Curative Effect Observation of Burosumab for Children and Adults with X-Linked Hypophosphatemicrickets

We studied the patients diagnosed with X-linked hypophosphatemicrickets(XLH) and treated with burosumab in Peking Union Medical College Hospital from January 2021 to December 2022. In addition, we described the clinical characteristics of the patients, the changes of clinical indexes before and afte...

Full description

Bibliographic Details
Main Authors: LIU Qingyang, HOU Zijing, YANG Zixia, LIU Xin, ZHANG Bo, TANG Yan
Format: Article
Language:zho
Published: Editorial Office of Journal of Rare Diseases 2024-01-01
Series:罕见病研究
Subjects:
Online Access:https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2024.01.014
_version_ 1797289808043704320
author LIU Qingyang
HOU Zijing
YANG Zixia
LIU Xin
ZHANG Bo
TANG Yan
author_facet LIU Qingyang
HOU Zijing
YANG Zixia
LIU Xin
ZHANG Bo
TANG Yan
author_sort LIU Qingyang
collection DOAJ
description We studied the patients diagnosed with X-linked hypophosphatemicrickets(XLH) and treated with burosumab in Peking Union Medical College Hospital from January 2021 to December 2022. In addition, we described the clinical characteristics of the patients, the changes of clinical indexes before and after burosumab treatment, and the adverse drug reactions during treatment. We also evaluated the efficacy and safety of burosumab for XLH. The results showed that three children XLH patients and one adult XLH patients received burosumab treatment. After treatment, the serum phosphorus level of all patients increased; the serum phosphorus of 3 children patients increased above the lower limit of the reference value range; the serum alkaline phosphatase(ALP) of all patients was lower than that of before treatment; the serum ALP of one adult patient was close to the normal range after 2.5 years of treatment. One child patient showed small crystals in kidney through ultrasound 48 weeks after treatment; one child and one adult showed increased serum parathyroid hormone(PTH)level before treatment and serum PTH continued increasing after treatment. Finally, it may be concluded that burosumab increased serum phosphorus levels in XLH patients, kept the level relatively stable, and reduced serum ALP levels. No serious adverse reactions occurred during treatment, in order to provide reference for the use of burosumab in patients with XLH.
first_indexed 2024-03-07T19:11:22Z
format Article
id doaj.art-771278a12d2b41cb9dc577a8bb96b234
institution Directory Open Access Journal
issn 2097-0501
language zho
last_indexed 2024-03-07T19:11:22Z
publishDate 2024-01-01
publisher Editorial Office of Journal of Rare Diseases
record_format Article
series 罕见病研究
spelling doaj.art-771278a12d2b41cb9dc577a8bb96b2342024-03-01T03:14:51ZzhoEditorial Office of Journal of Rare Diseases罕见病研究2097-05012024-01-013110811310.12376/j.issn.2097-0501.2024.01.014Curative Effect Observation of Burosumab for Children and Adults with X-Linked HypophosphatemicricketsLIU Qingyang0HOU ZijingYANG Zixia1LIU Xin2ZHANG Bo3TANG Yan4Department of Pharmacy, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaDepartment of Pharmacy, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaDepartment of Pharmacy, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaDepartment of Pharmacy, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaDepartment of Pharmacy, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaWe studied the patients diagnosed with X-linked hypophosphatemicrickets(XLH) and treated with burosumab in Peking Union Medical College Hospital from January 2021 to December 2022. In addition, we described the clinical characteristics of the patients, the changes of clinical indexes before and after burosumab treatment, and the adverse drug reactions during treatment. We also evaluated the efficacy and safety of burosumab for XLH. The results showed that three children XLH patients and one adult XLH patients received burosumab treatment. After treatment, the serum phosphorus level of all patients increased; the serum phosphorus of 3 children patients increased above the lower limit of the reference value range; the serum alkaline phosphatase(ALP) of all patients was lower than that of before treatment; the serum ALP of one adult patient was close to the normal range after 2.5 years of treatment. One child patient showed small crystals in kidney through ultrasound 48 weeks after treatment; one child and one adult showed increased serum parathyroid hormone(PTH)level before treatment and serum PTH continued increasing after treatment. Finally, it may be concluded that burosumab increased serum phosphorus levels in XLH patients, kept the level relatively stable, and reduced serum ALP levels. No serious adverse reactions occurred during treatment, in order to provide reference for the use of burosumab in patients with XLH.https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2024.01.014x-linked hypophosphatemicricketsclinical manifestationsburosumabefficacysafety
spellingShingle LIU Qingyang
HOU Zijing
YANG Zixia
LIU Xin
ZHANG Bo
TANG Yan
Curative Effect Observation of Burosumab for Children and Adults with X-Linked Hypophosphatemicrickets
罕见病研究
x-linked hypophosphatemicrickets
clinical manifestations
burosumab
efficacy
safety
title Curative Effect Observation of Burosumab for Children and Adults with X-Linked Hypophosphatemicrickets
title_full Curative Effect Observation of Burosumab for Children and Adults with X-Linked Hypophosphatemicrickets
title_fullStr Curative Effect Observation of Burosumab for Children and Adults with X-Linked Hypophosphatemicrickets
title_full_unstemmed Curative Effect Observation of Burosumab for Children and Adults with X-Linked Hypophosphatemicrickets
title_short Curative Effect Observation of Burosumab for Children and Adults with X-Linked Hypophosphatemicrickets
title_sort curative effect observation of burosumab for children and adults with x linked hypophosphatemicrickets
topic x-linked hypophosphatemicrickets
clinical manifestations
burosumab
efficacy
safety
url https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2024.01.014
work_keys_str_mv AT liuqingyang curativeeffectobservationofburosumabforchildrenandadultswithxlinkedhypophosphatemicrickets
AT houzijing curativeeffectobservationofburosumabforchildrenandadultswithxlinkedhypophosphatemicrickets
AT yangzixia curativeeffectobservationofburosumabforchildrenandadultswithxlinkedhypophosphatemicrickets
AT liuxin curativeeffectobservationofburosumabforchildrenandadultswithxlinkedhypophosphatemicrickets
AT zhangbo curativeeffectobservationofburosumabforchildrenandadultswithxlinkedhypophosphatemicrickets
AT tangyan curativeeffectobservationofburosumabforchildrenandadultswithxlinkedhypophosphatemicrickets