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INZ-701

Phase 3

Ectonucleotide Pyrophosphatase/Phosphodiesterase1 Deficiency | Small molecule | Other |BioMarin Pharmaceutical Inc.|Last Updated: Mar 24, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment64
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07473973ENERGY 2: Evaluation of the Efficacy and Safety of INZ-701 in Infants With ENPP1 DeficiencyPHASE3 RECRUITING 12Mar 26, 2025Nov 7, 2028Mar 18, 20268 Brazil, France +6
NCT06046820The ENERGY 3 Study: Evaluation of Efficacy and Safety of INZ-701 in Children With ENPP1 DeficiencyPHASE3 ACTIVE NOT_RECRUITING 27Nov 5, 2023Feb 1, 2026May 1, 202515 United States, Australia +7
NCT05734196The ENERGY Study: Evaluation of Safety and Tolerability of INZ-701 in Infants With ENPP1 Deficiency or ABCC6 DeficiencyPHASE1 RECRUITING 16Jun 25, 2023Nov 11, 2027Mar 24, 20267 United States, Spain +1
NCT04686175Evaluation of Safety, Tolerability, and Efficacy of INZ-701 in Adults With ENPP1 DeficiencyPHASE1 COMPLETED 9Nov 21, 2021Dec 13, 2024Feb 5, 20257 United States, Canada +3
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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)
52 weeks (Treatment Period)

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)
52 weeks (Treatment Period)

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

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 — 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)
LOWMay 26, 2026NCT05734196primaryCompletionDate: changed
LOWMay 26, 2026NCT07473973primaryCompletionDate: changed
LOWMay 26, 2026NCT06046820primaryCompletionDate: changed
LOWMay 24, 2026NCT05734196studyFirstPostDate: changed
LOWMay 24, 2026NCT07473973studyFirstPostDate: changed
LOWMay 24, 2026NCT06046820studyFirstPostDate: changed