ClinicalTrials.gg
CompletedNCT02750618Updated May 6, 2024Results posted

Study of the Safety, Pharmacodynamics (PD) and Efficacy of KRN23 in Children From 1 to 4 Years Old With X-linked Hypophosphatemia (XLH)

A Phase 2 interventional study of Burosumab in X-Linked Hypophosphatemia, sponsored by Kyowa Kirin, Inc.. Completed at 3 sites in United States. Open to participants aged 1 Year to 4 Years. Per ClinicalTrials.gov, last updated 2024-05-06.

Sponsored by Kyowa Kirin, Inc. · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
1 Year to 4 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 18 studies testing burosumab in Familial Hypophosphatemic Rickets — none open to participants now, none under way, none of them phase 3. burosumab · Familial Hypophosphatemic Rickets.

Enrollment
17th of 18
13 · median 26
Started
2016
with 1 other
Phase 2
3 of 18
none open now
Registered
9th of 18
by date
Lead sponsor
6 of 18
Kyowa Kirin, Inc.

Among the 18 studies testing burosumab in Familial Hypophosphatemic Rickets, this one is the 17th largest by enrollment, is one of 2 that started in 2016, is one of 3 in phase 2, and was the 9th registered.

Familial Hypophosphatemic Rickets

49 studies on the registry are indexed under Familial Hypophosphatemic Rickets; 8 are open to participants now.

Browse Familial Hypophosphatemic Rickets studies →

Open to participants now

None of the 18 studies testing burosumab in Familial Hypophosphatemic Rickets is open now. The open studies under Familial Hypophosphatemic Rickets, anywhere →

About burosumab

burosumab: first FDA approval 2018 (CRYSVITA), first EMA approval 2018. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 4 Familial Hypophosphatemic Rickets studies recruiting now, 2 set no upper age limit and 2 stop at 75 or younger; 3 take children under 18; 1 takes healthy volunteers.

This study: 1 Year to 4 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Download CSVNarrow it in search →With an account: the 18 studies testing burosumab in Familial Hypophosphatemic Rickets as a file.
02

Study summary

The primary objectives of the study are to:

  • Establish the safety profile of KRN23 for the treatment of XLH in children between 1 and 4 years old
  • Determine the PD effects of KRN23 treatment on serum phosphorus and other PD markers that reflect the status of phosphate homeostasis in children between 1 and 4 years old with XLH
03

Conditions studied

  • X-Linked Hypophosphatemia
04

Who can participate

Ages eligible
1 Year to 4 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Male or female, aged ≥1 year and \<5 years
  2. Diagnosis of XLH supported by ONE or more of the following

    • Confirmed phosphate regulating gene with homology to endopeptidases located on the X chromosome (PHEX) mutation in the patient or a directly related family member with appropriate X-linked inheritance
    • Serum fibroblast growth factor 23 (FGF23) level > 30 pg/mL by Kainos assay
  3. Biochemical findings associated with XLH including:

    • Serum phosphorus \< 3.0 mg/dL (0.97 mmol/L)
    • Serum creatinine within age-adjusted normal range
  4. Radiographic evidence of rickets
  5. Willing to provide access to prior medical records for the collection of historical growth, biochemical, and radiographic data and disease history
  6. Provide written by a legally authorized representative after the nature of the study has been explained, and prior to any research-related procedures
  7. Must, in the opinion of the investigator, be willing and able to complete all aspects of the study, adhere to the study visit schedule, and comply with the assessments

Exclusion criteria

Exclusion Criteria:

  1. Unwilling to stop treatment with oral phosphate and/or pharmacologic vitamin D metabolite or analog (e.g. calcitriol, alfacalcidol) during the screening period and for the duration of the study
  2. Presence of nephrocalcinosis on renal ultrasound grade 4 based on the following scale: 0 = Normal, 1 = Faint hyperechogenic rim around the medullary pyramids, 2 = More intense echogenic rim with echoes faintly filling the entire pyramid, 3 = Uniformly intense echoes throughout the pyramid, 4 = Stone formation: solitary focus of echoes at the tip of the pyramid
  3. Planned or recommended orthopedic surgery including staples, 8-plates or osteotomy, within the clinical trial period
  4. Hypocalcemia or hypercalcemia, defined as serum calcium levels outside the age-adjusted normal limits
  5. Presence or history of any condition that, in the view of the investigator, places the subject at high risk of poor treatment compliance or of not completing the study
  6. Presence of a concurrent disease or condition that would interfere with study participation or affect safety
  7. History of recurrent infection or predisposition to infection, or of known immunodeficiency
  8. Use of any product or investigational medical device within 30 days prior to screening, or requirement for any investigational agent prior to completion of all scheduled study assessments
Terms in these criteria, in plain language(2)

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    Burosumab Q2W

    Burosumab subcutaneous (SC) injections every 2 weeks (Q2W) for a total of 160 weeks.

    Biological: Burosumab

Interventions

  • BiologicalBurosumab

    solution for subcutaneous injection

    Also known as: KRN23, Crysvita®, UX023

06

What researchers measure

Primary outcomes

  1. Change From Baseline at Week 40 in Serum Phosphorus

    The Generalized Estimation Equation (GEE) model includes the change from baseline as the dependent variable, time as the categorical variable and adjusted for baseline measurement, with exchangeable covariance structure.

    Time frame: Baseline, Week 40

  2. Number of Participants With Adverse Events (AEs), Treatment Emergent AEs (TEAEs), Serious TEAEs, and TEAEs Leading to Discontinuation

    An AE was defined as any untoward medical occurrence associated with the use of a drug, whether or not considered drug related. A serious AE was defined as an AE that at any dose, in the view of either the Investigator or Sponsor, results in any of the following outcomes: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant incapacity or disability, a congenital anomaly/birth defect, or other important medical events (according to the investigator). An AE was considered a TEAE if it occurred on or after the first dose and was not present prior to the first dose, or it was present prior to the first dose but increased in severity during the study. Events were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0: grade 1 (mild), grade 2 (moderate), grade 3 (severe), grade 4 (life-threatening), grade 5 (death).

    Time frame: From first dose of study drug through the end of the study (Week 160). Maximum duration of exposure to study drug was 160 weeks.

Secondary outcomes

  1. Radiographic Global Impression of Change (RGI-C) Score at Week 40

    Changes in the severity of rickets and bowing were assessed centrally by three independent pediatric radiologists contracted by a central imaging facility using a disease specific qualitative RGI-C scoring system. The RGI-C is a seven point ordinal scale with possible values: +3 = very much better (complete or near complete healing of rickets), +2 = much better (substantial healing of rickets), +1 = minimally better (i.e., minimal healing of rickets), 0 = unchanged, -1 = minimally worse (minimal worsening of rickets), -2 = much worse (moderate worsening of rickets), -3 = very much worse (severe worsening of rickets). The Analysis of Covariance (ANCOVA) model includes the RGI-C score as the dependent variable, age and RSS at baseline as covariates.

    Time frame: Week 40

  2. RGI-C Score at Week 64

    Changes in the severity of rickets and bowing were assessed centrally by three independent pediatric radiologists contracted by a central imaging facility using a disease specific qualitative RGI-C scoring system. The RGI-C is a seven point ordinal scale with possible values: +3 = very much better (complete or near complete healing of rickets), +2 = much better (substantial healing of rickets), +1 = minimally better (i.e., minimal healing of rickets), 0 = unchanged, -1 = minimally worse (minimal worsening of rickets), -2 = much worse (moderate worsening of rickets), -3 = very much worse (severe worsening of rickets). The GEE model includes the RGI-C score as the dependent variable, visit as a factor, age and RSS at baseline as covariates, with exchangeable covariance structure.

