ClinicalTrials.gg
CompletedNCT04686175Updated Oct 27, 2026Results posted

Evaluation of Safety, Tolerability, and Efficacy of INZ-701 in Adults With ENPP1 Deficiency

A Phase 1/2 interventional study of INZ-701 in Ectonucleotide Pyrophosphatase/phosphodiesterase1 Deficiency, Autosomal Recessive Hypophosphatemic Rickets and Generalized Arterial Calcification of Infancy, sponsored by Inozyme Pharma. Completed at 7 sites in 5 countries. Open to participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Inozyme Pharma (part of BioMarin Pharmaceutical) · Phase 1/2, Interventional, and Treatment

Updated Oct 27, 2026Results postedStudy documents posted+4 moreGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
18 Years to 64 Years
Sex
All
01

Study summary

The purpose of this study is to assess the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of multiple ascending doses of INZ-701, an ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1) enzyme replacement therapy, for the treatment of ENPP1 Deficiency. The goal of the study is to identify a dose regimen for further clinical development in the treatment of ENPP1 Deficiency.

Read the detailed description

INZ-701 is an ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1) enzyme replacement therapy (ERT) in development for the treatment of ENPP1 Deficiency, an ultra-rare genetic disorder with an incidence of 1 in 64,000 pregnancies.

Study INZ701-101 is a Phase 1/2, multicenter, open-label, FIH, MAD, dose-finding study followed by a long-term open-label Extension Period conducted in adults with ENPP1 Deficiency. This study is designed to assess the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of multiple ascending doses of INZ-701. The goal of the study is to identify a dose and dose schedule (number of doses per week) for further clinical development. No placebo will be used in the study. Subjects will be 18 to \<65 years of age, with a confirmed genetic diagnosis of ENPP1 Deficiency and biochemical evidence of hypopyrophosphatemia (ie, PPi \<1300 nM). Exploratory endpoints for the Extension Period of the study include evaluations of skeletal assessment (X-ray and DEXA), arterial and organ calcification (either Na18F-PET/CT or low dose CT [full body] without contrast, echocardiogram, and renal ultrasound), and cardiovascular function (echocardiogram) as well as patient reported outcomes.

Subject participation consists of a Screening Period of up to 30 days, a 32-day Dose Evaluation Period, and an Extension Period during which subjects may continue to receive INZ-701 (with options for self-, caregiver-, or healthcare provider administration) until INZ-701 is approved and available in the country where the subject resides or until an alternative study for subjects to continue receiving study drug is available. During the Extension Period, follow-up visits will be conducted every 4 weeks until Week 48, followed by every 12 weeks until the subject leaves the study.

Subjects will complete an End of Study (EOS) Visit (Safety Follow-Up Visit) 30 days after their last dose of INZ-701.

02

Conditions studied

  • Ectonucleotide Pyrophosphatase/phosphodiesterase1 Deficiency
  • Autosomal Recessive Hypophosphatemic Rickets
  • Generalized Arterial Calcification of Infancy

Keywords

  • ectonucleotide pyrophosphatase/phosphodiesterase1 deficiency
  • hypopyrophosphatemia
  • ENPP1
  • Generalized Arterial Calcification of Infancy
  • GACI
  • Autosomal Recessive Hypophosphatemic Rickets Type 2
  • ARHR2
03

In context

Lead sponsor

Inozyme Pharma is the lead sponsor of 12 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 2 (33%) have results posted.

First submitted before Inozyme Pharma became part of BioMarin Pharmaceutical.

