Observational Study of Adults and Adolescents With Erythropoietic Protoporphyria (EPP) and X-linked Porphyria (XLP)
stEPP
Prospective Clinical Assessment Study in Adolescents and Adults With Erythropoietic Protoporphyria (EPP) and X-Linked Porphyria (XLP) (STEPP)
1 other identifier
observational
50
9 countries
19
Brief Summary
The purpose of this study is to collect information about the effects of EPP/XLP in adults and adolescents. This is an observational study in which participants will not receive any treatment. Study details include:
- The study duration will be up to 6 months for each participant.
- After Screening, participants will have a Baseline (Day 1) visit and return for visits every 4 weeks through 24 weeks.
- Assessments to evaluate EPP/XLP will include clinical laboratory tests, physical exams, vital signs measurement, blood draws for PPIX concentration, reporting of EPP/XLP-related symptoms (including completion of a daily diary), light dosimetry.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Apr 2026
Shorter than P25 for all trials
19 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 15, 2026
CompletedStudy Start
First participant enrolled
April 30, 2026
CompletedFirst Posted
Study publicly available on registry
May 5, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 1, 2027
May 5, 2026
April 1, 2026
10 months
April 15, 2026
April 28, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Plasma Protoporphyrin IX (PPIX) Levels Over Time
Plasma protoporphyrin IX (PPIX) concentrations measured at specified study visits.
Screening; Baseline; Weeks 4, 8, 12, 16, 20, 24
Clinical History of Phototoxic Symptoms and Prodrome Timing
Medical history of EPP/XLP symptoms, including time to onset of prodromal sensations and occurrence of phototoxic reactions.
Screening, Baseline, Weeks 4, 8, 12, 16, 20, 24
Skin Damage Manifestations
Skin damage manifestations associated with EPP/XLP, including swelling, erythema, and chronic skin changes.
Screening, Baseline, Weeks 4, 8, 12, 16, 20, 24
Light Exposure and Phototoxic Reaction Data From Daily Diary
Daily recorded light exposure (including time spent outdoors), light dosimetry measurements, and occurrence of phototoxic reactions as captured in participant diaries.
Screening, Baseline, Weeks 4, 8, 12, 16, 20, 24
Sunlight Exposure Required to Induce Prodromal Symptoms
Amount of sunlight exposure associated with onset of prodromal symptoms, along with corresponding plasma protoporphyrin IX (PPIX) levels.
Baseline and Weeks 4, 8, 12, 16, 20
Secondary Outcomes (1)
Liver Function Test Results
Baseline and Weeks 4, 8, 12, 16, 20, 24
Eligibility Criteria
The study design and key inclusion criteria are focused on EPP/XLP and are inclusive of all potential participants, including those from underrepresented racial and ethnic populations. The sites and countries selected have diverse populations and the potential to enroll diverse participants.
You may qualify if:
- Aged 12 years and older.
- Confirmed diagnosis of EPP or XLP as follows:
- Genetic confirmation of EPP (FECH mutation with reduced ferrochelatase activity) OR
- Genetic confirmation of XLP (ALAS2 gain-of-function mutation) OR
- Elevated free PPIX levels in RBCs consistent with EPP/XLP, supported by clinical and/or family history.
- Currently has symptoms of EPP/XLP.
- History of consistent, non-painful prodrome within approximately 45 minutes of sunlight exposure and prior to phototoxic attacks, as self-reported by the participant.
- Willing and able to wear a light dosimetry device during the study.
- Willing and able to complete a daily diary of EPP/XLP symptoms.
- Willing and able to keep skin sites chosen for provocative sunlight exposure testing covered by opaque material when outside or exposed to potentially triggering light beginning 2 days prior to testing.
- Willing and able to provide informed consent and/or assent for the study.
- Study participants and LAR (as appropriate) are willing and able to comply with study visits and study procedures.
You may not qualify if:
- Diagnosis of another porphyria or another photodermatosis that may confound the characterization of EPP/XLP.
- Has a clinically significant disease or condition that, at the discretion of the Investigator or Sponsor, would interfere with the evaluation of EPP/XLP or study participation, or would make study participation not in the best interest of the participant.
- Is taking, or has taken within 60 days of Day 1, any medication, vitamin, or supplement that alters sensitivity to light exposure (eg, afamelanotide, melanotan, beta carotene, dersimelagon, or bitopertin).
- Concurrent or anticipated participation in an interventional clinical trial during the study period.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (19)
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Mount Sinai School of Medicine
New York, New York, 10029, United States
Wake Forest University Baptist Health - Dept of Gastroenterology
Wake Forest, North Carolina, 27587, United States
Temple University
Philadelphia, Pennsylvania, 19121, United States
University of Texas Health - Ertan Digestive Disease Center
Houston, Texas, 77030, United States
UZ Leuven
Leuven, Belgium
University of Alberta Hospital
Edmonton, Canada
Centre Hospitalier Universitaire de Bordeaux - Hopital Saint - Andre
Bordeaux, France
AP-HP Hopital Bichat - Claude Bernard
Paris, France
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano
Milan, Italy
Azienda Ospedaliero-Universitaria di Modena
Modena, Italy
Haukeland University Hospital
Bergen, Norway
Hospital Universitario 12 de Octubre
Madrid, Spain
Consorcio Hospital General Universitario de Valencia
Valencia, Spain
Gazi University Faculty of Medicine
Ankara, Turkey (Türkiye)
University Hospital of Wales
Cardiff, United Kingdom
Ninewells Hospital
Dundee, United Kingdom
Guy's Hospital
London, United Kingdom
Salford Royal Hospital
Manchester, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 15, 2026
First Posted
May 5, 2026
Study Start
April 30, 2026
Primary Completion (Estimated)
March 1, 2027
Study Completion (Estimated)
April 1, 2027
Last Updated
May 5, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
What may be shared: De-identified individual participant data (no direct identifiers) Who can access it: Qualified researchers with a scientifically sound research proposal Conditions for access: Submission and approval of a research proposal Execution of a data sharing agreement (DSA) Compliance with privacy regulations (e.g., GDPR, HIPAA as applicable) How it will be shared: Through a secure data access process managed by the sponsor or designated data-sharing platform Timing: Typically after study completion and/or publication of primary results Purpose: To support further research on EPP and XLP while protecting participant confidentiality