HPP is a genetic and progressive metabolic disease in which patients experience devastating effects on multiple systems of the body, leading to debilitating or life-threatening complications. It is an ultra-rare disease, which is defined as a disease that affects fewer than 20 patients per one million in the general population.1 HPP is characterized by defective bone mineralization that can lead to deformity of bones and other skeletal abnormalities, as well as systemic complications such as profound muscle weakness, seizures, pain, and respiratory failure leading to premature death in infants.2-6
Strensiq is approved in the
Abstracts summarizing these presentations have been published on the ASBMR website and are available to conference registrants and ASBMR members at: http://www.asbmr.org/ASBMR-abstracts.
The following abstract will be presented in an oral session on
- Abstract 1071: "Asfotase Alfa: Sustained Efficacy and Tolerability in Children with Hypophosphatasia Treated for 5 Years," Rockman-Greenberg, et al.
The following abstract will be presented in a poster session on
- Abstract SA0376: "A Longitudinal, Prospective, Long-Term Registry of Patients with Hypophosphatasia," Seefried, et al.
The following abstracts will be presented in a poster session on
- Abstract SU0380: "Exposure-Response Modeling and Simulation to Support Evaluation of Efficacious and
Safe Exposure and Dose Range for Asfotase Alfa in Patients with Hypophosphatasia," Pradhan, et al. - Abstract SU0381: "Manifestations of Hypophosphatasia in Adults with Pediatric Onset of Symptoms: A Review of the Case Literature," Sawyer, et al.
The following abstracts will be presented in a poster session on
- Abstract MO0382: "Improved Functional Mobility with Asfotase Alfa Treatment in Childhood Hypophosphatasia," Madson, et al.
- Abstract MO0059: "Validation of a Novel Scoring System, the Radiographic Global Impression of Change (RGI-C) Scale, for Assessing Skeletal Manifestations of Hypophosphatasia in Infants and Children," Whyte, et al.
About Hypophosphatasia (HPP)
HPP is a genetic, chronic, and progressive ultra-rare metabolic disease characterized by defective bone mineralization that can lead to destruction and deformity of bones and other skeletal abnormalities, as well as systemic complications such as profound muscle weakness, seizures, pain, and respiratory failure leading to premature death in infants.2-6
HPP is caused by mutations in the gene encoding an enzyme known as tissue non-specific alkaline phosphatase (TNSALP).2,3 The genetic deficiency in HPP can affect people of all ages.2 HPP is classified by the age of the patient at the onset of symptoms of the disease, with infantile- and juvenile-onset HPP defined as manifestation of the first symptom prior to 18 years of age.
HPP can have devastating consequences for patients at any stage of life.2 In a natural history study, infants who had their first symptom of HPP within the first 6 months of life had high mortality, with an overall mortality rate of 73% at 5 years.7 In these patients, mortality is primarily due to respiratory failure.2,6,8 In patients surviving to adolescence and adulthood, long-term clinical sequelae include recurrent and non-healing fractures, profound muscle weakness, debilitating pain, and the requirement for ambulatory assistive devices such as wheelchairs, wheeled walkers, and canes.2,5
About Strensiq™ (asfotase alfa)
Strensiq™ (asfotase alfa) is an innovative enzyme replacement therapy designed to address the underlying cause of HPP—a deficiency of TNSALP activity. By replacing the defective enzyme, treatment with Strensiq aims to prevent or reverse the mineralization defects of the skeleton, thereby preventing serious skeletal and systemic morbidity and premature death.
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References
1. REGULATION (EU) No 536/2014 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of
2.
3. Whyte MP. Hypophosphatasia: nature's window on alkaline phosphatase function in humans. In: Bilezikian JP, Raisz LG, Martin TJ, eds. Principles of Bone Biology. Vol 1. 3rd ed.
4. Whyte MP, Greenberg CR, Salman N, et al. Enzyme-replacement therapy in life-threatening hypophosphatasia. N Engl J Med. 2012; 366(10):904-913.
5. Seshia SS, Derbyshire G, Haworth JC, Hoogstraten J. Myopathy with hypophosphatasia. Arch Dis Child. 1990; 65(1):130-131.
6.
7. Whyte MP, Leung E, Wilcox W, et al. Hypophosphatasia: a retrospective natural history study of the severe perinatal and infantile forms. Poster presented at the 2014
8. Whyte MP,
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