X-Linked HypophosphatemiaNCT03193476
Registry for Patients With X-Linked Hypophosphatemia
An observational study of X-Linked Hypophosphatemia, run by Kyowa Kirin Pharmaceutical Development Ltd at 118 sites in 20 countries.
Trial summary
This is an international, multicentre, prospective, non-interventional, observational Registry of patients with X-Linked hypophosphatemia (XLH). The main objective of this XLH Registry is to collect data to characterise the treatment, progression and long-term outcomes of XLH in both adult and paediatric settings. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- X-Linked Hypophosphatemia
- How many people
- 1,489 participants
- Where
- 118 sitesin 20 countries
- Study dates
- 12 Sep 2017to 1 Jul 2029
- How long will I take part?
- 10 Years
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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
Study population: Patients with XLH independent of treatment regimen
Who may be able to join
- Patients aged from ≥0 years of age at baseline
- In the opinion of the treating physician the patient has a clinical presentation, radiological, biochemical or genetic investigation results that support diagnosis of XLH
- Patient is not currently participating in an interventional clinical trial
- A patient who meets any of the following criteria at the enrolment visit (baseline) will be excluded from this XLH Registry
Who cannot join
- Patient or their legally designated representative does not have the cognitive capacity to provide informed consent.
- Patient is currently participating in an interventional clinical trial. Patients will be approached for inclusion into the registry once their involvement in the trial ends (including the completion of all trial follow up assessments).
- Participation in a Compassionate Use Program, Pre-commercial Program (i.e. Named Patient Sales, Nominative ATU) or Investigator Initiated Study does not preclude a patient from participation in this XLH Registry
Trial locations and contacts
118 sites in 20 countries. Contact the study team or a site near you to ask about taking part.
118 sites in 20 countries
United Kingdom22 sites
- Active, not recruiting
Royal Belfast Hospital for Sick Children
Belfast, BT12 6BE
- Active, not recruiting
Birmingham Children's Hospital
Birmingham, B4 6NH
- Active, not recruiting
University Hospitals Bristol and Weston
Bristol, BS2 8AE
- Active, not recruiting
Addenbrooke's Hospital
Cambridge, CB2 2QQ
- Active, not recruiting
University Hospital of Wales
Cardiff, CF14 4XW
- Active, not recruiting
Western General Hospital
Edinburgh, EH4 2XU
- Active, not recruiting
Royal Hospital for Sick Children and Young People
Edinburgh, EH9 1LF
- Active, not recruiting
Gartnavel General Hospital
Glasgow, G12 0XH
- Active, not recruiting
Queen Elizabeth University Hospital
Glasgow, G12 0YN
- Active, not recruiting
Raigmore Hospital
Inverness, IV2 3UJ
- Active, not recruiting
Leeds General Infirmary
Leeds, LS1 3EX
- Active, not recruiting
Alder Hey Children's Hospital
Liverpool, L12 2AP
- Active, not recruiting
Royal Liverpool University Hospital
Liverpool, L7 8XP
- Active, not recruiting
National Hospital for Neurology and Neurosurgery
London, NW1 2PG
- Active, not recruiting
Evelina Childrens Hospital
London, SE1 7EH
- Active, not recruiting
Great Ormond Street Hospital for Children
London, WC1N 3JH
- Active, not recruiting
Royal Manchester Children's Hospital
Manchester, M13 9WL
- Active, not recruiting
Oxford University Hospital NHS Trust
Oxford, OX3 7LD
- Active, not recruiting
Sheffield Childrens Hospital
Sheffield, S10 2RX
- Active, not recruiting
Sheffield Teaching Hospitals
Sheffield, S5 7AU
- Active, not recruiting
Southampton General Hospital
Southampton, SO16 6YD
- Active, not recruiting
Stanmore Royal Orthopaedic Hospital
Stanmore, HA7 4LP
Italy19 sites
- Active, not recruiting
Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari
Bari, 70124
- Active, not recruiting
AO S. Pio G. Rumno
Benevento, 82100
- Active, not recruiting
Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi
Bologna, 40138
- Active, not recruiting
Presidio Ospedaliero Di Summa Antonio Perrino
Brindisi, 72100
- Active, not recruiting
Azienda Ospedaliera Brotzu
Cagliari, 09121
- Active, not recruiting
Azienda Ospedaliera Universitaria Careggi
Florence, 50134
- Active, not recruiting
Istituto Giannina Gaslini-Ospedale Pediatrico IRCCS
Genova, 16147
- Active, not recruiting
ICOT-Istituto Chirurgico Ortopedico Traumatologico
Latina, 04100
- Active, not recruiting
Azienda Ospedaliera Universitaria Policlinico G. Martino
Messina, 98125
- Active, not recruiting
Ospedale San Raffaele - Adult
Milan, 20132
- Active, not recruiting
Ospedale San Raffaele
Milan, 20132
- Active, not recruiting
Azienda Ospedaliera di Padova
Padova, 35128
- Active, not recruiting
Azienda Ospedaliera di Padova
Padua, 35100
- Active, not recruiting
Istituto Auxologico Italiano -I.R.C.C.S.
