Metabolic

Phenylketonuria

Also known as PKU, PAH deficiency, phenylalanine hydroxylase deficiency, hyperphenylalaninemia

Phenylketonuria (PKU) is an inborn error of metabolism caused by mutations in the PAH gene encoding phenylalanine hydroxylase, the enzyme that converts phenylalanine to tyrosine. Without treatment, elevated blood phenylalanine causes progre

Gene PAHPrevalence 1-5 per 10,000 (Orphanet)Onset NeonatalAutosomal recessive genetic

31

studies recruiting now

as of 7 Sept 2026

195

studies registered in total

as of 7 Sept 2026

6

countries with a recruiting site

as of 7 Sept 2026

10 Jul 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 31 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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Patient organisations

National PKU AlliancePatient association
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Registry: PKU Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Phenylketonuria

Phenylketonuria (PKU) is an inborn error of metabolism caused by mutations in the PAH gene encoding phenylalanine hydroxylase, the enzyme that converts phenylalanine to tyrosine. Without treatment, elevated blood phenylalanine causes progressive intellectual disability and neurological damage. PKU is detected by newborn screening, and lifelong management includes a low-phenylalanine diet; sapropterin (Kuvan) and pegvaliase (Palynziq) are approved pharmacological therapies.

Common clinical features

Intellectual disability (if untreated)SeizuresBehavioural difficultiesMusty or mouse-like odour (from phenylacetate)Fair skin and hairEczema-like rashMood disorders in adultsCognitive decline without dietary adherence

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Before you apply

Things trial teams commonly ask about for Phenylketonuria. Not eligibility rules; those are set by each study.

  • Sapropterin (BH4) responsiveness testing is required before enrollment in BH4-related trials — responders and non-responders are separate cohorts
  • Blood phenylalanine levels at baseline and throughout diet history are key eligibility and outcome measures
  • Pegvaliase (Palynziq) trials typically require documented failure or intolerance of dietary management
  • Maternal PKU trials specifically target women of childbearing age — pregnancy planning is a distinct eligibility pathway

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).