Using PPI to Treat Pseudoxanthoma Elasticum
Official title: Efficacy of PyROphosPHate Supplementation to Fight ECtopIc Calcification in PseudoXanthoma Elasticum - PROPHECI-PPI Study
Run by Centre Hospitalier Universitaire de Nice · NCT04868578 · Data updated 2026-11-12
This study is testing if taking a supplement called pyrophosphate can help adults with Pseudoxanthoma Elasticum reduce harmful calcification in their bodies.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 99 (estimated) |
| Sponsor | Centre Hospitalier Universitaire de Nice Academic / other |
| Locations | 2 sites (Angers and 1 other locations) |
| Status | Recruiting |
| Started | December 13, 2022 |
| Main results expected | December 13, 2026 |
| Study ends | September 1, 2027 |
| Registry record updated | May 17, 2024 |
| Trial ID | NCT04868578 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adults aged 18 to 65 with a confirmed diagnosis of Pseudoxanthoma Elasticum.
✕Probably not a fit
Patients with renal insufficiency, osteomalacia, or those who are pregnant or lactating 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 clinical trial investigates the use of pyrophosphate supplementation to address ectopic calcification in patients with Pseudoxanthoma Elasticum (PXE), a rare genetic disorder. The study aims to evaluate the efficacy of this treatment compared to a placebo in individuals diagnosed with PXE. Participants will be monitored for changes in calcification and overall health outcomes. The trial includes adults aged 18 to 65 who meet specific diagnostic criteria for PXE.
Why it matters
Potential benefit: If successful, this treatment could significantly improve the quality of life for patients suffering from PXE by reducing ectopic calcifications.
How similar studies have gone: While the approach of using pyrophosphate supplementation is novel for PXE, similar strategies targeting ectopic calcification have shown promise in other conditions.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients (\>18 years and \<65 years), men and women, presenting a clinically and biologically authenticated PXE (genotype + phenotype) according to the international diagnostic criteria (26). * Efficient contraceptive method in woman of childbearing age at inclusion and during the overall study * Patient affiliated to a social security insurance * Signed informed consent * Patient without acute complication linked or not to the pathology at the time of the study NON-INCLUSION CRITERIA * Renal insufficiency (i.e. defined by a renal clearance \<30ml / min / 1.73 m²) * Patients with osteomalacia * Patients with chronic diarrhea (\> 1 month) * Pregnancy, lactating or fertile women who may wish to become pregnant within three years. * Any other medical condition that may be considered in the opinion of the Principal Investigator. * Use of bisphosphonate during last 5 years. * Hypocalcemia (calcium \<2.20 mmol/L and ionized calcium \<1.15 mmol/L) \*. * Vitamin D deficiency \<35 nmol/L \* * Enrollment in another inteventional clinical trial which could interfere with the present study * patients (\>18 years) protected by law * After correcting the hypocalcemia and/or vitamin D deficiency, a participant is again suitable for participation in the trial, as long as the participant meets the inclusion criteria.
Where it's running
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Angers Hospital
Angers, France Recruiting -
Nice Hospital
Nice, France Recruiting
Study contacts
- Study coordinator: Georges LEFTHERIOTIS, PUPH
- Email: leftheriotis.g@chu-nice.fr
- Phone: 33 4 92 03 29 41
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Purinergic compounds for people with pseudoxanthoma elasticum
This trial will try purinergic compounds to see if restoring pyrophosphate-related signals can reduce tissue calcification in adults with genetically confirmed pseudoxanthoma elasticum.
-
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.
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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.
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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.
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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.
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.