11/10/2025
PAH Activator Sepiapterin’s Approval a Win For PKU Patients | https://drughunters.com/3Lva4l7
Sepiapterin (Sephience®), an orally bioavailable PAH (phenylalanine hydroxylase) activator from PTC Therapeutics, was approved in July 2025 for the treatment of PKU (phenylketonuria), a condition characterized by neurotoxic Phe (phenylalanine) accumulation.
A precursor to the PAH cofactor BH4 (tetrahydrobiopterin), sepiapterin has improved cellular uptake and CNS penetrance compared to the approved synthetic BH4 formulation, sapropterin (Kuvan®). In a head-to-head Ph. 2 study with sapropterin, sepiapterin led to greater decreases in blood Phe than sapropterin at both doses tested.
In a Ph. 3 trial , blood Phe levels were lowered in 73% of participants administered sepiapterin, and in an open-extension trial 97% of patients in a Phe tolerance protocol demonstrated the ability to liberalize their diet, a critical quality-of-life improvement.
Originally developed by Censa Pharmaceuticals, sepiapterin was developed by PTC Therapeutics after Censa’s acquisition in 2020.
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