Piancavallo, 20145
- Active, not recruiting
Stabilimento Ospedaliero Santa Chiara
Pisa, 56100
- Active, not recruiting
Ospedale Pediatrico Bambino Gesù
Roma, 00165
- Active, not recruiting
Azienda Ospedaliera Città della Salute e della Scienza di Torino (Presidio Sant'Anna)
Torino, 10126
- Active, not recruiting
Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino
Torino, 10126
- Active, not recruiting
I.R.C.C.S. Burlo Garofolo
Trieste, 34137
France11 sites
- Active, not recruiting
Groupe Hospitalier Pellegrin - Hôpital des Enfants
Bordeaux, 33000
- Active, not recruiting
CHU de Lyon - Hôpital Femme Mere Enfant
Bron, 69677
- Active, not recruiting
CHRU Lille
Lille, 59037
- Active, not recruiting
Hopital Roger Salengro - CHU Lille
Lille, 59037
- Active, not recruiting
Hopital Arnaud de Villeneuve
Montpellier, 34295
- Active, not recruiting
CHU de Nantes
Nantes, 44000
- Active, not recruiting
Hôpital Cochin
Paris, 75679
- Active, not recruiting
CHU Paris Sud - Hopital Bicêtre
Paris, 94270
- Active, not recruiting
Hôpital Bicêtre
Paris, 94275
- Active, not recruiting
"Hopital Pierre-Paul Riquet Centre de Rhumatologie"
Toulouse, 31059
- Active, not recruiting
Hopital Purpan
Toulouse, 31059
Spain11 sites
- Active, not recruiting
Hospital de Cruces
Barakaldo, 48903
- Active, not recruiting
Hospital Universitari Vall d'Hebron
Barcelona, 08035
- Active, not recruiting
Hospital Clinic de Barcelona
Barcelona, 08036
- Active, not recruiting
Hospital General Universitario Santa Lucía
Cartagena, 30202
- Active, not recruiting
Hospital Universitario Virgen de la Arrixaca
El Palmar, 30120
- Active, not recruiting
Hospital Sant Joan de Deu
Esplugues de Llobregat, 08950
- Active, not recruiting
Complejo Hospitalario Universitario Insular Materno-Infantil
Las Palmas de Gran Canaria, 35016
- Active, not recruiting
Hospital Infantil Universitario Niño Jesus
Madrid, 28009
- Active, not recruiting
Hospital Universitario Central de Asturias
Oviedo, 33006
- Active, not recruiting
Hospital Central de Asturias
Oviedo, 33011
- Active, not recruiting
Hospital Universitario Nuestra Señora de la Candelaria
Santa Cruz de Tenerife, 38010
Germany8 sites
- Active, not recruiting
Klinikum Ernst-von-Bergmann Potsdam und Bad Belzig
Bad Belzig
- Withdrawn
Uniklinikum Bochum
Bochum, 44791
- Withdrawn
Uniklinikum Koeln
Cologne, 50937
- Withdrawn
MVZ Dr. Eberhard & Partner
Dortmund, 44137
- Withdrawn
Universitaetsklinikum Freiburg
Freiburg im Breisgau, 79106
- Active, not recruiting
Medizinische Hochschule Hannover
Hanover, 30625
- Active, not recruiting
Universitaetsklinikum
Leipzig, 04103
- Active, not recruiting
Hormon and Stoffwechselzentrum
Mainz, 55122
Belgium7 sites
- Active, not recruiting
Hopital Universitaire des Enfants Reine Fabiola
Brussels, 1020
- Active, not recruiting
Universitair Ziekenhuis Brussel
Brussels, 1090
- Active, not recruiting
Cliniques Universitaires Saint-Luc
Brussels, 1200
- Active, not recruiting
UZA
Edegem, 2650
- Active, not recruiting
Universitair Ziekenhuis Gent
Ghent, 9000
- Active, not recruiting
UZ Leuven
Leuven, 3000
- Active, not recruiting
CHU de Liège
Liège, 4000
Denmark7 sites
- Active, not recruiting
Aalborg University Hospital
Aalborg, 9100
- Active, not recruiting
Århus Universitetshospital - Aarhus sygehus
Aarhus, 8200
- Active, not recruiting
Århus Universitetshospital
Aarhus, 8200
