A Repeated Study of KRN23 in Adults With X-Linked Hypophosphatemia

NCT ID: NCT01340482

Last Updated: 2024-06-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-04-30

Study Completion Date

2013-10-31

Brief Summary

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The primary purpose of this study is to assess the safety and efficacy of repeated subcutaneous (SC) injections of KRN23 in adult subjects with X-Linked Hypophosphatemia (XLH). A Bone Substudy will evaluate the effects of single-blind KRN23 versus Placebo on bone mineral density and bone quality.

Detailed Description

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Conditions

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X-linked Hypophosphatemia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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KRN23

Escalating doses of KRN23 (0.05, 0.10, 0.30 and 0.60 mg/kg) will be administered SC every 28 days (up to 4 doses)

Group Type EXPERIMENTAL

KRN23

Intervention Type DRUG

Subjects will receive escalating doses of KRN23 administered by SC injections every 28-days (up to 4 doses) based on a dosing algorithm and discretion of the investigator and sponsor.

Interventions

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KRN23

Subjects will receive escalating doses of KRN23 administered by SC injections every 28-days (up to 4 doses) based on a dosing algorithm and discretion of the investigator and sponsor.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. 18 years or older
2. Clinical diagnosis of XLH
3. TmP/GFR \< 2.0 mg/dL
4. GFR ≥60 mL/min
5. Corrected Ca \<10.8 mg/dL
6. A willingness to utilize adequate contraception and not become pregnant\[or to have their partner(s) become pregnant\] during the study

Exclusion Criteria

1. Have any sign of active infectious disease or have had an infection requiring treatment with antibiotics within 3-weeks of Screening
2. History of known immunodeficiency
3. Pregnant or lactating females subjects or female planning to be become pregnant during the study
4. Receipt of a live (attenuated) vaccine (except for influenza vaccines) within 3-months of Screening, and/or during the study
5. Use of pharmacologic vitamin D metabolite or its analog, phosphate, calcimimetics, and ingestion of aluminum hydroxide antacids within 10-days prior to Screening and/or dosing
6. Use of any supplement containing phosphate, calcium and/or vitamin D within 10-days prior to Screening and/or dosing
7. Condition which could present a concern for either the subject's safety or difficulty with data interpretation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kyowa Kirin Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Amy Zhang, PhD

Role: STUDY_DIRECTOR

Kyowa Hakko Kirin Pharma, Inc.

Locations

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University of California, San Francisco Medical Center

San Francisco, California, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Clinical Research Center, Indiana University School of Medicine

Indianapolis, Indiana, United States

Site Status

Duke Clinical Research Unit

Durham, North Carolina, United States

Site Status

University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

Shriners Hospital for Children - Canada

Montreal, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Zhang X, Imel EA, Ruppe MD, Weber TJ, Klausner MA, Ito T, Vergeire M, Humphrey J, Glorieux FH, Portale AA, Insogna K, Carpenter TO, Peacock M. Pharmacokinetics and pharmacodynamics of a human monoclonal anti-FGF23 antibody (KRN23) in the first multiple ascending-dose trial treating adults with X-linked hypophosphatemia. J Clin Pharmacol. 2016 Feb;56(2):176-85. doi: 10.1002/jcph.570. Epub 2015 Aug 11.

Reference Type DERIVED
PMID: 26073451 (View on PubMed)

Imel EA, Zhang X, Ruppe MD, Weber TJ, Klausner MA, Ito T, Vergeire M, Humphrey JS, Glorieux FH, Portale AA, Insogna K, Peacock M, Carpenter TO. Prolonged Correction of Serum Phosphorus in Adults With X-Linked Hypophosphatemia Using Monthly Doses of KRN23. J Clin Endocrinol Metab. 2015 Jul;100(7):2565-73. doi: 10.1210/jc.2015-1551. Epub 2015 Apr 28.

Reference Type DERIVED
PMID: 25919461 (View on PubMed)

Related Links

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https://clinicaltrials.gov/ct2/show/NCT01571596?term=KRN23-INT-002&draw=2&rank=1

KNR23-INT-002: An Extension Study of KRN23 in Adults With X-Linked Hypophosphatemia

Other Identifiers

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KRN23-INT-001

Identifier Type: -

Identifier Source: org_study_id

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