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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The whole cohort | Experimental | Children affected with X-linked hypophosphatemia of average age of 9.8 years were switch from conventional therapy to burosumab |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Burosumab Injection | Drug | Children affected with X-linked hypophosphatemia were switched from conventional therapy to burosumab |
|
| Measure | Description | Time Frame |
|---|---|---|
| Radiological changes in rachitic lesions evaluated with knee MRI | maximum width of the physis and transverse extent of widening | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| serum phosphate | mmol/l | 12 months |
| renal phosphate reabsorption | mmol/l | 12 months |
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Inclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Bicetre | Recruiting | Le Kremlin-Bicêtre | 94270 | France |
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| ID | Term |
|---|---|
| D035583 | Rare Diseases |
| D053098 | Familial Hypophosphatemic Rickets |
| D006961 | Hyperparathyroidism |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D063730 | Rickets, Hypophosphatemic |
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| ID | Term |
|---|---|
| C000601956 | burosumab |
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| alkaline phosphatase | U/l | 12 months |
| 1,25(OH)vitaminD | pg/ml | 12 months |
| parathyroid hormone | ng/l | 12 months |
| height | standard deviation score | 12 months |
| functional capacity | 6-minute walk test, standard deviation score | 12 months |
| incidence of dental abcesses | dental examination | 12 months |
| incidence of hearing problems | ORL examination, audiogramm | 12 months |
| incidence of neurological problems (craniosynostosis, Chiari I malformation) | neurosurgical examination and brain MRI | 12 months |
| incidence of nephrocalcinosis | renal ultrasound | 12 months |
| incidence of hyperparathyroidism | blood levels of parathyroid hormone | 12 months |
| incidence of any side effects | registration of any side effects during the treatment by telephone call | 12 months |
| D012279 | Rickets |
| D001851 | Bone Diseases, Metabolic |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D007015 | Hypophosphatemia, Familial |
| D015499 | Renal Tubular Transport, Inborn Errors |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| 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 |
| D002128 | Calcium Metabolism Disorders |
| D017674 | Hypophosphatemia |
| D010760 | Phosphorus Metabolism Disorders |
| D014808 | Vitamin D Deficiency |
| D001361 | Avitaminosis |
| D003677 | Deficiency Diseases |
| D044342 | Malnutrition |
| D009748 | Nutrition Disorders |
| D010279 | Parathyroid Diseases |
| D004700 | Endocrine System Diseases |