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AzTrials

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.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

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
  • 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

    Active, not recruiting

Other trials in United Kingdom

Italy19 sites
  • 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

    Active, not recruiting

Other trials in Italy

France11 sites
  • 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

    Active, not recruiting

Other trials in France

Spain11 sites
  • 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

    Active, not recruiting

Other trials in Spain

Germany8 sites
  • Klinikum Ernst-von-Bergmann Potsdam und Bad Belzig

    Bad Belzig

    Active, not recruiting
  • Uniklinikum Bochum

    Bochum, 44791

    Withdrawn
  • Uniklinikum Koeln

    Cologne, 50937

    Withdrawn
  • MVZ Dr. Eberhard & Partner

    Dortmund, 44137

    Withdrawn
  • Universitaetsklinikum Freiburg

    Freiburg im Breisgau, 79106

    Withdrawn
  • Medizinische Hochschule Hannover

    Hanover, 30625

    Active, not recruiting
  • Universitaetsklinikum

    Leipzig, 04103

    Active, not recruiting
  • Hormon and Stoffwechselzentrum

    Mainz, 55122

    Active, not recruiting

Other trials in Germany

Belgium7 sites
  • 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

    Active, not recruiting

Other trials in Belgium

Denmark7 sites
  • Aalborg University Hospital

    Aalborg, 9100

    Active, not recruiting
  • Århus Universitetshospital - Aarhus sygehus

    Aarhus, 8200

    Active, not recruiting
  • Århus Universitetshospital

    Aarhus, 8200

    Active, not recruiting
  • Hospital South West Jutland

    Esbjerg, 6700

    Completed
  • Rigshospitalet - Paediatric

    København Ø, 2100

    Active, not recruiting
  • Rigshospitalet

    København Ø, 2100

    Completed
  • OUH

    Odense, 5000

    Active, not recruiting

Other trials in Denmark

Switzerland6 sites, 6 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

    Recruiting

Other trials in Switzerland

Portugal5 sites
  • 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

    Active, not recruiting

Other trials in Portugal

Israel4 sites
  • Rambam Health Care Center

    Haifa, 3109601

    Active, not recruiting
  • Schneider Medical Center

    Petah Tikva, 4920235

    Active, not recruiting
  • Sheba Medical Center

    Ramat Gan, 5265601

    Active, not recruiting
  • Dana-Dwek Children's Hospital

    Tel Aviv, 64239

    Withdrawn

Other trials in Israel

Sweden4 sites
  • Queen Silvia Children's Hospital

    Gothenburg, 416 85

    Active, not recruiting
  • Lund University

    Lund, 22185

    Completed
  • Karolinska Institute

    Stockholm, 112 81

    Active, not recruiting
  • Karolinska Institute (Pediatric)

    Stockholm, 171 77

    Active, not recruiting

Other trials in Sweden

Norway3 sites
  • Oslo University Hospital

    Oslo, 0424

    Active, not recruiting
  • Oslo Universitetssykehus HF, Ulleval

    Oslo, 0450

    Active, not recruiting
  • St. Olav's University Hospital

    Trondheim, 7030

    Active, not recruiting

Other trials in Norway

Bulgaria2 sites
  • SHATPD "Prof Ivan Mitev" EAD

    Sofia, 1606

    Active, not recruiting
  • UMHAT "SofiaMed", OOD

    Sofia, 1797

    Active, not recruiting

Other trials in Bulgaria

Czechia2 sites
  • Children Hospital

    Brno, 625 00

    Active, not recruiting
  • Fakultni nemocnice v Motole

    Prague, 150 06

    Active, not recruiting

Other trials in Czechia

Hungary2 sites
  • Semmelweis Egyetem

    Budapest, 1083

    Active, not recruiting
  • Semmelweis Egyetem

    Budapest, 1085

    Active, not recruiting

Other trials in Hungary

Ireland1 site
  • The Children's University Hospital

    Dublin, DO1 XD99

    Active, not recruiting

Other trials in Ireland

Latvia1 site
  • Children's Clinical University Hospital

    Riga, LV-1002

    Active, not recruiting

Other trials in Latvia

Netherlands1 site
  • Universitair Medisch Centrum Groningen

    Groningen, 9713 GZ

    Active, not recruiting

Other trials in Netherlands

Slovakia1 site
  • National Institute of Childrenś Health NUDCH

    Bratislava, 83340

    Active, not recruiting

Other trials in Slovakia

Slovenia1 site
  • University Clinical Centre Ljubljana

    Ljubljana

    Active, not recruiting

Other trials in Slovenia

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.

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.

  1. 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.

  1. First posted20 Jun 2017
  2. Study start12 Sep 2017
  3. Primary completion1 Feb 2029 (estimated)
  4. Study completion1 Jul 2029 (estimated)

Resources

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
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 32605590
  • Briot 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 42038817
  • Linglart 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 41030383
  • Ariceta 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 37752558
  • Carpenter 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 40962182
  • Brandi 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

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.

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