MedPath

Burosumab

Generic Name
Burosumab
Brand Names
Crysvita
Drug Type
Biotech
CAS Number
1610833-03-8
Unique Ingredient Identifier
G9WJT6RD29
Background

Burosumab (KRN23) is an entirely human monoclonal IgG1 antibody that binds excess fibroblast growth factor 23 (FGF23) and has been successfully tested in clinical trials in children with X-linked hypophosphatemic rickets .

The U.S. Food and Drug Administration approved Crysvita (burosumab) in April 2018. This is the first drug approved to treat adults and children ages 1 year and older with X-linked hypophosphatemia (XLH), which is a rare, inherited form of rickets. X-linked hypophosphatemia causes low circulating levels of phosphorus in the blood. It causes impaired bone growth and development in children and adolescents and issues with bone mineralization throughout a patient’s life .

XLH is a serious disease which affects about 3,000 children and 12,000 adults in the United States. Most children with XLH suffer from bowed or bent legs, short stature, bone pain and severe dental pain. Some adults with this condition suffer from persistent, unrelenting discomfort and complications, such as joint pain, impaired mobility, tooth abscesses and hearing loss .

Indication

This drug is indicated for the treatment of X-linked hypophosphatemia with radiological evidence of bone disease in children of 1 year of age and older and adolescents with growing skeletons .

Associated Conditions
Hypophosphatemia, X-Linked Hypophosphatemia

Examining the Effect of Burosumab on Muscle Function

Phase 4
Completed
Conditions
X-linked Hypophosphatemia
Interventions
First Posted Date
2019-10-31
Last Posted Date
2023-08-24
Lead Sponsor
Yale University
Target Recruit Count
10
Registration Number
NCT04146935
Locations
🇺🇸

Yale University School of Medicine, New Haven, Connecticut, United States

Burosumab for CSHS

Early Phase 1
Conditions
Epidermal Nevus Syndrome
Cutaneous Skeletal Hypophosphatemia Syndrome (CSHS)
Interventions
First Posted Date
2019-06-21
Last Posted Date
2022-03-07
Lead Sponsor
Laura Tosi
Target Recruit Count
1
Registration Number
NCT03993821
Locations
🇺🇸

Children's National Hospital, Washington, District of Columbia, United States

Study of the Anti-FGF23 Antibody, Burosumab, in Adults With XLH

Phase 3
Completed
Conditions
X-linked Hypophosphatemia
Interventions
First Posted Date
2019-04-18
Last Posted Date
2022-05-20
Lead Sponsor
Kyowa Kirin Pharmaceutical Development Ltd
Target Recruit Count
35
Registration Number
NCT03920072
Locations
🇮🇹

Azienda ospedaliera universitaria Careggi, Florence, Italy

🇮🇪

St. Vincent's University Hospital, Dublin, Ireland

🇫🇷

Hopital Lariboisiere, Paris, France

and more 7 locations

Expanded Access to Burosumab

Conditions
X-linked Hypophosphatemia
Tumor-Induced Osteomalacia
First Posted Date
2018-12-13
Last Posted Date
2025-03-05
Lead Sponsor
Kyowa Kirin Co., Ltd.
Registration Number
NCT03775187

A Study of KRN23 in Pediatric Patients With X-linked Hypophosphatemic Rickets/Osteomalacia

Phase 3
Completed
Conditions
X-linked Hypophosphatemic Rickets/Osteomalacia
Interventions
First Posted Date
2017-07-28
Last Posted Date
2022-09-06
Lead Sponsor
Kyowa Kirin Co., Ltd.
Target Recruit Count
16
Registration Number
NCT03233126
Locations
🇯🇵

Kanagawa Prefectural Hospital Organization Kanagawa Children's Medical Center, Yokohama, Kanagwa, Japan

🇯🇵

Osaka Hospital, Japan Community Healthcare Organization (JCHO), Ōsaka, Osaka, Japan

🇯🇵

Okayama Saiseikai General Hospital Outpatient Center, Okayama, Japan

and more 1 locations

A Study of KRN23 in Subjects With Tumor-Induced Osteomalacia or Epidermal Nevus Syndrome

Phase 2
Completed
Conditions
Tumor-Induced Osteomalacia or Epidermal Nevus Syndrome
Interventions
First Posted Date
2016-03-30
Last Posted Date
2022-09-06
Lead Sponsor
Kyowa Kirin Co., Ltd.
Target Recruit Count
14
Registration Number
NCT02722798

A Study of KRN23 in Subjects With X-linked Hypophosphatemic Rickets/Osteomalacia

Phase 1
Completed
Conditions
X-linked Hypophosphatemic Rickets/Osteomalacia
Interventions
First Posted Date
2014-07-04
Last Posted Date
2017-03-03
Lead Sponsor
Kyowa Kirin Co., Ltd.
Target Recruit Count
15
Registration Number
NCT02181764

An Extension Study of KRN23 in Adults With X-Linked Hypophosphatemia

Phase 1
Completed
Conditions
X-linked Hypophosphatemia
Interventions
First Posted Date
2012-04-05
Last Posted Date
2024-06-18
Lead Sponsor
Kyowa Kirin Co., Ltd.
Target Recruit Count
23
Registration Number
NCT01571596
Locations
🇺🇸

University of Texas Health Science Center at Houston, Houston, Texas, United States

🇺🇸

Duke Clinical Research Unit, Durham, North Carolina, United States

🇺🇸

University of California San Francisco, San Francisco, California, United States

and more 3 locations

A Repeated Study of KRN23 in Adults With X-Linked Hypophosphatemia

Phase 1
Completed
Conditions
X-linked Hypophosphatemia
Interventions
First Posted Date
2011-04-22
Last Posted Date
2024-06-18
Lead Sponsor
Kyowa Kirin Co., Ltd.
Target Recruit Count
29
Registration Number
NCT01340482
Locations
🇺🇸

University of California, San Francisco Medical Center, San Francisco, California, United States

🇺🇸

Clinical Research Center, Indiana University School of Medicine, Indianapolis, Indiana, United States

🇺🇸

Yale University School of Medicine, New Haven, Connecticut, United States

and more 3 locations

A Study of KRN23 in X-linked Hypophosphatemia

Phase 1
Completed
Conditions
X-linked Hypophosphatemia
Interventions
Drug: Placebo
First Posted Date
2009-01-28
Last Posted Date
2024-06-17
Lead Sponsor
Kyowa Kirin Co., Ltd.
Target Recruit Count
42
Registration Number
NCT00830674
Locations
🇺🇸

Yale University School of Medicine, New Haven, Connecticut, United States

🇺🇸

Duke Clinical Research Unit, Durham, North Carolina, United States

🇺🇸

General Clinical Research Center, Indiana University School of Medicine, Indianapolis, Indiana, United States

and more 1 locations
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