Could your body fight back against this rare disease drug?
NCT ID NCT05234567
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study follows 30 people with hypophosphatasia (HPP) who are taking the drug asfotase alfa. Researchers want to see if the immune system can make the drug less effective or cause serious allergic reactions. Participants will be monitored for at least 5 years to track these risks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- asfotase alfa (Strensiq)
- What this could lead to
- If successful, this study could help doctors understand when and why the drug stops working, leading to better monitoring or alternative treatments for hypophosphatasia.
- What could go wrong
- This is a small observational study, not a treatment trial. It only watches what happens and cannot prove whether the drug works or not. Results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2022
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with HPP
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Any age or sex with a confirmed diagnosis of pediatric-onset HPP (that is, first HPP sign or symptom presented at \< 18 years of age). * Currently receiving asfotase alfa treatment at Enrollment (not treatment-naïve) or the Physician has decided to resume (not treatment-naïve) or start (treatment-naïve) the participant's asfotase alfa treatment within 6 months after Enrollment. * Participant must have documented alkaline phosphatase (ALP) activity below the lower limit of normal for age and sex, and a documented ALPL gene mutation (Note: An exception is made for infants with clinical features of HPP plus low ALP who need to start asfotase alfa treatment right away, at the Physician's discretion, but do not yet have a genetic result. In this case, ALPL gene documentation is not required at the time of sub-study enrollment but should be documented within 6 months after Enrollment). * Participant or participant's parent/legally authorized representative is able to read and/or understand the informed consent and study questionnaires in the local language. * Participant or participant's parent/legally authorized representative must be willing and able to give signed informed consent for this sub-study, and the participant must be willing to give written informed assent, if appropriate and required by local regulations. Exclusion Criteria: * Currently participating in an Alexion-sponsored interventional clinical study. Participants who have concluded participation in an Alexion-sponsored asfotase alfa clinical study are eligible to enroll in this sub-study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
12 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Clinical Trial Site
RECRUITINGHartford, Connecticut, 06106, United States
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Clinical Trial Site
RECRUITINGChicago, Illinois, 60611, United States
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Clinical Trial Site
RECRUITINGBoston, Massachusetts, 02122, United States
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Clinical Trial Site
RECRUITINGKansas City, Missouri, 64108, United States
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Clinical Trial Site
RECRUITINGMineola, New York, 11501, United States
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Clinical Trial Site
NOT_YET_RECRUITINGCincinnati, Ohio, 45229, United States
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Clinical Trial Site
RECRUITINGColumbus, Ohio, 43203, United States
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Clinical Trial Site
NOT_YET_RECRUITINGPittsburgh, Pennsylvania, 15224, United States
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Clinical Trial Site
RECRUITINGNashville, Tennessee, 37112, United States
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Clinical Trial Site
RECRUITINGSalt Lake City, Utah, 84108, United States
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Clinical Trial Site
RECRUITINGCharlottesville, Virginia, 22903, United States
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Clinical Trial Site
RECRUITINGMadison, Wisconsin, 53792, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Newborn screening study aims to catch rare diseases at birth
- Genetic deep dive uncovers hidden clues in rare bone disease
- Scientists launch largest-ever natural history study for rare bone disease hypophosphatasia
- New study tracks rare bone disease to unlock clues for better diagnosis
- Withdrawn study aimed to counteract antibodies blocking hypophosphatasia drug
- New study aims to cut diagnostic delays for rare bone disease