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CompletedNCT01419028Updated Apr 1, 2019Results posted

A Retrospective Study of the Natural History of Patients With Severe Perinatal and Infantile Hypophosphatasia (HPP)

An observational study in Hypophosphatasia (HPP), sponsored by Alexion Pharmaceuticals, Inc.. Completed at 12 sites in 7 countries. Per ClinicalTrials.gov, last updated 2019-04-01.

Sponsored by Alexion Pharmaceuticals, Inc. (part of AstraZeneca) · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
48
Sex
All
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Study summary

This study aims to characterize the natural history of patients with severe perinatal or infantile onset HPP.

Read the detailed description

Hypophosphatasia (HPP) is a life-threatening, genetic, and ultra-rare metabolic disease characterized by defective bone mineralization and impaired phosphate and calcium regulation that can lead to progressive damage to multiple vital organs, including destruction and deformity of bones, profound muscle weakness, seizures, impaired renal function, and respiratory failure. There are no approved disease-modifying treatments for patients with this disease. There is also limited data available on the natural course of this disease over time, particularly in patients with the juvenile-onset form.

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Conditions studied

  • Hypophosphatasia (HPP)

Keywords

  • Hypophosphatasia
  • HPP
  • Bone disease
  • Soft bones
  • Low alkaline phosphatase
  • Genetic metabolic disorder
  • Alkaline phosphatase
  • Tissue non-specific alkaline phosphatase
  • Rickets
  • Osteomalacia
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In context

Hypophosphatasia

46 studies on the registry are indexed under Hypophosphatasia; 10 are open to participants now.

This study's enrollment of 48 is below the median of 55 across 23 observational studies indexed under Hypophosphatasia.

Browse Hypophosphatasia studies →

Lead sponsor

Alexion Pharmaceuticals, Inc. is the lead sponsor of 255 studies on the registry; 24 are open to participants now.

Of its 101 completed or terminated interventional studies of FDA-regulated products, 73 (72%) have results posted.

First submitted before Alexion Pharmaceuticals, Inc. became part of AstraZeneca.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with perinatal and/or infantile onset HPP. Thirty-six patients were invasively ventilated or died, and 12 patients were censored.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Parent(s) or legal guardian(s) must provide written informed consent prior to data abstraction, unless all of the following apply:
  • The patient is deceased; AND
  • The responsible IRB/IEC/REB does not require informed consent per a review of their documented local policies for collecting retrospective data on patients who are deceased; AND
  • Written confirmation is received from the responsible IRB/IEC/REB confirming that the abstracted data can be analyzed and used to support regulatory filings by the Sponsor
  • Patient must have a documented diagnosis of HPP as indicated by 1 or more of the following:
  • Documented ALPL gene mutation(s)
  • Serum alkaline phosphatase (ALP) below the age-adjusted normal range and either plasma pyridoxal 5'-phosphate (PLP) or urinary phosphoethanolamine (PEA) above the upper limit of normal
  • Serum ALP below the age-adjusted normal range and HPP-related radiographic abnormalities on X-ray
  • Patient must have onset of signs of HPP prior to 6 months of age and have documentation of 1 or more of the following characteristics of perinatal and infantile HPP:
  • Respiratory compromise (up to and including respiratory failure) requiring institution of respiratory support measure(s), requiring medication(s) for management of symptom(s), and/or associated with other respiratory complications (e.g., pneumonia(s), respiratory tract infection(s))
  • Pyridoxine (vitamin B6)-responsive seizures
  • Rachitic chest deformity

Exclusion criteria

Exclusion Criteria:

Patients will be excluded from study participation if they have 1 or more of the following exclusion criteria:

  • Patient received treatment with asfotase alfa at any time prior to data abstraction
  • Patient has clinically significant other disease

Both living and deceased patients will be considered for study participation

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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
48 participants (actual)
Patient registry
No

Groups and cohorts

  • Patients with perinatal and/or infantile onset HPP

    Patients with a confirmed diagnosis of perinatal or infantile onset hypophosphatasia (HPP)

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What researchers measure

Primary outcomes

  1. Survival

    Overall survival is defined as the time from birth to time of death.

    Time frame: Retrospective data collected on or before the data of abstraction.

