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Trial · NCT02163577

Study of KRN23 (Burosumab), a Recombinant Fully Human Monoclonal Antibody Against Fibroblast Growth Factor 23 (FGF23), in Pediatric Subjects With X-linked Hypophosphatemia (XLH)

NCT02163577, Phase 2, Completed, Kyowa Kirin, Inc.; results first posted 2019-05-22

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of KRN23 (Burosumab), a Recombinant Fully Human Monoclonal Antibody Against Fibroblast Growth Factor 23 (FGF23), in Pediatric Subjects With X-linked Hypophosphatemia (XLH). Trials, record NCT02163577. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02163577

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of KRN23 (Burosumab), a Recombinant Fully Human Monoclonal Antibody Against Fibroblast Growth Factor 23 (FGF23), in Pediatric Subjects With X-linked Hypophosphatemia (XLH)
NCT number
NCT02163577
Status
Completed
Phases
Phase 2
Enrollment
52 participants, actual
Lead sponsor
Kyowa Kirin, Inc.
Conditions
X-linked Hypophosphatemia
Interventions
burosumab
First posted
2014-06-13
Last updated
2024-05-06
Results first posted
2019-05-22

Source ClinicalTrials.gov

Registered outcomes29

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline in RSS Total Score Over TimeBaseline, Week 40, 64, 160
The RSS system is a 10-point radiographic scoring method that was developed to assess the severity of nutritional rickets in the wrists and knees based on the degree of metaphyseal fraying, cupping, and the proportion of the growth plate affected. Scores are assigned for the unilateral wrist and knee X-rays deemed by the rater to be the more severe of the bilateral images. The maximum total score on the RSS is 10 points and the minimum score is 0, with a total possible score of 4 points for the wrists and 6 points for the knees. Higher scores indicate greater rickets severity.
PrimaryChange From Baseline in Serum Phosphorus Over TimeBaseline, Week 40, 64, 160
PrimaryChange From Baseline in Serum 1,25(OH)2D Over TimeBaseline, Week 40, 64, 160
PrimaryChange From Baseline in TmP/GFR Over TimeBaseline, Week 40, 64, 160Data for urinary phosphorus and TRP were used in calculation TmP/GFR.
SecondaryChange From Baseline in RSS Knee Scores Over TimeBaseline, Week 40, 64, 160
The RSS system is a 10-point radiographic scoring method that was developed to assess the severity of nutritional rickets in the wrists and knees based on the degree of metaphyseal fraying, cupping, and the proportion of the growth plate affected. Scores are assigned for the unilateral wrist and knee X-rays deemed by the rater to be the more severe of the bilateral images. The maximum total score on the RSS is 10 points and the minimum score is 0, with a total possible score of 4 points for the wrists and 6 points for the knees. Higher scores indicate greater rickets severity.
SecondaryChange From Baseline in RSS Wrist Scores Over TimeBaseline, Week 40, 64, 160
The RSS system is a 10-point radiographic scoring method that was developed to assess the severity of nutritional rickets in the wrists and knees based on the degree of metaphyseal fraying, cupping, and the proportion of the growth plate affected. Scores are assigned for the unilateral wrist and knee X-rays deemed by the rater to be the more severe of the bilateral images. The maximum total score on the RSS is 10 points and the minimum score is 0, with a total possible score of 4 points for the wrists and 6 points for the knees. Higher scores indicate greater rickets severity.
SecondaryRadiographic Global Impression of Change (RGI-C) Global Scores Over TimeBaseline, Week 40, 64, 160
Changes in the severity of rickets and bowing were assessed centrally by three independent pediatric radiologists contracted by a central imaging facility using a disease specific qualitative RGI-C scoring system. The RGI-C is a seven point ordinal scale with possible values: +3 = very much better (complete or near complete healing of rickets), +2 = much better (substantial healing of rickets), +1 = minimally better (i.e., minimal healing of rickets), 0 = unchanged, -1 = minimally worse (minimal worsening of rickets), -2 = much worse (moderate worsening of rickets), -3 = very much worse (severe worsening of rickets).
SecondaryRGI-C Knee Scores Over TimeBaseline, Week 40, 64, 160
Changes in the severity of rickets and bowing were assessed centrally by three independent pediatric radiologists contracted by a central imaging facility using a disease specific qualitative RGI-C scoring system. The RGI-C is a seven point ordinal scale with possible values: +3 = very much better (complete or near complete healing of rickets), +2 = much better (substantial healing of rickets), +1 = minimally better (i.e., minimal healing of rickets), 0 = unchanged, -1 = minimally worse (minimal worsening of rickets), -2 = much worse (moderate worsening of rickets), -3 = very much worse (severe worsening of rickets).
SecondaryRGI-C Wrist Scores Over TimeBaseline, Week 40, 64, 160
Changes in the severity of rickets and bowing were assessed centrally by three independent pediatric radiologists contracted by a central imaging facility using a disease specific qualitative RGI-C scoring system. The RGI-C is a seven point ordinal scale with possible values: +3 = very much better (complete or near complete healing of rickets), +2 = much better (substantial healing of rickets), +1 = minimally better (i.e., minimal healing of rickets), 0 = unchanged, -1 = minimally worse (minimal worsening of rickets), -2 = much worse (moderate worsening of rickets), -3 = very much worse (severe worsening of rickets).
SecondaryChange From Baseline in Growth Velocity Over TimeBaseline, Week 40, 64, 160

