Phenylketonuria
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Condition category
Condition code
Metabolic and Endocrine
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Other metabolic disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - JNT-517 Suspension
Treatment: Drugs - Placebo Suspension
Treatment: Drugs - JNT-517 Tablet
Treatment: Drugs - Placebo Tablet
Experimental: JNT-517 SAD (Part A) - Single dose of JNT-517 or placebo in fasted state.
Experimental: JNT-517 MAD (Part B) - JNT-517 or placebo once or twice daily for 14 days, with first daily dose given after an overnight fast.
Experimental: JNT-517 Suspension Then Tablet Fasted Then Tablet Fed (Part C) - Single dose of JNT-517 suspension, JNT-517 tablet in a fasted state, and JNT-517 tablet in a fed state in a sequential, open-label manner. Each treatment is separated by a minimum of 5 half-lives.
Experimental: JNT-517 Tablet Fasted Then Tablet Fed Then Suspension (Part C) - Single dose of JNT-517 tablet in a fasted state, JNT-517 tablet in a fed state, and JNT-517 suspension in a sequential, open-label manner. Each treatment is separated by a minimum of 5 half-lives.
Experimental: JNT-517 Tablet Fed Then Suspension Then Tablet Fasted (Part C) - Single dose of JNT-517 tablet in a fed state, JNT-517 suspension, and JNT-517 tablet in a fasted state in a sequential, open-label manner. Each treatment is separated by a minimum of 5 half-lives.
Experimental: JNT-517 PKU (Part D) - JNT-517 or placebo daily for 4 weeks. Dose is based on data from Parts A, B, and C.
Treatment: Drugs: JNT-517 Suspension
JNT-517 in on-site compounded suspension
Treatment: Drugs: Placebo Suspension
On-site compounded placebo suspension
Treatment: Drugs: JNT-517 Tablet
JNT-517 tablets, 25 mg and 75 mg
Treatment: Drugs: Placebo Tablet
Matching film-coated placebo tablet
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of participants with treatment-emergent adverse events
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Assessment method [1]
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Reported based on results of 12-lead ECGs, vital signs, clinical laboratory tests, and other medical assessments.
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Timepoint [1]
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Parts A and C: Screening to Day 8; Part B: Screening to Day 21; Part D: Screening to Day 35
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Secondary outcome [1]
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Plasma area under the concentration-time curve (AUC) of JNT-517
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Assessment method [1]
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Timepoint [1]
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Parts A and C: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D: pre-dose to 4 hrs post-dose on Days 1, 14, 28
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Secondary outcome [2]
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Maximum observed plasma concentration (Cmax) of JNT-517
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Assessment method [2]
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Timepoint [2]
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Parts A and C: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D: pre-dose to 4 hrs post-dose on Days 1, 14, 28
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Secondary outcome [3]
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Time to maximum plasma concentration (Tmax) of JNT-517
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Assessment method [3]
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Timepoint [3]
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Parts A and C: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D: pre-dose to 4 hrs post-dose on Days 1, 14, 28
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Secondary outcome [4]
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Plasma terminal half-life (t1/2) of JNT-517
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Assessment method [4]
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Timepoint [4]
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Parts A and C: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D: pre-dose to 4 hrs post-dose on Days 1, 14, 28
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Secondary outcome [5]
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Comparison of Tmax of JNT-517 in fed and fasted states
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Assessment method [5]
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Part C only
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Timepoint [5]
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Pre-dose to 72 hrs post-dose on Day 1
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Secondary outcome [6]
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Comparison of Cmax of JNT-517 in fed and fasted states
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Assessment method [6]
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Part C only
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Timepoint [6]
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Pre-dose to 72 hrs post-dose on Day 1
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Secondary outcome [7]
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Comparison of AUC of JNT-517 in fed and fasted states
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Assessment method [7]
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Part C only
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Timepoint [7]
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Pre-dose to 72 hrs post-dose on Day 1
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Secondary outcome [8]
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Changes in urinary amino acid levels
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Assessment method [8]
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Part D only. Urine samples will be collected at the indicated timepoints and analyzed for amino acid levels, including Phe.
