Substance / Medication

Pegvaliase

Overview

Active Ingredient
pegvaliase
RxNorm CUI
2046360

Indications

Palynziq is indicated to reduce blood phenylalanine concentrations in adult patients with phenylketonuria (PKU) who have uncontrolled blood phenylalanine concentrations greater than 600 micromol/L on existing management.

Labeler: BioMarin Pharmaceutical Inc.Updated: 2025-10-03T00:00:00.000ZFull label on DailyMed

Boxed Warning

FDA Black Box Warning

5.1 [see Warnings and Precautions ()] Anaphylaxis has been reported after administration of Palynziq and may occur at any time during treatment. 2.4 [see Dosage and Administration ()] Administer the initial dose of Palynziq under the supervision of a healthcare provider equipped to manage anaphylaxi

Contraindications

When this intervention should not be used

None.

Indications & Related Conditions

Conditions associated via SNOMED clinical relationships

Administration & Protocol

Dosing, route, and treatment protocol

Detailed dosage and administration information is available in the full FDA drug label.

View full prescribing information on DailyMed

Monitoring & Follow-Up

Biomarkers relevant to this intervention via related conditions

No monitoring biomarkers have been mapped yet. Biomarker-intervention linkages are derived through related conditions and will expand as the knowledge graph grows.

Clinical Trials

10 trials linked to this intervention

10
Total Trials
3
Recruiting
4
With Results

Research Evidence

Published studies and systematic reviews

Sort:
Long-term management strategies for pegvaliase use in phenylketonuria: Lessons learned from the phase-3 PRISM open-label extension study.
Harding Cary O, Whitehall Kaleigh Bulloch, Lilienstein Joshua et al. · Genet Med · 2025
PMID: 40411344Trial
Pegvaliase treatment normalizes blood neurotransmitter metabolites in adults with phenylketonuria.
Sigg Monika A, Wilson Christopher, Clague Gillian E et al. · Mol Genet Metab · 2024
PMID: 39388898Trial
Two-year interim safety and efficacy of pegvaliase in Japanese adults with phenylketonuria.
Ishige Mika, Ito Tetsuya, Hamazaki Takashi et al. · Mol Genet Metab · 2023
PMID: 37717412Trial
Achieving efficacy in subjects with sustained pegvaliase-neutralizing antibody responses.
Aryal Madhukar, Lau Kelly, Boyer Ryan et al. · Mol Genet Metab · 2021
PMID: 34716085Trial
Pegvaliase for the treatment of phenylketonuria: Results of the phase 2 dose-finding studies with long-term follow-up.
Burton Barbara K, Longo Nicola, Vockley Jerry et al. · Mol Genet Metab · 2020
PMID: 32593547Trial
Pegvaliase for the treatment of phenylketonuria: A pivotal, double-blind randomized discontinuation Phase 3 clinical trial.
Harding Cary O, Amato R Stephen, Stuy Mary et al. · Mol Genet Metab · 2018
PMID: 29628378Trial

Research data from MEDLINE/PubMed

Benefits & Expected Outcomes

Benefits, expected outcomes, efficacy data, and NNT (Number Needed to Treat) are pending physician authorship and evidence review.

Risks & Side Effects

Adverse reaction and safety data for this drug is sourced from the FDA-approved label.

View adverse reactions & drug interactions on DailyMed

Related Symptoms

Symptoms associated with conditions this intervention addresses

No related symptoms have been mapped yet. Symptom linkages are derived through associated conditions.

Alternatives & Comparisons

Alternative treatments, comparison data, and clinical decision support are pending physician authorship.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition or treatment plan.

Do not start, stop, or change any treatment without consulting your healthcare provider.

Quick Facts

Type
Substance / Medication
Fully Specified Name
Pegvaliase (substance)
SNOMED CT
770965008
UMLS CUI
C4519229
RxNorm CUI
2046360
Labeler
BioMarin Pharmaceutical Inc.

Clinical Data

This intervention maps to 1 entities in the Ltrl knowledge graph.

1
Conditions
0
Biomarkers
0
Specialists
0
Symptoms
10
Clinical Trials

Data is sourced from SNOMED CT, UMLS, and the Ltrl clinical knowledge graph. Content sections marked as pending require physician authorship. Consult a healthcare provider before starting any treatment.