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A Study of KRN23 in X-linked Hypophosphatemia

Primary Purpose

X-linked Hypophosphatemia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Placebo
KRN23
Sponsored by
Kyowa Hakko Kirin Pharma, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for X-linked Hypophosphatemia focused on measuring XLH

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. 18 years or older
  2. Clinical diagnosis of XLH
  3. TmP/GFR is less than 2.0 mg/dL
  4. GFR is 60 mL/min or above

Exclusion Criteria:

  1. Have any sign of active infectious disease or have had an infection requiring treatment with antibiotics within three weeks prior to screening
  2. History of known immunodeficiency
  3. Lactating females, female patients who are pregnant or planning to become pregnant during the study
  4. Use of a pharmacologic vitamin D metabolite or its analog, phosphate, calcimimetics, and ingestion of aluminum hydroxide antacids within 10 days prior to screening and dosing
  5. Use of any supplement contained phosphate, calcium and/or vitamin D within 10 days prior to screening and dosing
  6. Receipt of live (attenuated) vaccine within 3-months prior to screening
  7. Have any condition which, in the opinion of the Investigator, could present a concern for either patient safety or difficulty with data interpretation

Sites / Locations

  • Yale University School of Medicine
  • General Clinical Research Center, Indiana University School of Medicine
  • Duke Clinical Research Unit
  • University of Texas Health Science Center at Houston

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

KRN23

Placebo

Arm Description

Single IV or SC administration on day 1

Single IV or SC administration on day 1

Outcomes

Primary Outcome Measures

Safety and tolerability
AEs, etc

Secondary Outcome Measures

Effect to pharmacodynamic parameter
Change in Serum Phosphate

Full Information

First Posted
January 27, 2009
Last Updated
October 18, 2013
Sponsor
Kyowa Hakko Kirin Pharma, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00830674
Brief Title
A Study of KRN23 in X-linked Hypophosphatemia
Official Title
A Phase I, Double-blind, Randomized, Placebo-controlled, Single-dose, Dose-escalation Study of KRN23 in X-linked Hypophosphatemia
Study Type
Interventional

2. Study Status

Record Verification Date
October 2013
Overall Recruitment Status
Completed
Study Start Date
December 2008 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
May 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kyowa Hakko Kirin Pharma, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective of this study is to assess the safety and tolerability of KRN23 after a single intravenous (IV) and subcutaneous (SC) administration in XLH patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
X-linked Hypophosphatemia
Keywords
XLH

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
KRN23
Arm Type
Experimental
Arm Description
Single IV or SC administration on day 1
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Single IV or SC administration on day 1
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
single dose IV or SC administration
Intervention Type
Drug
Intervention Name(s)
KRN23
Intervention Description
Single IV administration on day 1: 0.003, 0.01, 0.03, 0.1 and 0.3 mg/kg and Single SC administration on day 1: 0.1, 0.3, 0.6 and 1.0 mg/kg
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
AEs, etc
Time Frame
Up to 7 weeks after dosing (maximally 11 weeks)
Secondary Outcome Measure Information:
Title
Effect to pharmacodynamic parameter
Description
Change in Serum Phosphate
Time Frame
Up to 7 weeks after dosing (maximally 11 weeks)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years or older Clinical diagnosis of XLH TmP/GFR is less than 2.0 mg/dL GFR is 60 mL/min or above Exclusion Criteria: Have any sign of active infectious disease or have had an infection requiring treatment with antibiotics within three weeks prior to screening History of known immunodeficiency Lactating females, female patients who are pregnant or planning to become pregnant during the study Use of a pharmacologic vitamin D metabolite or its analog, phosphate, calcimimetics, and ingestion of aluminum hydroxide antacids within 10 days prior to screening and dosing Use of any supplement contained phosphate, calcium and/or vitamin D within 10 days prior to screening and dosing Receipt of live (attenuated) vaccine within 3-months prior to screening Have any condition which, in the opinion of the Investigator, could present a concern for either patient safety or difficulty with data interpretation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Thomas O. Carpenter, M.D.
Organizational Affiliation
Yale University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Yale University School of Medicine
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States
Facility Name
General Clinical Research Center, Indiana University School of Medicine
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202-5250
Country
United States
Facility Name
Duke Clinical Research Unit
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
University of Texas Health Science Center at Houston
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
24569459
Citation
Carpenter TO, Imel EA, Ruppe MD, Weber TJ, Klausner MA, Wooddell MM, Kawakami T, Ito T, Zhang X, Humphrey J, Insogna KL, Peacock M. Randomized trial of the anti-FGF23 antibody KRN23 in X-linked hypophosphatemia. J Clin Invest. 2014 Apr;124(4):1587-97. doi: 10.1172/JCI72829. Epub 2014 Feb 24.
Results Reference
derived
Links:
URL
http://www.clinicaltrials.gov/ct2/show/NCT01340482?term=KRN23&rank=1
Description
KRN23-INT-002 An Extension Study of KRN23 in Adults With X-Linked Hypophosphatemia

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A Study of KRN23 in X-linked Hypophosphatemia

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