Clinical trial • Phase III • Rare Disease
VOSORITIDE for Hypochondroplasia
Phase III trial of VOSORITIDE for Hypochondroplasia. open-label, none/not specified-controlled. 65 participants.
Overview
- Trial Therapeutic Area
- Rare Disease
- Trial Disease
- Hypochondroplasia
- Trial Stage
- Phase III
- Drug Modality
- Peptide/protein/enzyme
- Paediatric Trial
- Yes
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 28-07-2025
- First CTIS Authorization Date
- 03-11-2025
Trial design
open-label, none/not specified-controlled Phase III trial across 10 sites in Germany, Italy, Spain and others.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 65
- Trial Duration For Participant
- 5590
Eligibility
Recruits 65 paediatric patients.
- Pregnancy Exclusion
- 9. Is pregnant or breastfeeding at Baseline or planning to become pregnant (self or partner) at any time during the study.
- Vulnerable Population
- The study includes children/minors (paediatric population). Parent(s)/legal guardian(s) must provide written signed informed consent prior to any study procedures. Age-appropriate assent is required using multiple assent forms (titles include Young Child Assent, Older Child Assent, Assent 6-7, Assent 7-11, Assent 12-17 and related addenda). Parents/caregivers are required to administer daily injections and complete training. Assent/consent documentation and recruitment/consent procedures are provided in country-specific language packages (documents present for Italy, Germany, Spain, France) and telephone consent/data-consent procedures (Scout Clinical) are included.
Inclusion criteria
- {"criterion_text":"- 1. Participants must have completed the Week 52 visit for 111 303 or 111-212 and have open epiphyses as assessed by left hand antero posterior (AP) X-rays, by the Greulich and Pyle method (Greulich 1971) as per standard of care\n- 2. Parent(s) or guardian(s) must be willing and able to provide written, signed informed consent after the nature of the study has been explained and prior to performance of any study-related procedure.\n- 3. Females ≥ 10 years old or who have begun menses must have a negative pregnancy test at the Baseline visit and be willing to have additional pregnancy tests during the study.\n- 4. If sexually active, participants must be willing to use a highly effective method of contraception while participating in the study.\n- 5. Participants are willing and able to perform all study procedures as physically possible.\n- 6. Parent(s) or caregiver(s) are willing to administer daily injections to the participants and willing to complete the required training."}
Exclusion criteria
- {"criterion_text":"- 1. Permanently discontinued study treatment in the studies 111-303 or 111-212.\n- 10. Concurrent disease or condition that, in the view of the investigator, would interfere with study participation or safety evaluations, for any reason.\n- 2. Evidence of decreased growth velocity (AGV < 1.5 cm/year) as assessed over a period of at least 6 months and growth plate closure assessed as per standard of care.\n- 3. Taking or planning to take any of the prohibited medications listed in Section 6.4.\n- 4. Planned or expected to have limb-lengthening surgery during the study period.\n- 5. Planned or expected bone-related surgery (ie, surgery involving disruption of bone cortex, excluding tooth extraction), during the study period.\n- 6. Require any investigational agent prior to completion of study period.\n- 7. Have current malignancy, history of malignancy, or currently under work-up for suspected malignancy\n- 8. Have known hypersensitivity to vosoritide or its excipients.\n- 9. Is pregnant or breastfeeding at Baseline or planning to become pregnant (self or partner) at any time during the study."}
Endpoints
Primary endpoints
- {"endpoint_text":"- 1. Incidence of treatment emergent adverse events over time until FAH\n- 2. Change from baseline in height Z-score yearly until FAH\n- 3. Change from baseline in height yearly until FAH","definition_or_measurement_approach":"1. Measured as incidence of treatment-emergent adverse events (TEAEs) recorded over time until final adult height (FAH).\n2. Annual change from baseline in height Z-score measured yearly until FAH (baseline defined per parent study dosing initiation).\n3. Annual change from baseline in standing height measured yearly until FAH."}
Secondary endpoints
- {"endpoint_text":"- 1. Change from baseline in height at Week 52 of Study 111-308\n- 2. Change from baseline in height Z-score at Week 52 of Study 111-308 Baseline is based on first dose of study drug (vosoritide or placebo) in the parent study (111-303 or 111 212).","definition_or_measurement_approach":"1. Change from baseline in height assessed at Week 52 of this study (111-308).\n2. Change from baseline in height Z-score at Week 52; baseline is defined as the first dose of study drug (vosoritide or placebo) in the parent study (111-303 or 111-212)."}
Recruitment
- Digital Remote Recruitment
- Yes
- Planned Sample Size
- 65
- Recruitment Window Months
- 183
- Consent Approach
- Written informed consent must be provided by parent(s) or legal guardian(s) prior to any study procedures. Age-appropriate assent is required for minors (multiple assent/ICF documents for young child, older child, defined age bands such as 4-5, 6-11, 7-11, 12-17). A Data Protection form and Parent/Guardian ICFs are included. Telephone pre-screening and telephone consent/data-consent procedures (Scout Clinical) are provided. Country-specific ICF/assent documents are available in the member-state languages (documents present for Italy, Germany, Spain, France).