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

04

Who can participate

Ages eligible
18 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Individuals eligible to participate must meet all of the following inclusion criteria:

  1. Must provide written or electronic consent after the nature of the study has been explained, and prior to any research-related procedures, per International Conference on Harmonisation (ICH) Good Clinical Practice (GCP)
  2. Clinical diagnosis of ENPP1 Deficiency supported by prior identification of biallelic ENPP1 mutations (ie, homozygous or compound heterozygous)
  3. Male or female, 18 to \<65 years of age at Screening
  4. PPi \<1300 nM at Screening
  5. Women of (WOCBP as defined in Clinical Trials Facilitation and Coordination Group [CTFG 2020]) must have a negative serum pregnancy test at Screening
  6. WOCBP and partners of fertile males who are WOCBP must be using or agree to use 1 highly effective form of (per CTFG 2020) and a barrier method from at least 1 month before the first dose of INZ-701 through 30 days after the last dose of INZ-701 (greater than 5 half-lives of INZ-701). WOCBP and partners of fertile males who are WOCBP must also agree to not donate ova from the period following the first dose of INZ-701 through 30 days after last dose of INZ-701.
  7. Males who are sexually active must agree to use condoms from the period following first dose of INZ-701 through 30 days after the last dose of INZ-701. Males must also agree to not donate sperm from the period following the first dose of INZ-701 through 30 days after last dose of INZ-701.
  8. In the opinion of the Investigator, must be willing and able to complete the Dose Evaluation Period.
  9. Agree to provide access to relevant medical records.

Individuals who meet any of the following exclusion criteria will not be eligible to participate:

  1. In the opinion of the Investigator, presence of any disease (outside of those considered associated with the diagnosis of ENPP1 Deficiency) that precludes study participation or may confound interpretation of study results, including known uncontrolled cardiovascular, thyroid disease, or unrelated connective tissue, bone, mineral, lipid, or muscle disease
  2. Clinically significant abnormal laboratory result at Screening in the opinion of the Investigator, including but not limited to screening laboratory results demonstrating

    1. estimated (eGFR) (Chronic Kidney Disease-Epidemiology Collaboration [CKD-EPI] equation) \< 60 mL/min/1.73m\^2,
    2. 25-hydroxyvitamin D (25[OH]D) levels \<12 ng/mL, or
    3. Intact parathyroid hormone (PTH) >40% above the
  3. Known active fungal, bacterial, and/or viral infection including , virus, virus, or COVID-19 virus. In Germany and France, a negative COVID-19 test result is required within 5 days prior to the first dose of INZ-701.
  4. within the last 5 years, except non-melanoma skin cancers or cervical carcinoma in situ
  5. Known intolerance to INZ-701 or any of its
  6. Unable or unwilling to discontinue the use of any prohibited medication (examples include 1,25-dihydroxy vitamin D, phosphate, anti-FGF23 [eg, burosumab], calcimimetics, calcium-containing antacids, systemic , PTH suppressors). Discontinuation should be undertaken only if considered not detrimental and indicated by the subject's treating physician.
  7. Concurrent participation in another non-Inozyme interventional clinical study and/or receipt of any other new drug within 5 half-lives of the last dose of the other investigational product or from 4 weeks prior to the first dose of INZ-701, whichever is longer, or use of an investigational device, through completion of participation in the study
  8. Subjects who are pregnant, trying to become pregnant, or breastfeeding
  9. Subjects who are trying to father a child
Terms in these criteria, in plain language(12)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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

Study arms

  • Experimental
    INZ-701

    The study design of the Dose Evaluation Period is a MAD 3 + 3 dose cohort. Based on nonclinical findings and nonclinical pharmacology modeling, the initial planned doses will be 0.2 mg/kg, 0.6 mg/kg, and 1.8 mg/kg, with a twice weekly dose regimen (Cohorts 1-3) and 1.2 mg/kg once weekly dose regimen (Cohort 4). During the Extension Period, INZ-701 administration will initially be at the dose and dose schedule assigned in the Dose Evaluation Period, however, the Sponsor may modify the assigned dose and/or dosing regimen in the Extension Period post Week 48 based on cumulative review of safety and PK/PD data, including population PK. Study visits will be in clinic every 4 weeks until Week 48 of the Extension Period and then every 12 weeks (remote or in-clinic) until the subject leaves the study. Subjects will complete an End of Study (EOS) Visit (Safety Follow-up Visit) 30 days after their last dose of INZ-701.

