ClinicalTrials.gg
Enrolling by invitationNCT02306720Updated Nov 4, 2026

Registry of Patients With Hypophosphatasia

An observational study in Hypophosphatasia (HPP), sponsored by Alexion Pharmaceuticals, Inc.. Enrolling by invitation at 67 sites in 13 countries. Per ClinicalTrials.gov, last updated 2026-11-04.

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

Updated Nov 4, 2026First site in Mexico2 sites added+1 moreGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
1,571
Sex
All
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Study summary

In this prospective, observational, long term registry patients of all ages with a diagnosis of hypophosphatasia (HPP) are followed at participating sites in multiple countries.

Read the detailed description

The HPP Registry is an observational, prospective, long-term registry designed to collect data on HPP epidemiology, disease history, clinical course, symptoms and burden of disease from patients of all ages who have a diagnosis of HPP.

Evaluation of safety and effectiveness data in patients with HPP who have/are receiving treatment with Asfotase alfa

02

Conditions studied

  • Hypophosphatasia (HPP)

Browse trials for

03

In context

Hypophosphatasia

46 studies on the registry are indexed under Hypophosphatasia; 11 are open to participants now.

This study's planned enrollment of 1,571 is above the median of 58 across 24 observational studies indexed under Hypophosphatasia.

Browse Hypophosphatasia studies →

Lead sponsor

Alexion Pharmaceuticals, Inc. is the lead sponsor of 255 studies on the registry; 23 are open to participants now.

Of its 101 completed or terminated interventional studies of FDA-regulated products, 75 (74%) have results posted.

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

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

04

Who can participate

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

Study population

Patients with Hypophosphatasia (HPP)

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

  • Male and female participants, of any age, with a confirmed diagnosis of HPP.
  • Participant must have documented alkaline phosphatase (ALP) activity below the lower limit of normal for age and sex, or a documented ALPL gene mutation.
  • Participant or legal representative is able to read and/or understand the and study questionnaires in the local language.
  • Signed informed consent and medical records release by the patient or legal representative. Patient or patient's parent/legal representative must be willing and able to give written informed consent, and the patient must be willing to give written informed assent, if appropriate and required by local regulations.

Exclusion criteria

Exclusion Criteria:

  • Currently participating in an Alexion-sponsored clinical trial. Enrollment in the Registry will not exclude a patient from enrolling in a future clinical trial.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
1,571 participants (estimated)
Target follow-up
5 Years
Patient registry
Yes
06

What researchers measure

Primary outcomes

  1. Natural History Information

    To collect information on the natural history of HPP from patients of all ages, including pediatric patients and adults with HPP, regardless of age at onset.

    Time frame: 1 Year

  2. Burden of Disease/Patient-reported Outcomes

    Age-appropriate PRO data will be collected using instruments to asses below: Pain, Motor Capacity, Functional Status/Disability, including Activities of Daily Living (ADL), Quality of Life (QoL)

    Time frame: 1 year

  3. Characterize the epidemiology of the HPP population.

    To characterize the epidemiology of the HPP population. Inclusion of all classifications of HPP is planned: pediatric-onset (perinatal-, infantile-, and juvenile-onset), adult-onset, benign perinatal, and odontohypophosphatasia.

    Time frame: 1 year

  4. Long-Term Safety and Effectiveness of Asfotase Alfa

    To collect and evaluate long-term safety and effectiveness data in HPP patients who have/are receiving treatment with asfotase alfa.

