Drugs / sapropterin
last change Sep 2026 re-read 9 days ago

sapropterin

targets PAH via activation

Developed for
phenylketonuria · autism · chronic kidney disease · schizoaffective disorder · schizophrenia · autism spectrum disorder · cardiovascular disorder · cirrhosis of liver
+14 more · gastroparesis · GTP cyclohydrolase I deficiency · heart failure · hyperphenylalaninemia due to tetrahydrobiopterin deficiency · hypertensive disorder · intermittent vascular claudication · Lesch-Nyhan syndrome · pancreatic adenocarcinoma · peripheral arterial disease · portal hypertension · proteinuria · pulmonary arterial hypertension · sickle cell disease · coronary artery disorder
Investigated by
BioMarin Pharmaceutical · APR Applied Pharma Research s.a. · Emory University · Merck KGaA, Darmstadt, Germany · National Heart, Lung, and Blood Institute (NHLBI) · The Children's Health Council
+28 more · The University of Texas Health Science Center, Houston · Augusta University · Children's Hospital of Philadelphia · Children's National Research Institute · Dr. Linda Randolph · Fundacion Clinic per a la Recerca Biomédica · Georgetown University · Innovent Biologics (Suzhou) Co. Ltd. · Johns Hopkins University · Lifespan · Merck Serono Norway · National Institutes of Health (NIH) · New York State Psychiatric Institute · Providence VA Medical Center · Smerud Medical Research International AS · Stanford University · Stanley Medical Research Institute · Sun Yat-sen University · University of California, San Diego · University of Colorado, Denver · University of Massachusetts, Worcester · University of Miami · University of Michigan · University of Nebraska · University of Southern California · University of Utah · Vanderbilt University · West China Hospital

Regulatory milestones approvals, filings & regulatory actions · 6 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed phenylketonuria 2 milestones
Filed EU (EMA) Kuvan phenylketonuria 2007-11-08

“submitted a Marketing Authorization Application (MAA) to the EMEA for sapropterin dihydrochloride as an oral treatment for patients suffering from HPA due to PKU” biomarin.com ↗

“has submitted the Marketing Authorization Application (MAA) to the European Medicines Agency (EMEA) for sapropterin dihydrochloride” biomarin.com ↗

Filed US (FDA) Kuvan phenylketonuria 2007-05-24

“submitted a New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) for Kuvan(TM) (sapropterin dihydrochloride)” biomarin.com ↗

Approved Indication not stated 3 milestones
Label expansions (2) US (FDA) KUVAN — 2013-12-19 – 2014-04-23 fda.gov ↗
Approved EU (EMA) Kuvan — 2008-12-02 europa.eu ↗
Approved US (FDA) KUVAN — 2007-12-13 fda.gov ↗

