Clinical trial Recruiting at 10 sites Observational

Observational study of pediatric hypophosphatasia patients receiving treatment

Official title: A Prospective Observational Sub-Study of the Global Hypophosphatasia Registry to Describe the Potential Risk of Immune-Mediated Loss of Pharmacological Effect of Asfotase Alfa in Participants With Hypophosphatasia

Run by Alexion Pharmaceuticals, Inc. · NCT05234567 · Data updated 2026-11-12

This study is tracking kids with hypophosphatasia who are being treated with asfotase alfa to see how the treatment affects them over at least five years.

More Hypophosphatasia trials

Quick facts

Study typeObservational
SexAll
Enrollment30 (estimated)
SponsorAlexion Pharmaceuticals, Inc.
Industry-sponsored
Locations12 sites (Hartford, Connecticut and 11 other locations)
StatusRecruiting
StartedAugust 25, 2022
Main results expectedJuly 18, 2028
Study endsJuly 18, 2028
Registry record updatedFebruary 9, 2026
Trial IDNCT05234567 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include individuals of any age with a confirmed diagnosis of pediatric-onset hypophosphatasia who are currently receiving or will start asfotase alfa treatment.

Probably not a fit

Patients who do not have a confirmed diagnosis of pediatric-onset hypophosphatasia or are treatment-naïve without plans to start treatment may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational sub-study aims to follow participants with pediatric-onset hypophosphatasia (HPP) for a minimum of 5 years. It includes individuals of any age who have been diagnosed with HPP and are currently receiving or will start treatment with asfotase alfa. The study will track the effects of the treatment and the progression of the condition across multiple sites in the United States and potentially in one or two other countries.

Why it matters

Potential benefit: If successful, this study could provide valuable insights into the long-term effects of asfotase alfa treatment in pediatric patients with hypophosphatasia.

How similar studies have gone: Other studies involving asfotase alfa have shown promising results in treating hypophosphatasia, indicating that this approach has been successful in similar contexts.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Any age or sex with a confirmed diagnosis of pediatric-onset HPP (that is, first HPP sign or symptom presented at \< 18 years of age).
* Currently receiving asfotase alfa treatment at Enrollment (not treatment-naïve) or the Physician has decided to resume (not treatment-naïve) or start (treatment-naïve) the participant's asfotase alfa treatment within 6 months after Enrollment.
* Participant must have documented alkaline phosphatase (ALP) activity below the lower limit of normal for age and sex, and a documented ALPL gene mutation (Note: An exception is made for infants with clinical features of HPP plus low ALP who need to start asfotase alfa treatment right away, at the Physician's discretion, but do not yet have a genetic result. In this case, ALPL gene documentation is not required at the time of sub-study enrollment but should be documented within 6 months after Enrollment).
* Participant or participant's parent/legally authorized representative is able to read and/or understand the informed consent and study questionnaires in the local language.
* Participant or participant's parent/legally authorized representative must be willing and able to give signed informed consent for this sub-study, and the participant must be willing to give written informed assent, if appropriate and required by local regulations.

Exclusion Criteria:

* Currently participating in an Alexion-sponsored interventional clinical study. Participants who have concluded participation in an Alexion-sponsored asfotase alfa clinical study are eligible to enroll in this sub-study.

Where it's running

  • Clinical Trial Site
    Hartford, Connecticut, United States
    Recruiting
  • Clinical Trial Site
    Chicago, Illinois, United States
    Recruiting
  • Clinical Trial Site
    Boston, Massachusetts, United States
    Recruiting
  • Clinical Trial Site
    Kansas City, Missouri, United States
    Recruiting
  • Clinical Trial Site
    Mineola, New York, United States
    Recruiting
  • Clinical Trial Site
    Columbus, Ohio, United States
    Recruiting
Show 6 more locations
  • Clinical Trial Site
    Nashville, Tennessee, United States
    Recruiting
  • Clinical Trial Site
    Salt Lake City, Utah, United States
    Recruiting
  • Clinical Trial Site
    Charlottesville, Virginia, United States
    Recruiting
  • Clinical Trial Site
    Madison, Wisconsin, United States
    Recruiting
  • Clinical Trial Site
    Cincinnati, Ohio, United States
    Not yet recruiting
  • Clinical Trial Site
    Pittsburgh, Pennsylvania, United States
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • How a single ALPL gene change affects hypophosphatasia over time in Russia

    This observational study will follow children and adults with hypophosphatasia who carry one ALPL gene variant to see how their symptoms and health change during routine care in Russia.

    Recruiting at 3 sites AstraZeneca · Moscow and 3 other locations · NCT07390240

  • Understanding Hypophosphatasia in Adults with Rheumatology Issues

    This study is trying to learn more about adults with hypophosphatasia who have joint and bone issues to help improve how they are diagnosed and treated.

    Recruiting University of Bonn · Bonn, North Rhine-Westphali · NCT06574282

  • Registry of adults with hypophosphatasia

    This study is tracking adults with hypophosphatasia to see how the condition affects their bone health and symptoms over time.

    Recruiting at 11 sites Assistance Publique - Hôpitaux de Paris · Bordeaux, France and 10 other locations · NCT05596539

  • Observing the natural history of hypophosphatasia

    This study is tracking patients with hypophosphatasia to better understand how the condition affects them and how it runs in families.

    Recruiting Duke University · Durham, North Carolina · NCT02237625

  • Registry for patients with rare diseases

    This study is creating a central registry for people with rare diseases to help connect them with researchers and improve treatments.

    Recruiting Sanford Health · Sioux Falls, South Dakota · NCT01793168

  • Understanding the disease burden of hypophosphatasia in Chinese patients

    This study tests how hypophosphatasia affects people in China by collecting real-world data on symptoms, quality of life, and costs.

    Recruiting AstraZeneca · Beijing and 21 other locations · NCT07905287

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.