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X-Linked HypophosphatemiaPhase 2NCT02312687

Long-Term Extension Study of KRN23 in Adult Subjects With X-Linked Hypophosphatemia (XLH)

A Phase 2 study testing KRN23 in people with X-Linked Hypophosphatemia, run by Kyowa Kirin, Inc. at 5 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objectives of this study are to: Assess the long-term safety of KRN23 subcutaneous (SC) administration in adult subjects with XLH Assess the proportion of subjects achieving serum phosphorus levels in the normal range (2.5-4.5 mg/dL) with long-term administration of KRN23 Assess long-term pharmacodynamics… Read more about this study

Who is it for?
Any age
Conditions the study is for
X-Linked Hypophosphatemia
What is being tested?
KRN23
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
5 sitesUnited States
Study dates
30 Jan 2015to 30 Nov 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Have participated in Kyowa Hakko Kirin Pharma, Inc.'s KRN23-INT-001 (NCT01340482) or KRN23-INT-002 (NCT01571596) studies (received at least 2 doses of KRN23)
  • Estimated glomerular filtration rate (eGFR) ≥ 60 mL/min or eGFR of 45 to < 60 mL/min at Screening with confirmation that the renal insufficiency was not due to nephrocalcinosis.
  • Sexually active subjects must be willing to use an acceptable method of contraception (e.g., double barrier method) while participating in the study and for 30 days after receiving the last dose of KRN23.

Who cannot join

  • Subject experienced a safety-related event in the KRN23-INT-001 or KRN23-INT-002 study that, in the opinion of the investigator and sponsor, precludes resuming KRN23 treatment.
  • Presence of nephrocalcinosis on renal ultrasound that, in the opinion of the investigator and sponsor, precludes resuming KRN23 treatment.
  • Pregnant or breastfeeding at Screening or planning to become pregnant (self or partner) at any time during the study.
  • Participation in an investigational drug or device trial within 30 days of enrollment (other than KRN23-INT-001 or KRN23-INT-002).
  • Use of a pharmacologic vitamin D metabolite or analog (e.g., calcitriol, doxercalciferol, and paricalcitol), phosphate, or aluminum hydroxide antacids (e.g., Maalox® and Mylanta®) within 21 days prior to Screening or during the study.
  • Use of medication to suppress parathyroid hormone (PTH) (e.g., Sensipar®, cinacalcet, calcimimetics) within 2 months prior to Screening.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • Duke University

    Durham, North Carolina, 27710

  • Houston Methodist Reasearch Institute

    Houston, Texas, 77030

  • Indiana University Hospital

    Indianapolis, Indiana, 46202

  • Yale University School of Medicine

    New Haven, Connecticut, 06510

  • University California San Francisco Hospital

    San Francisco, California, 94143

Other trials in United States

About this study

Official title: A Phase 2b, Open-Label, Long-Term Extension Study to Evaluate the Safety and Pharmacodynamics of KRN23 in Adult Subjects With X-Linked Hypophosphatemia (XLH)

The primary objectives of this study are to:

  • Assess the long-term safety of KRN23 subcutaneous (SC) administration in adult subjects with XLH
  • Assess the proportion of subjects achieving serum phosphorus levels in the normal range (2.5-4.5 mg/dL) with long-term administration of KRN23
  • Assess long-term pharmacodynamics (PD) of KRN23 as measured by changes in the following: serum intact parathyroid hormone (iPTH); serum and urinary phosphorus; ratio of renal tubular maximum phosphate reabsorption rate to glomerular filtration rate (TmP/GFR) and tubular reabsorption of phosphate (TRP); serum 1,25-dihydroxy vitamin D (1,25[OH]2D); serum fibroblast growth factor 23 (FGF23); bone biomarkers: serum alkaline phosphatase (ALP), bone-specific ALP (BALP), carboxy terminal crosslinked telopeptide of type I collagen (CTx), and procollagen type 1 N-terminal propeptide (P1NP)
  • Assess long-term immunogenicity of KRN23 as measured by presence of anti-KRN23 antibody (ADA)
Being tested
KRN23
Keywords
XLH, FGF23, KRN23
Medical subject headings
Familial Hypophosphatemic Rickets

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • KRN23Biological

    Also called burosumab, Crysvita®

    solution for SC injection

Study groups in NCT02312687
Study groupRoleWhat they receive
KRN23ExperimentalKRN23 subcutaneous (SC) injections every 4 weeks. Starting doses will be based on the subject's last dose in study KRN23-INT-001 (NCT02312687) or KRN23-INT-002 (NCT01571596). Doses may be titrated to achieve the target peak serum phosphorus range.
Receives: Biological: KRN23

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Adverse Events (AEs), Treatment Emergent AEs (TEAEs), Serious AEs (SAEs), and AEs Leading to Discontinuation or Death

    An AE is defined as any untoward medical occurrence, whether or not considered drug related. An SAE or serious suspected adverse reaction is an AE or suspected adverse reaction that at any dose, in the view of either the investigator or sponsor, results in any of the following outcomes: death; a life-threatening AE; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions; a congenital anomaly/birth defect; an important medical event. A TEAE is an AE that occurred on or after the first burosumab dose. AEs were graded as 1 (mild), 2 (moderate), 3 (severe), 4 (life-threatening), 5 (death). AEs were classified by the Investigator as possibly related, probably related, or definitely related.

