- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02306720
Registry of Patients With Hypophosphatasia
February 24, 2026 updated by: Alexion Pharmaceuticals, Inc.
An Observational, Longitudinal, Prospective, Long-Term Registry Of Patients With Hypophosphatasia (HPP)
In this prospective, observational, long term registry patients of all ages with a diagnosis of hypophosphatasia (HPP) are followed at participating sites in multiple countries.
Study Overview
Status
Enrolling by invitation
Conditions
Detailed Description
The HPP Registry is an observational, prospective, long-term registry designed to collect data on HPP epidemiology, disease history, clinical course, symptoms and burden of disease from patients of all ages who have a diagnosis of HPP.
Evaluation of safety and effectiveness data in patients with HPP who have/are receiving treatment with Asfotase alfa
Study Type
Observational
Enrollment (Estimated)
1571
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Herston, Australia
- Research Site
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South Brisbane, Australia
- Research Site
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Victoria
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Clayton, Victoria, Australia
- Research Site
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Parkville, Victoria, Australia
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Linz, Austria
- Research Site
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Manitoba
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Winnipeg, Manitoba, Canada
- Research Site
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Ontario
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Oakville, Ontario, Canada
- Research Site
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Ottawa, Ontario, Canada
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Toronto, Ontario, Canada, M5G 2C4
- Research Site
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Lyon, France
- Research Site
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Paris, France
- Research Site
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Haute Garonne
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Toulouse, Haute Garonne, France
- Research Site
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Nord
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Lille, Nord, France
- Research Site
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Paris
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Paris, Paris, France
- Research Site
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Vienne
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Poitiers, Vienne, France
- Research Site
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Île-de-France Region
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Le Kremlin-Bicêtre, Île-de-France Region, France
- Research Site
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Berlin, Germany
- Research Site
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Cologne, Germany
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Giessen, Germany
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Homburg, Germany
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Mainz, Germany
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Bavaria
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Bad Reichenhall, Bavaria, Germany
- Research Site
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Würzburg, Bavaria, Germany
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North Rhine-Westphalia
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Bochum, North Rhine-Westphalia, Germany
- Research Site
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Düsseldorf, North Rhine-Westphalia, Germany
- Research Site
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Saxony
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Dresden, Saxony, Germany
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Florence, Italy
- Research Site
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Pisa, Italy
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Rome, Italy
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San Giovanni Rotondo, Italy
- Research Site
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Milano
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Milan, Milano, Italy, 20132
- Research Site
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Lodz, Poland
- Research Site
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Warsaw, Poland
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Riyadh, Saudi Arabia
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Madrid, Spain
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Belfast, United Kingdom
- Research Site
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Avon
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Bristol, Avon, United Kingdom
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Greater London
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London, Greater London, United Kingdom
- Research Site
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Leicestershire
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Leicester, Leicestershire, United Kingdom, LE1 5WW
- Leicester Royal Infirmary
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Middlesex
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Stanmore, Middlesex, United Kingdom
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Oxfordshire
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Oxford, Oxfordshire, United Kingdom
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South Yorkshire
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Sheffield, South Yorkshire, United Kingdom
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Tyne & Wear
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Newcastle upon Tyne, Tyne & Wear, United Kingdom
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West Midlands
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Birmingham, West Midlands, United Kingdom
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Colorado
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Centennial, Colorado, United States, 80112
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Connecticut
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Hartford, Connecticut, United States, 06106
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Florida
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Tampa, Florida, United States, 33606
- Research Site
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Georgia
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Decatur, Georgia, United States, 30033
- Research Site
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Maryland
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Baltimore, Maryland, United States, 21287
- Research Site
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Massachusetts
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Boston, Massachusetts, United States, 02111
- Research Site
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Boston, Massachusetts, United States, 02115
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Minnesota
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Minneapolis, Minnesota, United States, 55454
- Research Site
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Missouri
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Kansas City, Missouri, United States, 64108
- Research Site
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St Louis, Missouri, United States, 63110
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Research Site
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New York
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Mineola, New York, United States, 11501
- Research Site
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North Carolina
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Durham, North Carolina, United States, 27710
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Ohio
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Cincinnati, Ohio, United States, 45229
- Research Site
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Columbus, Ohio, United States, 43205
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15224
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Tennessee
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Nashville, Tennessee, United States, 37212
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Utah
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Salt Lake City, Utah, United States, 84112
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Virginia
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Charlottesville, Virginia, United States, 22903
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Wisconsin
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Madison, Wisconsin, United States, 53792
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Probability Sample
Study Population
Patients with Hypophosphatasia (HPP)
Description
Inclusion Criteria:
- Male and female participants, of any age, with a confirmed diagnosis of HPP.
