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Active, not recruitingNCT04783428Updated Jun 3, 2026

Tumor-induced Osteomalacia Disease Monitoring Program

An observational study in Tumor-induced Osteomalacia (TIO), sponsored by Ultragenyx Pharmaceutical Inc. Active, not recruiting at 6 sites in 2 countries. Per ClinicalTrials.gov, last updated 2026-06-03.

Sponsored by Ultragenyx Pharmaceutical Inc · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
23
Sex
All
01

Study summary

The objectives of this observational study are to assess the long-term safety and long-term effectiveness of burosumab in patients with TIO who are being treated with burosumab as prescribed by their physician and to monitor the course of the underlying phosphaturic mesenchymal tumor (PMT) overtime in patients with TIO irrespective of their treatment status.

Read the detailed description

Enrolled patients may or may not be treated with commercially available burosumab during the TIO DMP at the discretion of their treating physician. Given the observational nature of the TIO DMP, specific treatments or supportive management will not be provided as part of the study.

02

Conditions studied

  • Tumor-induced Osteomalacia (TIO)
03

In context

Lead sponsor

Ultragenyx Pharmaceutical Inc is the lead sponsor of 63 studies on the registry; 8 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 11 (85%) have results posted.

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
Non-probability sample

Study population

May include patients who have undergone complete tumor resection and continue to have biochemical/clinical evidence of disease, patients with tumor identified, or patients in whom causative tumor has not been identified and who have been diagnosed with TIO based on biochemical/clinical symptom profile.

Patients may be treated with burosumab, or phosphate and active vitamin D metabolites/analogs, as prescribed by a physician, or may be untreated, at any time during the TIO DMP.

Inclusion criteria

  • Have a clinical diagnosis of TIO based on the presence of an underlying PMT (confirmed by imaging) AND/OR historical documentation. Note: For adult patients with TIO in whom the causative PMT has never been located, and all pediatric patients, documented evidence of negative genetic testing for other hereditary hypophosphatemic disorders is necessary
  • For patient safety, all participating female patients of child-bearing potential must be willing to have pregnancy tests prior to certain assessments performed as part of the DMP
  • Be willing to provide access to prior medical records including tumor pathology reports and biopsy slides, imaging, biochemical, and diagnostic, medical, and surgical history data, if available
  • Be willing and able to provide informed consent after the nature of the study has been explained, and prior to any research-related procedures
  • Be willing and able to comply with the study visit schedule and study procedures

Exclusion criteria

Exclusion Criteria:

  • Have a clinical diagnosis of TIO deemed to be caused by a tumor other than a PMT
  • Serious medical or psychiatric comorbidity that, in the opinion of the Investigator, would present a concern for patient safety or compromise the ability to provide consent or comply with the study visit schedule and study procedures
  • Less than 1 year of life expectancy (for any cause) in the opinion of the Investigator
  • Concurrent enrollment in a clinical trial without prior approval from the TIO DMP Sponsor
  • Undergoing treatment with burosumab for an unapproved indication
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
23 participants (actual)
Patient registry
No

Groups and cohorts

  • Prior TIO Burosumab Clinical Trial Participants

    Other: No intervention

  • Adults Who Have Not Participated In Prior Burosumab Clinical Trials

    Other: No intervention

  • Pediatrics Who Have Not Participated In Prior Burosumab Clinical Trials

    Other: No intervention

Interventions

  • OtherNo intervention

    Access to any treatment is through authorized commercial use and not as part of this DMP

06

What researchers measure

Primary outcomes

  1. Long-Term Effectiveness of Burosumab: Change From Baseline in Serum Phosporus Over Time

    Time frame: 10 years

  2. Long-Term Effectiveness of Burosumab: Change From Baseline in Serum 1,25(OH)2D Over Time

    Time frame: 10 years

  3. Long-Term Effectiveness of Burosumab: Change From Baseline in Serum Alkaline Phosphatase (ALP) Over Time

    Time frame: 10 years

  4. Long-Term Effectiveness of Burosumab: Change From Baseline in Serum FGF23 Over Time in Participants Not Undergoing Treatment With Burosumab