    Time frame: Week 64

  3. Change From Baseline in Rickets at Week 40 as Assessed by the RSS Total Score

    The RSS system is a 10-point radiographic scoring method that was developed to assess the severity of nutritional rickets in the wrists and knees based on the degree of metaphyseal fraying, cupping, and the proportion of the growth plate affected. Scores are assigned for the unilateral wrist and knee X-rays deemed by the rater to be the more severe of the bilateral images. The maximum total score on the RSS is 10 points and the minimum score is 0, with a total possible score of 4 points for the wrists and 6 points for the knees. Higher scores indicate greater rickets severity.The ANCOVA model includes the RGI-C score as the dependent variable, age and RSS at baseline as covariates.

    Time frame: Baseline, Week 40

  4. Change From Baseline in Rickets at Week 64 as Assessed by the RSS Total Score

    The RSS system is a 10-point radiographic scoring method that was developed to assess the severity of nutritional rickets in the wrists and knees based on the degree of metaphyseal fraying, cupping, and the proportion of the growth plate affected. Scores are assigned for the unilateral wrist and knee X-rays deemed by the rater to be the more severe of the bilateral images. The maximum total score on the RSS is 10 points, with a total possible score of 4 points for the wrists and 6 points for the knees. Higher scores indicate greater rickets severity. The GEE model includes the change from baseline in RSS as the dependent variable, visit as a factor, age and RSS at baseline as covariates, with exchangeable covariance structure.

    Time frame: Baseline, Week 64

  5. RGI-C Lower Limb Deformity Score at Week 40

    Changes in the severity of lower extremity skeletal abnormalities were assessed centrally by three independent pediatric radiologists contracted by a central imaging facility using a disease specific qualitative RGI-C scoring system. The RGI-C is a seven point ordinal scale with possible values: +3 = very much better (complete or near complete healing of rickets), +2 = much better (substantial healing of rickets), +1 = minimally better (i.e., minimal healing of rickets), 0 = unchanged, -1 = minimally worse (minimal worsening of rickets), -2 = much worse (moderate worsening of rickets), -3 = very much worse (severe worsening of rickets). The ANCOVA model includes the RGI-C score as the dependent variable, age and RSS at baseline as covariates.

    Time frame: Week 40

  6. RGI-C Lower Limb Deformity Score at Week 64

    Changes in the severity of lower extremity skeletal abnormalities were assessed centrally by three independent pediatric radiologists contracted by a central imaging facility using a disease specific qualitative RGI-C scoring system. The RGI-C is a seven point ordinal scale with possible values: +3 = very much better (complete or near complete healing of rickets), +2 = much better (substantial healing of rickets), +1 = minimally better (i.e., minimal healing of rickets), 0 = unchanged, -1 = minimally worse (minimal worsening of rickets), -2 = much worse (moderate worsening of rickets), -3 = very much worse (severe worsening of rickets). The GEE model includes the RGI-C score as the dependent variable, visit as a factor, age and RSS at baseline as covariates, with exchangeable covariance structure.

    Time frame: Week 64

  7. Change From Baseline Over Time in Recumbent Length/Standing Height

    Time frame: Baseline, Weeks 12, 24, 40, 64, 88, 112, 136, 160

  8. Change From Baseline Over Time in Recumbent Length/Standing Height as Assessed by Height-for-Age Z-Scores

    Recumbent length/Standing height z scores are measures of height adjusted for a child's age and sex. The Z-score indicates the number of standard deviations away from a reference population (from the CDC growth charts) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome.

    Time frame: Baseline, Weeks 12, 24, 40, 64, 88, 112, 136, 160

  9. Change From Baseline Over Time in Recumbent Length/Standing Height as Assessed by Percentiles

    Time frame: Baseline, Weeks 12, 24, 40, 64, 88, 112, 136, 160

  10. Change From Baseline Over Time in Serum Alkaline Phosphatase (ALP)

    The GEE model includes the change from baseline as the dependent variable, time as the categorical variable and adjusted for baseline measurement, with exchangeable covariance structure.

