Clinical trial Recruiting at 1 site Observational Ages 18 and up

Understanding Hypophosphatasia in Adults with Rheumatology Issues

Official title: The COHIR Multi-center Study - a Non-interventional, Prospective, Multi-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.

Run by University of Bonn · NCT06574282 · Data updated 2026-11-12

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.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment720 (estimated)
SponsorUniversity of Bonn
Academic / other
Locations1 site (Bonn, North Rhine-Westphali)
StatusRecruiting
StartedAugust 25, 2024
Main results expectedSeptember 2027
Study endsSeptember 2027
Registry record updatedFebruary 10, 2025
Trial IDNCT06574282 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

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

Probably not a fit

Patients who do not exhibit clinical signs of hypophosphatasia or have normal alkaline phosphatase levels 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 study aims to assess the characteristics of adult patients with hypophosphatasia who present at rheumatology departments. It involves a multi-center approach to gather data on the prevalence of this rare genetic disorder and its musculoskeletal complaints. The study will also focus on developing an algorithm for diagnosing hypophosphatasia based on clinical findings and alkaline phosphatase levels. Participants will undergo a second measurement of alkaline phosphatase as part of the evaluation process.

Why it matters

Potential benefit: If successful, this study could lead to improved diagnosis and understanding of hypophosphatasia in adults, enhancing patient care.

How similar studies have gone: While studies on hypophosphatasia exist, this specific approach focusing on adult patients in rheumatology is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Written informed consent
* Age \> 18 years
* Clinical suspicion of hypophosphatasia
* Evidence of an abnormal ALP (ALP below LLN) within the clinical routine screening

Exclusion Criteria:

* Failure to meet the inclusion criteria listed above

Where it's running

  • Clinic of Internal Medicine III, Department of Oncology, Haematology, Rheumatology and Clinical Immunology, University Hospital Bonn
    Bonn, North Rhine-Westphali, Germany
    Recruiting

Study contacts

  • Principal investigator: Valentin S. Schäfer, Univ.-Prof. Dr. med. MUDr. — University Hospital of Bonn
  • Study coordinator: Valentin S. Schäfer, Univ.-Prof. Dr. med. MUDr.
  • Email: rheumatologie@ukbonn.de
  • Phone: +49 228 287-17000

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

  • 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

  • Observational study of pediatric hypophosphatasia patients receiving treatment

    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.

    Recruiting at 10 sites Alexion Pharmaceuticals, Inc. · Hartford, Connecticut and 11 other locations · NCT05234567

  • 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

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.