Asfotase alfa

Hormones · In FGF23 and phosphate

Approved for a growth disorderHeight measured in peopleBy injectionProtein or enzymeAlso Strensiq

The missing enzyme itself, engineered to stick to bone and given by injection to children born without it.

Bone-targeted recombinant human tissue-nonspecific alkaline phosphatase, the enzyme that is missing in hypophosphatasia, given by injection. FDA approved in October 2015, with a label covering perinatal/infantile- and juvenile-onset hypophosphatasia.

N Engl J Med, 2012FDA label

Risks. It carries the strongest class of warning for life-threatening allergic reactions, which can happen minutes after a dose or after more than a year of treatment, and it can lay down calcium in the eyes and kidneys.

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