ClinicalTrials.gg
TerminatedNCT07473973Updated Sep 29, 2026

ENERGY 2: Evaluation of the Efficacy and Safety of INZ-701 in Infants With ENPP1 Deficiency

A Phase 3 interventional study of INZ-701 in Ectonucleotide Pyrophosphatase/phosphodiesterase1 Deficiency, Autosomal Recessive Hypophosphatemic Rickets and Generalized Arterial Calcification of Infancy 1, sponsored by Inozyme Pharma. Terminated at 8 sites in 8 countries. Open to participants aged 0 Years to 1 Year. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by Inozyme Pharma (part of BioMarin Pharmaceutical) · Phase 3, Interventional, and Treatment

Why this study was terminated
Following review of the totality of program data, the sponsor decided to discontinue development of INZ701. The decision was not related to safety.

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Mar 2025, registered Mar 2026).
Phase
Phase 3
Study type
Interventional
Enrollment
2
Allocation
Not applicable
Ages
0 Years to 1 Year
Sex
All
01

Study summary

The primary purpose of ENERGY 2 (Study INZ701-105) is to assess the efficacy and safety of INZ-701 in infants with ENPP1 Deficiency.

Read the detailed description

ENPP1 Deficiency is an ultra-rare genetic disorder in which inactivating mutations in the ENPP1 gene lead to a deficiency in the ENPP1 enzyme.

ENERGY 2 (Study INZ701-105) is a multicenter, single-arm, open-label Phase 3 study to assess the efficacy and safety of INZ-701 in infants with ENPP1 Deficiency.

The study will consist of a Screening Period of up to 60 days, a Treatment Period of 52 weeks, a 52-week Extension Period, and an End of Treatment (EOT) Visit 30 days after the last dose of INZ-701.

02

Conditions studied

  • Ectonucleotide Pyrophosphatase/phosphodiesterase1 Deficiency
  • Autosomal Recessive Hypophosphatemic Rickets
  • Generalized Arterial Calcification of Infancy 1

Keywords

  • 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 after Inozyme Pharma became part of BioMarin Pharmaceutical.

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

04

Who can participate

Ages eligible
0 Years to 1 Year
Sexes eligible
All
Accepts healthy volunteers
No

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.

Participants must meet all of the following:

Inclusion criteria

Inclusion Criteria:

  1. Infant aged ≤ 1 year at the time of enrollment.
  2. Confirmed diagnosis of ENPP1 deficiency, based on genetic testing.
  3. Clinical features consistent with generalized arterial calcification of infancy (GACI) (e.g., vascular calcification or cardiac involvement).
  4. Medically stable to participate in a 52-week treatment study.
  5. Written provided by a parent or legal guardian.

Exclusion criteria

Exclusion Criteria

Participants will not be eligible if any of the following apply:

  1. Receiving end-of-life or hospice care.
  2. Prior treatment with INZ-701, unless received through an approved expanded access program.
  3. Concurrent participation in another interventional clinical trial.
  4. Planned major surgery during the study period that would interfere with study participation.
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

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
2 participants (actual)

Study arms

  • Experimental
    INZ-701

    Participants receive INZ-701 (rhENPP1-Fc) administered by subcutaneous injection once weekly at the protocol-specified dose. The visit final volume to administer (mL) is determined using protocol-defined parameters.

    Drug: INZ-701

Interventions

  • 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. To determine if INZ-701 increases inorganic pyrophosphate (PPi) levels

    For each subject, their change from baseline in Plasma Inorganic Pyrophosphate (PPi) concentration will be assessed.

    Time frame: 52 weeks (Baseline through Week 52)

  2. To determine if INZ-701 increases overall survival

    For each subject, their change in overall survival based on time from date of birth to event of all-cause mortality will be assessed.

    Time frame: 52 weeks (Baseline through Week 52)

Secondary outcomes

  1. To determine if INZ-701 prevents decline in cardiac ejection fraction

    For each subject, their change from baseline in left ventricular ejection fraction will be assessed via echocardiography.

    Time frame: 52 weeks (Baseline through Week 52)

  2. To determine if INZ-701 prevents heart failure

    For each subject, their incidence of heart failure will be assessed.

    Time frame: 52 weeks (Baseline through Week 52)

  3. To determine if INZ-701 attenuates progression of arterial calcification

    For each subject, their change from baseline in vascular calcification in the coronary arteries and aorta will be examined via CT scan.

    Time frame: 52 weeks (Baseline through Week 52)

07

Study locations

8 sites
  • Hospital Universitario Pedro Ernesto/Rio de Janeiro
    Rio de Janeiro, 20551-030, Brazil
  • Hopital Necker - Enfants Malades
    Paris, 75015, France
  • Gyermekgyogyaszat, DE
    Debrecen, Hungary
  • Azienda Ospedaliera Universitaria Meyer
    Florence, 50139, Italy
  • King Faisal Specialist Hospital and Research Center
    Riyadh, 12713, Saudi Arabia
  • Hospital Sant Joan de Deu Edificio Consultas Externas. Unitat de Recerca
    Barcelona, Esplugues de Llobregat 08950, Spain
  • Umraniye Traiing and Research Hospital
    Istanbul, Turkey (Türkiye)
  • Royal Manchester Children's Hospital
    Manchester, M13 9WL, United Kingdom
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2025 to primary completion in Aug 2026, 17 months.

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

Registered
Mar 11, 2026
First posted
Mar 16, 2026
StartActual
Mar 26, 2025
Primary completionActual
Aug 31, 2026
CompletionActual
Aug 31, 2026
Last update
Sep 29, 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.
Minor edits
Nothing that changes what the study is or who can join. Edited: oversight details
1 update, last Sep 29, 2026
Show all 1 update
  1. Sep 29, 2026
    Minor edits only
    + 1 other change: oversight details

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 ↗

09

Registry details

Key details

Study ID
NCT07473973
Lead sponsor
Inozyme Pharma
Responsible party
Sponsor
First posted
Mar 16, 2026
Start date
Mar 26, 2025
Primary completion
Aug 31, 2026
Completion
Aug 31, 2026
Last update
Sep 29, 2026

Study contacts

Medical Director, MD
study director · BioMarin Pharmaceutical

Oversight

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

Not currently enrolling

This study is terminated, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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