    Drug: INZ-701

Interventions

  • INZ701-101 is a recombinant fusion protein that contains the extracellular domains of human ENPP1 coupled with an Fc fragment from an immunoglobulin gamma-1 (IgG1) antibody.

    Also known as: rhENPP1-Fc

06

What researchers measure

Primary outcomes

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) During the Dose Evaluation Period

    Treatment-emergent AEs are defined as any AE occurring from the first dose of INZ-701 through 30 days after the last dose of INZ-701.

    Time frame: 32 days

  2. Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) During the Open-label Extension Period

    Treatment-emergent adverse events (TEAEs) were defined as adverse events with an onset date on or after the first dose of INZ-701 and within 30 days after the last dose of INZ-701. For this outcome measure, participants with at least one TEAE occurring during the Open-label Extension Period through Week 48 were reported.

    Time frame: From the start of the Open-label Extension Period (Day 32) through Week 48

  3. Number of Participants With Anti-Drug Antibodies (ADA) During the Dose Evaluation Period

    For each subject, the presence of ADAs will be assessed and, if present, further evaluation will determine specificity and subtypes.

    Time frame: 32 days

  4. Number of Participants With at Least One Positive Anti-Drug Antibody (ADA) Result During the Open-label Extension Period

    The presence of anti-drug antibodies (ADAs) was assessed in each participant. Participants with at least one positive ADA result during the Open-label Extension Period through Week 48 were reported. Samples with detected ADAs underwent further assessment, as applicable.

    Time frame: From entry into the Open-label Extension Period following completion of the 32-day Dose Evaluation Period through Week 48

  5. Area Under the Plasma Concentration-Time Curve From 0 to 72 Hours (AUC0-72h) of INZ-701 Following the Day 1 Dose

    Plasma samples were collected from predose through 72 hours after the Day 1 dose to determine the area under the plasma concentration-time curve from time zero to 72 hours postdose (AUC0-72h) of INZ-701.

    Time frame: Day 1 predose through 72 hours postdose

  6. Maximum Plasma Concentration (Cmax) of INZ-701 Following the Day 1 Dose

    Maximum plasma concentration (Cmax) was obtained directly from the observed INZ-701 plasma concentration-time data following the Day 1 dose.

    Time frame: Day 1 predose through Day 8 predose, up to 168 hours postdose

  7. Apparent Systemic Clearance (CL/F) of INZ-701 Following the Day 1 Dose

    Apparent systemic clearance after subcutaneous dosing (CL/F) was calculated as the administered dose divided by the area under the plasma concentration-time curve from time zero to infinity (AUCinf). AUCinf requires estimation of the terminal elimination rate constant (λz). If λz could not be reliably estimated, AUCinf and consequently CL/F could not be reliably determined.

    Time frame: Day 1 predose through Day 8 predose, up to 168 hours postdose

  8. Change From Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Day 32/Early Termination

    Plasma inorganic pyrophosphate (PPi) concentrations were measured at Baseline and at the Day 32/Early Termination predose assessment. Change from Baseline was calculated as the Day 32/Early Termination PPi concentration minus the Baseline PPi concentration.

    Time frame: Baseline to Day 32/Early Termination

  9. Change From Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Week 48 of the Open-label Extension Period

    Plasma inorganic pyrophosphate (PPi) concentrations were measured at Baseline and during the Open-label Extension Period. Change from Baseline at Week 48 was calculated for each participant as the Week 48 PPi concentration minus the Baseline PPi concentration.