    Time frame: Baseline, Weeks 4, 12, 20, 40, 48, 56, 64, 76, 88, 100, 112, 124, 136, 148, 160

  11. Percent Change From Baseline Over Time in Serum ALP

    Time frame: Baseline, Weeks 4, 12, 20, 40, 48, 56, 64, 76, 88, 100, 112, 124, 136, 148, 160

07

Results

Posted Jun 19, 2018

Participant flow

Participant flow — Overall Study
MilestoneBurosumab Q2W
Started13
Completed week 4013
Completed week 6413
Completed12
Not completed1
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryChange From Baseline at Week 40 in Serum Phosphorus

The Generalized Estimation Equation (GEE) model includes the change from baseline as the dependent variable, time as the categorical variable and adjusted for baseline measurement, with exchangeable covariance structure.

Time frame:
Baseline, Week 40
Reported as:
Least squares mean · mg/dL
Change From Baseline at Week 40 in Serum Phosphorus
mg/dLBurosumab Q2W
Change From Baseline at Week 40 in Serum Phosphorus0.96 ± 0.117
Statistical analysis
  • Burosumab Q2W · GEE model · p = < 0.0001 · Least squares mean difference: 0.96 · 95% CI 0.73 to 1.19
PrimaryNumber of Participants With Adverse Events (AEs), Treatment Emergent AEs (TEAEs), Serious TEAEs, and TEAEs Leading to Discontinuation

An AE was defined as any untoward medical occurrence associated with the use of a drug, whether or not considered drug related. A serious AE was defined as an AE that at any dose, in the view of either the Investigator or Sponsor, results in any of the following outcomes: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant incapacity or disability, a congenital anomaly/birth defect, or other important medical events (according to the investigator). An AE was considered a TEAE if it occurred on or after the first dose and was not present prior to the first dose, or it was present prior to the first dose but increased in severity during the study. Events were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0: grade 1 (mild), grade 2 (moderate), grade 3 (severe), grade 4 (life-threatening), grade 5 (death).

Time frame:
From first dose of study drug through the end of the study (Week 160). Maximum duration of exposure to study drug was 160 weeks.
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AEs), Treatment Emergent AEs (TEAEs), Serious TEAEs, and TEAEs Leading to Discontinuation
ParticipantsBurosumab Q2W
Adverse Event Starting during Screening Period5
TEAEs13
Related TEAEs5
Serious TEAEs1
Serious Related TEAEs0
Grade 3 or 4 TEAE2
TEAE Leading to Study Discontinuation0
TEAE Leading to Treatment Discontinuation0
TEAE Leading to Death0
SecondaryRadiographic Global Impression of Change (RGI-C) Score at Week 40

Changes in the severity of rickets and bowing were assessed centrally by three independent pediatric radiologists contracted by a central imaging facility using a disease specific qualitative RGI-C scoring system. The RGI-C is a seven point ordinal scale with possible values: +3 = very much better (complete or near complete healing of rickets), +2 = much better (substantial healing of rickets), +1 = minimally better (i.e., minimal healing of rickets), 0 = unchanged, -1 = minimally worse (minimal worsening of rickets), -2 = much worse (moderate worsening of rickets), -3 = very much worse (severe worsening of rickets). The Analysis of Covariance (ANCOVA) model includes the RGI-C score as the dependent variable, age and RSS at baseline as covariates.

Time frame:
Week 40
Reported as:
Least squares mean · units on a scale
Radiographic Global Impression of Change (RGI-C) Score at Week 40
units on a scaleBurosumab Q2W
Radiographic Global Impression of Change (RGI-C) Score at Week 402.21 ± 0.071
Statistical analysis
  • Burosumab Q2W · GEE model · p = < 0.0001 · Difference in ls means: 2.21 · 95% CI 2.07 to 2.35
SecondaryRGI-C Score at Week 64

Changes in the severity of rickets and bowing were assessed centrally by three independent pediatric radiologists contracted by a central imaging facility using a disease specific qualitative RGI-C scoring system. The RGI-C is a seven point ordinal scale with possible values: +3 = very much better (complete or near complete healing of rickets), +2 = much better (substantial healing of rickets), +1 = minimally better (i.e., minimal healing of rickets), 0 = unchanged, -1 = minimally worse (minimal worsening of rickets), -2 = much worse (moderate worsening of rickets), -3 = very much worse (severe worsening of rickets). The GEE model includes the RGI-C score as the dependent variable, visit as a factor, age and RSS at baseline as covariates, with exchangeable covariance structure.

