New hope for kids with brittle bones: experimental drug faces off against standard care
NCT ID NCT06079372
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares a new medicine, ALXN1850, to the current standard treatment (asfotase alfa) in 43 children aged 2 to 12 with hypophosphatasia, a rare genetic condition that weakens bones. All children have been on the standard treatment for at least 6 months before joining. The main goal is to see if the new drug is safe and tolerable. Researchers will also check bone healing, rickets severity, and walking ability.
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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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43 people
The number who actually took part.
- Started
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Apr 2024
- Expected to finish
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Feb 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 * Presence of open growth plates by X-ray during Screening Period * Tanner stage 2 or less during the Screening Period * Must have been treated with 6 mg/kg/ week of asfotase alfa via SC injection administered as either 2mg/kg 3 times per week or 1 mg/kg 6 times per week for ≥ 6 months before Day 1. Note: participants currently treated with 9 mg/kg (eg, 3 mg/kg 3 times per week) will not be allowed in the study. 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 asfotase alfa or ALXN1850 * Body weight \< 10 kg during the Screening Period
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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
Hartford, Connecticut, 06106, United States
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Research Site
Baltimore, Maryland, 21287, United States
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Research Site
Minneapolis, Minnesota, 55455, 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
Nashville, Tennessee, 37212, United States
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Research Site
Mar del Plata, B7600, Argentina
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Research Site
South Brisbane, 4101, Australia
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Research Site
Ottawa, Ontario, K1H 8L1, Canada
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Research Site
Bunkyō City, 113-8431, Japan
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Research Site
Minatoku, 105-8471, Japan
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Research Site
Suita-shi, 565-0871, Japan
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Research Site
Yonago-shi, 683-8504, Japan
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Research Site
Altındağ, 06230, Turkey (Türkiye)
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Research Site
Ankara, 06560, Turkey (Türkiye)
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Research Site
Edirne, 22030, 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
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Research Site
Manchester, United Kingdom
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Research Site
Sheffield, S10 2TH, 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