    Time frame: 10 years

  5. Long-Term Safety of Burosumab: Change From Baseline in Phosphaturic Mesenchymal Tumor (PMT) Size Over Time as Assessed by Tumor Imaging

    Time frame: 10 years

  6. Long-Term Safety of Burosumab: Number of Participants With New PMT Development as Assessed by Tumor Imaging

    Time frame: 10 years

  7. Long-Term Safety of Burosumab: Change From Baseline in Serum iPTH Over Time

    Time frame: 10 years

  8. Long-Term Safety of Burosumab: Change From Baseline in Serum Calcium Over Time

    Time frame: 10 years

  9. Long-Term Safety of Burosumab: Change From Baseline in Urine Calcium Over Time

    Time frame: 10 years

  10. Long-Term Safety of Burosumab: Change From Baseline Urinary Calcium/Creatinine Ratio

    Time frame: 10 years

  11. Long-Term Safety of Burosumab: Change From Baseline in Serum Creatinine Over Time

    Time frame: 10 years

  12. Long-Term Safety of Burosumab: Change From Baseline in Urine Creatinine Over Time

    Time frame: 10 years

  13. Long-Term Safety of Burosumab: Change From Baseline in Urine Protein/Creatinine Ratio Over Time

    Time frame: 10 years

  14. Long-Term Safety of Burosumab: Number of Participants With Nephrocalcinosis Over Time

    Time frame: 10 years

  15. Long-Term Safety of Burosumab: Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs) and Related AEs

    Time frame: 10 years

  16. Long-Term Safety of Burosumab: Number of Participants With Incidence and/or Progression of Spinal Stenosis Over Time

    Time frame: 10 years

  17. Long-Term Safety of Burosumab: Number of Participants With Normal and/or Potentially Clinically Significant Pregnancy Outcomes

    Includes maternal, neonatal and infant outcomes

    Time frame: 10 years

  18. Long-Term Effectiveness of Burosumab: Change From Baseline in Brief Fatigue Inventory (BFI) Scores in Adult Participants Over Time

    Time frame: 10 years

  19. Long-Term Effectiveness of Burosumab: Change From Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue Scores in Pediatric Participants Over Time

    Time frame: 10 years

  20. Long-Term Effectiveness of Burosumab: Change From Baseline in Brief Pain Inventory (BPI) Scores in Adult Participants Over Time

    Time frame: 10 years

  21. Long-Term Effectiveness of Burosumab: Change From Baseline in PROMIS Pain Scores in Pediatric Participants Over Time

    Time frame: 10 years

  22. Long-Term Effectiveness of Burosumab: Change From Baseline in PROMIS Physical Function Scores Over Time

    Time frame: 10 years

  23. Long-Term Effectiveness of Burosumab: Change From Baseline in Short Form-36 version 2 (SF-36v2) in Adult Participants Over Time

    Time frame: 10 years

  24. Long-Term Effectiveness of Burosumab: Change in Short Form-10 (SF-10) for Pediatric Participants Over Time

    Time frame: 10 years

  25. Long-Term Effectiveness of Burosumab: Number of Participants With Changes From Baseline in Clinical Findings

    Time frame: 10 years

  26. Long-Term Effectiveness of Burosumab: Number of Participants With Changes From Baseline in Resource/Health Utilization

    Time frame: 10 years

07

Study locations

6 sites
  • Yale University
    New Haven, Connecticut 06520, United States
  • Indiana University
    Bloomington, Indiana 47405, United States
  • Johns Hopkins University
    Baltimore, Maryland 21218, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37235, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • IDIM - Instituto de Diagnóstico e Investigaciones Metabólicas
    Buenos Aires, Argentina
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References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04783428
Lead sponsor
Ultragenyx Pharmaceutical Inc
Responsible party
Sponsor
First posted
Mar 5, 2021
Start date
Jan 31, 2022
Primary completion
Feb 28, 2032 (estimated)
Completion
Feb 28, 2032 (estimated)
Last update
Jun 3, 2026

Study contacts

Medical Director
study director · Ultragenyx Pharmaceutical Inc

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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