- Completed
Hospital South West Jutland
Esbjerg, 6700
- Active, not recruiting
Rigshospitalet - Paediatric
København Ø, 2100
- Completed
Rigshospitalet
København Ø, 2100
- Active, not recruiting
OUH
Odense, 5000
Switzerland6 sites, 6 recruiting
- Recruiting
Inselspital Bern
Bern, 3010
Fuster, daniel.fuster@insel.ch
- Recruiting
Hopitaux Universitaires de Geneve (HUG)
Geneva, 1205
Andrea Trombetti, andrea.trombetti@hcuge.ch
- Recruiting
Centre Hopitalier Universitaire Vaudois
Lausanne, 1011
Elena Gonzalez-Rodriguez, elena.gonzalez-rodriguez@chuv.ch
Elena Gonzalez-Rodriguez
- Recruiting
Centre Hopitalier Universitaire Vaudois
Lausanne, 1011
Hassib Chehade, hassib.chehade@chuv.ch
Hassib Chehade
- Recruiting
Kantonsspital St. Gallen
Sankt Gallen, 9007
Stefan Bilz, stefan.bilz@kssg.ch
- Recruiting
Klinik Hirslanden Zuerich
Zurich, 8032
Serra, andreas.serramph@hirslanden.ch
Portugal5 sites
- Active, not recruiting
Hospital Pediatrico de Coimbra
Coimbra, 3030
- Active, not recruiting
Centro Hospitalar de Lisboa Central, E.P.E. - Hospital Dona Estefânia
Lisbon, 1169-045
- Active, not recruiting
Centro Hospitalar de Lisboa Norte, E.P.E. - Hospital de Santa Maria
Lisbon, 1649-035
- Active, not recruiting
Centro Hospitalar do Porto, E.P.E. - Hospital de Santo António
Porto, 4099-001
- Active, not recruiting
Hospital de Sao Joao
Porto, 4200-319
Israel4 sites
- Active, not recruiting
Rambam Health Care Center
Haifa, 3109601
- Active, not recruiting
Schneider Medical Center
Petah Tikva, 4920235
- Active, not recruiting
Sheba Medical Center
Ramat Gan, 5265601
- Withdrawn
Dana-Dwek Children's Hospital
Tel Aviv, 64239
Sweden4 sites
- Active, not recruiting
Queen Silvia Children's Hospital
Gothenburg, 416 85
- Completed
Lund University
Lund, 22185
- Active, not recruiting
Karolinska Institute
Stockholm, 112 81
- Active, not recruiting
Karolinska Institute (Pediatric)
Stockholm, 171 77
Norway3 sites
- Active, not recruiting
Oslo University Hospital
Oslo, 0424
- Active, not recruiting
Oslo Universitetssykehus HF, Ulleval
Oslo, 0450
- Active, not recruiting
St. Olav's University Hospital
Trondheim, 7030
Bulgaria2 sites
- Active, not recruiting
SHATPD "Prof Ivan Mitev" EAD
Sofia, 1606
- Active, not recruiting
UMHAT "SofiaMed", OOD
Sofia, 1797
Czechia2 sites
- Active, not recruiting
Children Hospital
Brno, 625 00
- Active, not recruiting
Fakultni nemocnice v Motole
Prague, 150 06
Hungary2 sites
- Active, not recruiting
Semmelweis Egyetem
Budapest, 1083
- Active, not recruiting
Semmelweis Egyetem
Budapest, 1085
Ireland1 site
- Active, not recruiting
The Children's University Hospital
Dublin, DO1 XD99
Latvia1 site
- Active, not recruiting
Children's Clinical University Hospital
Riga, LV-1002
Netherlands1 site
- Active, not recruiting
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
Slovakia1 site
- Active, not recruiting
National Institute of Childrenś Health NUDCH
Bratislava, 83340
Slovenia1 site
- Active, not recruiting
University Clinical Centre Ljubljana
Ljubljana
About this study
Official title: An International, Multicentre, Prospective, Non-interventional Observational Registry for Patients With X-Linked Hypophosphatemia (XLH)
This is an international, multicentre, prospective, non-interventional, observational Registry of patients with X-Linked hypophosphatemia (XLH). The main objective of this XLH Registry is to collect data to characterise the treatment, progression and long-term outcomes of XLH in both adult and paediatric settings.