    Time frame: Baseline to Week 48 of the Open-label Extension Period

07

Results

Posted Oct 27, 2026

Participant flow

Period 1: Dose Evaluation Period
Participant flow — Period 1: Dose Evaluation Period
MilestoneCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
Started3334
Completed3334
Not completed0000
Period 2: Open-label Extension Period
Participant flow — Period 2: Open-label Extension Period
MilestoneCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
Started3334
Completed2224
Not completed1110
Withdrew: Withdrawal by subject1110

Outcome measures

PrimaryNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) During the Dose Evaluation Period

Treatment-emergent AEs are defined as any AE occurring from the first dose of INZ-701 through 30 days after the last dose of INZ-701.

Time frame:
32 days
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) During the Dose Evaluation Period
ParticipantsCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) During the Dose Evaluation Period0103
PrimaryNumber of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) During the Open-label Extension Period

Treatment-emergent adverse events (TEAEs) were defined as adverse events with an onset date on or after the first dose of INZ-701 and within 30 days after the last dose of INZ-701. For this outcome measure, participants with at least one TEAE occurring during the Open-label Extension Period through Week 48 were reported.

Time frame:
From the start of the Open-label Extension Period (Day 32) through Week 48
Reported as:
Count of participants · Participants
Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) During the Open-label Extension Period
ParticipantsCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) During the Open-label Extension Period3324
PrimaryNumber of Participants With Anti-Drug Antibodies (ADA) During the Dose Evaluation Period

For each subject, the presence of ADAs will be assessed and, if present, further evaluation will determine specificity and subtypes.

Time frame:
32 days
Reported as:
Count of participants · Participants
Number of Participants With Anti-Drug Antibodies (ADA) During the Dose Evaluation Period
ParticipantsCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
Number of Participants With Anti-Drug Antibodies (ADA) During the Dose Evaluation Period0012
PrimaryNumber of Participants With at Least One Positive Anti-Drug Antibody (ADA) Result During the Open-label Extension Period

The presence of anti-drug antibodies (ADAs) was assessed in each participant. Participants with at least one positive ADA result during the Open-label Extension Period through Week 48 were reported. Samples with detected ADAs underwent further assessment, as applicable.

Time frame:
From entry into the Open-label Extension Period following completion of the 32-day Dose Evaluation Period through Week 48
Reported as:
Count of participants · Participants
Number of Participants With at Least One Positive Anti-Drug Antibody (ADA) Result During the Open-label Extension Period
ParticipantsCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
Number of Participants With at Least One Positive Anti-Drug Antibody (ADA) Result During the Open-label Extension Period3223
PrimaryArea Under the Plasma Concentration-Time Curve From 0 to 72 Hours (AUC0-72h) of INZ-701 Following the Day 1 Dose

Plasma samples were collected from predose through 72 hours after the Day 1 dose to determine the area under the plasma concentration-time curve from time zero to 72 hours postdose (AUC0-72h) of INZ-701.

Time frame:
Day 1 predose through 72 hours postdose
Reported as:
Mean · h*ng/mL
Area Under the Plasma Concentration-Time Curve From 0 to 72 Hours (AUC0-72h) of INZ-701 Following the Day 1 Dose
h*ng/mLCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
Area Under the Plasma Concentration-Time Curve From 0 to 72 Hours (AUC0-72h) of INZ-701 Following the Day 1 Dose14100 ± 572028200 ± 19700108000 ± 5510041900 ± 36600
PrimaryMaximum Plasma Concentration (Cmax) of INZ-701 Following the Day 1 Dose

Maximum plasma concentration (Cmax) was obtained directly from the observed INZ-701 plasma concentration-time data following the Day 1 dose.

Time frame:
Day 1 predose through Day 8 predose, up to 168 hours postdose
Reported as:
Mean · ng/mL
Maximum Plasma Concentration (Cmax) of INZ-701 Following the Day 1 Dose
ng/mLCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
Maximum Plasma Concentration (Cmax) of INZ-701 Following the Day 1 Dose250 ± 84.5584 ± 2711950 ± 8681840 ± 1770
PrimaryApparent Systemic Clearance (CL/F) of INZ-701 Following the Day 1 Dose

Apparent systemic clearance after subcutaneous dosing (CL/F) was calculated as the administered dose divided by the area under the plasma concentration-time curve from time zero to infinity (AUCinf). AUCinf requires estimation of the terminal elimination rate constant (λz). If λz could not be reliably estimated, AUCinf and consequently CL/F could not be reliably determined.

