About this trial
Hypophosphatasia (HPP) is a rare inherited metabolic disorder characterized by defective bone and teeth mineralization caused by mutations of the ALPL gene, which encodes for the tissue-nonspecific alkaline phosphatase (TNSALP) isozyme, resulting in decreased serum and bone alkaline phosphatase levels. To date, over 250 different mutations in the gene encoding TNSALP have been associated with HPP. Clinically, the loss of TNSALP function results in progressive skeletal impact as well as progressive impact on all other major organ systems. It clinically manifests as rickets in infants and children and osteomalacia at all ages. The severe form of the disease has been estimated to have a prevalence of about 1 in every 100,000 live births.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients or their legal representative must provide written informed consent or, if applicable, qualify for waiver of consent.
Serum alkaline phosphatase (ALP) below the age-adjusted normal range
Plasma PLP at least twice the upper limit of normal (no vitamin B6 administered for at least 1 week prior to determination)
Evidence of osteopenia or osteomalacia on skeletal radiographs
Disqualifiers
Any patient without confirmation of clinical diagnosis of HPP.
Trial population
Up to 100 minor and 100 adult subjects will be enrolled into this natural history study.
Trial design
Family-based
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Medical History of HPP Patients
Patient clinical data will be collected related to the diagnosis, onset, progression, treatment course and outcome for patients with HPP
Secondary outcomes
long-term efficacy of treatment modalities
potential long term complications of the disease and/or treatment
quality of life issues for patients living with hypophosphatasia
Sponsors and contacts
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