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PTC923

Phase 3

Phenylketonuria | Small molecule | Rare Disease |PTC Therapeutics, Inc.|Last Updated: Apr 24, 2026

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
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment357
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05166161A Long-Term Safety Study of PTC923 in Participants With PhenylketonuriaPHASE3 ACTIVE NOT_RECRUITING 200Feb 14, 2022Jun 30, 2026Apr 24, 202646 United States, Australia +17
NCT05099640A Study of PTC923 in Participants With PhenylketonuriaPHASE3 COMPLETED 157Sep 30, 2021May 3, 2023Jan 10, 202443 United States, Australia +13
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Study Endpoints
Primary Endpoints
Number of Treatment-Emergent Adverse Events (TEAEs)
Baseline up to end of study (up to 4 years)

A TEAE is any unfavorable or unintended sign (including an abnormal laboratory finding), symptom or disease in a study participant who is administered study drug in this study

Change From Baseline in Dietary Phe/Protein Consumption at Week 26, Measured During Phe Tolerance Assessment Period
Baseline, Week 26

Phe tolerance is defined as the total amount of dietary Phe (milligrams \[mg\]/kilogram \[kg\] per day) ingested while maintaining blood Phe levels within the range of 40 to 360 micromoles (μmol)/liter (L) (defined as ≥40 to \<360 μmol/L).

Part 2 Double-blind Phase: Mean Change From Baseline in Blood Phenylketonuria (Phe) Level to Weeks 5 and 6 (Averaged Over a 2-week Period) in Participants With Phe Reduction From Baseline ≥30% During Part 1
Baseline, Weeks 5 and 6 (average of the 2-week period)

Baseline was defined as the average of Day -1 and Day 1 predose blood Phe levels in Part 2, and mean level at Weeks 5 and 6 was calculated as the average of blood Phe levels collected during the Week 5-6 analysis visit window. Least square (LS) mean and standard error (SE) were calculated using mixed model repeated measures (MMRM) method.

Part 2 Double-blind Phase: Percent Change From Baseline in Blood Phe Level to Weeks 5 and 6 (Averaged Over a 2-week Period) in Participants With Phe Reduction From Baseline ≥30% During Part 1
Baseline, Weeks 5 and 6 (average of the 2-week period)

Baseline was defined as the average of Day -1 and Day 1 predose blood Phe levels in Part 2, and mean level at Weeks 5 and 6 was calculated as the average of blood Phe levels collected during the Week 5-6 analysis visit window. LS mean and SE were calculated using MMRM method.

Secondary Endpoints
Change From Baseline in Quality of Life (QOL) Using Phenylketonuria-Quality of Life (PKU-QOL) Questionnaire at Months 8, 14, 20, 26, 32, and 38
Baseline, Months 8, 14, 20, 26, 32, and 38
Change From Baseline in QOL Using the European Quality of Life - 5 Dimensions (EQ-5D) at Months 8, 14, 20, 26, 32, and 38
Baseline, Months 8, 14, 20, 26, 32, and 38
Palatability of PTC923
Month 1 Day 1
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PTC923EXPERIMENTALParticipants will receive PTC923 7.5 mg/kg (participants 0 to \<6 months of age), 15 mg/kg (participants 6 to \<12 months of age), 30 mg/kg (participants 12 months to \<2 years of age), or 60 mg/kg (participants ≥2 years of age) orally once daily for a minimum of 12 months or until participant experiences lack of efficacy, adverse events (AEs) that lead to discontinuation, withdraws from treatment, or PTC923 is authorized and commercially available in the specific country.
Part 1: PTC923EXPERIMENTALParticipants will receive PTC923 7.5 milligrams (mg)/kilogram (kg) (participants 0 to \<6 months of age), 15 mg/kg (participants 6 to \<12 months of age), 30 mg/kg (participants 12 months to \<2 years of age), or 60 mg/kg (participants ≥2 years of age) orally once daily for 14 days.
Part 2: PTC923EXPERIMENTALParticipants will receive PTC923 20 mg/kg daily for Weeks 1 and 2, then PTC923 40 mg/kg daily for Weeks 3 and 4, then PTC923 60 mg/kg daily for Weeks 5 and 6.
Part 2: PlaceboPLACEBO_COMPARATORParticipants will receive equivalent quantities of placebo to match the 20 to 40 to 60 mg/kg dose escalation of the PTC923 treatment arm.
Interventions
NameTypeDescription
PTC923DRUGPTC923 powder for oral use will be suspended in water or apple juice prior to administration.
PlaceboDRUGPlacebo matching to PTC923
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Eligibility Criteria
SexALL
Healthy VolunteersNo
Study Sites46

Inclusion Criteria: * Clinical diagnosis of PKU with hyperphenylalaninemia (HPA) documented by past medical history of at least 2 blood Phe measurements ≥600 μmol/L. * Women of childbearing potential must have a negative pregnancy test at screening and agree to abstinence or the use of at least one...

Countries:United StatesAustraliaBrazilCanadaCzechiaDenmarkFranceGeorgiaGermanyItalyJapanMexicoNetherlandsPolandPortugalSloveniaSpainTurkey (Türkiye)United Kingdom
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Competitive Landscape -Phenylketonuria 12 trials
Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05166161primaryCompletionDate: changed
LOWMay 24, 2026NCT05166161studyFirstPostDate: changed