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
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

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
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

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

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