- Participant must have documented alkaline phosphatase (ALP) activity below the lower limit of normal for age and sex, or a documented ALPL gene mutation.
- Participant or legal representative is able to read and/or understand the informed consent and study questionnaires in the local language.
- Signed informed consent and medical records release by the patient or legal representative. Patient or patient's parent/legal representative must be willing and able to give written informed consent, and the patient must be willing to give written informed assent, if appropriate and required by local regulations.
Exclusion Criteria:
- Currently participating in an Alexion-sponsored clinical trial. Enrollment in the Registry will not exclude a patient from enrolling in a future clinical trial.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Case-Control
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Natural History Information
Time Frame: 1 Year
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To collect information on the natural history of HPP from patients of all ages, including pediatric patients and adults with HPP, regardless of age at onset.
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1 Year
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Burden of Disease/Patient-reported Outcomes
Time Frame: 1 year
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Age-appropriate PRO data will be collected using instruments to asses below: Pain, Motor Capacity, Functional Status/Disability, including Activities of Daily Living (ADL), Quality of Life (QoL)
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1 year
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Characterize the epidemiology of the HPP population.
Time Frame: 1 year
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To characterize the epidemiology of the HPP population.
Inclusion of all classifications of HPP is planned: pediatric-onset (perinatal-, infantile-, and juvenile-onset), adult-onset, benign perinatal, and odontohypophosphatasia.
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1 year
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Long-Term Safety and Effectiveness of Asfotase Alfa
Time Frame: 1 year
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To collect and evaluate long-term safety and effectiveness data in HPP patients who have/are receiving treatment with asfotase alfa.
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1 year
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Dahir KM, Seefried L, Kishnani PS, Petryk A, Hogler W, Linglart A, Martos-Moreno GA, Ozono K, Fang S, Rockman-Greenberg C. Clinical profiles of treated and untreated adults with hypophosphatasia in the Global HPP Registry. Orphanet J Rare Dis. 2022 Jul 19;17(1):277. doi: 10.1186/s13023-022-02393-8.
- Dahir KM, Kishnani PS, Martos-Moreno GA, Linglart A, Petryk A, Rockman-Greenberg C, Martel SE, Ozono K, Hogler W, Seefried L. Impact of muscular symptoms and/or pain on disease characteristics, disability, and quality of life in adult patients with hypophosphatasia: A cross-sectional analysis from the Global HPP Registry. Front Endocrinol (Lausanne). 2023 Mar 27;14:1138599. doi: 10.3389/fendo.2023.1138599. eCollection 2023.
- Hogler W, Linglart A, Petryk A, Kishnani PS, Seefried L, Fang S, Rockman-Greenberg C, Ozono K, Dahir K, Martos-Moreno GA. Growth and disease burden in children with hypophosphatasia. Endocr Connect. 2023 Apr 25;12(5):e220240. doi: 10.1530/EC-22-0240. Print 2023 May 1.
- Hogler W, Langman C, Gomes da Silva H, Fang S, Linglart A, Ozono K, Petryk A, Rockman-Greenberg C, Seefried L, Kishnani PS. Diagnostic delay is common among patients with hypophosphatasia: initial findings from a longitudinal, prospective, global registry. BMC Musculoskelet Disord. 2019 Feb 14;20(1):80. doi: 10.1186/s12891-019-2420-8.
- Kishnani PS, Martos-Moreno GA, Linglart A, Petryk A, Messali A, Fang S, Rockman-Greenberg C, Ozono K, Hogler W, Seefried L, Dahir KM. Effectiveness of asfotase alfa for treatment of adults with hypophosphatasia: results from a global registry. Orphanet J Rare Dis. 2024 Mar 8;19(1):109. doi: 10.1186/s13023-024-03048-6.
