- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03233126
A Study of KRN23 in Pediatric Patients With X-linked Hypophosphatemic Rickets/Osteomalacia
A Phase 3 Open-Label Trial to Assess the Efficacy and Safety of KRN23 in Pediatric Patients With X-linked Hypophosphatemic Rickets/Osteomalacia and a Postmarketing Study of KRN23 Switched From the Phase 3 Trial
Before switching to the post-marketing study:
To evaluate the efficacy and safety of KRN23 administered subcutaneously once every 2 weeks in children with X-linked hypophosphatemic rickets/osteomalacia(XLH).
After switching to the post-marketing study:
To evaluate the safety and efficacy of KRN23, which is switched from the investigational product to the post-marketing study drug, at the approved dose and dosing regimen in subjects who continue treatment
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Okayama, Japan
- Okayama Saiseikai General Hospital Outpatient Center
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Kanagwa
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Yokohama, Kanagwa, Japan
- Kanagawa Prefectural Hospital Organization Kanagawa Children's Medical Center
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Osaka
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Suita, Osaka, Japan
- National University Corporation Osaka University Hospital
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Ōsaka, Osaka, Japan
- Osaka Hospital, Japan Community Healthcare Organization (JCHO)
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
1)Personally submitted voluntary written informed consent by a legally authorized representative.If appropriate, written or verbal assent to participate in the study should be obtained from patients.
2) Aged ≥ 1 and ≤12 years 3)Patients who have open growth plate 4)Willing to perform a self-administration of KRN23 and available to perform a self-administration 5)Diagnosis of XLH, and meeting any of the followings;
- phosphate-regulating gene with homologies to endopeptidases on the X chromosome(PHEX) mutation in either the patient or in a directly related family member with appropriate X-linked inheritance
- Serum intact FGF23 level at screening ≥ 30 pg/mL 6) Finding evidence of rickets or clinical symptoms 7)Meeting all of following criteria for laboratory test related to XLH;
a)Serum P: < 3.0 mg/dL b)Serum Cr: Within the age-adjusted normal limits c)Serum 25(OH)D: ≥ 16 ng/mL 8) For female patients who have reached menarche with child bearing potential; a negative urine pregnancy test at screening 9)For female patients with child baring potential, or male patients with reproductive capacity; willingness to use an acceptable method of contraception while participating in the study 10) Willingness to provide access to prior medical records to determine eligibility including data on imaging tests, blood chemistry, diagnosis, medication, and surgical history 11) Willingness and ability to cooperatively complete all study procedures, adhere to the visit schedule and follow the investigator's instructions, as considered by the investigator or subinvestigator
Exclusion Criteria:
1)Height percentile > 50% based on age-adjusted Japanese norms at screening 2)Use of aluminum hydroxide antacids, systemic corticosteroids, acetazolamide, and thiazides within 7 days prior to screening 3)Current or prior use of leuprorelin, triptorelin, goserelin, or other drugs known to delay puberty 4)Use of growth hormone therapy within 12 months before screening 5)Use of medication to suppress parathyroid hormone within 60 days prior to screening 6)Serum calcium levels outside the age-adjusted normal limits 7)Intact parathyroid hormone(iPTH) levels ≥ 163 pg/mL 8)Presence of nephrocalcinosis on renal ultrasound grade 4 based on the following scale: 0 = Normal
- = Faint hyperechogenic rim around the medullary pyramids
- = More intense echogenic rim with echoes faintly filling the entire pyramid
- = Uniformly intense echoes throughout the pyramid
- = Stone formation: solitary focus of echoes at the tip of the pyramid 9)Planned or recommended orthopedic surgery 10)Blood or blood product transfusion within 60 days prior to screening 11)History of malignancy within 5 years prior to registration 12)History of being positive for human immunodeficiency virus antibody, hepatitis B antigen and/or hepatitis C virus antibody 13)Predisposition to infection, or history of recurrent infection or known immunodeficiency 14)Use of any investigational product or investigational medical device within 4 months prior to screening, or requirement for any investigational agent prior to completion of all scheduled study assessments 15)Receiving investigational agent in the UX023-CL301 study 16)Use of a therapeutic monoclonal antibody other than KRN23 within 90 days prior to screening 17)History of allergic or anaphylactic reactions to KRN23, any of the KRN23 ingredients, or any other monoclonal antibodies 18)Anyone otherwise considered unsuitable participation in the study by the investigator or subinvestigator
Subjects eligible for enrollment in the post-marketing clinical study must meet both of the following criteria:
1) Personally submitted voluntary written informed consent to participate in the postmarketing clinical study by a legally authorized representative. If appropriate, written or verbal assent to participate in the post-marketing clinical study should be obtained from subjects.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: KRN23
Subjects will receive subcutaneous injections of KRN23 every 2 weeks from Week 0 through Week 128
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Subjects will receive subcutaneous injections of KRN23 every 2 weeks from Week 0 through Week 86
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of subjects for each adverse events
Time Frame: up to week 128
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up to week 128
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Percentage of subjects for each adverse events
Time Frame: up to week 128
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up to week 128
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Effect to body temperature
Time Frame: up to week 128
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up to week 128
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Effect to pulse rate
Time Frame: up to week 128
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up to week 128
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Effect to respiratory rate
Time Frame: up to week 128
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up to week 128
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Effect to blood pressure
Time Frame: up to week 128
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up to week 128
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Effect to 12-Lead Electrocardiogram
Time Frame: up to week 128
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up to week 128
