Rare DiseasesPhase 4NCT04419363
Burosumab in Children and Adolescents With X-linked Hypophosphatemia
A Phase 4 study testing Burosumab Injection in people with Rare Diseases and X-linked Hypophosphatemia, run by Bicetre Hospital at 1 site in France.
Trial summary
In this prospective longitudinal cohort study we studied the efficacy and safety of burosumab in real-clinical practice for <13- and >13-years old children affected with X-linked hypophosphatemia. 57 children with XLH were switched from conventional treatment to burosumab. Read more about this study
- Who is it for?
- Ages 1 year to 20 years
- Conditions the study is for
- Rare Diseases, X-linked Hypophosphatemia
- What is being tested?
- Burosumab Injection
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 57 participants
- Where
- 1 siteFrance
- Study dates
- 18 Mar 2018to 16 Sep 2022
- Phase
- Phase 4
- Are there results?
- None posted in the registry
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 1 year to 20 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- insufficient response or refractory to conventional therapy;
- complications of conventional therapy: hypercalciuria and/or nephrocalcinosis, and/or persistent secondary hyperparathyroidism;
- need for rapid restoration of phosphate metabolism, e.g., late diagnosis (aged >8 years) and/or preparation for planned orthopaedic surgery.
Who cannot join
None listed.
Trial locations and contacts
1 site in 1 country.
France1 site, 1 recruiting
- Recruiting
Hospital Bicetre
Le Kremlin-Bicêtre, 94270
Volha Zhukouskaya, MD, PhD, +33766681018, vzhukuskaya@genethon.fr
Agnès Linglart, MD, PhD
About this study
Official title: 12-months of Treatment With Burosumab in Children and Adolescents With X-linked Hypophosphatemia: a Prospective Longitudinal Cohort Study
In this prospective longitudinal cohort study we studied the efficacy and safety of burosumab in real-clinical practice for <13- and >13-years old children affected with X-linked hypophosphatemia.
57 children with XLH were switched from conventional treatment to burosumab. After 12 months we assessed the efficacy and safety of treatment with burosumab on the whole cohort and separately on the cohort of >13-years old adolescents.
- Conditions
- Rare Diseases, X-linked Hypophosphatemia
- Being tested
- Burosumab Injection
- Keywords
- X-linked hypophosphataemia, fibroblast growth factor 23, burosumab, hyperparathyroidism
- Medical subject headings
- Rare Diseases, Familial Hypophosphatemic Rickets, Hyperparathyroidism
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Burosumab InjectionDrug
Children affected with X-linked hypophosphatemia were switched from conventional therapy to burosumab
| Study group | Role | What they receive |
|---|---|---|
| The whole cohort | Experimental | Children affected with X-linked hypophosphatemia of average age of 9.8 years were switch from conventional therapy to burosumab Receives: Drug: Burosumab Injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Radiological changes in rachitic lesions evaluated with knee MRI
maximum width of the physis and transverse extent of widening
Measured: 12 months
Secondary outcomes (13)
serum phosphate
mmol/l
Measured: 12 months
renal phosphate reabsorption
mmol/l
Measured: 12 months
alkaline phosphatase
U/l
Measured: 12 months
1,25(OH)vitaminD
pg/ml
Measured: 12 months
parathyroid hormone
ng/l
Measured: 12 months
height
standard deviation score
Measured: 12 months
functional capacity
6-minute walk test, standard deviation score
Measured: 12 months
incidence of dental abcesses
dental examination
Measured: 12 months
incidence of hearing problems
ORL examination, audiogramm
Measured: 12 months
incidence of neurological problems (craniosynostosis, Chiari I malformation)
neurosurgical examination and brain MRI
Measured: 12 months
incidence of nephrocalcinosis
renal ultrasound
Measured: 12 months
incidence of hyperparathyroidism
blood levels of parathyroid hormone
Measured: 12 months
incidence of any side effects
registration of any side effects during the treatment by telephone call
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jun 2020
- Study start18 Mar 2018
- Primary completion20 Mar 2019
- Study completion16 Sep 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Rare DiseasesStudies 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
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 57 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Bicetre Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Volha Zhukouskaya, Bicetre Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04419363
- Sponsor's protocol ID
- 20200528104746
- Status last verified
- Jun 2020
- First submitted
- 29 May 2020
- Last updated
- 5 Jun 2020
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Jun 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 12-months of Treatment With Burosumab in Children and Adolescents With X-linked Hypophosphatemia: a Prospective Longitudinal Cohort Study
- ClinicalTrials.gov ID
- NCT04419363
- Acronym / sponsor ID
- 20200528104746
- Conditions
- Rare Diseases, X-linked Hypophosphatemia
- Keywords
- X-linked hypophosphataemia, fibroblast growth factor 23, burosumab, hyperparathyroidism
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 57 participants (estimated)
- Lead sponsor
- Bicetre HospitalUniversity, hospital or other
- Study start
- 18 Mar 2018 (actual)
- Primary completion
- 20 Mar 2019 (actual)
- Study completion
- 16 Sep 2022 (estimated)
- First posted
- 5 Jun 2020 (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.
In this prospective longitudinal cohort study we studied the efficacy and safety of burosumab in real-clinical practice for <13- and >13-years old children affected with X-linked hypophosphatemia.
57 children with XLH were switched from conventional treatment to burosumab. After 12 months we assessed the efficacy and safety of treatment with burosumab on the whole cohort and separately on the cohort of >13-years old adolescents.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| The whole cohort | Experimental | Drug: Burosumab InjectionChildren affected with X-linked hypophosphatemia of average age of 9.8 years were switch from conventional therapy to burosumab |
Who may qualify
- Ages
- 1 year to 20 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (3 listed)
- insufficient response or refractory to conventional therapy;
- complications of conventional therapy: hypercalciuria and/or nephrocalcinosis, and/or persistent secondary hyperparathyroidism;
- need for rapid restoration of phosphate metabolism, e.g., late diagnosis (aged >8 years) and/or preparation for planned orthopaedic surgery.
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Burosumab InjectionChildren affected with X-linked hypophosphatemia were switched from conventional therapy to burosumab | Drug | The whole cohort |
Primary outcome
Radiological changes in rachitic lesions evaluated with knee MRI
Time frame: 12 months
maximum width of the physis and transverse extent of widening
13 secondary outcomes
serum phosphate
Time frame: 12 months
renal phosphate reabsorption
Time frame: 12 months
alkaline phosphatase
Time frame: 12 months
1,25(OH)vitaminD
Time frame: 12 months
parathyroid hormone
Time frame: 12 months
height
Time frame: 12 months
functional capacity
Time frame: 12 months
incidence of dental abcesses
Time frame: 12 months
incidence of hearing problems
Time frame: 12 months
incidence of neurological problems (craniosynostosis, Chiari I malformation)
Time frame: 12 months
incidence of nephrocalcinosis
Time frame: 12 months
incidence of hyperparathyroidism
Time frame: 12 months
incidence of any side effects
Time frame: 12 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Jun 2020.
- Individual participant dataSharing planned: No
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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. This study is not recruiting at the moment.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Burosumab Injection in people with Rare Diseases and X-linked Hypophosphatemia, run by Bicetre Hospital at 1 site in France.
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 0 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: status not confirmed, as of the sponsor's last update on 5 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Radiological changes in rachitic lesions evaluated with knee MRI (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 5 Jun 2020.