Secondary outcomes

  1. Invasive Ventilator-free Survival Time

    Invasive ventilator-free survival is defined as the time during which the patient is alive and not invasively ventilated. For the purpose of this study, invasive ventilation is defined as mechanical ventilation via intubation of trachaeostomy.

    Time frame: Retrospective data collected on or before the date of abstraction.

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Results

Posted Jul 21, 2014
Limitations and caveats
This was an observational study and, as such, serious and/or other \[non-serious\] adverse events were not collected/assessed.

Participant flow

Patients were enrolled between Sept 2012 and Apr 2013. 65 patients were screened and 48 were enrolled at 12 sites in 7 countries. Patients were recruited from investigational sites established at academic research and medical centers known to diagnose and/or treat patients with HPP. Both living and deceased patients were considered to partricipate.

Participant flow — Overall Study
MilestoneRetrospective Observational
Started48
Completed48
Not completed0

Outcome measures

PrimarySurvival

Overall survival is defined as the time from birth to time of death.

Time frame:
Retrospective data collected on or before the data of abstraction.
Reported as:
Median · days
Survival
daysRetrospective Observational
Survival270.5 (155.0 to 428.0)
SecondaryInvasive Ventilator-free Survival Time

Invasive ventilator-free survival is defined as the time during which the patient is alive and not invasively ventilated. For the purpose of this study, invasive ventilation is defined as mechanical ventilation via intubation of trachaeostomy.

Time frame:
Retrospective data collected on or before the date of abstraction.
Reported as:
Median · days
Invasive Ventilator-free Survival Time
daysRetrospective Observational
Invasive Ventilator-free Survival Time236 (78 to 300)

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Retrospective Observational———

Baseline characteristics

Thirteen participants were alive at the time of data abstraction and were censored in the analysis

Age, Continuous
Age, Continuous(weeks)Retrospective Observational
Mean506.9 ± 319.24
Age, Customized
Age, Customized(weeks)Retrospective Observational
<=18 years10
Between 18 and 65 years3
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Retrospective Observational
Female22
Male26
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Retrospective Observational
American Indian or Alaska Native1
Asian2
Native Hawaiian or Other Pacific Islander0
Black or African American3
White40
More than one race0
Unknown or Not Reported2
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Retrospective Observational
Hispanic or Latino1
Not Hispanic or Latino41
Unknown or Not Reported6
Region of Enrollment
Region of Enrollment(participants)Retrospective Observational
Australia2
Canada11
Germany6
Spain1
Switzerland1
Taiwan1
United States26
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Study locations

12 sites
  • Cedars-Sinai Medical Center
    Los Angeles, California, United States
  • Indiana University school of medicine
    Indianapolis, Indiana 46202, United States
  • Shriners Hospital for Children
    St Louis, Missouri, United States
  • Oregon Health & Science University
    Portland, Oregon, United States
  • Cook Children's Health Care System
    Fort Worth, Texas, United States
  • Royal Children's Hospital
    Parkville, Australia
  • University of Manitoba Health Sciences Centre
    Winnipeg, MB R3A 1R9, Canada
  • Universitatsmedizin Mainz, Villa
    Mainz, 55131, Germany
  • Universitätsklinikum Würzburg Kinderklinik, Pädiatrische Infektiologie und Immunologie
    Würzburg, 97080, Germany
  • Hospital Infantil Universitario Nino Jesus Universidad autonoma de Madrid
    Madrid, Spain
  • National Taiwan University Hospital
    Taipei, 10041, Taiwan
  • Birmingham Childrens Hospital
    Birmingham, United Kingdom
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References and documents

Publications

  • Whyte MP, Rockman-Greenberg C, Ozono K, Riese R, Moseley S, Melian A, Thompson DD, Bishop N, Hofmann C. Asfotase Alfa Treatment Improves Survival for Perinatal and Infantile Hypophosphatasia. J Clin Endocrinol Metab. 2016 Jan;101(1):334-42. doi: 10.1210/jc.2015-3462. Epub 2015 Nov 3. PubMed 26529632 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 1, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01419028
Responsible party
Sponsor
First posted
Aug 17, 2011
Start date
Aug 2012
Primary completion
Jun 2013
Completion
Feb 2014
Results posted
Jul 21, 2014
Last update
Apr 1, 2019

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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