Drugs / efzimfotase alfa
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efzimfotase alfa

also known as ALXN1850 · Efzimfotasa alfa · TPP-2027 · YRO201

Protein / enzyme biologic

Developed for
hypophosphatasia
Investigated by
Alexion Pharmaceuticals, Inc.

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed US (FDA) — hypophosphatasia 2026-09-18

“Biologics License Application (BLA) for efzimfotase alfa has been accepted and granted Priority Review by the US Food and Drug Administration (FDA)” astrazeneca.com ↗

Filed Japan (PMDA) — hypophosphatasia —

“Regulatory submissions for efzimfotase alfa based on MULBERRY, CHESTNUT and HICKORY are also under review in Japan and other markets” astrazeneca.com ↗

Trials 4

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT04980248 Sep 2021 → Aug 2022 hypophosphatasia Alexion Pharmaceuticals, Inc. Completed No outcome recorded
Phase 33 trials · 1 met primary · 1 missed
Phase 3 NCT06079359 May 2024 → Jan 2026 overdue hypophosphatasia Alexion Pharmaceuticals, Inc. Active not recruiting Met primary
Phase 3 NCT06079372 Apr 2024 → Jul 2025 overdue hypophosphatasia Alexion Pharmaceuticals, Inc. Active not recruiting No outcome recorded
Phase 3 NCT06079281 Jan 2024 → Jul 2025 overdue hypophosphatasia Alexion Pharmaceuticals, Inc. Active not recruiting Missed primary

News releases announcing trial results or a regulatory action · 2

DateIssuerRelease
2026-06-28 AstraZeneca Results Efzimfotase alfa demonstrated improvements in bone health in treatment-naïve paediatric patients with hypophosphatasia achieving median difference of 1.67 vs placebo in RGI-C Score at week 25 in MULBERRY Phase III trial astrazeneca.com ↗
Positive results from the MULBERRY Phase III trial showed that efzimfotase alfa (ALXN1850), an investigational enzyme replacement therapy, demonstrated a statistically significant and clinically meaningful improvement in bone health in children (2 to <12 years of age) with hypophosphatasia (HPP) who have not been previously treated with Strensiq (asfotase alfa) as measured by Radiographic Global Impression of Change (RGI-C) Score at week 25 compared to placebo.
2026-03-31 AstraZeneca Results Efzimfotase alfa demonstrated positive results from global Phase III clinical programme in hypophosphatasia astrazeneca.com ↗
The efzimfotase alfa (ALXN1850) Phase III clinical programme, designed to study a broad hypophosphatasia (HPP) patient population, demonstrated positive results.

Evidence & citations 8 cited values

Every value below carries the sentence it was read from. 5 sources stand behind the page.

FieldValueCited text
Known as efzimfotase alfa “Efzimfotase alfa (ALXN1850) is a second-generation TNSALP enzyme replacement therapy in development for HPP.” PMID 39135540 ↗ Sep 2024
Known as ALXN1850 “Efzimfotase alfa (ALXN1850) is a second-generation TNSALP enzyme replacement therapy in development for HPP.” PMID 39135540 ↗ Sep 2024
3

NCT06079372 ↗

NCT06079359 ↗

NCT06079281 ↗

Known as Efzimfotasa alfa ChEMBL registry synonym — accepted as the source's own label CHEMBL5314736 ↗
Known as TPP-2027 ChEMBL registry synonym — accepted as the source's own label CHEMBL5314736 ↗
Known as YRO201 ChEMBL registry synonym — accepted as the source's own label CHEMBL5314736 ↗
Modality Protein / enzyme biologic “Efzimfotase alfa (ALXN1850) is a second-generation TNSALP enzyme replacement therapy in development for HPP.” PMID 39135540 ↗ Sep 2024
Route Intravenous “received efzimfotase alfa in doses of 15 mg (cohort 1), 45 mg (cohort 2), or 90 mg (cohort 3) as one intravenous (i.v.) dose followed by 3 weekly subcutaneous (s.c.) doses.” PMID 39135540 ↗ Sep 2024
Route Subcutaneous “received efzimfotase alfa in doses of 15 mg (cohort 1), 45 mg (cohort 2), or 90 mg (cohort 3) as one intravenous (i.v.) dose followed by 3 weekly subcutaneous (s.c.) doses.” PMID 39135540 ↗ Sep 2024