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The purpose of this study is to characterize the natural history of HPP in patients with Juvenile-onset HPP.
Hypophosphatasia (HPP) is a life-threatening, genetic, and ultra-rare metabolic disease characterized by defective bone mineralization and impaired phosphate and calcium regulation that can lead to progressive damage to multiple vital organs, including destruction and deformity of bones, profound muscle weakness, seizures, impaired renal function, and respiratory failure. There are no approved disease-modifying treatments for patients with this disease. There is also limited data available on the natural course of this disease over time, particularly in patients with the juvenile-onset form.
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| Measure | Description | Time Frame |
|---|---|---|
| Radiographic Global Impression of Change - RGI-C | The RGI-C scale is a 7-point ordinal scale that is used to evaluate musculoskeletal characteristics of HPP (eg, metaphyseal fraying, demineralization of distal metaphyses). The scores range from -3 (severe worsening) to +3 (complete or near-complete healing). | Between Baseline (earliest available, complete, and readable x-ray set) and all available, readable post-Baseline x-ray sets during the period of patients' aged 5 to 15 years, inclusive. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Height Z-score From Baseline to Last Assessment | Height measurements were assigned to Z-scores which were calculated using the Centers for Disease Control and Prevention (CDC) 2000 growth charts and methodology. The Z-score indicates the number of standard deviations away from the mean. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. |
| Measure | Description | Time Frame |
|---|---|---|
| Rickets Severity Sale - RSS | The RSS is a 10-point scale, developed for nutritional rickets, that evaluates the degree of metaphyseal cupping and fraying and the proportion of growth plate affected (10 points = severe cupping/fraying, 0 points = absence of cupping/fraying). | Any available data during the period of patients' aged 5 to 15 years, inclusive. Baseline is the earliest available assessment value during the period. |
Inclusion Criteria:
Exclusion Criteria:
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Juvenile-onset HPP (≥ 6 months and ˂18 years)
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Atlanta | Georgia | United States | ||||
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| Label | URL |
|---|---|
| Hypophosphatasia Website | View source |
| Hypophosphatasia Website for Health Care Professionals | View source |
| HPP support group |
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Patients were enrolled between March 2014 and September 2014. Fifty-four patients were screened and 32 patients were enrolled at 15 centers across the United States, Canada, Australia, Turkey, The Netherlands, and the United Kingdom.
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| ID | Title | Description |
|---|---|---|
| FG000 | Retrospective Observational | Patients diagnosed with juvenile-onset HPP (ie, documented onset of first signs/symptoms of HPP at ≥ 6 months to < 18 years of age). |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Any available growth data during the period of patients' aged 5 to 15 years, inclusive. Baseline is the earliest available assessment while post baselines are time points after Baseline during the defined age period. |
| Change in Weight Z-score From Baseline to Last Assessment | Weight measurements were assigned a Z-score which was calculated using the Centers for Disease Control and Prevention (CDC) 2000 growth charts and methodology. The Z-score indicates the number of standard deviations away from the mean. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. | Any available growth data during the period of patients' aged 5 to 15 years, inclusive. Baseline is the earliest available assessment while Post baselines are time points after Baseline during the defined age period. |
| Indianapolis |
| Indiana |
| United States |
| Boston | Massachusetts | United States |
| Springfield | Missouri | United States |
| St Louis | Missouri | United States |
| Durham | North Carolina | United States |
| Cincinnati | Ohio | United States |
| Houston | Texas | United States |
| Seattle | Washington | United States |
| Sydney | Australia |
| Winnipeg | Manitoba | Canada |
| Le Kremlin-Bicêtre | France |
| Paris | France |
| Toulouse | France |
| Rotterdam | Netherlands |
| Moscow | Russia |
| Istanbul | Turkey (Türkiye) |
| Manchester | United Kingdom |
| Sheffield | United Kingdom |
| US Hypophosphatasia Group (Soft Bones) | View source |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Patients Diagnosed With Juvenile-onset HPP | Patients diagnosed with juvenile-onset HPP (ie, documented onset of first signs/symptoms of HPP at ≥ 6 months to < 18 years of age). |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Age at diagnosis | Mean | Standard Deviation | months |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | participants |
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| Region of Enrollment | Number | participants |
