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CompletedNCT03596554XLH 21Updated Oct 27, 2020

X-linked Hypophosphatemia and FGF21

An observational study in X-linked Hypophosphatemia, sponsored by Hospices Civils de Lyon. Completed at 3 sites in France. Open to participants aged 10 Years to 18 Years. Per ClinicalTrials.gov, last updated 2020-10-27.

Sponsored by Hospices Civils de Lyon · Observational

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Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
39
Ages
10 Years to 18 Years
Sex
All
01

Where this study stands

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

Among 14 studies in Familial Hypophosphatemic Rickets with a site in France — 4 open to participants now, 4 under way, none of them phase 3. Familial Hypophosphatemic Rickets · France.

Started
2019
with 2 others
Observational
5 of 14
1 open now
Registered
5th of 14
by date
Lead sponsor
2 of 14
Hospices Civils de Lyon

Among the 14 studies in Familial Hypophosphatemic Rickets with a site in France, this one is one of 3 that started in 2019, is one of 5 observational ones, and was the 5th 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

4 of the 14 studies in Familial Hypophosphatemic Rickets with a site in France are open now. Recruiting first, the newest first:

All 4 open studies →

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

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: 10 Years to 18 Years · all sexes.

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02

Study summary

Fibroblast Growth Factor 23 and Fibroblast Growth Factor 21 are two endocrine Fibroblast Growth Factors, requiring Klotho as a co-factor to promote their systemic actions. Fibroblast Growth Factor 21 is involved in the regulation of glucid and lipid metabolism. Fibroblast Growth Factor 21 Knock Out mice display obesity and hyperglycemia.

In investigators experience, patients with X-linked hypophosphatemia often present with early-onset over-weight that could be partly explained by decreased physical activity because of bone pains and deformations after puberty; however, patients usually display progressive over-weight earlier in life, when there is no limitation of physical activity yet.

To the knowledge of investigators the association between Fibroblast Growth Factor 23, Fibroblast Growth Factor 21 and Klotho in patients with X-linked hypophosphatemia has never been evaluated. Thus, the main objective of this study is to evaluate the glucid and lipid metabolism in patients with X-linked hypophosphatemia, the main working hypothesis being that the genetic deregulation in the Fibroblast Growth Factor 23 axis in patients with X-linked hypophosphatemia induces modifications of Klotho levels (namely decreased levels) that in turn will deregulate the Fibroblast Growth Factor 21 axis (resistance to Fibroblast Growth Factor 21 because of decreased Klotho levels).

03

Conditions studied

  • X-linked Hypophosphatemia
04

Who can participate

Ages eligible
10 Years to 18 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Patients aged 10 to 18 years followed in the different sites of the French Reference Center for Rare Diseases of Calcium and Phosphate, and monitored for hypophosphatemic rickets; estimated number to be included, N=40

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Inclusion criteria

  • Child with X-linked hypophosphatemia with PHEX gene mutation
  • Child between 10 and 18 years old
  • Child over 10 kg having a blood sample as part of the treatment (due to regulatory constraints for blood volume taken in 30-day period of 40 mL in children over 10 kg)
  • Child and parent / holder of parental authority who has been informed of the study and does not object to participate.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy in progress
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
39 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Interventions

  • OtherDescriptive study

    Description of the circulating values of Fibroblast Growth Factor 21 in X-linked hypophosphatemia children compared to controls in the VITADOS cohort (healthy children and adolescents aged 10-18 years), after age-matched, pubertal stage and sex).

06

What researchers measure

Primary outcomes

  1. Circulating FGF21

    Samples specific to the study will be collected during a sampling performed as part of the usual care and follow-up of the patient. An additional tube (5 ml maximum) will be collected, which will be sent to the Lyon Sud Hospital Center for analysis of circulating FGF21.

    Time frame: 1 day

07

Study locations

3 sites
  • Centre de Référence des Maladies Rénales Rares - Centre de Référence des Maladies Rares du Calcium et du Phosphate - Service de Néphrologie, Rhumatologie et Dermatologie Pédiatriques - Hôpital Femme Mère Enfant
    Bron, 69677, France
  • Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service d'Endocrinologie Pédiatrique - Hôpital du Kremlin Bicêtre
    Paris, 94270, France
  • Endocrinologie, Maladies Osseuses, Gynécologie, Génétique, Hôpital des Enfants, CHU de Toulouse
    Toulouse, 31059, France
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 Jan 2019 to primary completion in Feb 2020, 13 months.

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

Registered
Jul 12, 2018
First posted
Jul 24, 2018
StartActual
Jan 11, 2019
Primary completionActual
Feb 27, 2020
CompletionActual
Feb 27, 2020
Last update
Oct 27, 2020
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 Oct 27, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03596554
Responsible party
Sponsor
First posted
Jul 24, 2018
Start date
Jan 11, 2019
Primary completion
Feb 27, 2020
Completion
Feb 27, 2020
Last update
Oct 27, 2020

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 Oct 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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