Time frame:
Day 1 predose through Day 8 predose, up to 168 hours postdose
Reported as:
Mean · L/h
Apparent Systemic Clearance (CL/F) of INZ-701 Following the Day 1 Dose
L/hCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
Apparent Systemic Clearance (CL/F) of INZ-701 Following the Day 1 DoseNA ± NANA ± NANA ± NANA ± NA
PrimaryChange From Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Day 32/Early Termination

Plasma inorganic pyrophosphate (PPi) concentrations were measured at Baseline and at the Day 32/Early Termination predose assessment. Change from Baseline was calculated as the Day 32/Early Termination PPi concentration minus the Baseline PPi concentration.

Time frame:
Baseline to Day 32/Early Termination
Reported as:
Mean · nM
Change From Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Day 32/Early Termination
nMCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
Change From Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Day 32/Early Termination695.3 ± 1013.81063.0 ± 657.71176.7 ± 330.3539.3 ± 678.6
PrimaryChange From Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Week 48 of the Open-label Extension Period

Plasma inorganic pyrophosphate (PPi) concentrations were measured at Baseline and during the Open-label Extension Period. Change from Baseline at Week 48 was calculated for each participant as the Week 48 PPi concentration minus the Baseline PPi concentration.

Time frame:
Baseline to Week 48 of the Open-label Extension Period
Reported as:
Mean · nM
Change From Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Week 48 of the Open-label Extension Period
nMCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
Change From Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Week 48 of the Open-label Extension Period359 ± 01440 ± 3361050 ± 04940 ± 0

Adverse events

Collected over From first dose of INZ-701 through 30 days after the last dose of INZ-701 (up to approximately 48 weeks).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1: Dose Level #10/3 (0%)0/3 (0%)3/3 (100%)
Cohort 2: Dose Level #20/3 (0%)2/3 (66.7%)3/3 (100%)
Cohort 3: Dose Level #30/3 (0%)0/3 (0%)3/3 (100%)
Cohort 4: Dose Level #40/4 (0%)1/4 (25%)4/4 (100%)
Most frequent serious events
Most frequent serious events
EventCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
patella fractureInjury, poisoning and procedural complications0/31/30/30/4
procedure abortedSurgical and medical procedures0/31/30/30/4
syncopeNervous system disorders0/30/30/31/4
Most frequent other events
Showing 10 of 13
Most frequent other events
EventCohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4
ArthralgiaMusculoskeletal and connective tissue disorders0/30/32/32/4
HeadacheNervous system disorders1/31/32/31/4
FatigueGeneral disorders1/30/30/31/4
Injection Site BruisingGeneral disorders1/31/30/30/4
Injection Site ErythemaGeneral disorders0/30/31/31/4
Injection Site HaemorrhageGeneral disorders0/31/30/31/4
Injection Site PainGeneral disorders0/31/30/31/4
Injection Site InjuryGeneral disorders0/31/30/30/4
Injection Site PruritusGeneral disorders0/31/30/30/4
Injection Site SwellingGeneral disorders0/31/30/30/4

Baseline characteristics

The baseline analysis population included all 13 participants who received study treatment.

