Clinical trial • Phase II • Rare Disease
INFIGRATINIB for Hypochondroplasia
Phase II trial of INFIGRATINIB for Hypochondroplasia. open-label, none/not specified-controlled, adaptive. 76 participants.
Overview
- Trial Therapeutic Area
- Rare Disease
- Trial Disease
- Hypochondroplasia
- Trial Stage
- Phase II
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 05-12-2025
- First CTIS Authorization Date
- 15-04-2026
Trial design
open-label, none/not specified-controlled, adaptive Phase II trial across 3 sites in Spain, Norway.
- Open Label
- Yes
- Comparator
- None/Not specified
- Adaptive
- True, dose selection and dose modification elements: participants may be initiated at the last dose level received in ACCEL 2/3 or at the dose selected for further evaluation after Proof of Concept (POC) in ACCEL 2/3; if 0.25 mg/kg/day is selected as the dose to be explored, participants who initially entered at 0.128 mg/kg/day may have dose increased to 0.25 mg/kg/day if no safety concerns; dosing may be interrupted or decreased to 0.128 mg/kg/day per protocol dose modification criteria.
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 76
Eligibility
Recruits 76 paediatric patients.
- Pregnancy Exclusion
- Negative pregnancy test in girls ≥10 years of age or girls of any age who have experienced menarche.
- Vulnerable Population
- Study population includes children (participants must be 3 to <18 years of age). Vulnerable population considerations: age-specific subject information sheets and informed consent/assent forms are provided (documents referenced include L1_SIS and ICF for age groups 3-5, 3-7, 6-11, 8-11, 12-15, 12-17, Adult & 16-17, Parent forms, and Partner Pregnancy forms). Parent/legal guardian consent and child assent processes are indicated by the presence of these age-specific ICF/SIS documents; patient-facing materials are available in English and Spanish (patient-facing document sets in EN and ES are listed).
Inclusion criteria
- {"criterion_text":"- Inclusion Criteria for Participants Rolling Over from ACCEL 2/3: 1.\tPediatric participants with HCH who have completed ACCEL 2/3.\n- Inclusion Criteria for Participants Rolling Over from ACCEL 2/3: 2.\tNegative pregnancy test in girls ≥10 years of age or girls of any age who have experienced menarche.\n- Inclusion Criteria for Participants Rolling Over from ACCEL: 1.\tParticipant must be 3 to <18 years of age at screening and have growth potential (defined as X in females and X in males).\n- Inclusion Criteria for Participants Rolling Over from ACCEL: 2.\tDiagnosis of HCH documented clinically by the presence of disproportionate short stature and confirmed with a molecular test.\n- Inclusion Criteria for Participants Rolling Over from ACCEL: 3.\tParticipants have at least a 6-month period of growth assessment in the ACCEL study before study entry.\n- Inclusion Criteria for Participants Rolling Over from ACCEL: 4.\tParticipants are ambulatory and able to stand without assistance.\n- Inclusion Criteria for Participants Rolling Over from ACCEL: 5.\tNegative pregnancy test in girls ≥10 years of age or girls of any age who have experienced menarche."}
Exclusion criteria
- {"criterion_text":"- Exclusion Criteria for Participants Rolling Over from ACCEL 2/3: 1.\tParticipant has concurrent medical condition (ie, circumstance, syndrome, symptom, sign, etc) that, in the view of the PI and/or sponsor, would interfere with study participation or safety evaluations.\n- Exclusion Criteria for Participants Rolling Over from ACCEL: 4.\tCurrently receiving treatment with agents that are known strong X or prolonged treatment (>1 week) with medications that alter the pH of the gastrointestinal tract.\n- Exclusion Criteria for Participants Rolling Over from ACCEL: 5.\tParticipants receiving medications which could increase X\n- Exclusion Criteria for Participants Rolling Over from ACCEL: 6.\tRegular long-term treatment (≥3 weeks) with supraphysiologic doses of glucocorticoid therapy or treatment with glucocorticoids at anti-inflammatory doses for over 3 weeks within 6 months of the screening visit.\n- Exclusion Criteria for Participants Rolling Over from ACCEL: 7.\tHaving had a fracture of the long bones or spine within 12 months of screening.\n- Exclusion Criteria for Participants Rolling Over from ACCEL: 8.\tCurrent participation in an ongoing clinical study with a sponsor other than QED.\n- Exclusion Criteria for Participants Rolling Over from ACCEL 2/3: 2.\tCurrent evidence of clinically significant X\n- Exclusion Criteria for Participants Rolling Over from ACCEL 2/3: 3.\tParticipants who developed a medical condition that requires the initiation of treatment with a prohibited medication.