Status:

COMPLETED

Safety and Efficacy Study of Asfotase Alfa in Severely Affected Infants With Hypophosphatasia (HPP)

Lead Sponsor:

Alexion Pharmaceuticals, Inc.

Conditions:

Hypophosphatasia (HPP)

Eligibility:

All Genders

Up to 36 years

Phase:

PHASE1

PHASE2

Brief Summary

This clinical trial studies the safety and efficacy of asfotase alfa in infants and young children with infantile onset HPP.

Detailed Description

Hypophosphatasia (HPP) is a life-threatening, genetic, and ultra-rare metabolic disease characterized by defective bone mineralization and impaired phosphate and calcium regulation that can lead to pr...

Eligibility Criteria

Inclusion

  • Legal guardian(s) must provide informed consent prior to any study procedures
  • Documented diagnosis of severe HPP as indicated by:
  • Total serum alkaline phosphatase at least 3 standard deviations (SD) below the mean for age
  • Plasma pyridoxal 5'-phosphate (PLP) at least 4 times the upper limit of normal
  • Radiographic evidence of HPP (hypophosphatasia), characterized by:
  • Flared and frayed metaphyses
  • Severe, generalized osteopenia
  • Widened growth plates
  • One or more HPP-related findings:
  • History or presence of:
  • Non-traumatic post-natal fracture
  • Delayed fracture healing
  • History of elevated serum calcium
  • Functional craniosynostosis with decreased head circumference growth
  • Nephrocalcinosis
  • Respiratory compromise
  • Rachitic chest deformity and/or vitamin B6 dependent seizures
  • Failure to thrive
  • Onset of symptoms prior to 6 months of age
  • Age ≤ 36 months
  • Otherwise medically stable (patient may be on ventilatory support)
  • Legal guardian(s) must be willing to comply with the study

Exclusion

  • History of sensitivity to any of the constituents of the study drug
  • Current or prior clinically significant cardiovascular, endocrinologic, hematologic, hepatic, immunologic, metabolic, infectious, urologic, pulmonary, neurologic, dermatologic, renal condition and/or other major disease which, in the opinion of the investigator, precludes study participation
  • Treatment with an investigational drug within 1 month prior to the start of study drug administration
  • Current enrollment in any other study involving an investigational new drug, device or treatment for HPP (e.g., bone marrow transplantation)
  • Low serum calcium, phosphate or 25(OH) vitamin D
  • Current evidence of a treatable form of rickets
  • Prior treatment with bisphosphonate

Key Trial Info

Start Date :

September 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2010

Estimated Enrollment :

11 Patients enrolled

Trial Details

Trial ID

NCT00744042

Start Date

September 1 2008

End Date

May 1 2010

Last Update

April 1 2019

Active Locations (10)

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Page 1 of 3 (10 locations)

1

Arkansas Children's Hospital

Little Rock, Arkansas, United States, 72202

2

Alfred I. duPont Hospital for Children

Wilmington, Delaware, United States, 19803

3

St. John's Hospital

Springfield, Missouri, United States, 65804

4

University of Nebraska Medical Center, Munroe-Meyer Institute

Omaha, Nebraska, United States, 68114