Time frame:
Week 64
Reported as:
Least squares mean · units on a scale
RGI-C Score at Week 64
units on a scaleBurosumab Q2W
RGI-C Score at Week 642.23 ± 0.111
Statistical analysis
  • Burosumab Q2W · GEE model · p = < 0.0001 · Difference in ls means: 2.23 · 95% CI 2.01 to 2.45
SecondaryChange From Baseline in Rickets at Week 40 as Assessed by the RSS Total Score

The RSS system is a 10-point radiographic scoring method that was developed to assess the severity of nutritional rickets in the wrists and knees based on the degree of metaphyseal fraying, cupping, and the proportion of the growth plate affected. Scores are assigned for the unilateral wrist and knee X-rays deemed by the rater to be the more severe of the bilateral images. The maximum total score on the RSS is 10 points and the minimum score is 0, with a total possible score of 4 points for the wrists and 6 points for the knees. Higher scores indicate greater rickets severity.The ANCOVA model includes the RGI-C score as the dependent variable, age and RSS at baseline as covariates.

Time frame:
Baseline, Week 40
Reported as:
Least squares mean · units on a scale
Change From Baseline in Rickets at Week 40 as Assessed by the RSS Total Score
units on a scaleBurosumab Q2W
Change From Baseline in Rickets at Week 40 as Assessed by the RSS Total Score-1.75 ± 0.116
Statistical analysis
  • Burosumab Q2W · GEE model · p = < 0.0001 · Difference in ls means: -1.75 · 95% CI -1.98 to -1.53
SecondaryChange From Baseline in Rickets at Week 64 as Assessed by the RSS Total Score

The RSS system is a 10-point radiographic scoring method that was developed to assess the severity of nutritional rickets in the wrists and knees based on the degree of metaphyseal fraying, cupping, and the proportion of the growth plate affected. Scores are assigned for the unilateral wrist and knee X-rays deemed by the rater to be the more severe of the bilateral images. The maximum total score on the RSS is 10 points, with a total possible score of 4 points for the wrists and 6 points for the knees. Higher scores indicate greater rickets severity. The GEE model includes the change from baseline in RSS as the dependent variable, visit as a factor, age and RSS at baseline as covariates, with exchangeable covariance structure.

Time frame:
Baseline, Week 64
Reported as:
Least squares mean · units on a scale
Change From Baseline in Rickets at Week 64 as Assessed by the RSS Total Score
units on a scaleBurosumab Q2W
Change From Baseline in Rickets at Week 64 as Assessed by the RSS Total Score-2.02 ± 0.115
Statistical analysis
  • Burosumab Q2W · GEE model · p = < 0.0001 (The GEE model includes the change from baseline in RSS as the dependent variable, visit as a factor, age and RSS at baseline as covariates, with exchangeable covariance structure.) · Difference in ls means: -2.02 · 95% CI -2.25 to -1.80
SecondaryRGI-C Lower Limb Deformity Score at Week 40

Changes in the severity of lower extremity skeletal abnormalities were assessed centrally by three independent pediatric radiologists contracted by a central imaging facility using a disease specific qualitative RGI-C scoring system. The RGI-C is a seven point ordinal scale with possible values: +3 = very much better (complete or near complete healing of rickets), +2 = much better (substantial healing of rickets), +1 = minimally better (i.e., minimal healing of rickets), 0 = unchanged, -1 = minimally worse (minimal worsening of rickets), -2 = much worse (moderate worsening of rickets), -3 = very much worse (severe worsening of rickets). The ANCOVA model includes the RGI-C score as the dependent variable, age and RSS at baseline as covariates.