Methods
- Country-specific recruitment procedures documented (K1 documents) for Germany, Italy, Spain, France (site-based recruitment at participating paediatric hospitals/clinics).
- Telephone pre-screening and telephone consent/data-consent handled by Scout Clinical (documents: Scout Pre-ICF Telephone, Scout Clinical Telephone Data Consent).
- Use of patient recruitment materials and participant reimbursement (sponsor duties list includes patient recruitment materials and patient reimbursement).
- Site and contract negotiation, in-home health services and language services provided as part of site support (listed in ICON responsibilities).
- Electronic platforms and eClinical support (vendors listed include Medidata, Suvoda, Yprime) used to support study procedures and remote processes.
Geography
- Total Number Of Sites
- 10
- Total Number Of Participants
- 44
Germany
- Earliest CTIS Part Ii Submission Date
- 12-08-2025
- Latest Decision Or Authorization Date
- 03-11-2025
- Processing Time Days
- 83
- Number Of Sites
- 2
- Number Of Participants
- 14
Sites
- Site Name
- Otto Von Guericke Universitaet Magdeburg
- Department Name
- Universitätskinderklinik
- Principal Investigator Name
- Katja Palm
- Principal Investigator Email
- Katja.pal@med.ovgu.de
- Contact Person Name
- Katja Palm
- Contact Person Email
- Katja.pal@med.ovgu.de
- Site Name
- University Hospital Cologne AöR
- Department Name
- Klinik und Poliklinik für Kinder- und Jugendmedizin
- Principal Investigator Name
- Oliver Semler
- Principal Investigator Email
- joerg.semler@uk-koeln.de
- Contact Person Name
- Oliver Semler
- Contact Person Email
- joerg.semler@uk-koeln.de
Italy
- Earliest CTIS Part Ii Submission Date
- 22-10-2025
- Latest Decision Or Authorization Date
- 11-11-2025
- Processing Time Days
- 20
- Number Of Sites
- 3
- Number Of Participants
- 14
Sites
- Site Name
- IRCCS Istituto Giannina Gaslini
- Department Name
- Pediatric Clinic - Clinical Service in Pediatric Endocrinology, Diabetes and Metabolism
- Principal Investigator Name
- Mohamad Maghnie
- Principal Investigator Email
- mohamadmaghnie@gaslini.org
- Contact Person Name
- Mohamad Maghnie
- Contact Person Email
- mohamadmaghnie@gaslini.org
- Site Name
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS
- Department Name
- UOC Pediatrics
- Principal Investigator Name
- Roberta Onesimo
- Principal Investigator Email
- roberta.onesimo@policlinicogemelli.it
- Contact Person Name
- Roberta Onesimo
- Contact Person Email
- roberta.onesimo@policlinicogemelli.it
- Site Name
- Ospedale Pediatrico Bambino Gesu
- Department Name
- Rare Disease and Medical Genetics Unit
- Principal Investigator Name
- Michaela Veronika Gonfiantini
- Principal Investigator Email
- mveronik.gonfiantini@opbg.net
- Contact Person Name
- Michaela Veronika Gonfiantini
- Contact Person Email
- mveronik.gonfiantini@opbg.net
Spain
- Earliest CTIS Part Ii Submission Date
- 31-10-2025
- Latest Decision Or Authorization Date
- 12-11-2025
- Processing Time Days
- 12
- Number Of Sites
- 1
- Number Of Participants
- 6
Sites
- Site Name
- Unidad De Cirugia Artroscopica S.L.
