New hope for kids with rare bone disease: experimental drug enters final testing
NCT ID NCT06079359
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new drug called ALXN1850 in children aged 2 to 12 with hypophosphatasia, a rare genetic condition that weakens bones. The trial compares the drug to a placebo to see if it improves bone health and movement. About 30 children who have not received prior treatment for this condition will take part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ALXN1850
- What this could lead to
- If it works, this could provide a new treatment option for children with hypophosphatasia, improving bone strength and physical function.
- What could go wrong
- This is an early-stage Phase 3 trial with only 30 participants, so results may not apply to all patients. The drug may not work better than placebo or could cause side effects.
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.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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30 people
The number who actually took part.
- Started
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May 2024
- Expected to finish
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Aug 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.
- Ages
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2 to 11 years
- 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: * Diagnosis of HPP documented in the medical records, and the following criteria fulfilled without other probable cause than HPP: 1. Presence of HPP-related rickets on skeletal X-rays during the Screening Period, with a minimum Rickets Severity Score (RSS) of 1.0 AND 2. Serum ALP activity below the age- and sex-adjusted normal range during the Screening Period as measured by the Central Laboratory OR 2 documented serum ALP activity results, at least 15 days apart, below the age- and sex-adjusted local laboratory normal range during the 24 months before the Day 1 Visit. Note: Local laboratories need to be Clinical Laboratory Improvement Amendments (CLIA) or ISO 15189 certified, or have other local equivalent laboratory certification with Alexion's approval. * Must meet 1 of the following criteria: 1. Documented ALPL gene variant (pathogenic, likely pathogenic, or variant of unknown significance) from a CLIA certified laboratory (Section 8.7) 2. Plasma PLP above the upper limit of normal (ULN) during the Screening Period (central or local laboratory results allowed per local regulations) * Tanner stage 2 or less during the Screening Period Exclusion Criteria: * History or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, hematological, neurological disorders, or any other disorders that are capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data as determined by the Investigator * Diagnosis of primary or secondary hyperparathyroidism * Hypoparathyroidism, unless secondary to HPP * Any new fracture within 12 weeks before Day 1 (excluding pseudofractures) * Planned surgical intervention which may impact the results of study assessments (in the opinion of the Investigator) during the Randomized Evaluation Period * History of allergy or hypersensitivity to any ingredient contained in ALXN1850 or the placebo comparator
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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.
Contacts and locations
Locations
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Research Site
Baltimore, Maryland, 21287, United States
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Research Site
Kansas City, Missouri, 64108, United States
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Research Site
Durham, North Carolina, 27705, United States
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Research Site
Nedlands, 6009, Australia
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Research Site
Parkville, 3052, Australia
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Research Site
Brussels, 1020, Belgium
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Research Site
Brasília, 71625-009, Brazil
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Research Site
Porto Alegre, 90610-261, Brazil
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Research Site
Recife, 50740-465, Brazil
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Research Site
Salvador, 40050-410, Brazil
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Research Site
São Paulo, 01409-902, Brazil
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Research Site
São Paulo, 05403-900, Brazil
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Research Site
Calgary, Alberta, T2E 7H7, Canada
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Research Site
Winnepeg, Manitoba, R3E 3P4, Canada
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Research Site
Beijing, 100045, China
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Research Site
Guangzhou, 510623, China
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Research Site
Shanghai, 2000127, China
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Research Site
Shenzhen, 518053, China
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Research Site
Helsinki, 00290, Finland
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Research Site
Ashkelon, 7830604, Israel
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Research Site
Chihuahua City, 31238, Mexico
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Research Site
Lodz, 93-338, Poland
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Research Site
Bucharest, 011863, Romania
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Research Site
Madrid, 28046, Spain
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Research Site
Vitoria-Gasteiz, 01009, Spain
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Research Site
Stockholm, 17176, Sweden
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Research Site
Taipei, 100, Taiwan
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Research Site
Ankara, 06560, Turkey (Türkiye)
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Research Site
Bursa, 16059, Turkey (Türkiye)
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Research Site
Erzurum, 25240, Turkey (Türkiye)
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Research Site
Istanbul, 34899, Turkey (Türkiye)
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Research Site
Birmingham, B4 6NH, United Kingdom
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
- Could your body fight back against this rare disease drug?
- New study tracks rare bone disease to unlock clues for better diagnosis
- Withdrawn study aimed to counteract antibodies blocking hypophosphatasia drug