Time frame:
Week 40
Reported as:
Least squares mean · units on a scale
RGI-C Lower Limb Deformity Score at Week 40
units on a scaleBurosumab Q2W
RGI-C Lower Limb Deformity Score at Week 401.21 ± 0.155
Statistical analysis
  • Burosumab Q2W · GEE model · p = < 0.0001 · Difference in ls means: 1.21 · 95% CI 0.90 to 1.51
SecondaryRGI-C Lower Limb Deformity Score at Week 64

Changes in the severity of lower extremity skeletal abnormalities were assessed centrally by three independent pediatric radiologists contracted by a central imaging facility using a disease specific qualitative RGI-C scoring system. The RGI-C is a seven point ordinal scale with possible values: +3 = very much better (complete or near complete healing of rickets), +2 = much better (substantial healing of rickets), +1 = minimally better (i.e., minimal healing of rickets), 0 = unchanged, -1 = minimally worse (minimal worsening of rickets), -2 = much worse (moderate worsening of rickets), -3 = very much worse (severe worsening of rickets). The GEE model includes the RGI-C score as the dependent variable, visit as a factor, age and RSS at baseline as covariates, with exchangeable covariance structure.

Time frame:
Week 64
Reported as:
Least squares mean · units on a scale
RGI-C Lower Limb Deformity Score at Week 64
units on a scaleBurosumab Q2W
RGI-C Lower Limb Deformity Score at Week 641.51 ± 0.123
Statistical analysis
  • Burosumab Q2W · GEE · p = < 0.0001 (The GEE model includes the RGI-C score as the dependent variable, visit as a factor, age and RSS at baseline as covariates, with exchangeable covariance structure. The LS Mean, SE, 95% CI and 2-sided p-value are from the GEE model.) · Difference in ls means: 1.51 · 95% CI 1.27 to 1.76
SecondaryChange From Baseline Over Time in Recumbent Length/Standing Height
Time frame:
Baseline, Weeks 12, 24, 40, 64, 88, 112, 136, 160
Reported as:
Mean · cm
Change From Baseline Over Time in Recumbent Length/Standing Height
cmBurosumab Q2W
Week 121.44 ± 2.009
Week 242.52 ± 1.518
Week 404.29 ± 2.451
Week 647.22 ± 3.157
Week 8810.30 ± 3.400
Week 11213.25 ± 3.724
Week 13615.41 ± 3.699
Week 16018.96 ± 4.206
SecondaryChange From Baseline Over Time in Recumbent Length/Standing Height as Assessed by Height-for-Age Z-Scores

Recumbent length/Standing height z scores are measures of height adjusted for a child's age and sex. The Z-score indicates the number of standard deviations away from a reference population (from the CDC growth charts) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome.

Time frame:
Baseline, Weeks 12, 24, 40, 64, 88, 112, 136, 160
Reported as:
Mean · Z score
Change From Baseline Over Time in Recumbent Length/Standing Height as Assessed by Height-for-Age Z-Scores
Z scoreBurosumab Q2W
Week 12-0.082 ± 0.4964
Week 24-0.208 ± 0.4540
Week 40-0.276 ± 0.6647
Week 64-0.264 ± 0.8755
Week 88-0.212 ± 0.9115
Week 112-0.174 ± 0.9273
Week 136-0.321 ± 0.9123
Week 160-0.172 ± 0.9048
SecondaryChange From Baseline Over Time in Recumbent Length/Standing Height as Assessed by Percentiles
Time frame:
Baseline, Weeks 12, 24, 40, 64, 88, 112, 136, 160
Reported as:
Mean · percentiles
Change From Baseline Over Time in Recumbent Length/Standing Height as Assessed by Percentiles
percentilesBurosumab Q2W
Week 12-0.006 ± 11.6149
Week 24-4.940 ± 13.1323
Week 40-5.283 ± 20.1675
Week 64-4.980 ± 23.4412
Week 88-4.155 ± 23.9126
Week 112-3.000 ± 24.7569
Week 136-7.026 ± 24.8583
Week 160-3.628 ± 25.5113
SecondaryChange From Baseline Over Time in Serum Alkaline Phosphatase (ALP)

The GEE model includes the change from baseline as the dependent variable, time as the categorical variable and adjusted for baseline measurement, with exchangeable covariance structure.

