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INZ-701

Phase 3

Ectonucleotide Pyrophosphatase/Phosphodiesterase1 Deficiency | Small molecule | Other |BioMarin Pharmaceutical Inc.|Last Updated: Aug 28, 2026

Target and mechanism

Molecular targetENPP1
Target classGene
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment64

FDA Designations

No designations recorded

Clinical trial landscape

INZ-701 · 7 trials · 10 indications

Phase 3 2Phase 2 1Phase 1 4
NCT07473973ENERGY 2: Evaluation of the Efficacy and Safety of INZ-701 in Infants With ENPP1 DeficiencyEctonucleotide Pyrophosphatase/phosphodiesterase1 Deficiency
RECRUITING12 Analytics
NCT06046820The ENERGY 3 Study: Evaluation of Efficacy and Safety of INZ-701 in Children With ENPP1 DeficiencyEctonucleotide Pyrophosphatase/Phosphodiesterase1 Deficiency
ACTIVE NOT_RECRUITING27 Analytics
PHASE3RECRUITING
ENERGY 2: Evaluation of the Efficacy and Safety of INZ-701 in Infants With ENPP1 Deficiency
Ectonucleotide Pyrophosphatase/phosphodiesterase1 DeficiencyUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
The ENERGY 3 Study: Evaluation of Efficacy and Safety of INZ-701 in Children With ENPP1 Deficiency
Ectonucleotide Pyrophosphatase/Phosphodiesterase1 DeficiencyUnlock trial analytics

Study Endpoints

Primary Endpoints

To determine if INZ-701 increases inorganic pyrophosphate (PPi) levels
52 weeks (Baseline through Week 52)

For each subject, their change from baseline in Plasma Inorganic Pyrophosphate (PPi) concentration will be assessed.

To determine if INZ-701 increases overall survival
52 weeks (Baseline through Week 52)

For each subject, their change in overall survival based on time from date of birth to event of all-cause mortality will be assessed.

Change from Baseline in Plasma Inorganic Pyrophosphate (PPi) concentration through Week 52
52 weeks (Baseline through Week 52)

For each subject, plasma PPi will be measured via a series of blood samples obtained throughout the study, comparing the subject's baseline value over time.

Number of Treatment Emergent Adverse Events (TEAEs)
6 years (long term safety assessment)

Treatment-emergent AEs are defined as any AE occurring from the first dose of INZ-701 through 30 days after the last dose of INZ-701.

Incidence of Anti-Drug Antibodies (ADA)
6 years (long term safety assessment)

For each subject, the presence of ADAs will be assessed and, if present, further evaluation will determine specificity and subtypes.

Determine if INZ-701 increases PPi levels
26 days (Treatment Period)

For each participant, plasma PPi will be measured via a series of blood samples obtained throughout the study, comparing the participant's baseline value over time to determine if there's been a change.

Left Ventricular Ejection Fraction
52 weeks (Treatment Period)

For each participant, an echocardiogram will be collected, and used to assess heart function. (Including measurement of left ventricular ejection fraction), and to identify any other abnormalities, for example, calcification of heart valves.

Area under the Plasma Concentration versus Time Curve (AUC) of INZ-701
32 days (Dose Evaluation Period)

For each subject, variation of concentration of INZ-701 in the plasma will be measured via a series of blood samples obtained throughout the study, comparing the subject's baseline value over time.

Maximum Plasma Concentration (Cmax) of INZ-701
32 days (Dose Evaluation Period)

For each subject, the maximum concentration of INZ-701 in the plasma will be measured via a series of blood samples obtained throughout the study, comparing the subject's baseline value over time.

Systemic Clearance of INZ-701
32 days (Dose Evaluation Period)

For each subject, clearance of INZ-701 from the body will be measured via a series of blood samples obtained throughout the study, comparing the subject's baseline value over time.

Change from Baseline in Plasma Inorganic Pyrophosphate (PPi) Levels
32 days (Dose Evaluation Period)

For each subject, plasma PPi will be measured via a series of blood samples obtained throughout the study, comparing the subject's baseline value over time.