Trials 47

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT02042196 Dec 2013 → May 2016 — University of Colorado, Denver Completed No outcome recorded
Phase 15 trials
Phase 1 NCT06987773 Aug 2025 — APR Applied Pharma Research s.a. Completed No outcome recorded
Phase 1 NCT06481709 Jul → Aug 2024 — APR Applied Pharma Research s.a. Completed No outcome recorded
Phase 1 NCT05299203 May → Dec 2022 head and neck squamous cell carcinoma West China Hospital Unknown No outcome recorded
Phase 1 NCT00789568 Oct 2008 → Jan 2009 phenylketonuria BioMarin Pharmaceutical Completed No outcome recorded
Phase 1 NCT00435331 Mar → Sep 2008 pulmonary arterial hypertension Vanderbilt University Completed No outcome recorded
Phase 1/22 trials · 1 missed
Phase 1/2 NCT01706965 Oct 2012 → Jun 2016 schizoaffective disorder, schizophrenia New York State Psychiatric Institute Completed Missed primary
Phase 1/2 NCT01425528 Aug 2011 → Aug 2013 GTP cyclohydrolase I deficiency University of Utah Completed No outcome recorded
Phase 216 trials · 1 met primary · 3 missed
Phase 2 NCT06396637 Apr 2024 → Apr 2025 pancreatic adenocarcinoma Sun Yat-sen University Unknown No outcome recorded
Phase 2 NCT04054973 Sep 2019 → Dec 2021 schizoaffective disorder, schizophrenia University of Massachusetts, Worcester Withdrawn No outcome recorded
Phase 2 NCT02947750 Oct 2016 → Apr 2027 expected chronic kidney disease Emory University Recruiting Mixed
Phase 2 NCT01977820 Feb → Nov 2014 phenylketonuria BioMarin Pharmaceutical Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT01772758 Aug 2011 → Jun 2016 cystic fibrosis Augusta University Completed No outcome recorded
Phase 2 NCT01395394 Jun 2011 → Jun 2013 phenylketonuria Emory University Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT00850070 Mar 2009 → Aug 2011 autism The Children's Health Council Completed Missed primary
Phase 2 NCT00841100 Dec 2008 → Jul 2011 phenylketonuria University of Miami Completed No outcome recorded
Phase 2 NCT00802893 Dec 2008 → May 2009 cardiovascular disorder Johns Hopkins University Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT00625820 May → Sep 2008 chronic kidney disease, proteinuria University of Michigan Completed Missed primary
Phase 2/33 trials · 1 missed
Phase 2/3 NCT01456286 Oct 2011 → Oct 2013 cirrhosis of liver, portal hypertension Fundacion Clinic per a la Recerca Biomédica Completed No outcome recorded
Phase 2/3 NCT00943579 Aug 2009 → Dec 2011 autism The Children's Health Council Completed Missed primary
Phase 2/3 NCT00935753 Apr 2009 → Feb 2010 Lesch-Nyhan syndrome University of California, San Diego Withdrawn No outcome recorded
Phase 38 trials · 3 met primary · 1 missed
Phase 3 NCT01732471 Nov 2012 → Oct 2013 phenylketonuria Merck KGaA, Darmstadt, Germany Completed No outcome recorded
Phase 3 NCT01376908 Jun 2011 → Jul 2014 phenylketonuria BioMarin Pharmaceutical Completed Met primary
Phase 3 NCT01114737 Aug 2010 → Mar 2013 phenylketonuria BioMarin Pharmaceutical Completed Missed primary
Phase 3 NCT00838435 Feb 2009 → Sep 2018 phenylketonuria BioMarin Pharmaceutical Completed No outcome recorded
Phase 3 NCT00332189 Jul 2006 → Aug 2009 phenylketonuria BioMarin Pharmaceutical Completed No outcome recorded
Phase 3 NCT00272792 Feb → Nov 2006 phenylketonuria BioMarin Pharmaceutical Completed Met primary
Phase 3 NCT00225615 Nov 2005 → Jun 2006 phenylketonuria BioMarin Pharmaceutical Completed No outcome recorded
Phase 3 NCT00104247 Mar 2005 → Feb 2006 phenylketonuria BioMarin Pharmaceutical Completed Met primary
Phase 44 trials
Phase 4 NCT03493412 Jul 2019 peripheral arterial disease University of Nebraska Withdrawn No outcome recorded Stop: Enrollment
Phase 4 NCT01965912 Oct 2013 → Jan 2023 phenylketonuria BioMarin Pharmaceutical Completed No outcome recorded
Phase 4 NCT01617070 May 2012 → Dec 2014 phenylketonuria University of Southern California Completed No outcome recorded
Phase 4 NCT01082328 May 2010 → May 2012 phenylketonuria Merck KGaA, Darmstadt, Germany Completed No outcome recorded
Phase not applicable7 trials · 1 missed
— NCT02353312 Mar 2015 → Dec 2018 heart failure Providence VA Medical Center Completed No outcome recorded
— NCT01806051 Mar 2013 → May 2014 phenylketonuria Dr. Linda Randolph Terminated No outcome recorded
— NCT01541397 Jun 2011 → Aug 2012 phenylketonuria The University of Texas Health Science Center, Houston Terminated No outcome recorded
— NCT01412437 Apr 2011 → Mar 2012 phenylketonuria Children's National Research Institute Withdrawn No outcome recorded Stop: Enrollment
— NCT01141595 Jul 2010 → Sep 2011 autism spectrum disorder The University of Texas Health Science Center, Houston Completed No outcome recorded
— NCT01135186 May 2010 → Nov 2012 gastroparesis Stanford University Completed No outcome recorded
— NCT00986973 Mar 2010 → Jul 2011 phenylketonuria Children's Hospital of Philadelphia Completed Missed primary
Phase not stated1 trial
— NCT00484991 — phenylketonuria BioMarin Pharmaceutical Approved for marketing No outcome recorded
Comparator or background therapy2 trials
Phase 1 NCT07255599 Comparator Sep 2025 → Jan 2026 overdue phenylketonuria Sohag University Active not recruiting No outcome recorded
Phase 2 NCT00423280 Comparator Nov 2006 → Feb 2009 coronary artery disorder University of Oxford Unknown No outcome recorded