Time frame:
Baseline, Weeks 4, 12, 20, 40, 48, 56, 64, 76, 88, 100, 112, 124, 136, 148, 160
Reported as:
Least squares mean · U/L
Change From Baseline Over Time in Serum Alkaline Phosphatase (ALP)
U/LBurosumab Q2W
Week 4-82.91 ± 23.348
Week 12-83.84 ± 45.263
Week 20-161.38 ± 12.924
Week 40-214.99 ± 13.628
Week 48-226.58 ± 11.491
Week 56-216.45 ± 16.165
Week 64-216.76 ± 12.705
Week 76-231.22 ± 15.964
Week 88-237.78 ± 12.837
Week 100-218.14 ± 15.340
Week 112-233.91 ± 11.098
Week 124-252.22 ± 8.312
Week 136-267.89 ± 13.124
Week 148-248.05 ± 12.653
Week 160-248.47 ± 10.990
Statistical analysis
  • Burosumab Q2W · GEE model · p = 0.0004 · Difference in ls means: -82.91 · 95% CI -128.68 to -37.15
  • Burosumab Q2W · GEE model · p = 0.0640 · Difference in ls means: -83.84 · 95% CI -172.55 to 4.88
  • Burosumab Q2W · GEE model · p = < 0.0001 · Difference in ls means: -161.38 · 95% CI -186.70 to -136.05
  • Burosumab Q2W · GEE model · p = < 0.0001 · Difference in ls means: -214.99 · 95% CI -241.70 to -188.28
  • Burosumab Q2W · GEE model · p = < 0.0001 · Difference in ls means: -226.58 · 95% CI -249.11 to -204.06
  • Burosumab Q2W · GEE model · p = < 0.0001 · Difference in ls means: -216.45 · 95% CI -248.13 to -184.77
  • Burosumab Q2W · GEE model · p = < 0.0001 · Difference in ls means: -216.76 · 95% CI -241.66 to -191.86
  • Burosumab Q2W · GEE · p = < 0.0001 · Ls mean: -231.22 · 95% CI -262.51 to -199.93
  • Burosumab Q2W · GEE · p = < 0.0001 · Ls mean: -237.78 · 95% CI -262.94 to -212.62
  • Burosumab Q2W · GEE · p = < 0.0001 · Ls mean: -218.14 · 95% CI -248.21 to -188.08
  • Burosumab Q2W · GEE · p = < 0.0001 · Ls mean: -233.91 · 95% CI -255.66 to -212.16
  • Burosumab Q2W · GEE · p = < 0.0001 · Ls mean: -252.22 · 95% CI -268.51 to -235.93
  • Burosumab Q2W · GEE · p = < 0.0001 · Ls mean: -267.89 · 95% CI -293.61 to -242.16
  • Burosumab Q2W · GEE · p = < 0.0001 · Ls mean: -248.05 · 95% CI -272.85 to -223.25
  • Burosumab Q2W · GEE · p = < 0.0001 · Ls mean: -248.47 · 95% CI -270.01 to -226.93
SecondaryPercent Change From Baseline Over Time in Serum ALP
Time frame:
Baseline, Weeks 4, 12, 20, 40, 48, 56, 64, 76, 88, 100, 112, 124, 136, 148, 160
Reported as:
Mean · percent change
Percent Change From Baseline Over Time in Serum ALP
percent changeBurosumab Q2W
Week 4-12.47 ± 16.620
Week 12-5.00 ± 60.124
Week 20-24.76 ± 18.883
Week 40-36.25 ± 12.787
Week 48-37.29 ± 13.936
Week 56-35.80 ± 16.568
Week 64-35.95 ± 14.851
Week 76-38.36 ± 15.621
Week 88-39.08 ± 12.987
Week 100-37.42 ± 12.466
Week 112-39.05 ± 13.808
Week 124-43.11 ± 12.493
Week 136-47.01 ± 11.752
Week 148-43.47 ± 11.321
Week 160-42.35 ± 13.574

