A leg in a cast

What is TIO?

TIO is a rare disease caused by slow-growing tumors that occur throughout the body.

The tumors responsible for tumor-induced osteomalacia (TIO) can often be removed with surgery, which can lead to the levels of phosphorus in the body returning to normal. Sometimes, the tumors are too small to find or are in a location where they can't be removed.

Osteomalacia, or “soft bones,” is a weakening of the bones due to low levels of vitamins and minerals, including phosphorus, calcium, and vitamin D. Phosphorus is a mineral that is important for bone health.

If the tumors cannot be located or removed, the symptoms of TIO can get worse over time.

In a clinical review of 895 unique cases of TIO, the majority of cases occurred in adults between 30 and 60 years of age, although TIO can occur at any age.

What causes TIO?

The underlying cause of hypophosphatemia in TIO is too much FGF23:

An abstract shape in a stylized protein shape labeled FGF23, which is a hormone in the bone. A circular shape labeled tumor is next to FGF23

Tumors in the body produce too much of a hormone called fibroblast growth factor 23 (FGF23)

The kidneys removing too much phosphate from the body due to excess FGF23

Extra FGF23 leads to the body releasing too much phosphorus through the urine

Osteomalacia in the bone

Low phosphorus levels can lead to weakened bones and the symptoms of TIO

In people with TIO, the most common locations for fractures are:

The vertebral column

Vertebrae

A ribcage

Ribs

Two femur bones

Femur

Pelvic bones

Pelvis

More is known about TIO than ever before, including how to treat it. Ask your doctor if CRYSVITA could be right for you.

Find out how CRYSVITA helps restore the balance of phosphate in the body

Antibodies binding to FGF23 proteins

Find out how CRYSVITA helps restore the balance of phosphate in the body