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:
First successful outcomes of pegvaliase (PALYNZIQ) in children.
Alfadhel Majid, Albarakati Rayyan · BMC Med Genomics · 2024
PMID: 38515136Case ReportFull text (PMC)
Pegvaliase dose escalation to 80 mg daily may lead to efficacy in patients who do not exhibit an optimal response at lower doses.
Vucko Erika R, Havens Kirsten E, Baker Joshua J et al. · Mol Genet Metab Rep · 2022
PMID: 36046394Case ReportFull text (PMC)
Reinstitution of pegvaliase therapy during lactation.
Rohr Frances, Wessel Ann, Harding Cary O et al. · Mol Genet Metab Rep · 2022
PMID: 36420422Case ReportFull text (PMC)
Continuation of pegvaliase treatment during pregnancy: A case report.
Boyer Monica, Skaar Janette, Sowa Mary et al. · Mol Genet Metab Rep · 2021
PMID: 33552907Case ReportFull text (PMC)
Discontinuation of Pegvaliase therapy during maternal PKU pregnancy and postnatal breastfeeding: A case report.
Rohr Fran, Kritzer Amy, Harding Cary O et al. · Mol Genet Metab Rep · 2020
PMID: 31956506Case ReportFull text (PMC)
Pegvaliase therapy for phenylketonuria: Real-world safety, efficacy, and medication access outcomes in a pharmacist-led pegvaliase program.
Shrestha Sofia, Zagel Alicia L, Pillai Nishitha R et al. · Genet Med · 2025
PMID: 40094206Other
Management of pegvaliase-related skin concerns: best practice recommendations using a modified Delphi approach.
Ameijeiras Alvaro Hermida, Vucko Erika, Harding Cary O et al. · Mol Genet Metab · 2026
PMID: 41762598
Long-Term Safety and Efficacy of Pegvaliase in Japanese Adults With Phenylketonuria: Final Results of a Phase III Trial.
Nakajima Yoko, Ishige Mika, Ito Tetsuya et al. · JIMD Rep · 2026
PMID: 41971647

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.