Read the detailed description
Methodology
This is an international, multicentre, prospective, non-interventional, observational Registry of patients with X-Linked hypophosphatemia (XLH). The objectives of this XLH Registry is to collect natural history data of XLH to characterise the treatment, progression and long-term outcomes of XLH in both adult and paediatric patients.
This XLH Registry will invite \& include patients with XLH, of all ages \& gender, irrespective of whether they are on, or not on, a treatment regimen for their XLH.
However, patients who are concurrently participating in an interventional clinical trial, including Investigator-Initiated Studies, are excluded from the XLH Registry, as per the Exclusion Criteria as set in the Protocol. These patients participating in an interventional clinical trial, when their involvement in the trial has ended, will be approached and invited to be included in the XLH Registry.
A subset of the XLH Registry data will be used to fulfil a Post-Authorisation Safety Study (PASS) as requested by the European Medicines Agency's (EMA's) Committee for Medical Products for Human Use (CHMP). Study centres which agree to participate in the PASS will be asked to solicit adverse events on enrolled patients. Not all centres are expected to participate in the PASS. Furthermore, as part of burosumab's Risk Management Plan (RMP), the majority of the safety concerns are being investigated in a Category 3 Post-Authorisation Safety Study (PASS), which uses the XLH Registry. The data source to conduct the PASS is the data collected in the XLH Registry.
All eligible patients at the participating clinics will be asked to participate in the XLH Registry:
- Informed consent will be obtained from adult patients.
- Parental informed consent for the inclusion of a child will be obtained from the child's legally designated representative in line with national guidance.
- Assent will also be sought from children of applicable age in line with national guidance. In all cases the health professional responsible for enrolling the patient into the XLH Registry will assess the appropriateness of gaining assent from an individual at their discretion.
After the patient or legally designated representative has signed the informed consent, the patient data will be recorded in the XLH Registry, including baseline, retrospective and prospective data. Data will be collected using a web-based Electronic Data Capture (EDC) system. A patient identification number will be automatically generated by the system upon enrolment.
No pre-determined follow-up requirements will apply. However, physicians will be prompted to update patient data in the XLH Registry in relation to the patients' visits to the physician. Physicians will be reminded to update the XLH Registry at 12 months after the previous visit information was entered for a patient.
For those patients who attend clinic at more frequent intervals as part of their standard care, data for these visits will be entered at the 12-month intervals with an option to add multiple dates.
This is a prospective observational Registry and no additional interventions other than standard clinical practice are required by the protocol.