Age, Categorical
Age, Categorical(Participants)Cohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4Total
<=18 years00000
Between 18 and 65 years333413
>=65 years00000
Age, Continuous
Age, Continuous(Years)Cohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4Total
Median31.0 (23 to 40)43.0 (30 to 58)25.0 (22 to 29)21.0 (20 to 32)29.0 (20 to 58)
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4Total
Female32128
Male01225
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4Total
American Indian or Alaska Native00000
Asian00022
Native Hawaiian or Other Pacific Islander00000
Black or African American00000
White33219
More than one race00000
Unknown or Not Reported00112
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Cohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4Total
Hispanic or Latino00000
Not Hispanic or Latino332311
Unknown or Not Reported00112
Region of Enrollment
Region of Enrollment(Participants)Cohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4Total
United States03003
France00112
Germany00235
United Kingdom20002
Canada10001
Baseline Plasma Inorganic Pyrophosphate (PPi)
Baseline Plasma Inorganic Pyrophosphate (PPi)(nM)Cohort 1: Dose Level #1Cohort 2: Dose Level #2Cohort 3: Dose Level #3Cohort 4: Dose Level #4Total
Mean188.7 ± 170.9639.7 ± 682.9306.7 ± 36.1635.3 ± 669.0457.4 ± 487.1
08

Study locations

7 sites
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Clinilabs Drug Development Corporation
    Eatontown, New Jersey 07724, United States
  • University of Saskatchewan
    Saskatoon, Saskatchewan S7N 0W8, Canada
  • Necker University Hospital-Sick Children
    Paris, Paris 75015, France
  • University of Hamburg (Universitatklinikum Hamburg-Eppendorf)
    Hamburg, Free and Hanseatic City of Hamburg 22529, Germany
  • Parexel International GmbH
    Berlin, State of Berlin 14050, Germany
  • Richmond Pharmacology (RPL)
    London, London Bridge SE1 1YR, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

