Trial Outcomes & Findings for Examining the Effect of Burosumab on Muscle Function (NCT NCT04146935)

NCT ID: NCT04146935

Last Updated: 2023-08-24

Results Overview

Rates of mitochondrial phosphorylation activity were assessed in the soleus/gastrocnemius muscle complex of the right calf by 31P magnetic resonance spectroscopy saturation transfer technique (micro-mol/g/min)

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

10 participants

Primary outcome timeframe

2.5 months

Results posted on

2023-08-24

Participant Flow

Participant milestones

Participant milestones
Measure
Patients With XLH
Patients will receive Burosumab monthly at visits 1,2 and 3 subcutaneously at a dose of 1.0 mg/kg. Dose may be adjusted as needed. Burosumab Injection \[Crysvita\]: Burosumab/Crysvita SC injection monthly
Overall Study
STARTED
10
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Examining the Effect of Burosumab on Muscle Function

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patients With XLH
n=10 Participants
Patients will receive Burosumab monthly at visits 1,2 and 3 subcutaneously at a dose of 1.0 mg/kg. Dose may be adjusted as needed. Burosumab Injection \[Crysvita\]: Burosumab/Crysvita SC injection monthly
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
39.7 years
STANDARD_DEVIATION 11.2 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 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
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
10 Participants
n=5 Participants
Region of Enrollment
United States
8 Participants
n=5 Participants
Region of Enrollment
Canada
2 Participants
n=5 Participants
Fasting serum phosphate
1.74 mg/dL
STANDARD_DEVIATION 0.43 • n=5 Participants
Serum calcium
9.30 mg/dL
STANDARD_DEVIATION 0.32 • n=5 Participants
Parathyroid hormone (PTH)
68.78 pg/mL
STANDARD_DEVIATION 24.40 • n=5 Participants
Renal phosphate threshold
1.59 mg/100 ml GF
STANDARD_DEVIATION 0.44 • n=5 Participants
Fibroblast growth factor (FGF) 23 levels
53.4 pg/mL
STANDARD_DEVIATION 14.5 • n=5 Participants
25-hydroxy vitamin D
34.23 ng/mL
STANDARD_DEVIATION 15.53 • n=5 Participants
1,25-dihydroxy vitamin D
71.29 pg/mL
STANDARD_DEVIATION 19.05 • n=5 Participants
Serum creatinine
0.63 mg/dL
STANDARD_DEVIATION 0.15 • n=5 Participants

PRIMARY outcome

Timeframe: 2.5 months

Rates of mitochondrial phosphorylation activity were assessed in the soleus/gastrocnemius muscle complex of the right calf by 31P magnetic resonance spectroscopy saturation transfer technique (micro-mol/g/min)

Outcome measures

Outcome measures
Measure
Patients With XLH
n=10 Participants
Patients will receive Burosumab monthly at visits 1,2 and 3 subcutaneously at a dose of 1.0 mg/kg. Dose may be adjusted as needed. Burosumab Injection \[Crysvita\]: Burosumab/Crysvita SC injection monthly
Skeletal Muscle Adenosine Triphosphate (ATP) Synthesis Rate
9.41 umol/g/min
Interval 8.7827 to 10.0333

SECONDARY outcome

Timeframe: 2.5 months

measured in mg/dl

Outcome measures

Outcome measures
Measure
Patients With XLH
n=10 Participants
Patients will receive Burosumab monthly at visits 1,2 and 3 subcutaneously at a dose of 1.0 mg/kg. Dose may be adjusted as needed. Burosumab Injection \[Crysvita\]: Burosumab/Crysvita SC injection monthly
Serum Phosphate
2.85 mg/dL
Interval 2.4231 to 3.2769

SECONDARY outcome

Timeframe: 2.5 months

Intracellular phosphorus concentration in skeletal muscle (umol/g muscle)

Outcome measures

Outcome measures
Measure
Patients With XLH
n=10 Participants
Patients will receive Burosumab monthly at visits 1,2 and 3 subcutaneously at a dose of 1.0 mg/kg. Dose may be adjusted as needed. Burosumab Injection \[Crysvita\]: Burosumab/Crysvita SC injection monthly
Intracellular Phosphate Concentration in Umol/g Muscle
2.31 umol/g muscle
Interval 1.9654 to 2.6446

OTHER_PRE_SPECIFIED outcome

Timeframe: 2.5 months

functional testing outcome measured in meters

Outcome measures

Outcome measures
Measure
Patients With XLH
n=10 Participants
Patients will receive Burosumab monthly at visits 1,2 and 3 subcutaneously at a dose of 1.0 mg/kg. Dose may be adjusted as needed. Burosumab Injection \[Crysvita\]: Burosumab/Crysvita SC injection monthly
Six-minute Walk Test
440.4 meter
Interval 388.06 to 492.74

OTHER_PRE_SPECIFIED outcome

Timeframe: 2.5 months

functional testing outcome measured in the number completed in 30 seconds

Outcome measures

Outcome measures
Measure
Patients With XLH
n=10 Participants
Patients will receive Burosumab monthly at visits 1,2 and 3 subcutaneously at a dose of 1.0 mg/kg. Dose may be adjusted as needed. Burosumab Injection \[Crysvita\]: Burosumab/Crysvita SC injection monthly
Sit to Stand
14.2 repetitions
Interval 10.8312 to 17.5688

OTHER_PRE_SPECIFIED outcome

Timeframe: 2.5 months

functional testing outcome measured in seconds

Outcome measures

Outcome measures
Measure
Patients With XLH
n=10 Participants
Patients will receive Burosumab monthly at visits 1,2 and 3 subcutaneously at a dose of 1.0 mg/kg. Dose may be adjusted as needed. Burosumab Injection \[Crysvita\]: Burosumab/Crysvita SC injection monthly
Timed up and go Test
7.47 second
Interval 6.4473 to 8.4967

Adverse Events

Patients With XLH

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Patients With XLH
n=10 participants at risk
Patients will receive Burosumab monthly at visits 1,2 and 3 subcutaneously at a dose of 1.0 mg/kg. Dose may be adjusted as needed. Burosumab Injection \[Crysvita\]: Burosumab/Crysvita SC injection monthly
Renal and urinary disorders
Partial ureteropelvic junction obstruction by staghorn calculus
10.0%
1/10 • Number of events 1 • 3 months (time of consent to completion of visit 5)

Other adverse events

Adverse event data not reported

Additional Information

Dr. Karl Insogna

Yale School of Medicine

Phone: 203-785-3272

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place