- Conditions
- X-Linked Hypophosphatemia
- Keywords
- Crysvita, Burosumab, X-linked Hypophosphatemia (XLH), PHEX Gene Mutation, XLH Registry
- Medical subject headings
- Familial Hypophosphatemic Rickets
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Measured: 10 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jun 2017
- Study start12 Sep 2017
- Primary completion1 Feb 2029 (estimated)
- Study completion1 Jul 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for X-Linked HypophosphatemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Other
- Enrolment
- 1,489 participants (estimated)
- Target duration
- 10 Years
Sponsor and investigators
- Lead sponsor
- Kyowa Kirin Pharmaceutical Development Ltd
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- IQVIA Pty Ltd
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03193476
- Sponsor's protocol ID
- XLH Registry Version 3.0
- Status last verified
- Jul 2026
- First submitted
- 13 Jun 2017
- Last updated
- 9 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Padidela R, Nilsson O, Makitie O, Beck-Nielsen S, Ariceta G, Schnabel D, Brandi ML, Boot A, Levtchenko E, Smyth M, Jandhyala R, Mughal Z. The international X-linked hypophosphataemia (XLH) registry (NCT03193476): rationale for and description of an international, observational study. Orphanet J Rare Dis. 2020 Jun 30;15(1):172. doi: 10.1186/s13023-020-01434-4.
PubMed 32605590Briot K, Lemoine S, Cortet B, Szafors P, Mehsen N, Couture G, Sandilands K, Rylands AJ, Ishii H, Bowden A, Dent JE, Kamenicky P. Health-related quality of life in French adults with X-linked hypophosphatemia: real-world data from the International XLH Registry. JBMR Plus. 2026 Mar 25;10(5):ziag050. doi: 10.1093/jbmrpl/ziag050. eCollection 2026 May.
PubMed 42038817Linglart A, Amouroux C, Gueorguieva I, Harambat J, Salles JP, Ertl DA, Sandilands K, Rylands A, Williams A, Ishii H, Bowden A, Varni JW, Bacchetta J. Health-related quality of life in French pediatric patients with X-linked hypophosphatemia: real-world data from the International XLH Registry. JBMR Plus. 2025 Aug 30;9(10):ziaf142. doi: 10.1093/jbmrpl/ziaf142. eCollection 2025 Oct.
PubMed 41030383Ariceta G, Beck-Nielsen SS, Boot AM, Brandi ML, Briot K, de Lucas Collantes C, Emma F, Giannini S, Haffner D, Keen R, Levtchenko E, Makitie O, Mughal MZ, Nilsson O, Schnabel D, Tripto-Shkolnik L, Liu J, Williams A, Wood S, Zillikens MC. The International X-Linked Hypophosphatemia (XLH) Registry: first interim analysis of baseline demographic, genetic and clinical data. Orphanet J Rare Dis. 2023 Sep 27;18(1):304. doi: 10.1186/s13023-023-02882-4.
PubMed 37752558Carpenter TO, Fukumoto S, Haffner D, Imel EA, Ozono K, Ishii H, Li Z, Sandilands K, Joos-Vandewalle P, Lee C, Kanematsu M, McCullough KP, Brandi ML. Advancing Patient Evidence in XLH (APEX): Baseline analysis of a global data unification program. Bone. 2025 Dec;201:117649. doi: 10.1016/j.bone.2025.117649. Epub 2025 Sep 15.
PubMed 40962182Brandi ML, Ariceta G, Beck-Nielsen SS, Boot AM, Briot K, de Lucas Collantes C, Emma F, Giannini S, Haffner D, Keen R, Levtchenko E, Makitie O, Nilsson O, Schnabel D, Tripto-Shkolnik L, Zillikens MC, Liu J, Tudor A, Mughal MZ. Post-authorisation safety study of burosumab use in paediatric, adolescent and adult patients with X-linked hypophosphataemia: rationale and description. Ther Adv Chronic Dis. 2022 Sep 5;13:20406223221117471. doi: 10.1177/20406223221117471. eCollection 2022.
