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rAvPAL-PEG

Phase 2

Phenylketonuria | Small molecule | Rare Disease |BioMarin Pharmaceutical Inc.|Last Updated: Oct 12, 2021

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 Trials4
Total Enrollment149
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01212744Safety, Tolerability, and Efficacy Study of rAvPAL-PEG Administered Daily in Subjects With Phenylketonuria (PKU)PHASE2 COMPLETED 16Mar 1, 2011Apr 1, 2015Feb 26, 20199 United States
NCT00924703Long-Term Extension of Previous rAvPAL-PEG Protocols in Subjects With PKU (PAL-003)PHASE2 COMPLETED 68Jan 13, 2010Jan 31, 2019Oct 12, 202114 United States
NCT00925054Dose-Finding Study to Evaluate the Safety, Efficacy, & Tolerability of Multiple Doses of rAvPAL-PEG in Subjects With PKUPHASE2 COMPLETED 40Sep 1, 2009Jun 1, 2015Feb 26, 201911 United States
NCT00634660Safety and Tolerability Study of rAvPAL-PEG to Treat PhenylketonuriaPHASE1 COMPLETED 25May 1, 2008Oct 1, 2009Feb 1, 20178 United States
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Study Endpoints
Primary Endpoints
Blood Phenylalanine Concentration
Baseline, Week 16

Plasma Phe

Change From Baseline in the Blood Phenylalanine (Phe) Concentration
At Baseline and Change from Baseline to Week 48, Week 96, Week 144, Week 216, and Week 240

Blood Phe Concentration (Change from Baseline) and Daily Dose in PAL-003 Subjects by Disposition (PAL-003 Population)

Blood Phenylalanine Concentrations
Baseline, Week 1/Day 5, Week 7, Week 16/Day 106
• To assess the incidence of treatment-emergent adverse events of a single, subcutaneous (SC) injections of rAvPAL-PEG in subjects with PKU.
6 weeks

Specifically, safety was to be assessed by examining the incidence of all treatment-emergent adverse events reported during the study period and clinically significant changes in vital signs and clinical laboratory results, including development of rAvPAL-PEG antibodies.

Secondary Endpoints
Study Drug Related Adverse Events
Weekly
Percentage of Participants With PAL IgG Antibody Percentage of Participants With Positive PAL IgG
Baseline, Week 16
Plasma Concentrations of rAvPAL-PEG (BMN 165)
Baseline, Week 8, Week 13
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
rAvPAL-PEGEXPERIMENTALrAvPAL-PEG in varying doses
rAvPAL-PEG 0.001 mg/kgEXPERIMENTALSubjects will start on rAvPAL-PEG 0.001 mg/kg
rAvPAL-PEG 0.003 mg/kgEXPERIMENTALSubjects will start on rAvPAL-PEG 0.003 mg/kg
rAvPAL-PEG 0.01 mg/kgEXPERIMENTALSubjects will start on rAvPAL-PEG 0.01 mg/kg
rAvPAL-PEG 0.03 mg/kgEXPERIMENTALSubjects will start on rAvPAL-PEG 0.03 mg/kg
rAvPAL-PEG 0.1 mg/kgEXPERIMENTALSubjects will start on rAvPAL-PEG 0.1 mg/kg
0.001 mg/kgACTIVE_COMPARATOROne subcutaneous injection of 0.001 mg/kg of rAvPAL-PEG.
0.003 mg/kgACTIVE_COMPARATOROne subcutaneous injection of 0.003 mg/kg of rAvPAL-PEG.
0.01 mg/kgACTIVE_COMPARATOROne subcutaneous injection of 0.01 mg/kg of rAvPAL-PEG.
0.03 mg/kgACTIVE_COMPARATOROne subcutaneous injection of 0.03 mg/kg of rAvPAL-PEG.
0.1 mg/kgACTIVE_COMPARATOROne subcutaneous injection of 0.1 mg/kg of rAvPAL-PEG.
0.3 mg/kgACTIVE_COMPARATOROne subcutaneous injection of 0.3 mg/kg of rAvPAL-PEG.
1.0 mg/kgACTIVE_COMPARATOROne subcutaneous injection of 1.0 mg/kg of rAvPAL-PEG.
Interventions
NameTypeDescription
rAvPAL-PEGDRUG0.06 mg/kg/day, 0.1 mg/kg/day, 0.2 mg/kg/day, 0.4 mg/kg/day, 0.6 mg/kg/day, 0.8 mg/kg/day
rAvPAL-PEG 0.001 mg/kgDRUGIn Part 1, the planned starting dose levels is 0.001 mg/kg
rAvPAL-PEG 0.003 mg/kgDRUGIn Part 1, the planned starting dose levels is 0.003 mg/kg
rAvPAL-PEG 0.01 mg/kgDRUGIn Part 1, the planned starting dose levels is 0.01 mg/kg
rAvPAL-PEG 0.03 mg/kgDRUGIn Part 1, the planned starting dose levels is 0.03 mg/kg
rAvPAL-PEG 0.1 mg/kgDRUGIn Part 1, the planned starting dose levels is 0.1 mg/kg
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Eligibility Criteria
Age Range16 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Diagnosis of PKU with both of the following: current blood Phe concentration of ≥ 600 micromol/L at screening and average blood Phe concentration of ≥ 600 micromol/L over the past 3 years, using available data * Evidence that the subject is a non-responder to Kuvan® treatment ...

Countries:United States
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Competitive Landscape -Phenylketonuria 12 trials