ClinicalTrials.gg
CompletedNCT03418389EmPATHYUpdated Jul 12, 2022

Evaluate and Monitor Physical Performance of Adults Treated With Asfotase Alfa for Hypophosphatasia

An observational study in Hypophosphatasia, sponsored by Dr. Lothar Seefried. Completed at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-07-12.

Sponsored by Dr. Lothar Seefried · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
23
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 13 studies in Hypophosphatasia with a site in Germany — 4 open to participants now, 5 under way, 1 of them phase 3. Hypophosphatasia · Germany.

Started
2018
the only one that year
Observational
7 of 13
3 open now
Registered
7th of 13
by date
Lead sponsor
1 of 13
Dr. Lothar Seefried

Among the 13 studies in Hypophosphatasia with a site in Germany, this one is the only one that started in 2018, is one of 7 observational ones, and was the 7th registered.

Hypophosphatasia

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

Browse Hypophosphatasia studies →

Open to participants now

4 of the 13 studies in Hypophosphatasia with a site in Germany are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 9 Hypophosphatasia studies recruiting now, 8 set no upper age limit and 1 stops at 75 or younger; 5 take children under 18; 1 takes healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 13 studies in Hypophosphatasia with a site in Germany, or all of them as a file.
02

Study summary

Hypophosphatasia is a rare inherited metabolic disorder due to inactivating mutations of the ALPL-Gene. Particularly among adult patients, clinical manifestation exhibits a broad range of signs and symptoms, most commonly associated with musculoskeletal disabilities and compromised quality of life. Enzyme replacement therapy with Asfotase alfa (AA) is available and approved for patients with pediatric onset of the disease.

This single-center observational cohort study aims at collecting clinical routine data regarding the course treatment, quality of life and physical performance in patients treated with Asfotase alfa in line with the label for pediatric-onset hypophosphatasia.

03

Conditions studied

  • Hypophosphatasia

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04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Study population consists of male and female HPP patients with pediatric-onset HPP currently being managed for the disease at the Orthopedic Institute of the Julius-Maximilians-University Würzburg, Germany and receiving commercial AA treatment as per the standard of care.

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

  • Age ≥ 18 years at the time of enrollment
  • Clinical diagnosis of pediatric-onset HPP based on low ALP (age- and sex-adjusted) and/or genetic confirmation of ALPL mutation(s), and clinical symptoms consistent with HPP
  • Participant currently receiving commercial asfotase alfa treatment for HPP at the Orthopedic Institute of the Julius-Maximilians-University Würzburg, as per standard of care
  • Willingness to participate in the study
  • Signed

Exclusion criteria

Exclusion Criteria:

  • Unwillingness / anticipated inability to attend further visits
  • Off-label treatment with asfotase alfa
  • Current participation in an Alexion Sponsored Trial
  • Experimental drug/treatment
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
Cohort
Time perspective
Other
Enrollment
23 participants (actual)
Patient registry
No

Groups and cohorts

  • Pediatric-onset Hypophosphatasia
06

What researchers measure

Primary outcomes

  1. Physical Performance

    6 Minute Walk Test \[meters\]

    Time frame: 1 year of treatment compared to pre-treatment baseline

  2. Physical Performance

    Short Physical Performance Battery \[points\]

    Time frame: 1 year of treatment compared to pre-treatment baseline

  3. Physical Performance

    Timed Up and Go Test \[seconds\]

    Time frame: 1 year of treatment compared to pre-treatment baseline

  4. Physical Performance

    Handheld dynamometry \[kilogram\]

    Time frame: 1 year of treatment compared to pre-treatment baseline

  5. Physical Performance

    Jumping mechanography \[W/kg bodyweight\]

    Time frame: 1 year of treatment compared to pre-treatment baseline

  6. Physical Performance

    Use of assistive devices descriptive measure

    Time frame: 1 year of treatment compared to pre-treatment baseline

  7. Body composition

    Bioelectrical Impedance Analysis \[proportional mass of muscle, water and fat in kg\]

    Time frame: 1 year of treatment compared to pre-treatment baseline

Secondary outcomes

  1. Health related quality of life

    Questionnaire

    Time frame: 1 year of treatment compared to pre-treatment baseline

  2. Bone Mineral Density

    Dual x-ray absorptiometry (DXA)

    Time frame: 1 year of treatment compared to pre-treatment baseline

  3. Skeletal pathology

    Descriptive assessment of available imaging (x-Ray, CT, MRI, histological sections)

    Time frame: 1 year of treatment compared to pre-treatment baseline

  4. Laboratory evaluation

    Parathyroid hormone \[PTH, pg/ml\]

    Time frame: 1 year of treatment compared to pre-treatment baseline

  5. Laboratory evaluation

    Serum-Calcium \[mmol/l\]

    Time frame: 1 year of treatment compared to pre-treatment baseline

  6. Laboratory evaluation

    Serum-Phosphorus \[mmol/l\]

    Time frame: 1 year of treatment compared to pre-treatment baseline

  7. Laboratory evaluation

    Serum-Creatinine \[µmol/l\], incl. calculated eGFR

    Time frame: 1 year of treatment compared to pre-treatment baseline

  8. Laboratory evaluation

    Fibroblast Growth Factor 23 / FGF-23 \[RU/ml\]

    Time frame: 1 year of treatment compared to pre-treatment baseline

  9. Safety assessment

    Injection site reactions (descriptive)

    Time frame: 1 year of treatment compared to pre-treatment baseline

  10. Safety assessment

    Injection associated reactions (descriptive)

    Time frame: 1 year of treatment compared to pre-treatment baseline

  11. Safety assessment

    Ectopic calcifications (descriptive)

    Time frame: 1 year of treatment compared to pre-treatment baseline

  12. Safety assessment

    Adverse events (descriptive)

    Time frame: 1 year of treatment compared to pre-treatment baseline

07

Study locations

1 site
  • Clinical Trial Unit, Orthopedic Department, Wuerzburg University
    Würzburg, 97074, Germany
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2018 to primary completion in May 2021, 32 months.

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

Registered
Jan 18, 2018
First posted
Feb 1, 2018
StartActual
Sep 5, 2018
Primary completionActual
May 31, 2021
CompletionActual
May 31, 2021
Last update
Jul 12, 2022
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 Jul 12, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03418389
Lead sponsor
Dr. Lothar Seefried
Responsible party
Dr. Lothar Seefried (Head, Clinical Trial Unit, Orthopedic Department, Wuerzburg University Hospital) — Sponsor-investigator
First posted
Feb 1, 2018
Start date
Sep 5, 2018
Primary completion
May 31, 2021
Completion
May 31, 2021
Last update
Jul 12, 2022

Study contacts

Lothar Seefried, MD
principal investigator · Wuerzburg University, Orthopedic Institute, Clinical Trial Unit

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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