Erythropoietic protoporphyria life impact and genetic health trajectory (EPP LIGHT): a survey of adults and adolescents in Europe living with EPP

ISRCTN ISRCTN85286742
DOI https://doi.org/10.1186/ISRCTN85286742
Sponsor Disc Medicine
Funder Disc Medicine
Submission date
05/02/2026
Registration date
17/03/2026
Last edited
17/03/2026
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Erythropoietic Protoporphyria (EPP) and X-linked Protoporphyria (XLP) are rare, inherited conditions that is a result of an accumulation of protoporphyrin (PPIX). The genes affected in EPP and XLP are different, but these conditions cause similar symptoms. People with EPP/XLP are very sensitive to light. Symptoms after sunlight (indirect and direct) exposure include burning, itching, and pain on exposed areas of the skin, and these areas can become red/inflamed and swollen. Additionally, people with EPP/XLP may develop liver complications.

There is limited information about the impact of EPP in Europe. The aim of the EPP LIGHT is to describe the burden associated with EPP/XLP in terms of health-related quality of life (HRQoL), symptoms and healthcare resource utilization (HCU).

Who can participate?
Those who are 12 or older, have a confirmed diagnosis of EPP or XLP, and live in the UK, France, Germany, Italy, or Spain may participate in the study. They also need to be able to speak, read, and write in English, French, German, Italian, Spanish, or Welsh, and be willing and able to complete a single online questionnaire that takes about an hour.

What does the study involve?
The EPP LIGHT study is a one time online survey for people with EPP or XLP. It uses a mix of validated and study specific questions to understand how light sensitivity affects quality of life, symptoms (including early warning signs and pain), healthcare use (doctor or hospital visits and medicines), and daily activities. Adolescent participants answer slightly different age appropriate questions about wellbeing, friends, and school, and everyone is asked some basic background details.

What are the possible benefits and risks of participating?
There is no benefit in taking part in this study. However, the results may help improve the care of people with EPP or XLP in the future.

Where is the study run from?
The study is conducted by Sciensus, a European life sciences organisation based in the United Kingdom.
The survey is hosted onto the Climedo platform whose servers are located in Germany.

When is the study starting and how long is it expected to run for?
Enrolment onto the study is due to start on 1st August 2025 and to complete on 31st October 2025.

Who is funding the study?
Disc Medicine (USA)

Who is the main contact?
Mathieu Loiseau, Lead Evidence Generation and Patient Support, mathieu.loiseau@sciensus.com

Contact information

Mrs Chelsea Norregaard
Scientific

321 Arsenal Street, Suite 101, Watertown, MA 02472
Watertown
MA02472
United States of America

Phone +1(617)-674-9274
Email cnorregaard@discmedicine.com
Mr Mathieu Loiseau
Principal investigator, Public

107 Station Street
Burton-Upon-Trent
DE14 1SZ
United Kingdom

ORCiD logoORCID ID 0009-0007-2708-5605
Phone +44 7736618069
Email mathieu.loiseau@sciensus.com

Study information

Primary study designObservational
Observational study designCross sectional study
Scientific titleEPP LIGHT (Life Impact and Genetic Health Trajectory) study: A cross-sectional online survey of adult and adolescent participants with erythropoietic protoporphyria (EPP) in Europe
Study acronymEPP LIGHT
Study objectives To describe the burden associated with EPP in terms of health-related quality of life (HRQoL), symptoms, healthcare resource utilization (HCU) and preference for treatment.
Ethics approval(s)

Approved 30/05/2025, Wales REC 3 (Castlebridge 4, 15-19 Cowbridge Road East, Cardiff, CF11 9AB, United Kingdom; -; Wales.REC3@wales.nhs.uk), ref: 25/WA/0165

Health condition(s) or problem(s) studiedErythropoietic protoporphyria and X-linked protoporphyria (collectively referred to as EPP)
MethodologyThe research consists of an online survey study for which participants will be required to complete a one-off questionnaire. Participants will be identified with via the relevant Patient Advocacy Groups which will share a study flyer/ advertisement. Potential participants interested in taking part will register via a weblink / QR code and screened for eligibility. Once eligibility has been confirmed, participants will receive a unique weblink for completing the questionnaire.
Intervention typeOther
Primary outcome measure(s)
  1. Health-related quality of life (HRQoL), symptoms, healthcare resource utilization (HCU) and preference for treatment measured using survey at a single timepoint
Key secondary outcome measure(s)
Completion date14/11/2025

Eligibility

Participant type(s)
Age groupMixed
Lower age limit12 Years
Upper age limit120 Years
SexAll
Target sample size at registration100
Total final enrolment101
Key inclusion criteriaConfirmed diagnosis of erythropoietic protoporphyria and X-linked protoporphyria
Key exclusion criteriaA cognitive or other (visual, hearing) impairment that would interfere with the ability to participate in the study.
Date of first enrolment01/08/2025
Date of final enrolment31/10/2025

Locations

Countries of recruitment

  • United Kingdom
  • England
  • Northern Ireland
  • Scotland
  • Wales
  • France
  • Germany
  • Italy
  • Spain

Study participating centre

Online study
N/A
N/A
N/A
England

Results and Publications

Individual participant data (IPD) Intention to shareNo

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol file 28/05/2025 20/02/2026 No No

Additional files

48984 EPP LIGHT (EU) Protocol GBR_EN v.2 28May2025.pdf
Protocol file

Editorial Notes

20/02/2026: Trial's existence confirmed by Wales REC 3.