Purinergic compounds for people with pseudoxanthoma elasticum
Official title: Role of Purinergic Compounds in the Vascular Pathology of Pseudoxanthoma Elasticum
Run by Centre Hospitalier Universitaire de Nice · NCT07323082 · Data updated 2026-11-12
This trial will try purinergic compounds to see if restoring pyrophosphate-related signals can reduce tissue calcification in adults with genetically confirmed pseudoxanthoma elasticum.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 45 (estimated) |
| Sponsor | Centre Hospitalier Universitaire de Nice Academic / other |
| Locations | 2 sites (Angers and 1 other locations) |
| Status | Recruiting |
| Started | January 20, 2026 |
| Main results expected | January 15, 2027 |
| Study ends | January 15, 2029 |
| Registry record updated | April 24, 2026 |
| Trial ID | NCT07323082 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults over 18 with a clinical diagnosis of PXE and a confirmed ABCC6 mutation who can give informed consent and attend study visits are ideal candidates.
✕Probably not a fit
People without an ABCC6 mutation, those taking drugs or supplements that affect adenosine/pyrophosphate metabolism, or patients with progressive bone, cancer, or inflammatory diseases are unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional trial will give adults with clinically and ABCC6‑confirmed pseudoxanthoma elasticum purinergic compounds intended to restore extracellular ATP/pyrophosphate balance. Participants will have regular blood sampling and imaging (CT/scanner) along with skin and retinal examinations to monitor calcification and safety. The protocol excludes people on medications or supplements that alter adenosine levels and those with progressive bone, cancer, or inflammatory diseases. Outcomes will include change in tissue calcification measures and clinical signs related to PXE over the treatment period.
Why it matters
Potential benefit: If successful, the treatment could slow or reduce abnormal tissue calcification and lower the risk of vision loss and vascular complications in PXE patients.
How similar studies have gone: Early trials of oral pyrophosphate and related purinergic approaches have shown encouraging signals for reducing ectopic calcification, but long-term clinical benefit has not yet been established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male or female, * Age \>18 years * Covered by social security, * Informed and having signed the informed consent form. PXE patients: \- with PXE defined according to current clinical criteria for PXE (REACT-PXE and PNDS consensus) and with an ABCC6 mutation. Exclusion Criteria: * Patients treated with bisphosphonates, vitamin K antagonists, and dietary supplements containing calcium, phosphates, magnesium, zinc, or iron. * Treatments likely to alter adenosine levels (caffeine, salbutamol, beta-blockers, etc.). * Progressive bone diseases (osteoporosis, chondrocalcinosis, gout, etc.). * Progressive and/or treated cancerous diseases. * Progressive and/or treated inflammatory or autoimmune diseases.
Where it's running
-
Nice University hospital
Nice, France Recruiting -
Angers University hospital
Angers, France Not yet recruiting
Study contacts
- Study coordinator: Georges LEFTHERIOTIS, PUPH
- Email: leftheriotis.g@chu-nice.fr
- Phone: 04 92 03 85 48
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Tracking PXE-related changes at the back of the eye over time
This study will see if repeated high-resolution eye imaging can track changes in Bruch's membrane, choriocapillaris blood flow, and retinal atrophy in people with PXE.
-
Choriocapillaris blood flow differences in people with pseudoxanthoma elasticum versus healthy adults
We will test whether a noninvasive eye scan (OCT angiography) shows reduced choriocapillaris blood flow in adults with pseudoxanthoma elasticum compared with matched healthy adults.
-
Optimizing recruitment and follow-up for people with pseudoxanthoma elasticum
This project will try new ways of recruiting and following people with PXE treated at the national reference center to see if care and monitoring improve.
-
Preventing calcification in patients with Pseudoxanthoma Elasticum
This study is testing if a medication called etidronate can help young adults with Pseudoxanthoma Elasticum reduce harmful calcification in their arteries over two years.
-
Using PPI to Treat Pseudoxanthoma Elasticum
This study is testing if taking a supplement called pyrophosphate can help adults with Pseudoxanthoma Elasticum reduce harmful calcification in their bodies.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.