    Measured: Screening through the end of study plus 4-8 weeks. The mean duration of burosumab exposure was 165.6 weeks (range: 68-184 weeks).

  2. Number of Participants With Clinically Significant Changes From Baseline in Vital Signs

    Clinically significant changes from baseline reported as adverse events are presented.

    Measured: Through Week 184

  3. Number of Participants With Clinically Significant Changes From Baseline in Laboratory Values, by Category

    Clinically significant changes from baseline reported as adverse events are presented.

    Measured: Through Week 184

  4. Number of Participants With Clinically Significant Changes From Baseline in Physical Exams, by Category

    Clinically significant changes from baseline reported as adverse events are presented.

    Measured: Through Week 184

  5. Number of Participants With Clinically Significant Changes From Baseline in Echocardiogram (ECHO) Tests

    Clinically significant changes from baseline reported as adverse events are presented.

    Measured: Through Week 184

  6. Number of Participants With Clinically Significant Changes From Baseline in ECGs

    Clinically significant changes from baseline reported as adverse events are presented.

    Measured: Through Week 184

  7. Number of Participants With Clinically Significant Changes From Baseline in Renal Ultrasound, by Category

    Clinically significant changes from baseline reported as adverse events are presented.

    Measured: Through Week 184

  8. Number of Participants Positive for Anti-KRN23 Antibodies and Neutralizing Antibodies at Baseline and Anytime Post-Baseline

    Measured: Through Week 184

  9. Percentage of Participants Reaching Serum Phosphorus Normal Range at Baseline and Any Time After Dosing

    Measured: Through Week 184

  10. Change From Baseline Over Time in Serum Phosphorus

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  11. Change From Baseline Over Time in Serum iPTH

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  12. Change From Baseline Over Time in Serum Total FGF23

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  13. Change From Baseline Over Time in Serum Free FGF23

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  14. Change From Baseline Over Time in Serum 1,25(OH)2D

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  15. Change From Baseline Ovr Time in 2-hour Urine TmP/GFR

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  16. Change From Baseline Over Time in in 2-hour Urine TRP

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  17. Change From Baseline Over Time in FEP

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  18. Change From Baseline Over Time in 24-hour Urine Phosphorus

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  19. Change From Baseline Over Time in 24-Hour Urine Calcium

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  20. Change From Baseline Over Time in 24-Hour Urine Creatinine

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  21. Change From Baseline Over Time in 24-Hour Urine Calcium/Creatinine Ratio

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  22. Change From Baseline Over Time in Total ALP

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  23. Change From Baseline Over Time in BALP

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  24. Change From Baseline Over Time in CTx

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

  25. Change From Baseline Over Time in P1NP

    Measured: Baseline, Weeks 24, 48, 72, 96, 120, 144

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Dec 2014 (estimated)
  2. Study start30 Jan 2015
  3. Primary completion30 Nov 2018
  4. Study completion30 Nov 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02312687
Sponsor's protocol ID
UX023-CL203
Status last verified
May 2024
First submitted
3 Dec 2014
Last updated
6 May 2024
Data monitoring committee
No
Expanded access
Available

Publications

  • Weber TJ, Imel EA, Carpenter TO, Peacock M, Portale AA, Hetzer J, Merritt JL, Insogna K. Long-term Burosumab Administration Is Safe and Effective in Adults With X-linked Hypophosphatemia. J Clin Endocrinol Metab. 2022 Dec 17;108(1):155-165. doi: 10.1210/clinem/dgac518.

    PubMed 36072994

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing KRN23 in people with X-Linked Hypophosphatemia, run by Kyowa Kirin, Inc. at 5 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 16 Dec 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Adverse Events (AEs), Treatment Emergent AEs (TEAEs), Serious AEs (SAEs), and AEs Leading to Discontinuation or Death (time frame: Screening through the end of study plus 4-8 weeks. The mean duration of burosumab exposure was 165.6 weeks (range: 68-184 weeks).). The study lists 25 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02312687, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 May 2024.

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