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BMN 165

Phase 3

Phenylketonuria | Monoclonal antibody | Rare Disease |BioMarin Pharmaceutical Inc.|Last Updated: Aug 6, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment285
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01819727An Open-Label Phase 3 Study of BMN 165 for Adults With PKU Not Previously Treated w/ BMN 165PHASE3 COMPLETED 261May 1, 2013Nov 25, 2015Feb 26, 201931 United States
NCT01560286A Study to Evaluate Subcutaneously Administered rAvPAL-PEG in Patients With Phenylketonuria for 24 WeeksPHASE2 COMPLETED 24May 1, 2012Jul 1, 2015Aug 6, 20196 United States
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Study Endpoints
Primary Endpoints
Number of Participants With Hypersensitivity Adverse Reaction
baseline and 36 weeks

Hypersensitivity AEs will be identified in two ways: * Broad Algorithmic anaphylactic reaction Standardized MedDRA Queries (SMQ) * Modified Hypersensitivity SMQ to include above additional preferred terms

Blood Phenylalanine Concentration
Baseline, Week 24

All patients will have their plasma Phenylalanine (Phe) assessed. Please note that "Pharmacokinetics Sub-study" was not performed, and thus no results are available.

Secondary Endpoints
Blood Phenylalanine Concentration
baseline and 36 weeks
Number of Participants With Study Drug Related Adverse Events
Minimum Weekly Assessment of Injection Sites, Vital Signs and Adverse Events. Other Safety Assessments will be performed at other intervals (below):
Percentage of Participants With Positive Anti-PAL Immunoglobulin G [IgG]
Baseline, Week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
BMN 165, 20mg/dayACTIVE_COMPARATORSubjects who meet the eligibility criteria will be randomized 1:1 to titrate to one of two dose regimens: 20 mg/day or 40 mg/day. The randomization will be stratified by the last available blood Phe concentration prior to Day 1 (600 to 900 μmol/L and \> 900 μmol/L).
BMN 165, 40mg/dayACTIVE_COMPARATORSubjects who meet the eligibility criteria will be randomized 1:1 to titrate to one of two dose regimens: 20 mg/day or 40 mg/day. The randomization will be stratified by the last available blood Phe concentration prior to Day 1 (600 to 900 μmol/L and \> 900 μmol/L).
Group 1EXPERIMENTAL4-8 week induction of rAvPAL-PEG at 2.5 mg, followed by titration to maintenance dose
Interventions
NameTypeDescription
BMN 165DRUGAfter informed consent, eligible subjects will be randomized (1:1) to titrate up to one of two dose regimens: 20 mg/day or 40 mg/day. All subjects will initiate IP at a fixed-dose of 2.5 mg/week for 4 weeks (Induction). After the Induction Period, subjects will enter the Titration Period (Weeks 5 up to 34) where they will increase their weekly BMN 165 dose to a daily dose regimen of 20 mg/day or 40 mg/day. The Titration Period will be individualized to each subject based on a minimum of 6 weeks (the amount of time it takes to reach a dose regimen of 20 mg/day with no dose interruptions) and up to 30 weeks (accounts for dose reduction or interruption due to AEs). Subjects will stop titration once they have achieved either the 20 mg/day or 40 mg/day dose regimen. The majority of subjects will maintain the 20 or 40 mg/day dose regimen for at least an additional 2 weeks until a minimum of approximately 26 weeks or a maximum of 36 weeks in the study.
BMN 165 (rAvPAL-PEG)BIOLOGICALSubcutaneous injection of rAvPAL-PEG administered from 1 time up to 5 times per week between 2.5mg up to a maximum of 375mg for 24 weeks.
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites31

INCLUSION CRITERIA Individuals eligible to participate in this study must meet all of the following criteria: * A current diagnosis of PKU with the following: * Current blood Phe concentration \>600 µmol/L at screening and * Average blood Phe concentration of \>600 µmol/L over the past 6 mont...

Countries:United States
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Competitive Landscape -Phenylketonuria 12 trials