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RecruitingNCT05234567Updated Feb 9, 2026

A Prospective Sub-Study of the Global Hypophosphatasia Registry

An observational study in Hypophosphatasia, sponsored by Alexion Pharmaceuticals, Inc.. Recruiting at 12 sites in United States. Per ClinicalTrials.gov, last updated 2026-02-09.

Sponsored by Alexion Pharmaceuticals, Inc. · Observational

From the registry’s dates

  • Started Aug 2022; still recruiting 4 years 1 month later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
30
Sex
All
01

Study summary

In this prospective observational sub-study, participants with pediatric-onset hypophosphatasia (HPP) (perinatal/infantile- or juvenile-onset) of any age will be followed for a minimum of 5 years at sites in the United States and potentially 1 or 2 other countries.

02

Conditions studied

  • Hypophosphatasia

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Keywords

  • Pediatric Onset
  • HPP
  • Asfotase alfa
03

In context

Hypophosphatasia

45 studies on the registry are indexed under Hypophosphatasia; 10 are open to participants now.

This study's planned enrollment of 30 is below the median of 58 across 22 observational studies indexed under Hypophosphatasia.

Browse Hypophosphatasia studies →

Lead sponsor

Alexion Pharmaceuticals, Inc. is the lead sponsor of 249 studies on the registry; 25 are open to participants now.

Of its 98 completed or terminated interventional studies of FDA-regulated products, 70 (71%) 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
Probability sample

Study population

Patients with HPP

Inclusion criteria

  • Any age or sex with a confirmed diagnosis of pediatric-onset HPP (that is, first HPP sign or symptom presented at \< 18 years of age).
  • Currently receiving asfotase alfa treatment at Enrollment (not treatment-naïve) or the Physician has decided to resume (not treatment-naïve) or start (treatment-naïve) the participant's asfotase alfa treatment within 6 months after Enrollment.
  • Participant must have documented alkaline phosphatase (ALP) activity below the lower limit of normal for age and sex, and a documented ALPL gene mutation (Note: An exception is made for infants with clinical features of HPP plus low ALP who need to start asfotase alfa treatment right away, at the Physician's discretion, but do not yet have a genetic result. In this case, ALPL gene documentation is not required at the time of sub-study enrollment but should be documented within 6 months after Enrollment).
  • Participant or participant's parent/legally authorized representative is able to read and/or understand the informed consent and study questionnaires in the local language.
  • Participant or participant's parent/legally authorized representative must be willing and able to give signed informed consent for this sub-study, and the participant must be willing to give written informed assent, if appropriate and required by local regulations.

Exclusion criteria

Exclusion Criteria:

  • Currently participating in an Alexion-sponsored interventional clinical study. Participants who have concluded participation in an Alexion-sponsored asfotase alfa clinical study are eligible to enroll in this sub-study.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
30 participants (estimated)
Patient registry
No

Groups and cohorts

  • Participants with Pediatric-onset HPP

    Each participant will be followed for a minimum of 5 years or, if applicable, until early withdrawal. Biochemical, clinical, imaging (if clinically indicated), and functional/quality of life outcomes relevant to HPP will be assessed.

    Biological: Asfotase Alfa

Interventions

  • BiologicalAsfotase Alfa

    All participants will receive asfotase alfa subcutaneously per standard of care. Unless otherwise specified per the Physician's standard of care, participants aged \< 2 years are recommended for a clinic visit approximately every 3 months after Enrollment until 2 years of age, after which they should have a clinic visit approximately every 6 months. Participants should be followed for 5 years, as possible.

    Also known as: Strensiq

06

What researchers measure

Primary outcomes

  1. Occurrence Of Immune-mediated Loss Of Effectiveness According To The Treating Physician

    This will be based on clinical and biochemical assessments as well as positive anti-drug antibodies and positive neutralizing antibodies.

    Time frame: Up to 5 years

  2. Occurrence Of Immune-mediated Serious Adverse Events

    These serious adverse events will include serious hypersensitivity reactions and anaphylaxis.

    Time frame: Up to 5 years

07

Study locations

10 of 12 sites recruiting
  • Clinical Trial Site
    Hartford, Connecticut 06106, United States
    Recruiting
  • Clinical Trial Site
    Chicago, Illinois 60611, United States
    Recruiting
  • Clinical Trial Site
    Boston, Massachusetts 02122, United States
    Recruiting
  • Clinical Trial Site
    Kansas City, Missouri 64108, United States
    Recruiting
  • Clinical Trial Site
    Mineola, New York 11501, United States
    Recruiting
  • Clinical Trial Site
    Cincinnati, Ohio 45229, United States
    Not yet recruiting
  • Clinical Trial Site
    Columbus, Ohio 43203, United States
    Recruiting
  • Clinical Trial Site
    Pittsburgh, Pennsylvania 15224, United States
    Not yet recruiting
  • Clinical Trial Site
    Nashville, Tennessee 37112, United States
    Recruiting
  • Clinical Trial Site
    Salt Lake City, Utah 84108, United States
    Recruiting
  • Clinical Trial Site
    Charlottesville, Virginia 22903, United States
    Recruiting
  • Clinical Trial Site
    Madison, Wisconsin 53792, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Alexion has a public commitment to allow requests for access to study data and will be supplying a protocol, CSR, and plain language summaries.

Supporting information: Study protocol, Sap, Csr

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05234567
Lead sponsor
Alexion Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Feb 10, 2022
Start date
Aug 25, 2022
Primary completion
Jul 18, 2028 (estimated)
Completion
Jul 18, 2028 (estimated)
Last update
Feb 9, 2026

Study contacts

Alexion Pharmaceuticals, Inc. (Sponsor)
Contact
clinicaltrials@alexion.com
1-855-752-2356

Oversight

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

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