News releases announcing trial results or a regulatory action · 27

DateIssuerRelease
2015-03-30 BioMarin Pharmaceutical Results BioMarin Announces One Oral and 7 Poster Presentations at the 2015 American College of Medical Genetics and Genomics Annual Clinical Genetics Meeting biomarin.com ↗
There was a statistically significant difference between the baseline and week 13 ADHD-RS total score with Kuvan compared with placebo (p = 0.01).
2014-09-24 BioMarin Pharmaceutical Regulatory FDA Receives Paragraph IV Notice Letter for KUVAN(R) (sapropterin dihydrochloride) Tablets biomarin.com ↗
2014-04-14 BioMarin Pharmaceutical Regulatory FDA Extends Market Exclusivity Six Months for BioMarin’s Rare Disease Therapy KUVAN(R) (sapropterin dihydrochloride) Powder for Oral Solution and Tablets biomarin.com ↗
The FDA action extends KUVAN's market exclusivity to June 2015 and is based on studies submitted in response to a written request by the FDA to investigate the use of KUVAN in pediatric patients from birth to age 6.
2013-02-19 BioMarin Pharmaceutical Results BioMarin Announces Kuvan Significantly Improves Inattentiveness in Kuvan Responding PKU Patients biomarin.com ↗
Kuvan improved the ADHD-RS (p=0.085), driven by a statistically significant change in the inattention component of the score (p=0.036).
2010-09-01 BioMarin Pharmaceutical Results Results From Investigator-Sponsored Trials Presented at SSIEM Conference biomarin.com ↗
The results of this exploratory study suggest improvements in executive abilities following treatment with sapropterin.
2009-06-10 BioMarin Pharmaceutical Regulatory Kuvan Receives Priority Review Status From Health Canada biomarin.com ↗
BioMarin Pharmaceutical Inc. announced today that it has received notice of priority review status for Kuvan(R) (sapropterin dihydrochloride) as an oral treatment for patients with phenylketonuria (PKU) from Health Canada.
2009-02-03 BioMarin Pharmaceutical Results Results From Phase 2 Clinical Study of 6R-BH4 in Peripheral Arterial Disease Not Statistically Significant biomarin.com ↗
There was no statistical significance observed between the 6R-BH4 treatment and placebo groups.
2008-12-09 BioMarin Pharmaceutical Regulatory Kuvan Receives Marketing Approval in the European Union biomarin.com ↗
BioMarin will receive a milestone payment of $30 million for this marketing approval along with royalties on net sales of Kuvan in the E.U.
2008-10-15 BioMarin Pharmaceutical Results BioMarin Announces Positive Results From Phase 2A Clinical Study of 6R-BH4 in Sickle Cell Disease biomarin.com ↗
Oral administration of 6R-BH4 was associated with an improvement in endothelial dysfunction in sickle cell disease patients.
2008-09-25 BioMarin Pharmaceutical Regulatory Kuvan Receives Positive Opinion From CHMP for European Approval biomarin.com ↗
2008-07-16 Daiichi Sankyo Regulatory Asubio Pharma’s Inherited Metabolic Disease Agent Biopten®Receives Approval for Additional Indication daiichisankyo.com ↗
Asubio Pharma’s Inherited Metabolic Disease Agent Biopten®Receives Approval for Additional Indication
2008-07-16 BioMarin Pharmaceutical Regulatory Biopten (Sapropterin Dihydrochloride) Approved by Japanese Ministry of Health for the Treatment of PKU biomarin.com ↗
BioMarin Pharmaceutical Inc. (Nasdaq and SWX: BMRN) announced today that Asubio Pharma Co., Ltd. (a subsidiary of Daiichi Sankyo), has received marketing approval from the Japanese Ministry of Health, Labour and Welfare (MHLW) for a label extension of Biopten(R) (sapropterin dihydrochloride), which contains the same active ingredient as Kuvan(R) in the U.S., for the treatment of patients with phenylketonuria (PKU).