- Seefried L, Dahir K, Petryk A, Hogler W, Linglart A, Martos-Moreno GA, Ozono K, Fang S, Rockman-Greenberg C, Kishnani PS. Burden of Illness in Adults With Hypophosphatasia: Data From the Global Hypophosphatasia Patient Registry. J Bone Miner Res. 2020 Nov;35(11):2171-2178. doi: 10.1002/jbmr.4130. Epub 2020 Aug 10.
- Martos-Moreno GA, Rockman-Greenberg C, Ozono K, Petryk A, Kishnani PS, Dahir KM, Seefried L, Fang S, Hogler W, Linglart A. Clinical Profiles of Children with Hypophosphatasia prior to Treatment with Enzyme Replacement Therapy: An Observational Analysis from the Global HPP Registry. Horm Res Paediatr. 2024;97(3):233-242. doi: 10.1159/000531865. Epub 2023 Jul 13.
- Kishnani PS, Seefried L, Dahir KM, Martos-Moreno GA, Linglart A, Petryk A, Mowrey WR, Fang S, Ozono K, Hogler W, Rockman-Greenberg C. New insights into the landscape of ALPL gene variants in patients with hypophosphatasia from the Global HPP Registry. Am J Med Genet A. 2024 Nov;194(11):e63781. doi: 10.1002/ajmg.a.63781. Epub 2024 Jun 17.
- Kishnani PS, Seefried L, Dahir KM, Martos-Moreno GA, Hogler W, Greenberg CR, Fang S, Petryk A, Mowrey WR, Linglart A, Ozono K. Disease burden by ALPL variant number in patients with non-life-threatening hypophosphatasia in the Global HPP Registry. J Med Genet. 2025 Mar 20;62(4):249-257. doi: 10.1136/jmg-2024-110383.
- Tornero C, Martos-Moreno GA, Guanabens N, Florez H, Ribera A, Aguado P. Clinical characterization and impact of hypophosphatasia in Spain: An observational analysis of the Spanish cohort included in the Global HPP Registry. Med Clin (Barc). 2025 Nov;165(5):107120. doi: 10.1016/j.medcli.2025.107120. Epub 2025 Jul 25. English, Spanish.
- Kishnani PS, Seefried L, Ozono K, Martos-Moreno GA, Rockman-Greenberg C, Fowler D, Burke LK, Mowrey WR, Rush ET, Ebeling PR, Hogler W, Linglart A, Fang S, Petryk A, Dahir KM. The Global Hypophosphatasia Registry: lessons learned from a decade of real-world data. Orphanet J Rare Dis. 2025 Nov 24;20(1):626. doi: 10.1186/s13023-025-04129-w.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 20, 2015
Primary Completion (Estimated)
December 31, 2031
Study Completion (Estimated)
December 31, 2031
Study Registration Dates
First Submitted
November 26, 2014
First Submitted That Met QC Criteria
December 1, 2014
First Posted (Estimated)
December 3, 2014
Study Record Updates
Last Update Posted (Actual)
February 27, 2026
Last Update Submitted That Met QC Criteria
February 24, 2026
Last Verified
February 1, 2026
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ALX-HPP-501
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Hypophosphatasia (HPP)
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Alexion PharmaceuticalsCompletedHypophosphatasia (HPP)United States, Canada
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Hvidovre University HospitalOdense University HospitalActive, not recruitingHypophosphatasia (HPP)Denmark
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Alexion PharmaceuticalsCompletedHypophosphatasia (HPP)United States, France, United Kingdom, Canada, Netherlands, Russian Federation, Turkey, Australia
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Alexion PharmaceuticalsCompletedHypophosphatasia (HPP)United States, Canada, United Arab Emirates, United Kingdom
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Alexion PharmaceuticalsCompletedHypophosphatasia (HPP)United States, Taiwan, United Kingdom, Australia, Canada, Germany, Spain
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Alexion PharmaceuticalsCompletedHypophosphatasia (HPP)United States, Canada
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Alexion PharmaceuticalsCompletedHypophosphatasia (HPP)United States, Canada
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AstraZenecaRecruiting
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Ultragenyx Pharmaceutical IncNovartis; Mereo BioPharmaCompleted