A Study to Document and to Further Describe Long-term Safety and Effectiveness of Palovarotene in Participants With Fibrodysplasia Ossificans Progressiva (FOP)

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age8+
SponsorIpsen

About this trial

The participants in this registry study will have fibrodysplasia ossificans progressiva (FOP).

FOP is an ultra-rare, severely disabling disease characterized by new bone formation in areas of the body where bone is not normally present (heterotopic ossification (HO)).

HO is often preceded by painful, recurrent episodes of soft tissue swelling (flare-ups).

This registry study will take place in countries where the treatment, known as palovarotene, has been approved for use. Participants will either be treated with palovarotene (i.e already be receiving palovarotene as prescribed by their treating physician according to locally approved product information) or untreated with palovarotene.

The main aim of this registry study will be to collect and assess real-world safety data on children and adult participants with FOP treated with palovarotene.

This registry study will also describe the effectiveness of palovarotene in exposed participants, including the effect on everyday activities and physical performance.

In addition, this registry study aims to descriptively compare key safety outcomes (i.e. flare-up episodes, growth outcomes, and bone fractures) between participants exposed and unexposed to palovarotene.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult or child with FOP who have been prescribed palovarotene (prior to and independently of the decision to enroll the patient in this registry study and as per local label) by their treating physician according to the locally approved product information;

Signed informed consent as per local regulations must be obtained and maintained. Consent/assent from the participant should be obtained as appropriate before any registry study data collection are conducted. If applicable, parents or legally authorized representatives must give signed informed consent.

Disqualifiers

Currently participating in a palovarotene clinical trial;

Currently participating in any interventional clinical trial for FOP;

Have any contraindication to palovarotene as per the locally approved label (except for pregnant women who have previously received and discontinued palovarotene at any time during the pregnancy and who will be included for safety follow-up).

Trial population

Adults and children with FOP who have been prescribed palovarotene, as per local label, by their treating physician for which informed consent has been obtained and maintained. Participants cannot be included if they are currently participating in a palovarotene clinical trial or an interventional clinical trial for FOP or if they have any contraindication for palovarotene (except for pregnant women who have previously received and discontinued palovarotene at any time during the pregnancy and who will be included for safety follow-up).

Trial design

Design model

Other

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

100 Participants
are grouped into 2 trial groups
Group A: Exposed Cohort
Group B: Unexposed Cohort

Trial outcomes

Primary outcomes

1

Percentage of Participants With Treatment-emergent Adverse Events (TEAEs), whether or not they are considered as related to palovarotene

Adverse events will be coded according to MedDRA and will be classified by Preferred Term (PT) and system organ class (SOC).

Time frame
From Baseline up to 30 days after the last palovarotene dose.
2

Percentage of Participants With Serious and Non-serious treatment-related TEAEs

Adverse events will be coded according to MedDRA and will be classified by PT and SOC.

Time frame
From Baseline up to 30 days after the last palovarotene dose.
3

Percentage of Participants With all serious TEAEs, whether or not they are considered as related to the palovarotene

Adverse events will be coded according to MedDRA and will be classified by PT and SOC.

Time frame
From Baseline up to 30 days after the last palovarotene dose.
4

Percentage of Participants With nonserious TEAEs whether or not they are considered as related to the palovarotene.

Adverse events will be coded according to MedDRA and will be classified by PT and SOC.

Time frame
From Baseline up to 30 days after the last palovarotene dose.

Secondary outcomes

1

Change from Baseline in Cumulative Analogue Joint Involvement Scale (CAJIS) total score

The CAJIS is an objective measure of joint movement completed by the Investigator to document total joint involvement. The CAJIS total score is calculated as the sum of the scores of all joints/regions and ranges from 0 (no involvement) to 30 (maximally involved).

Time frame
From Baseline and every six months up to eleven years.
2

Change from Baseline in use of assistive devices

Assistive devices is a questionnaire to assess the assistive devices used by particpants and adaptations for their daily living.

Time frame
From Baseline and every six months up to eleven years.
3

Change from Baseline in percent of worst score for Fibrodysplasia Ossificans Progressiva-Physical Function Questionnaire (FOP-PFQ) total score

Fibrodysplasia Ossificans Progressiva-Physical Function Questionnaire (FOP-PFQ) consists of questions which are scored on a scale of 1 to 5, lower scores indicating that the participant has more difficulties.

Time frame
From Baseline and every six months up to eleven years.
4

Change from Baseline in observed and percent predicted Forced Vital Capacity (FVC)

The lung function parameters of observed FVC (liters) and percent predicted FVC are obtained by spirometry.

Time frame
From Baseline and every six months up to eleven years.

Other outcomes

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