All press releases naming this drug 53 releases

DateIssuerRelease

Evidence & citations 12 cited values

Every value below carries the sentence it was read from. 52 sources stand behind the page.

FieldValueCited text
Known as sapropterin “The primary objective of the study is to evaluate the proportion of responders (that is, greater than or equal to \[\>=\] 30 percent reduction from Baseline in blood...” NCT01082328 ↗
22

“The aim of the SPARK (Safety Paediatric efficAcy phaRmacokinetic with Kuvan®) trial was to assess the efficacy (improvement in daily phenylalanine tolerance, neuromotor...” PMID 28274234 ↗ Mar 2017

“Sapropterin dihydrochloride (subsequently referred to as sapropterin) (Kuvan®) was approved by the FDA for the treatment of hyperphenylalaninemia in 2007.” NCT00789568 ↗

“Kuvan® (sapropterin dihydrochloride) will be administered orally at a dose of 20 milligram per kilogram per day (mg/kg/day) once daily for 8 days.” NCT01732471 ↗

NCT01141595 ↗

NCT00104247 ↗

NCT00225615 ↗

NCT01541397 ↗

NCT00332189 ↗

NCT07255599 ↗

NCT01425528 ↗

Show 12 more sources

Known as 6R-BH4 “Efficacy of sapropterin dihydrochloride (tetrahydrobiopterin, 6R-BH4) for reduction of phenylalanine concentration in patients with phenylketonuria: a phase III randomised...” PMID 17693179 ↗ Aug 2007
6

“The purpose of this study is to determine whether the addition of sapropterin dihydrochloride (6R-BH4) to existing treatment has any effect in patients with pulmonary arterial...” NCT00435331 ↗

NCT02947750 ↗

NCT00625820 ↗

NCT00325962 ↗

NCT00423280 ↗

NCT00802893 ↗

Known as 6R-tetrahydrobiopterin “6R-tetrahydrobiopterin (6R-BH4 or sapropterin dihydrochloride) is an investigational oral drug” NCT00625820 ↗
Known as BH4 “Tetrahydrobiopterin(BH4), also known as sapropterin, has been shown not only to reduce the severity of acute radiation dermatitis but also to enhance the repair of skin injury...” NCT05299203 ↗
3

“The FDA recently approved a new medication, Kuvan, a synthetic form of tetrahydrobiopterin (BH4) manufactured by BioMarin Pharmaceutical Inc., for patients with PKU.” NCT01617070 ↗

“Sapropterin Dihydrochloride (BH4, tetrahydrobiopterin)” NCT03493412 ↗

“Sapropterin Dihydrochloride (BH4, tetrahydrobiopterin)” NCT07255599 ↗

Known as Kuvan “During the initial 26-week SPARK (Safety Paediatric efficAcy phaRmacokinetic with Kuvan®) study, addition of sapropterin dihydrochloride (Kuvan®; a synthetic formulation of the...” PMID 34344399 ↗ Aug 2021
12

“A Pilot, Phase 1, Randomized, Open-Label, Single-Dose, Four-Way Crossover Study to Compare the Pharmacokinetics of Sapropterin Dihydrochloride 100 mg/mL Oral Suspension...” NCT06481709 ↗

“The primary objective of the study is to evaluate the proportion of responders (that is, greater than or equal to \[\>=\] 30 percent reduction from Baseline in blood...” NCT01082328 ↗

“Kuvan® (sapropterin dihydrochloride) will be administered orally at a dose of 20 milligram per kilogram per day (mg/kg/day) once daily for 8 days.” NCT01732471 ↗

