The Effect of Monoallelic Variants in the ALPL Gene on the Natural Course of Hypophosphatasia (HPP) in Children and Adults in Russia
The effect of monoallelic variants in the ALPL gene on the natural course of hypophosphatasia (HPP) in children and adults in Russia (ATLANTIS)
• Age ≥4 to \<18 years, or ≥18 years at the time of enrollment;
• Signed ICF for patients ≥18 years, or legal representatives (parents) of patients aged ≥4 to \<18 years;
• Written informed assent (for patients aged ≥14 to \<18 years only);
• No history of HPP treatment with enzyme-replacement therapy;
• Diagnosis of HPP confirmed by:
‣ reduced alkaline phosphatase (ALP) activity relative to age- and sex-specific reference ranges, confirmed by at least two separate measurements, AND
⁃ the identification of a monoallelic pathogenic, likely pathogenic, or variant of uncertain significance in the ALPL gene on genetic testing.