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CompletedNCT04819490Updated Jul 25, 2024

A UK Multicentre, Health-Related Quality of Life Study for Children and Adolescents With XLH

An observational study in X-Linked Hypophosphataemia, sponsored by Kyowa Kirin Pharmaceutical Development Ltd. Completed at 6 sites in United Kingdom. Open to participants aged 4 Years to 18 Years. Per ClinicalTrials.gov, last updated 2024-07-25.

Sponsored by Kyowa Kirin Pharmaceutical Development Ltd (part of Kyowa Kirin Co., Ltd.) · Observational

Study type
Observational
Model
Other
Time perspective
Other
Enrollment
32
Ages
4 Years to 18 Years
Sex
All
01

Study summary

This study aims to provide Health-related Quality of Life (HRQoL) data from children and adolescents with growing skeletons in the United Kingdom (UK), including those treated with burosumab or alternative XLH treatment, as part of an updated submission to the SMC in early 2023. This study will utilise data from a subset of UK sites already within the XLH Registry (including participating Scottish sites) and collect additional HRQoL data within these sites (that are otherwise not included in the wider XLH Registry protocol). The HRQoL data will enable the calculation of HRQoL to derive the HRQoL utility estimates in children and adolescents with growing skeletons for the RSS health states, hence addressing an area of uncertainty.

Read the detailed description

This is a multicentre, non-interventional HRQoL study of children and adolescents with growing skeletons using routinely collected XLH Registry data and prospectively collected HRQoL data. This study will aim to enrol approximately 50 patients from approximately 5 UK centres (currently participating in the XLH Registry) over a 6-month period. Each patient will be followed for up to 12 months after enrolment. As stipulated, the data collection should not require additional patient visits or data collection within the health service.

Three types of data will be used in this study:

  1. Routinely collected data from the XLH Registry on patient demographics and clinical data, as well as PedsQL HRQoL data.
  2. HRQoL data prospectively collected at enrolment, 6-month and 12-month follow-up by the patient and/or their parent / legal guardian.
  3. RSS scores within the XLH Registry will be used where available, or RSS will be centrally calculated retrospectively from radiographs of the affected wrist and/or knee. All RSS calculations will be centrally reviewed.
02

Conditions studied

  • X-Linked Hypophosphataemia

Keywords

  • Crysvita
  • Burosumab
  • X-linked Hypophosphataemia (XLH)
  • PHEX Gene Mutation
03

In context

Familial Hypophosphatemic Rickets

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

This study's enrollment of 32 is below the median of 50 across 16 observational studies indexed under Familial Hypophosphatemic Rickets.

Browse Familial Hypophosphatemic Rickets studies →

Lead sponsor

Kyowa Kirin Pharmaceutical Development Ltd is the lead sponsor of 13 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Study population

The study will aim to enrol approximately 50 patients from at least 5 UK centres (currently participating in the XLH Registry).

Subjects will be receiving any XLH treatment (burosumab, oral phosphate and active vitamin D or another XLH treatment) within 30 days or prior to informed consent.

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. Aged ≥4 years and \<18 years.
  2. Enrolled in the XLH Registry via one of the participating UK centres.
  3. Have at least one of the following:

    1. RSS calculated at enrolment during a routine clinic visit. OR
    2. Historical radiographs of the affected wrist and/or knee available in the medical chart within the 6 months prior to enrolment, to allow RSS to be centrally calculated retrospectively.
  4. Receiving any XLH treatment (burosumab, oral phosphate and active vitamin D, or other XLH treatment) within 30 days prior to for this study

Exclusion criteria

Exclusion Criteria:

  1. Does not have the cognitive capacity to provide , or their legally designated representative (i.e. parent / legal guardian) does not have the cognitive capacity to provide informed consent.
  2. Is not expected to have open growth plates for the duration of the study.
  3. Currently participating in an interventional clinical trial. Participation in a Compassionate Use Programme, Pre-commercial Programme, or Investigator Initiated Study does not preclude a patient from participation in this study.
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
Other
Time perspective
Other
Enrollment
32 participants (actual)
Target follow-up
6 Months
Patient registry
Yes
06

What researchers measure

Primary outcomes

  1. To derive health state utilities based on Rickets Severity Score (RSS), in the study population

    The RSS is a quantitative method to assess rickets severity in the wrists and knees based on the degree of metaphyseal fraying, concavity, and the proportion of the growth plate affected. It is a 10-point scale, where 10 represents the most extreme degree of rickets severity. In nutritional rickets, RSS may range from 0.5 to 10.

    Time frame: Changes from baseline, 6 months and 12 months

  2. To derive health state utilities based on EQ-5D-Y in the study population

    The EQ-5D-Y is a two-part instrument: the EQ-5D descriptive system and the EQ visual analogue scale (VAS). The descriptive system covers five health domains: mobility, looking after myself, doing usual activities, having pain or discomfort and feeling worried, sad or unhappy. Each domain has 3 response categories: no problems, some problems and a lot of problems. The response categories can be reflected by a 1-digit number (1-3) and combined for the five dimensions into a 5-digit number to describe the health state of the patient. The EQ VAS records the patient's self-rated health on a vertical VAS of 0-100 where 100="The best health you can imagine" and 0="The worst health you can imagine". The VAS can be used as a quantitative measure of health outcome that reflects the patient's own judgement; results can be presented as both a measure of the central tendency and a measure of dispersion.

    Time frame: Changes from baseline, 6 months and 12 months

  3. To derive health state utilities based on Child Health Utility 9 Dimensions [CHU-9D], in the study population

    CHU-9D is a generic child HRQoL questionnaire consisting of nine items, each with five response categories. Each item covers a different domain: worry, sadness, pain, tiredness, annoyance, school, sleep, daily routine and activities.

    Time frame: Changes from baseline, 6 months and 12 months

07

Study locations

6 sites
  • Royal Hospital for Sick Children
    Edinburgh, EH9 1LF, United Kingdom
  • NHS Greater Glasgow & Clyde- South Glasgow University Hosp Division
    Glasgow, G12 0XH, United Kingdom
  • Leeds Teaching Hospitals NHS Trust, Trust Headquarters, St. James's University Hospital
    Leeds, LS9 7TF, United Kingdom
  • Evelina Childrens Hospital
    London, SE1 7EH, United Kingdom
  • Royal Manchester Children's Hospital
    Manchester, M13 9WL, United Kingdom
  • Sheffield Childrens Hospital
    Sheffield, S10 2RX, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04819490
Responsible party
Sponsor
First posted
Mar 29, 2021
Start date
Apr 1, 2021
Primary completion
Jul 29, 2022
Completion
Jul 29, 2022
Last update
Jul 25, 2024

Study contacts

Kyowa Kirin Medical Affairs Division
study director · Kyowa Kirin, Inc.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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