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rAvPAL-PEG

Phase 2

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials4
Total Enrollment149

FDA Designations

No designations recorded

Clinical trial landscape

rAvPAL-PEG · 4 trials · 1 indication

Phase 2 3Phase 1 1
NCT01212744Safety, Tolerability, and Efficacy Study of rAvPAL-PEG Administered Daily in Subjects With Phenylketonuria (PKU)Phenylketonuria
COMPLETED16 Analytics
NCT00924703Long-Term Extension of Previous rAvPAL-PEG Protocols in Subjects With PKU (PAL-003)Phenylketonuria
COMPLETED68 Analytics
NCT00925054Dose-Finding Study to Evaluate the Safety, Efficacy, & Tolerability of Multiple Doses of rAvPAL-PEG in Subjects With PKUPhenylketonuria
COMPLETED40 Analytics
PHASE2COMPLETED
Safety, Tolerability, and Efficacy Study of rAvPAL-PEG Administered Daily in Subjects With Phenylketonuria (PKU)
PhenylketonuriaUnlock trial analytics
PHASE2COMPLETED
Long-Term Extension of Previous rAvPAL-PEG Protocols in Subjects With PKU (PAL-003)
PhenylketonuriaUnlock trial analytics
PHASE2COMPLETED
Dose-Finding Study to Evaluate the Safety, Efficacy, & Tolerability of Multiple Doses of rAvPAL-PEG in Subjects With PKU
PhenylketonuriaUnlock trial analytics

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 to 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

Frequently asked questions about rAvPAL-PEG

What is rAvPAL-PEG used for?

rAvPAL-PEG is an investigational therapy being developed for phenylketonuria (PKU), a metabolic disorder. It is a small molecule designed to address the condition in patients aged 16 years and older. The drug is currently in clinical development and has not been approved by regulatory authorities.

Who is developing rAvPAL-PEG?

rAvPAL-PEG is being developed by BioMarin Pharmaceutical Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol BMRN. BioMarin has conducted multiple clinical trials to evaluate the safety and efficacy of rAvPAL-PEG in patients with phenylketonuria.

What phase is rAvPAL-PEG in?

rAvPAL-PEG is in Phase 2 clinical development. It has completed four clinical trials, including one Phase 1 study and three Phase 2 studies, all focused on phenylketonuria. The drug remains investigational and is not yet approved for commercial use.

What clinical trials has rAvPAL-PEG been in?

rAvPAL-PEG has been studied in four completed clinical trials in the United States. These include NCT00634660, a Phase 1 safety and tolerability study; NCT00924703, a long-term extension study; NCT00925054, a dose-finding study; and NCT01212744, a daily dosing study. All trials enrolled patients aged 16 years and older with phenylketonuria.

Is rAvPAL-PEG FDA approved?

rAvPAL-PEG is not FDA approved. It is an investigational drug that has completed Phase 1 and Phase 2 clinical trials for phenylketonuria. The drug is still in clinical development, and its safety and efficacy have not been fully established for regulatory approval.

What is the development status of rAvPAL-PEG?

rAvPAL-PEG has completed four clinical trials, including one Phase 1 and three Phase 2 studies, all in patients with phenylketonuria. The trials were conducted in the United States with a total enrollment of 149 participants. The drug is not currently in active clinical trials and remains investigational.