NCT02353312 ↗

NCT02042196 ↗

NCT01395394 ↗

NCT01965912 ↗

NCT01706965 ↗

NCT00943579 ↗

NCT01617070 ↗

Show 2 more sources

Known as Phenoptin “The primary objective is to evaluate the degree and frequency of response to Phenoptin™ (sapropterin dihydrochloride), as demonstrated by a reduction in blood phenylalanine...” NCT00104260 ↗
1

NCT00355264 ↗

Known as RLF-OD032 “A Pilot, Phase 1, Randomized, Open-Label, Single-Dose, Four-Way Crossover Study to Compare the Pharmacokinetics of Sapropterin Dihydrochloride 100 mg/mL Oral Suspension...” NCT06481709 ↗
1

“A) A single 10 mg/kg dose of a 100 mg/mL oral suspension of sapropterin dihydrochloride (RLF-OD032) , administered under fed conditions without water followed by B) A single 10...” NCT06987773 ↗

Known as sapropterin dihydrochloride “The primary objective is to evaluate the degree and frequency of response to Phenoptin™ (sapropterin dihydrochloride), as demonstrated by a reduction in blood phenylalanine...” NCT00104260 ↗
21

“In each period, subjects will receive a single 10 mg/kg dose of sapropterin dihydrochloride on Day 1, under fasting or fed conditions, and with or without water, followed by 24...” NCT06481709 ↗

“Efficacy of sapropterin dihydrochloride (tetrahydrobiopterin, 6R-BH4) for reduction of phenylalanine concentration in patients with phenylketonuria: a phase III randomised...” PMID 17693179 ↗ Aug 2007

“The sapropterin EAP (SEAP) is an open-label, multi-center program designed to provide access to sapropterin dihydrochloride for patients diagnosed with hyperphenylalaninemia due to PKU.” NCT00484991 ↗

“Sapropterin dihydrochloride (sapropterin, Kuvan®) is the only US- and EU-approved pharmaceutical version of naturally occurring 6R-BH(4), the cofactor required for PAH activity.” PMID 21646032 ↗ Mar 2011

“In each period, subjects will receive a single 10 mg/kg dose of sapropterin dihydrochloride on Day 1, under fed conditions, followed by 24 hours of PK sampling.” NCT06987773 ↗

“Kuvan® or sapropterin dihydrochloride is a synthetic preparation of the dihydrochloride salt of naturally occurring tetrahydrobiopterin (BH4).” NCT01772758 ↗

“A Phase 2 Study of the Effects of Sapropterin Dihydrochloride on Symptomatic Peripheral Arterial Disease” NCT00403494 ↗

“6R-tetrahydrobiopterin (6R-BH4 or sapropterin dihydrochloride) is an investigational oral drug” NCT00625820 ↗

“Sapropterin Dihydrochloride (BH4, tetrahydrobiopterin)” NCT03493412 ↗

“Sapropterin Dihydrochloride (BH4, tetrahydrobiopterin)” NCT07255599 ↗

Show 11 more sources

Known as tetrahydrobiopterin “Tetrahydrobiopterin(BH4), also known as sapropterin, has been shown not only to reduce the severity of acute radiation dermatitis but also to enhance the repair of skin injury...” NCT05299203 ↗
3

“Efficacy of sapropterin dihydrochloride (tetrahydrobiopterin, 6R-BH4) for reduction of phenylalanine concentration in patients with phenylketonuria: a phase III randomised...” PMID 17693179 ↗ Aug 2007

“Sapropterin Dihydrochloride (BH4, tetrahydrobiopterin)” NCT03493412 ↗

“Sapropterin Dihydrochloride (BH4, tetrahydrobiopterin)” NCT07255599 ↗

Action Activate “Sapropterin enhances residual PAH activity in sapropterin-responsive PKU patients” PMID 21646032 ↗ Mar 2011
Route Oral “We randomly assigned 42 patients to receive oral doses of sapropterin (10 mg/kg) and 47 patients to receive placebo, once daily for 6 weeks.” PMID 17693179 ↗ Aug 2007
Target PAH “Sapropterin enhances residual PAH activity in sapropterin-responsive PKU patients” PMID 21646032 ↗ Mar 2011