    Time frame: 1 year

07

Study locations

67 sites
  • Research Site
    Centennial, Colorado 80112, United States
  • Research Site
    Hartford, Connecticut 06106, United States
  • Research Site
    Tampa, Florida 33606, United States
  • Research Site
    Decatur, Georgia 30033, United States
  • Research Site
    Baltimore, Maryland 21287, United States
  • Research Site
    Boston, Massachusetts 02111, United States
  • Research Site
    Boston, Massachusetts 02115, United States
  • Research Site
    Minneapolis, Minnesota 55454, United States
  • Research Site
    Kansas City, Missouri 64108, United States
  • Research Site
    St Louis, Missouri 63110, United States
  • Research Site
    Hackensack, New Jersey 07601, United States
  • Research Site
    Mineola, New York 11501, United States
  • Research Site
    Durham, North Carolina 27710, United States
  • Research Site
    Cincinnati, Ohio 45229, United States
  • Research Site
    Columbus, Ohio 43205, United States
  • Research Site
    Pittsburgh, Pennsylvania 15224, United States
  • Research Site
    Nashville, Tennessee 37212, United States
  • Research Site
    Salt Lake City, Utah 84112, United States
  • Research Site
    Charlottesville, Virginia 22903, United States
  • Research Site
    Madison, Wisconsin 53792, United States
  • Research Site
    Clayton, Victoria, Australia
  • Research Site
    Parkville, Victoria, Australia
  • Research Site
    Herston, Australia
  • Research Site
    South Brisbane, Australia
  • Research Site
    Linz, Austria
  • Research Site
    Winnipeg, Manitoba, Canada
  • Research Site
    Oakville, Ontario, Canada
  • Research Site
    Ottawa, Ontario, Canada
  • Research Site
    Toronto, Ontario M5G 2C4, Canada
  • Santander, 681003, Colombia
  • Research Site
    Toulouse, Haute Garonne, France
  • Research Site
    Lille, Nord, France
  • Research Site
    Paris, Paris, France
  • Research Site
    Poitiers, Vienne, France
  • Research Site
    Lyon, France
  • Research Site
    Paris, France
  • Research Site
    Le Kremlin-Bicêtre, Île-de-France Region, France
  • Research Site
    Bad Reichenhall, Bavaria, Germany
  • Research Site
    Würzburg, Bavaria, Germany
  • Research Site
    Bochum, North Rhine-Westphalia, Germany
  • Research Site
    Düsseldorf, North Rhine-Westphalia, Germany
  • Research Site
    Dresden, Saxony, Germany
  • Research Site
    Berlin, Germany
  • Research Site
    Cologne, Germany
  • Research Site
    Giessen, Germany
  • Research Site
    Homburg, Germany
  • Research Site
    Mainz, Germany
  • Research Site
    Sesto Fiorentino, Firenze, Italy
  • Research Site
    Milan, Milano 20132, Italy
  • Research Site
    Florence, Italy
  • Research Site
    Pisa, Italy
  • Research Site
    Rome, Italy
  • Research Site
    San Giovanni Rotondo, Italy
  • Research Site
    Chihuahua City, Mexico
  • Research Site
    Lodz, Poland
  • Research Site
    Warsaw, Poland
  • Research Site
    Riyadh, Saudi Arabia
  • Research Site
    Madrid, Spain
  • Research Site
    Bristol, Avon, United Kingdom
  • Research Site
    London, Greater London, United Kingdom
  • Leicester Royal Infirmary
    Leicester, Leicestershire LE1 5WW, United Kingdom
  • Research Site
    Stanmore, Middlesex, United Kingdom
  • Research Site
    Oxford, Oxfordshire, United Kingdom
  • Research Site
    Sheffield, South Yorkshire, United Kingdom
  • Research Site
    Newcastle upon Tyne, Tyne & Wear, United Kingdom
  • Research Site
    Birmingham, West Midlands, United Kingdom
  • Research Site
    Belfast, United Kingdom
08