1 registry update since Sep 25, 2026
Results
Results posted
posted Oct 27, 2026
Sites
3 sites added, 3 sites removed
Show 3 added (2 Germany, 1 France)
  • Necker University Hospital-Sick Children · Paris, France
  • University of Hamburg (Universitatklinikum Hamburg-Eppendorf) · Hamburg, Germany
  • Parexel International GmbH · Berlin, Germany
Show 3 removed
  • Necker University Hospital-Sick Children · Paris, France
  • Parexel International GmbH · Berlin, Germany
  • University of Hamburg (Universitatklinikum Hamburg-Eppendorf) · Hamburg, Germany
Oct 27, 2026
Enrollment
9→13
Oct 27, 2026
Primary outcomes
7 edited, 2 added, 2 removed
What changed in the outcomes
  • EditedNumber of Participants With Treatment -Emergent Adverse Events (TEAEs) During the Dose Evaluation PeriodTime frame: 32 days (Dose Evaluation Period) → 32 days
  • EditedIncidenceNumber of Participants With Anti-Drug Antibodies (ADA) During the Dose Evaluation PeriodTime frame: 32 days (Dose Evaluation Period) → 32 days
  • EditedArea underUnder the Plasma Concentration versus -Time Curve From 0 to 72 Hours (AUCAUC0-72h) of INZ-701 Following the Day 1 DoseTime frame: 32 days (Dose Evaluation Period) → Day 1 predose through 72 hours postdose
  • EditedMaximum Plasma Concentration (Cmax) of INZ-701 Following the Day 1 DoseTime frame: 32 days (Dose Evaluation Period) → Day 1 predose through Day 8 predose, up to 168 hours postdose
  • EditedApparent Systemic Clearance (CL/F) of INZ-701 Following the Day 1 DoseTime frame: 32 days (Dose Evaluation Period) → Day 1 predose through Day 8 predose, up to 168 hours postdose
  • EditedChange fromFrom Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Day 32/Early TerminationTime frame: 32 days (Dose Evaluation Period) → Baseline to Day 32/Early Termination
  • EditedChange fromFrom Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Week 48 of the Open-label Extension PeriodTime frame: 52 weeks (Baseline through Safety Follow-up Visit) → Baseline to Week 48 of the Open-label Extension Period
  • AddedNumber of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) During the Open-label Extension PeriodTime frame: From the start of the Open-label Extension Period (Day 32) through Week 48
  • AddedNumber of Participants With at Least One Positive Anti-Drug Antibody (ADA) Result During the Open-label Extension PeriodTime frame: From entry into the Open-label Extension Period following completion of the 32-day Dose Evaluation Period through Week 48
  • RemovedNumber of Treatment Emergent Adverse Events (TEAEs)Time frame: 52 weeks (Day 1 through Safety Follow-up Visit)
  • RemovedIncidence of Anti-Drug Antibodies (ADA)Time frame: 52 weeks (Baseline through Safety Follow-up Visit)
Oct 27, 2026
Documents
Show all 1 update
  1. Oct 27, 2026
    Results posted
    3 sites added, 3 sites removed
    Show 3 added (2 Germany, 1 France)
    • Necker University Hospital-Sick Children · Paris, France
    • University of Hamburg (Universitatklinikum Hamburg-Eppendorf) · Hamburg, Germany
    • Parexel International GmbH · Berlin, Germany
    Show 3 removed
    • Necker University Hospital-Sick Children · Paris, France
    • Parexel International GmbH · Berlin, Germany
    • University of Hamburg (Universitatklinikum Hamburg-Eppendorf) · Hamburg, Germany
    Enrollment 9→13
    Primary outcomes 7 edited, 2 added, 2 removed
    What changed in the outcomes
    • EditedNumber of Participants With Treatment -Emergent Adverse Events (TEAEs) During the Dose Evaluation PeriodTime frame: 32 days (Dose Evaluation Period) → 32 days
    • EditedIncidenceNumber of Participants With Anti-Drug Antibodies (ADA) During the Dose Evaluation PeriodTime frame: 32 days (Dose Evaluation Period) → 32 days
    • EditedArea underUnder the Plasma Concentration versus -Time Curve From 0 to 72 Hours (AUCAUC0-72h) of INZ-701 Following the Day 1 DoseTime frame: 32 days (Dose Evaluation Period) → Day 1 predose through 72 hours postdose
    • EditedMaximum Plasma Concentration (Cmax) of INZ-701 Following the Day 1 DoseTime frame: 32 days (Dose Evaluation Period) → Day 1 predose through Day 8 predose, up to 168 hours postdose
    • EditedApparent Systemic Clearance (CL/F) of INZ-701 Following the Day 1 DoseTime frame: 32 days (Dose Evaluation Period) → Day 1 predose through Day 8 predose, up to 168 hours postdose
    • EditedChange fromFrom Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Day 32/Early TerminationTime frame: 32 days (Dose Evaluation Period) → Baseline to Day 32/Early Termination
    • EditedChange fromFrom Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels at Week 48 of the Open-label Extension PeriodTime frame: 52 weeks (Baseline through Safety Follow-up Visit) → Baseline to Week 48 of the Open-label Extension Period
    • AddedNumber of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) During the Open-label Extension PeriodTime frame: From the start of the Open-label Extension Period (Day 32) through Week 48
    • AddedNumber of Participants With at Least One Positive Anti-Drug Antibody (ADA) Result During the Open-label Extension PeriodTime frame: From entry into the Open-label Extension Period following completion of the 32-day Dose Evaluation Period through Week 48
    • RemovedNumber of Treatment Emergent Adverse Events (TEAEs)Time frame: 52 weeks (Day 1 through Safety Follow-up Visit)
    • RemovedIncidence of Anti-Drug Antibodies (ADA)Time frame: 52 weeks (Baseline through Safety Follow-up Visit)
    + 4 other changes: verification date, arm descriptions, contact details and index terms

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 ↗

11

Registry details

Key details

Study ID
NCT04686175
Lead sponsor
Inozyme Pharma
Responsible party
Sponsor
First posted
Dec 28, 2020
Start date
Nov 21, 2021
Primary completion
Oct 29, 2024
Completion
Dec 13, 2024
Results posted
Oct 27, 2026
Last update
Oct 27, 2026

Study contacts

Medical Director, MD
study director · Inozyme Pharma, Inc

Oversight

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

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Studies of the drug tested here: Efmirenpase alfa

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