PubMed 36082134
Study at a glance
From the registry record, last updated by the sponsor on 9 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An International, Multicentre, Prospective, Non-interventional Observational Registry for Patients With X-Linked Hypophosphatemia (XLH)
- ClinicalTrials.gov ID
- NCT03193476
- Acronym / sponsor ID
- XLH Registry Version 3.0
- Conditions
- X-Linked Hypophosphatemia
- Keywords
- Crysvita, Burosumab, X-linked Hypophosphatemia (XLH), PHEX Gene Mutation, XLH Registry
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 1,489 participants (estimated)
- Lead sponsor
- Kyowa Kirin Pharmaceutical Development LtdIndustry (pharma, biotech, devices)
- Collaborators
- IQVIA Pty Ltd
- Study start
- 12 Sep 2017 (actual)
- Primary completion
- 1 Feb 2029 (estimated)
- Study completion
- 1 Jul 2029 (estimated)
- First posted
- 20 Jun 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an international, multicentre, prospective, non-interventional, observational Registry of patients with X-Linked hypophosphatemia (XLH). The main objective of this XLH Registry is to collect data to characterise the treatment, progression and long-term outcomes of XLH in both adult and paediatric settings.
Detailed description
Methodology
This is an international, multicentre, prospective, non-interventional, observational Registry of patients with X-Linked hypophosphatemia (XLH). The objectives of this XLH Registry is to collect natural history data of XLH to characterise the treatment, progression and long-term outcomes of XLH in both adult and paediatric patients.
This XLH Registry will invite \& include patients with XLH, of all ages \& gender, irrespective of whether they are on, or not on, a treatment regimen for their XLH.
However, patients who are concurrently participating in an interventional clinical trial, including Investigator-Initiated Studies, are excluded from the XLH Registry, as per the Exclusion Criteria as set in the Protocol. These patients participating in an interventional clinical trial, when their involvement in the trial has ended, will be approached and invited to be included in the XLH Registry.
A subset of the XLH Registry data will be used to fulfil a Post-Authorisation Safety Study (PASS) as requested by the European Medicines Agency's (EMA's) Committee for Medical Products for Human Use (CHMP). Study centres which agree to participate in the PASS will be asked to solicit adverse events on enrolled patients. Not all centres are expected to participate in the PASS. Furthermore, as part of burosumab's Risk Management Plan (RMP), the majority of the safety concerns are being investigated in a Category 3 Post-Authorisation Safety Study (PASS), which uses the XLH Registry. The data source to conduct the PASS is the data collected in the XLH Registry.
All eligible patients at the participating clinics will be asked to participate in the XLH Registry:
- Informed consent will be obtained from adult patients.
- Parental informed consent for the inclusion of a child will be obtained from the child's legally designated representative in line with national guidance.
- Assent will also be sought from children of applicable age in line with national guidance. In all cases the health professional responsible for enrolling the patient into the XLH Registry will assess the appropriateness of gaining assent from an individual at their discretion.
After the patient or legally designated representative has signed the informed consent, the patient data will be recorded in the XLH Registry, including baseline, retrospective and prospective data. Data will be collected using a web-based Electronic Data Capture (EDC) system. A patient identification number will be automatically generated by the system upon enrolment.
No pre-determined follow-up requirements will apply. However, physicians will be prompted to update patient data in the XLH Registry in relation to the patients' visits to the physician. Physicians will be reminded to update the XLH Registry at 12 months after the previous visit information was entered for a patient.
For those patients who attend clinic at more frequent intervals as part of their standard care, data for these visits will be entered at the 12-month intervals with an option to add multiple dates.
This is a prospective observational Registry and no additional interventions other than standard clinical practice are required by the protocol.
Study design
- Observational model
- Other
- Time perspective
- Other
- Target follow-up
- 10 Years
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Patients with XLH independent of treatment regimen
Key inclusion criteria (4 listed)
- Patients aged from ≥0 years of age at baseline
- In the opinion of the treating physician the patient has a clinical presentation, radiological, biochemical or genetic investigation results that support diagnosis of XLH
- Patient is not currently participating in an interventional clinical trial
- A patient who meets any of the following criteria at the enrolment visit (baseline) will be excluded from this XLH Registry
Key exclusion criteria (3 listed)
- Patient or their legally designated representative does not have the cognitive capacity to provide informed consent.
- Patient is currently participating in an interventional clinical trial. Patients will be approached for inclusion into the registry once their involvement in the trial ends (including the completion of all trial follow up assessments).
