{"id":7121,"date":"2025-06-12T09:56:35","date_gmt":"2025-06-12T09:56:35","guid":{"rendered":"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/?page_id=7121"},"modified":"2026-04-15T10:43:48","modified_gmt":"2026-04-15T10:43:48","slug":"trial-results-design","status":"publish","type":"page","link":"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/trial-results-design\/","title":{"rendered":"Trial Design"},"content":{"rendered":"<div id=\"acf-block-684aa48b268a1\" class=\"wrapper hero-wrapper\">\n    <div class=\"hero hero-no-overlay\">\n                    <div class=\"hero-background-image hero-background-image-desktop\" style=\"background-image: url(https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2025\/06\/results-trial-design.png?v=0.136);\"><\/div>\n            <div class=\"hero-background-image hero-background-image-mobile\" style=\"background-image: url(https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2026\/03\/2_Palynziq_ChessGame_CloseUp_4C_Resized-2-385x800.png);\"><\/div>\n                <div class=\"overlay\"><\/div>\n        <div class=\"wrapper\">\n            <div class=\"inner-wrapper\">\n                <div class=\"hero-content\">\n                    \n                                                                                    <h1>PALYNZIQ WAS STUDIED<br \/>\n<span class=\"green\">ACROSS PKU AND<br \/>\nPATIENT TYPES<sup>1,2<\/sup><\/span>\n<\/h1>\n                                                                                                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <\/div>\n\n\n<div id=\"acf-block-69b0544a43fe5\" class=\"block bg-band pal-tabbed-block\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n            <div class=\"tabbed-box\">\n                <div class=\"block-tabs\">\n                    <div class=\"tabs-slider\">\n                        <div class=\"tab active\" data-tab=\"tab-one-content\">\n                            <p>PRISM: Clinical trials in adults\n<\/p>\n                        <\/div>\n                        <div class=\"tab\" data-tab=\"tab-two-content\">\n                            <p>PEGASUS: Clinical trials in adolescents\n<\/p>\n                        <\/div>\n                    <\/div>\n                <\/div>\n\n                <div class=\"tab-content\">\n                                                                                                        <div class=\"content tab-one-content active\">\n                                                                                                            <h2 class=\"ribboned\">The Phase 3 PRISM trials for PALYNZIQ<sup>\u00ae<\/sup> (pegvaliase-pqpz) Injection enrolled 261 adults aged 18-55 years<sup>1,2<\/sup><span class=\"no-bold\">*<\/span><sup>\u2020<\/sup>\n<\/h2>\n                                                                                                                                                \n                                                                                                                        \n                                                                                                                            \n                                        <figure>\n                                            <div class=\"image image-responsive\">\n                                                                                                    <div class=\"image-desktop\">\n                                                        <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2026\/03\/Group-1232-1.png?v=0.136\" alt=\"\" \/>                                                    <\/div>\n                                                    <div class=\"image-mobile\">\n                                                        <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2026\/03\/Group-1540-1.png?v=0.136\" alt=\"\" \/>                                                    <\/div>\n                                                                                            <\/div>\n                                        <\/figure>\n\n                                                                                                                                                \n                                                                                                                        \n                                                                                                                            \n                                        <figure>\n                                            <div class=\"image image-responsive\">\n                                                                                                    <div class=\"image-desktop\">\n                                                        <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2026\/03\/Group-1519-1.png?v=0.136\" alt=\"\" \/>                                                    <\/div>\n                                                    <div class=\"image-mobile\">\n                                                        <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2026\/03\/Group-1522.png?v=0.136\" alt=\"\" \/>                                                    <\/div>\n                                                                                            <\/div>\n                                        <\/figure>\n\n                                                                                                                                                \n                                                                                                                        \n                                                                                                                            \n                                        <figure>\n                                            <div class=\"image image-responsive\">\n                                                                                                    <div class=\"image-desktop\">\n                                                        <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2026\/03\/prism-2-.png?v=0.136\" alt=\"\" \/>                                                    <\/div>\n                                                    <div class=\"image-mobile\">\n                                                        <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2026\/03\/2.1.Results_Trial_PRISM_Chart_Group_Prism-1-2-scaled.png?v=0.136\" alt=\"\" \/>                                                    <\/div>\n                                                                                            <\/div>\n                                        <\/figure>\n\n                                                                                                    <\/div>\n                                                        \n                                                            <div class=\"content tab-two-content\">\n                                                                                                            <h2 class=\"ribboned\">The Phase 3 PEGASUS trials for PALYNZIQ<sup>\u00ae<\/sup> (pegvaliase-pqpz) Injection enrolled 55 adolescents aged 12-17 years<sup>1,6<\/sup>\n<\/h2>\n                                                                                                                                                <p>Of these, 36 received PALYNZIQ in Part 1:<\/p>\n                                                                                                                                                \n                                                                                                                        \n                                                                                                                            \n                                        <figure>\n                                            <div class=\"image image-responsive\">\n                                                                                                    <div class=\"image-desktop\">\n                                                        <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2026\/03\/Group-1520-1-1900x1245.png\" alt=\"\" \/>                                                    <\/div>\n                                                    <div class=\"image-mobile\">\n                                                        <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2026\/03\/Group-1521-1.png?v=0.136\" alt=\"\" \/>                                                    <\/div>\n                                                                                            <\/div>\n                                        <\/figure>\n\n                                                                                                    <\/div>\n                                                                                        <\/div>\n            <\/div>\n\n                        <div class=\"bottom-text\">\n                                    <h3>Patients taking PALYNZIQ achieved substantial Phe reduction. <\/h3>\n                \n                                    <a href=\"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/trial-results-efficacy\/\" class=\"button button-arrow\" target=\"\">Explore the data<\/a>\n                            <\/div>\n                    <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-684aad254e45f\" class=\"block wrapped-content bg-band bg-band-primary block-zero-top block-zero-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-684aad254e58d\" class=\"block-wysiwyg references\">\n            <p><small>*The Phase 3 PRISM trial for PALYNZIQ enrolled 261 individuals regardless of baseline Phe or dietary Phe restriction; adherence to existing management did not exclude participation.<sup>1,2<\/sup><br \/>\n<\/small><small><sup>\u2020<\/sup>Patients aged 16-17 years were initially included in the trial prior to a protocol amendment.<sup>1,2<\/sup><br \/>\n<sup>\u2021<\/sup>A Phe-restricted diet is defined as &gt;75% of protein intake from medical food.<sup>1<\/sup><br \/>\n<sup>\u00a7<\/sup>Patients were randomized 2:1 to either continue their randomized dosage of PALYNZIQ (20 mg or 40 mg once daily) or receive matching placebo.<sup>1,2<\/sup><\/small><\/p>\n<p>&nbsp;<\/p>\n<p><small><strong>References: 1.<\/strong> PALYNZIQ package insert. Novato, CA: BioMarin Pharmaceutical Inc; February 2026. <strong>2.<\/strong> Thomas J, Levy H, Amato S, et al, for the PRISM investigators. Pegvaliase for the treatment of phenylketonuria: results of a long-term phase 3 clinical trial program (PRISM). <em>Mol Genet Metab<\/em>. 2018;124(1):27-38. doi:10.1016\/j.ymgme.2018.03.006 <strong>3.<\/strong> Data on file. BioMarin Pharmaceutical Inc. <strong>4.<\/strong> Qi Y, Patel G, Henshaw J, et al. Pharmacokinetic, pharmacodynamic, and immunogenic rationale for optimal dosing of pegvaliase, a PEGylated bacterial enzyme, in adult patients with phenylketonuria. <em>Clin Transl Sci<\/em>. 2021;14(5):1894-1905. doi:10.1111\/cts.13043 <strong>5.<\/strong> Harding CO, Longo N, Northrup H, et al. Pegvaliase for the treatment of phenylketonuria: final results of a long-term phase 3 clinical trial program. <em>Mol Genet Metab<\/em> <em>Rep.<\/em> 2024;39:101084. doi:10.1016\/j.ymgmr.2024.101084 <strong>6.<\/strong> Sacharow S, Andrews A, Burrow TA, et al. Safety and efficacy of pegvaliase in adolescents with phenylketonuria: primary results from PEGASUS, a phase 3 open-label randomized controlled study. Presented at: International Congress of Inborn Errors of Metabolism (ICIEM) 2025; September 2-6, 2025; Kyoto, Japan.<\/small><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n        <\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-7121","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>PALYNZIQ\u00ae Clinical Trials | Study Design<\/title>\n<meta name=\"description\" content=\"Review study designs for both adult and adolescent trials and baseline characteristics ofeach population.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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