Adverse events

Collected over From first dose of study drug through the end of the study (at Week 160). Maximum duration of exposure to study drug was 160 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Burosumab Q2W0/13 (0%)1/13 (7.7%)13/13 (100%)
Most frequent serious events
Most frequent serious events
EventBurosumab Q2W
Tooth AbscessInfections and infestations1/13
Most frequent other events
Showing 10 of 131
Most frequent other events
EventBurosumab Q2W
PyrexiaGeneral disorders11/13
CoughRespiratory, thoracic and mediastinal disorders11/13
Tooth AbscessInfections and infestations10/13
Upper Respiratory Tract InfectionInfections and infestations9/13
Pain In ExtremityMusculoskeletal and connective tissue disorders9/13
Pharyngitis StreptococcalInfections and infestations8/13
Nasal CongestionRespiratory, thoracic and mediastinal disorders8/13
VomitingGastrointestinal disorders7/13
RhinorrhoeaRespiratory, thoracic and mediastinal disorders7/13
DiarrhoeaGastrointestinal disorders6/13

Baseline characteristics

Age, Continuous
Age, Continuous(years)Burosumab Q2W
Mean2.94 ± 1.146
Sex: Female, Male
Sex: Female, Male(Participants)Burosumab Q2W
Female4
Male9
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Burosumab Q2W
Hispanic or Latino2
Not Hispanic or Latino11
Unknown or Not Reported0
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Burosumab Q2W
White12
Black or African American1
Serum Phosphorus
Serum Phosphorus(mg/dL)Burosumab Q2W
Mean2.51 ± 0.284
Rickets Severity Score (RSS) Total Score
Rickets Severity Score (RSS) Total Score(units on a scale)Burosumab Q2W
Mean2.92 ± 1.367
Recumbent length/Standing height
Recumbent length/Standing height(cm)Burosumab Q2W
Mean89.15 ± 7.597
Recumbent length/Standing height (Z score)
Recumbent length/Standing height (Z score)(Z score)Burosumab Q2W
Mean-1.378 ± 1.1947

2 further baseline measures are reported on the registry.

08

Study locations

3 sites
  • Yale University School of Medicine
    New Haven, Connecticut 06510, United States
  • Indiana University School of Medicine
    Indianapolis, Indiana 46202, United States
  • Shriners Hospital for Children
    Saint Louis, Missouri 63110, United States
09

References and documents

Publications

  • Mao M, Carpenter TO, Whyte MP, Skrinar A, Chen CY, San Martin J, Rogol AD. Growth Curves for Children with X-linked Hypophosphatemia. J Clin Endocrinol Metab. 2020 Oct 1;105(10):3243-9. doi: 10.1210/clinem/dgaa495. PubMed 32721016 ↗
  • Whyte MP, Carpenter TO, Gottesman GS, Mao M, Skrinar A, San Martin J, Imel EA. Efficacy and safety of burosumab in children aged 1-4 years with X-linked hypophosphataemia: a multicentre, open-label, phase 2 trial. Lancet Diabetes Endocrinol. 2019 Mar;7(3):189-199. doi: 10.1016/S2213-8587(18)30338-3. Epub 2019 Jan 9. PubMed 30638856 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2016 to primary completion in Apr 2017, 11 months.

Results were first posted in Jun 2018, 1 year 1 month after primary completion.

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

Registered
Dec 6, 2015
First posted
Apr 25, 2016
StartActual
May 5, 2016
Primary completionActual
Apr 20, 2017
CompletionActual
Sep 10, 2019
Results first posted
Jun 19, 2018
Last update
May 6, 2024
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.
No changes since tracking began. The registry record was last updated on May 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02750618
Lead sponsor
Kyowa Kirin, Inc.
Responsible party
Sponsor
First posted
Apr 25, 2016
Start date
May 5, 2016
Primary completion
Apr 20, 2017
Completion
Sep 10, 2019
Results posted
Jun 19, 2018
Last update
May 6, 2024

Study contacts

Medical Director
study director · Ultragenyx Pharmaceutical Inc

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Burosumab

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