Hypophosphatasia is a rare inherited metabolic disorder due to inactivating mutations of the ALPL-Gene. Particularly among adult patients, clinical manifestation exhibits a broad range of signs and symptoms, most commonly associated with musculoskeletal disabilities and compromised quality of life. Enzyme replacement therapy with Asfotase alfa (AA) is available and approved for patients with pediatric onset of the disease. This single-center observational cohort study aims at collecting clinical routine data regarding the course treatment, quality of life and physical performance in patients treated with Asfotase alfa in line with the label for pediatric-onset hypophosphatasia.
Study Type
OBSERVATIONAL
Enrollment
23
Clinical Trial Unit, Orthopedic Department, Wuerzburg University
Würzburg, Germany
Physical Performance
6 Minute Walk Test \[meters\]
Time frame: 1 year of treatment compared to pre-treatment baseline
Physical Performance
Short Physical Performance Battery \[points\]
Time frame: 1 year of treatment compared to pre-treatment baseline
Physical Performance
Timed Up and Go Test \[seconds\]
Time frame: 1 year of treatment compared to pre-treatment baseline
Physical Performance
Handheld dynamometry \[kilogram\]
Time frame: 1 year of treatment compared to pre-treatment baseline
Physical Performance
Jumping mechanography \[W/kg bodyweight\]
Time frame: 1 year of treatment compared to pre-treatment baseline
Physical Performance
Use of assistive devices descriptive measure
Time frame: 1 year of treatment compared to pre-treatment baseline
Body composition
Bioelectrical Impedance Analysis \[proportional mass of muscle, water and fat in kg\]
Time frame: 1 year of treatment compared to pre-treatment baseline
Health related quality of life
Questionnaire
Time frame: 1 year of treatment compared to pre-treatment baseline
Bone Mineral Density
Dual x-ray absorptiometry (DXA)
Time frame: 1 year of treatment compared to pre-treatment baseline
Skeletal pathology
Descriptive assessment of available imaging (x-Ray, CT, MRI, histological sections)
Time frame: 1 year of treatment compared to pre-treatment baseline
Laboratory evaluation
Parathyroid hormone \[PTH, pg/ml\]
Time frame: 1 year of treatment compared to pre-treatment baseline
Laboratory evaluation
Serum-Calcium \[mmol/l\]
Time frame: 1 year of treatment compared to pre-treatment baseline
Laboratory evaluation
Serum-Phosphorus \[mmol/l\]
Time frame: 1 year of treatment compared to pre-treatment baseline
Laboratory evaluation
Serum-Creatinine \[µmol/l\], incl. calculated eGFR
Time frame: 1 year of treatment compared to pre-treatment baseline
Laboratory evaluation
Fibroblast Growth Factor 23 / FGF-23 \[RU/ml\]
Time frame: 1 year of treatment compared to pre-treatment baseline
Safety assessment
Injection site reactions (descriptive)
Time frame: 1 year of treatment compared to pre-treatment baseline
Safety assessment
Injection associated reactions (descriptive)
Time frame: 1 year of treatment compared to pre-treatment baseline
Safety assessment
Ectopic calcifications (descriptive)
Time frame: 1 year of treatment compared to pre-treatment baseline
Safety assessment
Adverse events (descriptive)
Time frame: 1 year of treatment compared to pre-treatment baseline
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