Outcomes29

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in RSS Total Score Over TimeBaseline, Week 40, 64, 160Intent to Treat (ITT) Analysis Set: all participants who received at least 1 dose of study therapy and had at least 1 post-dose measurement at given time point.score on a scaleLEAST_SQUARES_MEAN
PRIMARYChange From Baseline in Serum Phosphorus Over TimeBaseline, Week 40, 64, 160Pharmacokinetic/Pharamcodynamic (PK/PD) Analysis Set: all participants who received at least 1 dose of therapy and had evaluable serum data at given time point.mg/dLMEAN
PRIMARYChange From Baseline in Serum 1,25(OH)2D Over TimeBaseline, Week 40, 64, 160PK/PD Analysis Set: all participants who received at least 1 dose of therapy and had evaluable serum data at given time point.pg/mLMEAN
PRIMARYChange From Baseline in TmP/GFR Over TimeBaseline, Week 40, 64, 160PK/PD Analysis Set: all participants who received at least 1 dose of therapy and had evaluable serum data at given time point.mg/dLMEAN
SECONDARYChange From Baseline in RSS Knee Scores Over TimeBaseline, Week 40, 64, 160ITT Analysis Set: all participants who received at least 1 dose of study therapy and had at least 1 post-dose measurement at given time point.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in RSS Wrist Scores Over TimeBaseline, Week 40, 64, 160ITT Analysis Set: all participants who received at least 1 dose of study therapy and had at least 1 post-dose measurement at given time point.score on a scaleLEAST_SQUARES_MEAN
SECONDARYRadiographic Global Impression of Change (RGI-C) Global Scores Over TimeBaseline, Week 40, 64, 160ITT Analysis Set: all participants who received at least 1 dose of study therapy and had at least 1 post-dose measurement at given time point.score on a scaleLEAST_SQUARES_MEAN
SECONDARYRGI-C Knee Scores Over TimeBaseline, Week 40, 64, 160ITT Analysis Set: all participants who received at least 1 dose of study therapy and had at least 1 post-dose measurement at given time point.score on a scaleLEAST_SQUARES_MEAN
SECONDARYRGI-C Wrist Scores Over TimeBaseline, Week 40, 64, 160ITT Analysis Set: all participants who received at least 1 dose of study therapy and had at least 1 post-dose measurement at given time point.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Growth Velocity Over TimeBaseline, Week 40, 64, 160ITT Analysis Set: all participants who received at least 1 dose of study therapy and had at least 1 post-dose measurement at given time point.cm/yearMEAN

Results by group182

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in RSS Total Score Over TimeBurosumab Q2WChange to Week 40-1.06Standard Error 0.100score on a scale
Change From Baseline in RSS Total Score Over TimeBurosumab Q4W Then Q2WChange to Week 40-0.73Standard Error 0.100score on a scale
Change From Baseline in RSS Total Score Over TimeBurosumab Q2WChange to Week 64-1.00Standard Error 0.110score on a scale
Change From Baseline in RSS Total Score Over TimeBurosumab Q4W Then Q2WChange to Week 64-0.84Standard Error 0.098score on a scale
Change From Baseline in RSS Total Score Over TimeBurosumab Q2WChange to Week 160-0.98Standard Error 0.129score on a scale
Change From Baseline in RSS Total Score Over TimeBurosumab Q4W Then Q2WChange to Week 160-0.83Standard Error 0.122score on a scale
Change From Baseline in Serum Phosphorus Over TimeBurosumab Q2WChange at Week 400.92Standard Deviation 0.480mg/dL
Change From Baseline in Serum Phosphorus Over TimeBurosumab Q4W Then Q2WChange at Week 400.57Standard Deviation 0.265mg/dL
Change From Baseline in Serum Phosphorus Over TimeBurosumab Q2WChange at Week 640.99Standard Deviation 0.502mg/dL
Change From Baseline in Serum Phosphorus Over TimeBurosumab Q4W Then Q2WChange at Week 640.69Standard Deviation 0.370mg/dL

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDBurosumab Q2W26
Overall StudySTARTEDBurosumab Q4W Then Q2W26
Overall StudyCOMPLETEDBurosumab Q2W26
Overall StudyCOMPLETEDBurosumab Q4W Then Q2W26
Overall StudyNOT COMPLETEDBurosumab Q2W0
Overall StudyNOT COMPLETEDBurosumab Q4W Then Q2W0

Adverse events220

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherEar PainEar and labyrinth disordersBurosumab Q2W1026
otherEar PainEar and labyrinth disordersBurosumab Q4W Then Q2W826
otherDry EyeEye disordersBurosumab Q2W026
otherDry EyeEye disordersBurosumab Q4W Then Q2W326
otherEye PainEye disordersBurosumab Q2W226
otherEye PainEye disordersBurosumab Q4W Then Q2W226
otherEye PruritusEye disordersBurosumab Q2W326
otherEye PruritusEye disordersBurosumab Q4W Then Q2W226
otherLacrimation IncreasedEye disordersBurosumab Q2W126
otherLacrimation IncreasedEye disordersBurosumab Q4W Then Q2W326

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBurosumab Q2W026
Total, all-cause mortalityBurosumab Q4W Then Q2W026
Total, other adverse eventsBurosumab Q2W2626
Total, other adverse eventsBurosumab Q4W Then Q2W2626
Total, serious adverse eventsBurosumab Q2W026
Total, serious adverse eventsBurosumab Q4W Then Q2W126

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
29791829DERIVEDPubMed
32721016DERIVEDPubMed
34636899DERIVEDPubMed
39151033DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Burosumab Q2W vs Burosumab Q4W Then Q2W: deaths from any causeTrial comparisons
Burosumab Q2W vs Burosumab Q4W Then Q2W: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02163577

GET https://conductscience.org/api/trials/v1/NCT02163577/registered?page=2