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Effect to Renal Ultrasound
Time Frame: up to week 128
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up to week 128
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Effect to Echocardiogram
Time Frame: up to week 128
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up to week 128
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Serum phosphorus concentration at each test time point
Time Frame: up to week 128
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up to week 128
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1,25(OH)2D at each test time point
Time Frame: up to week 128
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up to week 128
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Alkaline phosphatase at each test time point
Time Frame: up to week 128
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up to week 128
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Urine phosphorus at each test time point
Time Frame: up to week 128
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up to week 128
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Tubular reabsorption of phosphate at each test time point
Time Frame: up to week 128
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up to week 128
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TmP/GFR at each test time point
Time Frame: up to week 128
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up to week 128
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Change from baseline in serum phosphorus
Time Frame: up to week 128
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up to week 128
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Change from baseline in 1,25(OH)2D
Time Frame: up to week 128
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up to week 128
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Change from baseline in alkaline phosphatase
Time Frame: up to week 128
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up to week 128
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Change from baseline in urine phosphorus
Time Frame: up to week 128
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up to week 128
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Change from baseline in tubular reabsorption of phosphate
Time Frame: up to week 128
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up to week 128
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Change from baseline in TmP/GFR
Time Frame: up to week 128
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up to week 128
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Improvement in Radiographic Global Impression of Change(RGI-C) global score
Time Frame: up to week 128
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up to week 128
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Change from baseline on Rickets Severity Score (RSS) total score
Time Frame: up to week 128
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up to week 128
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Change from baseline in the Six Minute Walk Test
Time Frame: up to week 128
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up to week 128
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Change in height-for-age z-scores from baseline
Time Frame: up to week 128
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up to week 128
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Serum KRN23 concentration
Time Frame: up to week 128
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up to week 128
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Anti-KRN23 antibody
Time Frame: up to week 128
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up to week 128
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Metabolic Diseases
- Kidney Diseases
- Urologic Diseases
- Nutrition Disorders
- Genetic Diseases, Inborn
- Musculoskeletal Diseases
- Avitaminosis
- Deficiency Diseases
- Malnutrition
- Bone Diseases
- Metabolism, Inborn Errors
- Bone Diseases, Metabolic
- Renal Tubular Transport, Inborn Errors
- Calcium Metabolism Disorders
- Metal Metabolism, Inborn Errors
- Phosphorus Metabolism Disorders
- Vitamin D Deficiency
- Hypophosphatemia, Familial
- Hypophosphatemia
- Rickets
- Familial Hypophosphatemic Rickets
- Rickets, Hypophosphatemic
- Osteomalacia
Other Study ID Numbers
- KRN23-003
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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 X-linked Hypophosphatemic Rickets/Osteomalacia
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Kyowa Kirin Co., Ltd.CompletedX-linked Hypophosphatemic Rickets/OsteomalaciaJapan, Korea, Republic of
-
Kyowa Kirin Co., Ltd.Active, not recruiting
-
Yale UniversityNational Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)CompletedHypophosphatemic Rickets, X Linked DominantUnited States
-
Bicetre HospitalCompletedX Linked Hypophosphatemic Rickets
-
Kyowa Kirin Co., Ltd.CompletedA Study of KRN23 in Adult and Pediatric Patients With X-linked Hypophosphatemic Rickets/OsteomalaciaXLHJapan, Korea, Republic of
-
Hospices Civils de LyonNot yet recruitingX-Linked Hypophosphatemic Rickets
-
Ultragenyx Pharmaceutical IncKyowa Kirin Co., Ltd.AvailableX-linked Hypophosphatemia | Tumor-Induced Osteomalacia
-
Massachusetts General HospitalNational Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)RecruitingX-linked Hypophosphatemia | Hypophosphatemic Rickets | Hypophosphatemic Rickets, X-Linked DominantUnited States
-
Kyowa Kirin, Inc.Kyowa Kirin Co., Ltd.CompletedX-linked HypophosphatemiaUnited States, Korea, Republic of, Canada, Japan, France, Denmark
-
Children's Mercy Hospital Kansas CityCompletedHypophosphatemic Rickets, X-Linked DominantUnited States
Clinical Trials on KRN23
-
Kyowa Hakko Kirin Pharma, Inc.Kyowa Kirin Co., Ltd.CompletedX-linked HypophosphatemiaUnited States, Canada
-
Kyowa Hakko Kirin Pharma, Inc.Completed
-
Kyowa Kirin Co., Ltd.CompletedTumor-Induced Osteomalacia or Epidermal Nevus SyndromeJapan, Korea, Republic of
-
Kyowa Kirin Co., Ltd.CompletedA Study of KRN23 in Adult and Pediatric Patients With X-linked Hypophosphatemic Rickets/OsteomalaciaXLHJapan, Korea, Republic of
-
Kyowa Hakko Kirin Pharma, Inc.Kyowa Kirin Co., Ltd.CompletedX-linked HypophosphatemiaUnited States, Canada
-
Kyowa Kirin Co., Ltd.CompletedX-linked Hypophosphatemic Rickets/OsteomalaciaJapan, Korea, Republic of
-
Ultragenyx Pharmaceutical IncKyowa Kirin Co., Ltd.AvailableX-linked Hypophosphatemia | Tumor-Induced Osteomalacia
-
Kyowa Kirin, Inc.Kyowa Kirin Co., Ltd.CompletedX-Linked HypophosphatemiaUnited States
-
Kyowa Kirin Pharmaceutical Development LtdCompletedX-linked HypophosphatemiaUnited Kingdom, France, Ireland, Italy
-
Kyowa Kirin, Inc.Kyowa Kirin Co., Ltd.CompletedX-linked HypophosphatemiaUnited States, Korea, Republic of, Japan, Ireland, United Kingdom, France, Italy