- Participation in a Compassionate Use Program, Pre-commercial Program (i.e. Named Patient Sales, Nominative ATU) or Investigator Initiated Study does not preclude a patient from participation in this XLH Registry
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time frame: 10 years
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jul 2026.
- Background: PubMed 32605590Padidela R, Nilsson O, Makitie O, Beck-Nielsen S, Ariceta G, Schnabel D, Brandi ML, Boot A, Levtchenko E, Smyth M, Jandhyala R, Mughal Z. The international X-linked hypophosphataemia (XLH) registry (NCT03193476): rationale for and description of an international, observational study. Orphanet J Rare Dis. 2020 Jun 30;15(1):172. doi: 10.1186/s13023-020-01434-4.
- Results publication: PubMed 42038817Briot K, Lemoine S, Cortet B, Szafors P, Mehsen N, Couture G, Sandilands K, Rylands AJ, Ishii H, Bowden A, Dent JE, Kamenicky P. Health-related quality of life in French adults with X-linked hypophosphatemia: real-world data from the International XLH Registry. JBMR Plus. 2026 Mar 25;10(5):ziag050. doi: 10.1093/jbmrpl/ziag050. eCollection 2026 May.
- Results publication: PubMed 41030383Linglart A, Amouroux C, Gueorguieva I, Harambat J, Salles JP, Ertl DA, Sandilands K, Rylands A, Williams A, Ishii H, Bowden A, Varni JW, Bacchetta J. Health-related quality of life in French pediatric patients with X-linked hypophosphatemia: real-world data from the International XLH Registry. JBMR Plus. 2025 Aug 30;9(10):ziaf142. doi: 10.1093/jbmrpl/ziaf142. eCollection 2025 Oct.
- Results publication: PubMed 37752558Ariceta G, Beck-Nielsen SS, Boot AM, Brandi ML, Briot K, de Lucas Collantes C, Emma F, Giannini S, Haffner D, Keen R, Levtchenko E, Makitie O, Mughal MZ, Nilsson O, Schnabel D, Tripto-Shkolnik L, Liu J, Williams A, Wood S, Zillikens MC. The International X-Linked Hypophosphatemia (XLH) Registry: first interim analysis of baseline demographic, genetic and clinical data. Orphanet J Rare Dis. 2023 Sep 27;18(1):304. doi: 10.1186/s13023-023-02882-4.
- Derived from this study: PubMed 40962182Carpenter TO, Fukumoto S, Haffner D, Imel EA, Ozono K, Ishii H, Li Z, Sandilands K, Joos-Vandewalle P, Lee C, Kanematsu M, McCullough KP, Brandi ML. Advancing Patient Evidence in XLH (APEX): Baseline analysis of a global data unification program. Bone. 2025 Dec;201:117649. doi: 10.1016/j.bone.2025.117649. Epub 2025 Sep 15.
- Derived from this study: PubMed 36082134Brandi ML, Ariceta G, Beck-Nielsen SS, Boot AM, Briot K, de Lucas Collantes C, Emma F, Giannini S, Haffner D, Keen R, Levtchenko E, Makitie O, Nilsson O, Schnabel D, Tripto-Shkolnik L, Zillikens MC, Liu J, Tudor A, Mughal MZ. Post-authorisation safety study of burosumab use in paediatric, adolescent and adult patients with X-linked hypophosphataemia: rationale and description. Ther Adv Chronic Dis. 2022 Sep 5;13:20406223221117471. doi: 10.1177/20406223221117471. eCollection 2022.
- Plain language summary of the first findings from the International X-Linked Hypophosphatemia (XLH) RegistryLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
118 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of X-Linked Hypophosphatemia, run by Kyowa Kirin Pharmaceutical Development Ltd at 118 sites in 20 countries.
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 4 inclusion and 3 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: looking for participants now, as of the sponsor's last update on 9 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 118 sites in United Kingdom, Italy, France, Spain, Germany and 15 more countries. 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.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Clinical Trial Cordinator (+49 15114861167, KKI-IMA-XLH-Registry@kyowakirin.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 (time frame: 10 years). 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 NCT03193476, which also lists 6 linked publications.
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 9 Jul 2026.