ClinicalTrials.gg
TerminatedNCT06462547Updated Oct 19, 2026

ADAPT Study: Long-term Safety Study of INZ-701 in Patients With ENPP1 Deficiency and ABCC6 Deficiency

A Phase 2 interventional study of INZ-701 in Gene Mutations, Pseudoxanthoma Elasticum and Arterial Calcification, sponsored by Inozyme Pharma. Terminated at 5 sites in 4 countries. Open to participants aged 1 Year and older. Per ClinicalTrials.gov, last updated 2026-10-19.

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

Why this study was terminated
The study was terminated by the sponsor prior to planned completion based on a review of the data across indications and overall program considerations. Study termination was not related to participant safety.
Updated Oct 19, 2026Now TerminatedStudy documents posted+2 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
22
Allocation
Not applicable
Ages
1 Year and older
Sex
All
01

Study summary

The purpose of this study (Study INZ701-304 [ADAPT]) is to assess the long-term safety of INZ-701 in patients with ENPP1 Deficiency or ABCC6 Deficiency who have received INZ-701 in an existing clinical study and choose to continue dosing for the potential treatment of their condition.

Read the detailed description

The investigational product INZ-701 is being developed as a therapeutic protein for the treatment of ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1) Deficiency and adenosine triphosphate (ATP)-binding cassette subfamily C member 6 (ABCC6) Deficiency. INZ-701 is a recombinant fusion protein that contains the extracellular domains of human ENPP1 coupled with an Fc fragment from an immunoglobulin (Ig) G1 antibody.

The ADAPT Study (INZ701-304) is an open-label study to assess the long-term safety of INZ-701 in patients with ENPP1 Deficiency or ABCC6 Deficiency who have received INZ-701 in an existing clinical study and choose to continue dosing for the potential treatment of their condition.

The study will consist of a 30-day Screening Period, followed by an open-label Treatment Period during which all participants will receive once-weekly subcutaneous (SC) doses of INZ-701 and continue with treatment until INZ-701 is commercially available in the country/region of the participant's residence or until Inozyme chooses to discontinue development of INZ-701. Participants will complete an End of Study (EOS) safety follow-up visit approximately 30 days after their last designated study visit assigned by the Investigator and/or Sponsor.

02

Conditions studied

  • Gene Mutations
  • Pseudoxanthoma Elasticum
  • Arterial Calcification
  • Ectonucleotide Pyrophosphatase/phosphodiesterase1 Deficiency
  • Autosomal Recessive Hypophosphatemic Rickets Type 2

Keywords

  • ABCC6
  • ATP-Binding Cassette Subfamily C Member 6 Deficiency
  • PXE
  • Pseudoxanthoma elasticum
  • GACI
  • Generalized Arterial Calcification of Infancy
  • ARHR2
  • Autosomal Recessive Hypophosphatemic Rickets Type 2
  • ENPP1
  • ectonucleotide pyrophosphatase/phosphodiesterase1 deficiency
  • hypopyrophosphatemia
03

In context

Pseudoxanthoma Elasticum

32 studies on the registry are indexed under Pseudoxanthoma Elasticum; 6 are open to participants now.

This study's enrollment of 22 is close to the median of 21 across 16 interventional studies indexed under Pseudoxanthoma Elasticum.

Browse Pseudoxanthoma Elasticum studies →

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
1 Year and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

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

  1. Provide written or electronic after the nature of the study has been explained, and prior to any research-related procedures, per International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Good Clinical Practice (GCP)
  2. Provide assent in accordance with local regulations, if \<18 years of age
  3. Male or female, greater than 1 year of age
  4. Must have completed the protocol-required safety and PK/PD and/or efficacy period(s) of a previous INZ-701 clinical study in ENPP1 or ABCC6 Deficiency, as confirmed by the Sponsor
  5. Female participants of who are sexually active must be using or agree to use 1 highly effective form of (per CTFG 2020) from at least 1 month before the first dose of INZ-701 through 30 days after last dose of INZ-701 (greater than 5 half-lives of INZ-701); participants must agree to not donate ova from the period following the first dose of INZ-701 through 30 days after the last dose of INZ-701
  6. Male participants who are sexually active must agree to use condoms from the period following the first dose of INZ-701 through 30 days after the last dose of INZ-701; participants must agree to not donate sperm from the period following the first dose of INZ-701 through 30 days after last dose of INZ-701
  7. In the opinion of the Investigator, able to complete all aspects of the study

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 or laboratory abnormality not associated with ENPP1 Deficiency or ABCC6 Deficiency, that will preclude study participation and/or may confound interpretation of study results
  2. Known intolerance to INZ-701 or any of its
  3. Concurrent participation in another interventional clinical study and/or has received an drug other than INZ-701 within 5 half-lives or within 4 weeks prior to the first dose of INZ-701 in this study, whichever is longer, or use of an investigational device
  4. Pregnant, trying to become pregnant, or breastfeeding
  5. Male participants trying to father a child
Terms in these criteria, in plain language(6)

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.