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Timepoint [8]
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Screening and Days 1, 7, 14, 21, 28
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Eligibility
Key inclusion criteria
Key
Parts A, B, and C:
1. Males and females 18 to 55 years of age.
2. Medically healthy with no clinically significant medical history.
3. Body mass index (BMI) of 18-40 kg/m2 and total body weight >50 kg (110 lbs).
4. Non-smoker for at least 2 weeks prior to dosing and willing to abstain during the study.
Part D:
5. Males and females 18 to 65 years of age, inclusive.
6. Diagnosis of PKU with a confirmed genotype.
7. At least 2 plasma Phe levels >600 µM over the past 12 months.
8. BMI of 18-40 kg/m2.
All Parts:
9. Females of childbearing potential must agree to use 2 highly effective contraceptive methods.
10. Capable of giving signed informed consent and able to comply with study procedures.
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Minimum age
18
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
All Parts:
1. Any acute or chronic medical condition that would prevent the participant from complying with the procedures or place the participant at risk if they participate in the study.
2. Positive for hepatitis B or C or human immunodeficiency virus.
3. Any history of malignancy in the last 5 years, excluding non-melanoma skin cancer.
4. Any history of liver disease.
5. Any surgical or medical conditions that may affect study drug absorption, distribution, metabolism, or excretion.
6. Participation in another investigational drug trial within 30 days or, if known, 5 half-lives of the investigational drug (whichever is longer).
7. History of drug/alcohol abuse in the last year.
8. Current, recent, or suspected infection within 4 weeks of Screening of SARS-CoV-2/COVID-19.
9. Received a vaccine for SARS-CoV-2/COVID-19 within 14 days of Screening.
10. Unable to tolerate oral medication.
11. Allergy to JNT-517 or any component of the investigational product.
12. Received >50 mL of blood or plasma within 30 days of Screening or >500 mL of blood or plasma within 60 days of Screening.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
31/10/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/03/2025
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Actual
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Sample size
Target
112
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
Melbourne VICNSW,QLD,SA
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Recruitment hospital [1]
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Nucleus Network Melbourne - Melbourne
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Recruitment hospital [2]
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Westmead Hospital - Westmead
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Recruitment hospital [3]
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Mater Misericordia Ltd - South Brisbane
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Recruitment hospital [4]
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Royal Adelaide Hospital - Adelaide
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Recruitment postcode(s) [1]
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3004 - Melbourne
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Recruitment postcode(s) [2]
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2145 - Westmead
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Recruitment postcode(s) [3]
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4101 - South Brisbane
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Recruitment postcode(s) [4]
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5000 - Adelaide
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Florida
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Country [2]
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United States of America
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State/province [2]
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Georgia
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Country [3]
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United States of America
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State/province [3]
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Illinois
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Country [4]
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United States of America
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State/province [4]
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Nebraska
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Country [5]
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United States of America
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State/province [5]
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Oregon
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Country [6]
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United States of America
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State/province [6]
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Pennsylvania
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Country [7]
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United States of America
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State/province [7]
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Texas
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Country [8]
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United States of America
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State/province [8]
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Utah
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Jnana Therapeutics
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The goal of Parts A and B of this Phase 1, first-in-human, randomized study is to assess the safety, tolerability, and pharmacokinetics (PK) of single (SAD) and multiple (MAD) ascending doses of oral JNT-517 in healthy participants. In Part C, the goal is to evaluate the differences in bioavailability between a tablet and suspension formulation of JNT-517 and the food effect in healthy volunteers. All participants in Part C will receive JNT-517. The goal of Part D is to assess the safety, tolerability, PK, and effect on urinary Phe and other amino acids of JNT-517 in participants with phenylketonuria (PKU). Participants in Part D will receive either JNT-517 or placebo and will be blinded to their treatment assignment. The study consists of 4 parts: * Part A: SAD in healthy participants -randomized, double-blind, placebo-controlled * Part B: MAD in healthy participants (14 days)-randomized, double-blind, placebo-controlled * Part C: Relative bioavailability of 2 formulations and food effect in healthy participants-randomized, open-label * Part D: Phase 1b in participants with PKU (4 weeks)-randomized, double-blind, placebo-controlled In each part, participants will complete a Screening Period, a Treatment Period, and a Follow-up Period for safety.
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Trial website
https://clinicaltrials.gov/study/NCT05781399
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Toby Vaughn
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Address
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Country
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Phone
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1-513-505-0770
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05781399
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