About this trial
Determine the association between duration and dose of chronic conventional therapy with Pi and renal (nephrocalcinosis/nephrolithiasis), vascular (endothelial function), and cardiovascular function (echo- cardiography) in patients with hereditary hypophosphatemic rickets with hypercalciuria (HHRH) and patients with X-linked hypophosphatemia (XLH).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children above the age of 13 years
Younger and older adults with XLH and HHRH with confirmed NPT2c mutations affecting both copies of the NPT2c gene (HHRH) or one copy of the PHEX gene (XLH)
Be willing to provide access to prior medical records to determine eligibility including imaging, biochemical, medical, and surgical history data
Be willing and able to complete all aspects of the study
Disqualifiers
Subjects will be excluded, if they are children younger than age 13 years
Subjects that have other diseases likely to impact bone and mineral metabolism (e.g. renal, hepatic, gastrointestinal disorders, and malignancy),
Subjects that are currently pregnant,
Subjects that received medical therapy or developed any condition, which in the opinion of the investigator, could present a concern for either subject safety or difficulty with data interpretation.
Trial design
Parallel
Treatments tested in this trial
phosphate
DrugThe target daily phosphate (Pi) intake is 3,500 mg/day (dietary intake plus our supplementation) for this study. Subjects will take a supplement of Pi (as KPhos Neutral 250 mg/tablet) to reach this target. Subjects will receive treatment for 30 days.
Treatment groups
Trial outcomes
Primary outcomes
Parathyroid Hormone (PTH) levels
PTH levels are expected to increase over baseline after phosphate supplement (Pi).
Fibroblast Growth Factor 23 (FGF23) levels
FGF23 levels are expected to increase over baseline after phosphate supplement (Pi).
Sponsors and contacts
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Yale University
Lead sponsor
National Center for Advancing Translational Sciences (NCATS)
Collaborator