References and documents

Publications

  • Dahir KM, Seefried L, Kishnani PS, Petryk A, Hogler W, Linglart A, Martos-Moreno GA, Ozono K, Fang S, Rockman-Greenberg C. Clinical profiles of treated and untreated adults with hypophosphatasia in the Global HPP Registry. Orphanet J Rare Dis. 2022 Jul 19;17(1):277. doi: 10.1186/s13023-022-02393-8. PubMed 35854311 ↗
  • Dahir KM, Kishnani PS, Martos-Moreno GA, Linglart A, Petryk A, Rockman-Greenberg C, Martel SE, Ozono K, Hogler W, Seefried L. Impact of muscular symptoms and/or pain on disease characteristics, disability, and quality of life in adult patients with hypophosphatasia: A cross-sectional analysis from the Global HPP Registry. Front Endocrinol (Lausanne). 2023 Mar 27;14:1138599. doi: 10.3389/fendo.2023.1138599. eCollection 2023. PubMed 37051203 ↗
  • Hogler W, Linglart A, Petryk A, Kishnani PS, Seefried L, Fang S, Rockman-Greenberg C, Ozono K, Dahir K, Martos-Moreno GA. Growth and disease burden in children with hypophosphatasia. Endocr Connect. 2023 Apr 25;12(5):e220240. doi: 10.1530/EC-22-0240. Print 2023 May 1. PubMed 36917043 ↗
  • Hogler W, Langman C, Gomes da Silva H, Fang S, Linglart A, Ozono K, Petryk A, Rockman-Greenberg C, Seefried L, Kishnani PS. Diagnostic delay is common among patients with hypophosphatasia: initial findings from a longitudinal, prospective, global registry. BMC Musculoskelet Disord. 2019 Feb 14;20(1):80. doi: 10.1186/s12891-019-2420-8. PubMed 30764793 ↗
  • Kishnani PS, Martos-Moreno GA, Linglart A, Petryk A, Messali A, Fang S, Rockman-Greenberg C, Ozono K, Hogler W, Seefried L, Dahir KM. Effectiveness of asfotase alfa for treatment of adults with hypophosphatasia: results from a global registry. Orphanet J Rare Dis. 2024 Mar 8;19(1):109. doi: 10.1186/s13023-024-03048-6. PubMed 38459585 ↗
  • Martos-Moreno GA, Rockman-Greenberg C, Ozono K, Petryk A, Kishnani PS, Dahir KM, Seefried L, Fang S, Hogler W, Linglart A. Clinical Profiles of Children with Hypophosphatasia prior to Treatment with Enzyme Replacement Therapy: An Observational Analysis from the Global HPP Registry. Horm Res Paediatr. 2024;97(3):233-242. doi: 10.1159/000531865. Epub 2023 Jul 13. PubMed 37442110 ↗
  • Seefried L, Dahir K, Petryk A, Hogler W, Linglart A, Martos-Moreno GA, Ozono K, Fang S, Rockman-Greenberg C, Kishnani PS. Burden of Illness in Adults With Hypophosphatasia: Data From the Global Hypophosphatasia Patient Registry. J Bone Miner Res. 2020 Nov;35(11):2171-2178. doi: 10.1002/jbmr.4130. Epub 2020 Aug 10. PubMed 32654183 ↗
  • Kishnani PS, Seefried L, Dahir KM, Martos-Moreno GA, Linglart A, Petryk A, Mowrey WR, Fang S, Ozono K, Hogler W, Rockman-Greenberg C. New insights into the landscape of ALPL gene variants in patients with hypophosphatasia from the Global HPP Registry. Am J Med Genet A. 2024 Nov;194(11):e63781. doi: 10.1002/ajmg.a.63781. Epub 2024 Jun 17. PubMed 38884565 ↗
  • Kishnani PS, Seefried L, Dahir KM, Martos-Moreno GA, Hogler W, Greenberg CR, Fang S, Petryk A, Mowrey WR, Linglart A, Ozono K. Disease burden by ALPL variant number in patients with non-life-threatening hypophosphatasia in the Global HPP Registry. J Med Genet. 2025 Mar 20;62(4):249-257. doi: 10.1136/jmg-2024-110383. PubMed 39965917 ↗
  • Tornero C, Martos-Moreno GA, Guanabens N, Florez H, Ribera A, Aguado P. Clinical characterization and impact of hypophosphatasia in Spain: An observational analysis of the Spanish cohort included in the Global HPP Registry. Med Clin (Barc). 2025 Nov;165(5):107120. doi: 10.1016/j.medcli.2025.107120. Epub 2025 Jul 25. English, Spanish. PubMed 40714462 ↗
  • Kishnani PS, Seefried L, Ozono K, Martos-Moreno GA, Rockman-Greenberg C, Fowler D, Burke LK, Mowrey WR, Rush ET, Ebeling PR, Hogler W, Linglart A, Fang S, Petryk A, Dahir KM. The Global Hypophosphatasia Registry: lessons learned from a decade of real-world data. Orphanet J Rare Dis. 2025 Nov 24;20(1):626. doi: 10.1186/s13023-025-04129-w. PubMed 41286962 ↗
  • Kishnani PS, Ing S, Hoover-Fong J, Pallais JC, Voskopoja A, Fang S, Mowrey WR, Rush E, Dahir K. Burden of disease in US patients with skeletal versus muscular or pain manifestations of hypophosphatasia: An analysis from the Global HPP Registry. Bone. 2026 Oct;211:117996. doi: 10.1016/j.bone.2026.117996. Epub 2026 Jun 28. PubMed 42365936 ↗
09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2015 (actual). Primary completion is estimated for Dec 2031, 203 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 26, 2014
First posted
Dec 3, 2014
StartActual
Jan 20, 2015
Primary completionEst.
Dec 31, 2031
CompletionEst.
Dec 31, 2031
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
2 sites added, 1 site removed — first site in Mexico
Show 2 added (1 Italy, 1 Mexico)
  • Research Site · Sesto Fiorentino, Italy
  • Research Site · Chihuahua City, Mexico
Show 1 removed
  • Sesto Fiorentino · Sesto Fiorentino, Italy
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    2 sites added, 1 site removed — first site in Mexico
    Show 2 added (1 Italy, 1 Mexico)
    • Research Site · Sesto Fiorentino, Italy
    • Research Site · Chihuahua City, Mexico
    Show 1 removed
    • Sesto Fiorentino · Sesto Fiorentino, Italy
    + 2 other changes: verification date and references

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT02306720
Responsible party
Sponsor
First posted
Dec 3, 2014
Start date
Jan 20, 2015
Primary completion
Dec 31, 2031 (estimated)
Completion
Dec 31, 2031 (estimated)
Last update
Nov 4, 2026
View the source record on ClinicalTrials.gov ↗

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