\n- Exclusion Criteria for Participants Rolling Over from ACCEL 2/3: 4.\tParticipants who prematurely discontinued ACCEL 2/3.\n- Exclusion Criteria for Participants Rolling Over from ACCEL 2/3: 5.\tParticipants who have reached final height or near final height (AHV X for a minimum 6-month observation period and X for males and X for females).\n- Exclusion Criteria for Participants Rolling Over from ACCEL 2/3: 6.\tCurrent participation in an ongoing clinical study with a sponsor other than QED.\n- Exclusion Criteria for Participants Rolling Over from ACCEL: 1.\tParticipants who have a clinically significant concurrent disease or condition that, in the view of the PI and/or sponsor, would represent an increased risk to the participant or would interfere with study participation or safety evaluations. Complete list referenced in protocol.\n- Exclusion Criteria for Participants Rolling Over from ACCEL: 2.\tParticipants who have a history and/or current evidence of extensive ectopic tissue calcification.\n- Exclusion Criteria for Participants Rolling Over from ACCEL: 3.\tParticipants who have a history of malignancy."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Incidence, type, severity, and causality of AEs; SAEs; AEs that require dose reduction or discontinuation per study protocol; and changes over time in vital signs, laboratory assessments and special investigations (ophthalmic and dental evaluations), and imaging (x-rays, , dual x-ray absorptiometry [DXA] scan).","definition_or_measurement_approach":"Safety assessed by recording incidence, type, severity and causality of AEs and SAEs, AEs requiring dose reduction/discontinuation; serial monitoring of vital signs, laboratory assessments, ophthalmic and dental evaluations, and imaging including x-rays and DXA scans."}
- {"endpoint_text":"- Changes over time in standing height Z-score (in relation to both HCH and average height tables for age and sex).","definition_or_measurement_approach":"Efficacy assessed by serial measurement of standing height and calculation of height Z-score over time relative to HCH-specific and average population growth tables for age and sex."}
Secondary endpoints
- {"endpoint_text":"- Changes over time in AHV and AHV Z-score in relation to average height tables for age and in body proportions including upper to lower body segment ratio, upper arm to forearm length ratio, upper leg to lower leg length ratio, arm span to standing height ratio, and head circumference to standing height ratio, in weight Z-score and BMI in relation to average height tables (and HCH tables, if and when they become available), age of puberty onset and time to X, in body composition","definition_or_measurement_approach":"Anthropometric and growth velocity assessments (AHV, AHV Z-score), body proportions and composition measured longitudinally; weight Z-score and BMI relative to reference tables; pubertal timing recorded."}
- {"endpoint_text":"- Change over time in various quality of life scales including Pediatric Quality of Life, Quality of Life in Short Stature Youth, Patient/ Parent Global Impression of Severity and Change","definition_or_measurement_approach":"Serial patient- and parent-reported outcome measures using specified QoL instruments (PedsQL, QoLISSY, PGIC/PPGIC) over time."}
- {"endpoint_text":"- Treatment benefit as reported by parent and participant during qualitative interview.","definition_or_measurement_approach":"Qualitative interviews of participants and caregivers to capture perceived treatment benefit; analysis of interview data."}
- {"endpoint_text":"- Changes over time in body composition as assessed by dual x-ray absorptiometry (DXA) scans.","definition_or_measurement_approach":"DXA scans performed longitudinally to quantify body composition changes."}
- {"endpoint_text":"- Changes over time in bone morphology/density by x-ray and DXA.","definition_or_measurement_approach":"Serial radiographs and DXA to assess bone morphology and density over time."}
Recruitment
- Planned Sample Size
- 76
- Recruitment Window Months
- 121
- Consent Approach
- Age-specific informed consent and assent materials are provided. Subject information sheets and informed consent/assent forms listed include multiple age-group versions (examples in documents: L1_SIS and ICF_3-5, L1_SIS and ICF_3-7, L1_SIS and ICF_6-11, L1_SIS and ICF_8-11, L1_SIS and ICF_12-15, L1_SIS and ICF_12-17, L1_SIS and ICF Adult & 16-17, L1_SIS and ICF Parent, and Partner Pregnancy forms). Parent/legal guardian consent is indicated for minor participants and child assent is handled with age-appropriate SIS/ICF documents. Patient-facing materials are available in English and Spanish (EN and ES patient-facing document sets are listed).