- Department Name
- Pedriatic Endocrinology
- Principal Investigator Name
- Josep María de Bergua
- Principal Investigator Email
- josepmaria.debergua@ucatrauma.com
- Contact Person Name
- Josep María de Bergua
- Contact Person Email
- josepmaria.debergua@ucatrauma.com
France
- Earliest CTIS Part Ii Submission Date
- 20-10-2025
- Latest Decision Or Authorization Date
- 13-11-2025
- Processing Time Days
- 24
- Number Of Sites
- 4
- Number Of Participants
- 10
Sites
- Site Name
- Centre Hospitalier Regional De Marseille
- Department Name
- Pédiatrie multidisciplinaire
- Principal Investigator Name
- Rachel Reynaud
- Principal Investigator Email
- rachel.reynaud@ap-hm.fr
- Contact Person Name
- Rachel Reynaud
- Contact Person Email
- rachel.reynaud@ap-hm.fr
- Site Name
- Hospices Civils De Lyon
- Department Name
- Service de Génétique, Centre de Référence Maladies Osseuses Constitutionnelles
- Principal Investigator Name
- Massimiliano Rossi
- Principal Investigator Email
- massimiliano.rossi01@chu-lyon.fr
- Contact Person Name
- Massimiliano Rossi
- Contact Person Email
- massimiliano.rossi01@chu-lyon.fr
- Site Name
- Hopital Des Enfants
- Department Name
- Endocrinologie, Gynécologie et Génétique Médicale
- Principal Investigator Name
- Thomas Edouard
- Principal Investigator Email
- edouard.t@chu-toulouse.fr
- Contact Person Name
- Thomas Edouard
- Contact Person Email
- edouard.t@chu-toulouse.fr
- Site Name
- Hopital Necker Enfants Malades
- Department Name
- Service de MédecineGénomique des Maladies Rares
- Principal Investigator Name
- Valerie Cormier-Daire
- Principal Investigator Email
- valerie.cormier-daire@inserm.fr
- Contact Person Name
- Valerie Cormier-Daire
- Contact Person Email
- valerie.cormier-daire@inserm.fr
Sponsor
Primary sponsor
- Full Name
- Biomarin Pharmaceutical Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Medpace Belgium
- Name
- Icon Clinical Research Limited
- Responsibilities
- Site and contract negotiation, Medical Imaging, In-home health, language services, Patient recruitement Materials.
- Name
- Icon Clinical Research Services (Imperial Clinical Research Services International Ltd.)
- Responsibilities
- printing
- Name
- Almac Clinical Services Limited
- Name
- Longboat Clinical Limited
- Responsibilities
- Site Training portal
Third parties
- {"country":"Belgium","full_name":"Medpace Belgium","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Ireland","full_name":"Longboat Clinical Limited","duties_or_roles":"Site Training portal","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Patient reimbursement","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"United States","full_name":"Bioagilytix Labs LLC","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"France","full_name":"Quipment","duties_or_roles":"Equipmental Rental","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Yprime LLC","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Precision For Medicine Inc.","duties_or_roles":"sample storage","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"Clinical Outcomes Solutions Limited","duties_or_roles":"Data Collection & Analysis: Gathering and analyzing patient-reported data","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Site and contract negotiation, Medical Imaging, In-home health, language services, Patient recruitement Materials.","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Clinical Outcomes Solutions LLC","duties_or_roles":"Data Collection & Analysis: Gathering and analyzing patient-reported data","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"United Kingdom (Northern Ireland)","full_name":"Almac Clinical Services Limited","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Imperial Clinical Research Services International Ltd.","duties_or_roles":"printing","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Voxzogo 0.4 mg powder and solvent for solution for injection
- Active Substance
- VOSORITIDE
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- SUBCUTANEOUS USE
- Route
- Subcutaneous
- Authorisation Status
- Marketing authorisation (EU) - EU/1/21/1577/001
- Orphan Designation
- Yes
- Starting Dose
- 0.4 mg
- Dose Levels
- 0.4 mg
- Frequency
- Daily (daily injections expected; parent/caregiver administer)
- Maximum Dose
- 0.24 mg
- Investigational Product Name
- Voxzogo 0.56 mg powder and solvent for solution for injection
- Active Substance
- VOSORITIDE
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- SUBCUTANEOUS USE
- Route
- Subcutaneous
- Authorisation Status
- Marketing authorisation (EU) - EU/1/21/1577/002
- Orphan Designation
- Yes
- Starting Dose
- 0.56 mg
- Dose Levels
- 0.56 mg
- Frequency
- Daily (daily injections expected; parent/caregiver administer)
- Maximum Dose
- 0.40 mg
- Investigational Product Name
- Voxzogo 1.2 mg powder and solvent for solution for injection
- Active Substance
- VOSORITIDE
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- SUBCUTANEOUS USE
- Route
- Subcutaneous
- Authorisation Status
- Marketing authorisation (EU) - EU/1/21/1577/003
- Orphan Designation
- Yes
- Starting Dose
- 1.2 mg
- Dose Levels
- 1.2 mg
- Frequency
- Daily (daily injections expected; parent/caregiver administer)
- Maximum Dose
- 0.80 mg
Related trials
Other published trials that may interest you.