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| Rickets Severity Scale - RSS | The RSS is a 10-point scale, developed for nutritional rickets, that evaluates the degree of metaphyseal cupping and fraying and the proportion of growth plate affected (10 points = severe cupping/fraying, 0 points = absence of cupping/fraying). | Median | Inter-Quartile Range | units on a scale |
| |||||||||||||||||||||
| Growth Measured by Height Z-score | The Z-score indicates the number of standard deviations away from the mean 0. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. | Median | Inter-Quartile Range | Z-score |
| |||||||||||||||||||||
| Growth Measured by Weight Z-score | The Z-score indicates the number of standard deviations away from the mean 0. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. | Median | Inter-Quartile Range | Z-score |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Radiographic Global Impression of Change - RGI-C | The RGI-C scale is a 7-point ordinal scale that is used to evaluate musculoskeletal characteristics of HPP (eg, metaphyseal fraying, demineralization of distal metaphyses). The scores range from -3 (severe worsening) to +3 (complete or near-complete healing). | Patients diagnosed with juvenile-onset HPP. | Posted | Median | Inter-Quartile Range | units on a scale | Between Baseline (earliest available, complete, and readable x-ray set) and all available, readable post-Baseline x-ray sets during the period of patients' aged 5 to 15 years, inclusive. |
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| Secondary | Change in Height Z-score From Baseline to Last Assessment | Height measurements were assigned to Z-scores which were calculated using the Centers for Disease Control and Prevention (CDC) 2000 growth charts and methodology. The Z-score indicates the number of standard deviations away from the mean. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. | Posted | Median | Inter-Quartile Range | Z-score | Any available growth data during the period of patients' aged 5 to 15 years, inclusive. Baseline is the earliest available assessment while post baselines are time points after Baseline during the defined age period. |
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| Secondary | Change in Weight Z-score From Baseline to Last Assessment | Weight measurements were assigned a Z-score which was calculated using the Centers for Disease Control and Prevention (CDC) 2000 growth charts and methodology. The Z-score indicates the number of standard deviations away from the mean. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. | All patients who met all of the inclusion and none of the exclusion criteria were defined as the enrolled population, which was also the analysis population. | Posted | Median | Inter-Quartile Range | Z-score | Any available growth data during the period of patients' aged 5 to 15 years, inclusive. Baseline is the earliest available assessment while Post baselines are time points after Baseline during the defined age period. |
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| Other Pre-specified | Rickets Severity Sale - RSS | The RSS is a 10-point scale, developed for nutritional rickets, that evaluates the degree of metaphyseal cupping and fraying and the proportion of growth plate affected (10 points = severe cupping/fraying, 0 points = absence of cupping/fraying). | All patients who met all of the inclusion and none of the exclusion criteria were defined as the enrolled population, which was also the analysis population. | Posted | Median | Inter-Quartile Range | units on a scale | Any available data during the period of patients' aged 5 to 15 years, inclusive. Baseline is the earliest available assessment value during the period. |
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No adverse event data were collected during this retrospective noninterventional study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Patients Diagnosed With Juvenile-onset HPP | Patients diagnosed with juvenile-onset HPP (ie, documented onset of first signs/symptoms of HPP at ≥ 6 months to < 18 years of age). | 0 | 0 | 0 | 0 |
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Participation in a multicenter study involves a commitment to publish the data from the study in a cooperative publication prior to release of study results on an individual basis. Therefore, PIs are subject to certain disclosure and publication limitations.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Senior Medical Director, Clinical Development | Alexion Pharmaceuticals | 203-272-2596 | clinicaltrials@alxn.com |
| ID | Term |
|---|---|
| D007014 | Hypophosphatasia |
| D001847 | Bone Diseases |
| D012279 | Rickets |
| D010018 | Osteomalacia |
| ID | Term |
|---|---|
| D008664 | Metal Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D009140 | Musculoskeletal Diseases |
| D001851 | Bone Diseases, Metabolic |
| D002128 | Calcium Metabolism Disorders |
| D014808 | Vitamin D Deficiency |
| D001361 | Avitaminosis |
| D003677 | Deficiency Diseases |
| D044342 | Malnutrition |
| D009748 | Nutrition Disorders |
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