Understanding Hypophosphatasia in Adults with Rheumatologic Issues

The COHIR Study - a Non-interventional, Prospective, Single-center Investigation With Exploratory Data Analysis to Assess the Proportion of Patients With Hypophosphatasia Presenting at the Department of Rheumatology and Establishment of an Algorithm to HPP Diagnosis.

Observational University of Bonn · NCT06161142

This study is trying to find out how common a rare bone disorder called hypophosphatasia is in adults with rheumatologic issues and to develop a way to spot it earlier to improve treatment.

Quick facts

Study typeObservational
Enrollment60 (estimated)
Ages18 Years and up
SexAll
SponsorUniversity of Bonn Academic / other
Locations1 site (Bonn, North Rhine-Westphalia)
Trial IDNCT06161142 on ClinicalTrials.gov

What this trial studies

This observational study aims to determine the prevalence of hypophosphatasia, a rare genetic disorder, among adult patients in rheumatology. It seeks to establish an algorithm for early detection of hypophosphatasia, which is often misdiagnosed as other bone diseases. The study will involve measuring alkaline phosphatase levels and conducting extended laboratory diagnostics, alongside symptom assessments. By identifying this condition earlier, the study hopes to improve patient outcomes and treatment approaches.

Who should consider this trial

Good fit: Ideal candidates for this study are adults over 18 years old with a clinical suspicion of hypophosphatasia and evidence of abnormal alkaline phosphatase levels.

Not a fit: Patients who do not exhibit symptoms or clinical suspicion of hypophosphatasia will likely not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to earlier diagnosis and better management of hypophosphatasia in adult patients.

How similar studies have performed: While hypophosphatasia is a rare condition, similar studies focusing on early detection of rare diseases have shown promise, suggesting that this approach could be beneficial.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Written Informed consent
* Age \> 18 years
* Clinical suspicion of hypophosphatasia
* Evidence of a pathological ALP value within the clinical routine screening

Exclusion Criteria:

* Failure to meet the inclusion criteria listed above

Where this trial is running

Bonn, North Rhine-Westphalia

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions HypophosphatasiaHypophosphatasemiaMusculoskeletal complaintsRare diseaseGenetic disorderAlkaline phosphatase geneALPALP gene
Last reviewed 2026-06-15 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.