Phenylketonuria Clinical Trial
OBJECTIVES:
I. Assess the impact of a phenylalanine restricted diet during pregnancy on symptoms in
offspring of patients with phenylketonuria.
PROTOCOL OUTLINE: This is a multicenter study.
Patients receive a phenylalanine restricted diet based on a medical food such as
Phenyl-free, Lofenalac, PKU 3, or Maximum XP (may be supplemented with tyrosine as needed)
to achieve a target blood phenylalanine level of 2-6 mg/dL. The diet begins approximately 3
months prior to conception and continues until delivery of the baby. Patients are evaluated
once a month before conception and weekly during pregnancy. Patients also undergo
sonographic examination at 8, 20, 28, and 34 weeks gestation. At birth, the cord blood is
evaluated for plasma amino acids. If the baby is found to have an elevated phenylalanine
level, blood and urine are obtained to determine the baby's genetic status. Phenylalanine
and tyrosine levels are checked in the baby daily for three days after birth.
The baby is followed for physical and mental development at 3 and 6 months and then annually
thereafter.
;
Primary Purpose: Prevention
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