Secondary Endpoints

To determine if INZ-701 prevents decline in cardiac ejection fraction
52 weeks (Baseline through Week 52)
To determine if INZ-701 prevents heart failure
52 weeks (Baseline through Week 52)
To determine if INZ-701 attenuates progression of arterial calcification
52 weeks (Baseline through Week 52)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
INZ-701EXPERIMENTALParticipants receive INZ-701 (rhENPP1-Fc) administered by subcutaneous injection once weekly at the protocol-specified dose. The visit final volume to administer (mL) is determined using protocol-defined parameters.
Control Arm (Conventional Therapy)ACTIVE_COMPARATORSubjects randomized to the control arm will continue taking their conventional therapy as clinically indicated by their treating physician for the duration of the 52-week Randomized Treatment Period.

Interventions

NameTypeDescription
INZ-701DRUGRecombinant fusion protein that contains the extracellular domains of human ENPP1 coupled with an Fc fragment from an immunoglobulin gamma-1 (IgG1) antibody.
Control Arm (Conventional Therapy)DRUGConventional therapy is defined as oral phosphate supplements and calcitriol or other active forms of vitamin D3 (or analogs). No other agents for treatment of ENPP1 Deficiency are allowed in the control arm.
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Eligibility Criteria

Age Range0 Years to 1 Year
SexALL
Healthy VolunteersNo
Study Sites8

Participants must meet all of the following: Inclusion Criteria: 1. Infant aged ≤ 1 year at the time of enrollment. 2. Confirmed diagnosis of ENPP1 deficiency, based on genetic testing. 3. Clinical features consistent with generalized arterial calcification of infancy (GACI) (e.g., vascular calcif...

Countries:BrazilFranceHungaryItalySaudi ArabiaSpainTurkey (Türkiye)United KingdomUnited StatesAustraliaCanadaUnited Arab EmiratesGermany
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Recent Changes (Last 90 Days)

HIGHAug 28, 2026NCT06462547Status: RECRUITING → ACTIVE_NOT_RECRUITING
HIGHAug 28, 2026NCT06462547Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about INZ-701

What is INZ-701 used for?

INZ-701 is an investigational small molecule being developed for calciphylaxis, ectonucleotide pyrophosphatase/phosphodiesterase1 (ENPP1) deficiency, gene mutations, and ATP-binding cassette subfamily C member 6 (ABCC6) deficiency. It is being studied in adults, children, and infants with these conditions.

What does INZ-701 target?

INZ-701 targets ENPP1, an enzyme involved in regulating pyrophosphate metabolism. By targeting ENPP1, the drug aims to address deficiencies that lead to conditions such as autosomal recessive hypophosphatemic rickets and generalized arterial calcification of infancy.

Who is developing INZ-701?

INZ-701 is being developed by BioMarin Pharmaceutical Inc., a biopharmaceutical company traded on NASDAQ under the ticker BMRN. The company is conducting clinical trials to evaluate the safety, tolerability, and efficacy of the drug across multiple patient populations.

What phase is INZ-701 in?

INZ-701 is in Phase 1 clinical development, with one Phase 3 trial also active. The Phase 3 ENERGY 3 study is evaluating the drug in children with ENPP1 deficiency, while Phase 1 trials are ongoing or completed in adults, infants, and patients with end-stage kidney disease.

What clinical trials is INZ-701 in?

INZ-701 is being studied in four clinical trials. NCT04686175 and NCT06283589 are completed Phase 1 studies in adults with ENPP1 deficiency and calciphylaxis, respectively. NCT05734196 is a recruiting Phase 1 trial in infants, and NCT06046820 is an active Phase 3 trial in children.

Is INZ-701 the same as any other drug?

INZ-701 is a distinct investigational drug with no alternative names listed in clinical trial records. It is being studied under its own name across multiple trials for ENPP1 deficiency, ABCC6 deficiency, and calciphylaxis.