Trial Outcomes & Findings for Post-approval Clinical Study of Asfotase Alfa Treatment for Patients With Hypophosphatasia (HPP) in Japan (NCT NCT02531867)

NCT ID: NCT02531867

Last Updated: 2017-05-08

Results Overview

Adverse events are any unwanted adverse medical occurrence in patients who are treated with a medicinal drug, whether or not considered drug-related. This includes events observed in patients administered with asfotase alfa between the first dose of asfotase alfa and the completion of patient's last visit for the clinical study.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

13 participants

Primary outcome timeframe

Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.

Results posted on

2017-05-08

Participant Flow

There were 11 study sites, all in Japan; 13 patients were enrolled into this study. The first patient signed informed consent in June 2015; the study continued through November 2015 at multiple centers in Japan.

Participant milestones

Participant milestones
Measure
Overall Study
Patients enrolled in this study received a total of 6 mg/kg/week asfotase alfa by SC injection. At the Investigator's discretion, patients were continued on the dose established in the Investigator-initiated studies, receiving either 1 mg/kg asfotase alfa 6 times per week or 2 mg/kg asfotase alfa 3 times per week.
Overall Study
STARTED
13
Overall Study
COMPLETED
13
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Post-approval Clinical Study of Asfotase Alfa Treatment for Patients With Hypophosphatasia (HPP) in Japan

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=13 Participants
Patients enrolled in this study received a total of 6 mg/kg/week asfotase alfa by SC injection. At the Investigator's discretion, patients were continued on the dose established in the Investigator-initiated studies, receiving either 1 mg/kg asfotase alfa 6 times per week or 2 mg/kg asfotase alfa 3 times per week.
Age, Categorical
<=18 years
12 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
1.39 years
n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
13 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
12 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Japan
13 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.

Population: All patients who met all of the inclusion and none of the exclusion criteria were defined as the enrolled population, which was also the analysis population.The safety set comprised all patients who received at least 1 dose of the investigational drug.

Adverse events are any unwanted adverse medical occurrence in patients who are treated with a medicinal drug, whether or not considered drug-related. This includes events observed in patients administered with asfotase alfa between the first dose of asfotase alfa and the completion of patient's last visit for the clinical study.

Outcome measures

Outcome measures
Measure
Overall Study
n=13 Participants
Patients enrolled in this study received a total of 6 mg/kg/week asfotase alfa by SC injection. At the Investigator's discretion, patients were continued on the dose established in the Investigator-initiated studies, receiving either 1 mg/kg asfotase alfa 6 times per week or 2 mg/kg asfotase alfa 3 times per week.
Number of Participants With Adverse Events (AEs) Including Injection Site Reactions (ISRs) and Injection Associated Reactions (IARs)
Number of Patients with AEs
9 Participants
Number of Participants With Adverse Events (AEs) Including Injection Site Reactions (ISRs) and Injection Associated Reactions (IARs)
Number of Patients with ISRs
2 Participants
Number of Participants With Adverse Events (AEs) Including Injection Site Reactions (ISRs) and Injection Associated Reactions (IARs)
Number of Patients with IARs
0 Participants

Adverse Events

Overall Study

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Overall Study
n=13 participants at risk
Patients enrolled in this study received a total of 6 mg/kg/week asfotase alfa by SC injection. At the Investigator's discretion, patients were continued on the dose established in the Investigator-initiated studies, receiving either 1 mg/kg asfotase alfa 6 times per week or 2 mg/kg asfotase alfa 3 times per week.
Gastrointestinal disorders
Enterocolitis
7.7%
1/13 • Number of events 1 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.
General disorders
Injection site bruising
7.7%
1/13 • Number of events 1 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.
General disorders
Injection site erythema
7.7%
1/13 • Number of events 3 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.
General disorders
Injection site induration
7.7%
1/13 • Number of events 1 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.
Infections and infestations
Bronchitis
7.7%
1/13 • Number of events 1 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.
Infections and infestations
Conjunctivitis viral
7.7%
1/13 • Number of events 1 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.
Infections and infestations
Nasopharyngitis
15.4%
2/13 • Number of events 3 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.
Infections and infestations
Upper respiratory tract infection
15.4%
2/13 • Number of events 5 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.
Infections and infestations
Viral rash
7.7%
1/13 • Number of events 1 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.
Injury, poisoning and procedural complications
Feeding tube complicatino
7.7%
1/13 • Number of events 1 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.
Nervous system disorders
Intercostal neuralgia
7.7%
1/13 • Number of events 1 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.
Skin and subcutaneous tissue disorders
Alopecia
7.7%
1/13 • Number of events 1 • Events that occurred between the first dose of asfotase alfa and the completion of the patient's last visit, which was up to 5 months.
TEAEs were collected at every visit and follow-up.

Additional Information

Medical Director

Alexion

Phone: (781) 357-9900

Results disclosure agreements

  • Principal investigator is a sponsor employee The Investigators are subject to certain disclosure and publication limitations. In cases of publication of the study results at conferences or on academic journals, the post-approval clinical study coordinating investigator and the study sponsor should discuss about details of publication, publication methods and presenters before decision-making
  • Publication restrictions are in place

Restriction type: OTHER