Geography
- Total Number Of Sites
- 3
- Total Number Of Participants
- 22
Spain
- Earliest CTIS Part Ii Submission Date
- 23-03-2026
- Latest Decision Or Authorization Date
- 15-04-2026
- Processing Time Days
- 23
- Number Of Sites
- 1
- Number Of Participants
- 13
Sites
- Site Name
- Unidad De Cirugia Artroscopica S.L.
- Department Name
- Pediatric Orthopedics
- Principal Investigator Name
- Josep Maria De Bergua Domingo
- Principal Investigator Email
- josepmaria.debergua@hospitalmiks.com
- Contact Person Name
- Josep Maria De Bergua Domingo
- Contact Person Email
- josepmaria.debergua@hospitalmiks.com
Norway
- Earliest CTIS Part Ii Submission Date
- 25-03-2026
- Latest Decision Or Authorization Date
- 15-04-2026
- Processing Time Days
- 21
- Number Of Sites
- 2
- Number Of Participants
- 9
Sites
- Site Name
- Helse Bergen HF
- Department Name
- Department of Children and Youth
- Principal Investigator Name
- Henrik Underthun Irgens
- Principal Investigator Email
- Henrik.underthun.irgens@helse-bergen.no
- Contact Person Name
- Henrik Underthun Irgens
- Contact Person Email
- Henrik.underthun.irgens@helse-bergen.no
- Site Name
- Oslo Universitetssykehus HF
- Department Name
- Department of Pediatric Research
- Principal Investigator Name
- Svein Otto Fredwall
- Principal Investigator Email
- svfred@sunnaas.no
- Contact Person Name
- Svein Otto Fredwall
- Contact Person Email
- svfred@sunnaas.no
Sponsor
Primary sponsor
- Full Name
- Qed Therapeutics Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Icon Clinical Research LLC
- Responsibilities
- Central Imaging
- Name
- Premier Research International LLC
- Responsibilities
- management of trial sites, Investigator recruitment, project management, data management, Q/A auditing
- Name
- Syneos Health Clinique Inc.
- Responsibilities
- PK Analysis laboratory
- Name
- Medpace Reference Laboratories LLC
- Responsibilities
- Storage of samples
Third parties
- {"country":"United States","full_name":"Icon Clinical Research LLC","duties_or_roles":"Central Imaging","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Cogstate Inc.","duties_or_roles":"X testing","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medpace Reference Laboratories LLC","duties_or_roles":"Storage of samples","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Health Outcome Solutions","duties_or_roles":"Interview analysis","organisation_type":"SME"}
- {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"Storage of Qualitative interview data","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Fortrea Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Patient and Travel reimbursement","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"Belgium","full_name":"Medpace Belgium","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Premier Research International LLC","duties_or_roles":"management of trial sites, Investigator recruitment, project management, data management, Q/A auditing","organisation_type":"Pharmaceutical company"}
- {"country":"Canada","full_name":"Syneos Health Clinique Inc.","duties_or_roles":"PK Analysis laboratory","organisation_type":"Hospital/Clinic/Other health care facility"}
Investigational products
- Investigational Product Name
- Infigratinib
- Active Substance
- INFIGRATINIB
- Modality
- Small molecule
- Routes Of Administration
- oral
- Route
- oral
- Orphan Designation
- Yes
- Starting Dose
- 0.128 mg/kg/day or 0.25 mg/kg/day (participants may be initiated at the last ACCEL dose or at the dose selected after ACCEL POC)
- Dose Levels
- 0.128 mg/kg/day | 0.25 mg/kg/day
- Frequency
- once daily
- Maximum Dose
- 0.25 mg/kg/day
- Dose Escalation Increase
- Initial: 0.128 mg/kg/day; Following: 0.25 mg/kg/day (dose may be increased to 0.25 mg/kg/day from 0.128 mg/kg/day if 0.25 mg/kg/day is selected for further evaluation and safety allows)
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