Osteoporosis, bone & mineral

Hypophosphatasia: presentation and response to asfotase alfa

Osteoporos IntPublished Case series

Authors' conclusion

HPP treatment with AA in individuals with both pediatric and adult-onset forms resulted in significant subjective improvement in musculoskeletal and cognitive manifestations in addition to patients' quality of life. The drug was well tolerated in 6 patients. 1 patient discontinued therapy because of minor adverse effects with myalgias.

Study context

Population
Patients with hypophosphatasia (HPP) confirmed by DNA analysis, aged 19–68 years (4 females, 3 males); 5 pediatric-onset, 2 adult-onset
Participants
7 patients
Outcome
Subjective clinical improvement with AA
Follow-up
Mean 6 months (SD= 5)

Main finding

As reported in the abstract

Muscle strength and pain improvement from baseline (subjective)
up to 70%
Walking distance improvement
up to 100%
Mood improvement
up to 90%
Energy level improvement
75%
First clinical signs of improvement after 3 months of therapy
4 out of 6 patients

Observational data: associations, not effects.

Safety

Adverse events

Toe fracture 10 months on Asfotase Alfa (AA)
1 out of the 7 patients
AA well tolerated; injection site reactions most reported adverse effect

Original publication

Hypophosphatasia: presentation and response to asfotase alfa. Osteoporos Int. Published 23 November 2023. doi:10.1007/s00198-023-06943-z

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