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.

Excipients

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

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

Study arms

  • Experimental
    INZ-701

    INZ-701 will be administered by subcutaneous injection on a once-weekly basis as follows: * Study participants from 1 year to \<13 years of age will receive a dose of 2.4 mg/kg * Study participants ≥13 years will either receive a 1.8 mg/kg dose or a 150 mg flat dose of INZ-701

    Drug: INZ-701

Interventions

  • INZ-701 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 (rhENPP1-Fc).

    Also known as: rhENPP1-Fc

06

What researchers measure

Primary outcomes

  1. Number of Treatment Emergent Adverse Events (TEAEs)

    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: 6 years (long term safety assessment)

  2. Incidence of Anti-Drug Antibodies (ADA)

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

    Time frame: 6 years (long term safety assessment)

Secondary outcomes

  1. Time to maximum serum concentration (Tmax)

    For each subject, the time to reach maximum concentration of INZ-701 in the plasma will be measured via a series of blood samples obtained throughout the study, comparing the participant's baseline value over time.

    Time frame: 6 years (long term safety assessment)

  2. Maximum Plasma Concentration (Cmax) of INZ-701

    For each subject, the maximum concentration of INZ-701 in the plasma will be measured via a series of blood samples obtained throughout the study, comparing the participant's baseline value over time.collected and assessed.

    Time frame: 6 years (long term safety assessment)

  3. Mean Change from Baseline in Plasma PPi Concentration

    For each subject, their plasma PPi concentrations based on a validated assay will be collected and assessed throughout the study, comparing the participant's baseline value over time.

    Time frame: 6 years (long term safety assessment)

07

Study locations

5 sites
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Clinilabs Drug Development Corporation
    Eatontown, New Jersey 07724, United States
  • Necker-Enfants Malades Hospital
    Paris, France
  • Universitätsklinikum Hamburg-Eppendorf (UKE)
    Hamburg, Germany
  • Medical Research Network Ltd.
    Milton Keynes, United Kingdom
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Ran from Jun 2024 to primary completion in Sep 2026, 27 months.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 19, 2026: primary completion Oct 2026 → Sep 2026 and completion Oct 2026 → Sep 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jun 12, 2024
First posted
Jun 17, 2024
StartActual
Jun 19, 2024
Primary completionActual
Sep 30, 2026was Oct 2026
CompletionActual
Sep 30, 2026was Oct 2026
Last update
Oct 19, 2026
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.
Status
Active, not recruiting→Terminated The study was terminated by the sponsor prior to planned completion based on a review of the data across indications and overall program considerations. Study termination was not related to participant safety.
changed Oct 19, 2026
Primary completion
Oct 2026→Sep 30, 2026 (actual)
Oct 19, 2026
Study completion
Oct 2026→Sep 30, 2026 (actual)
Oct 19, 2026
Documents
Oct 19, 2026
Show all 1 update
  1. Oct 19, 2026
    Active, not recruiting→Terminated
    Why stopped The study was terminated by the sponsor prior to planned completion based on a review of the data across indications and overall program considerations. Study termination was not related to participant safety.
    Documents Study protocol ↗ posted
    Primary completion Oct 2026→Sep 30, 2026 (now actual)
    Study completion Oct 2026→Sep 30, 2026 (now actual)
    + 1 other change: verification date

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 ↗

10

Registry details

Key details

Study ID
NCT06462547
Lead sponsor
Inozyme Pharma
Responsible party
Sponsor
First posted
Jun 17, 2024
Start date
Jun 19, 2024
Primary completion
Sep 30, 2026
Completion
Sep 30, 2026
Last update
Oct 19, 2026

Study contacts

Kurt Gunter, MD
study director · Inozyme Pharma, Inc.

Oversight

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

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