About this trial
The purpose of this study is to evaluate the safety and efficacy of daily administration of vosoritide in participants with HCH aged 0 to \< 36 months over a 52-week period.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants must be 0 to < 36 months of age at randomization.
Participants must have a confirmed genetic diagnosis of HCH (obtained via whole genome sequencing; presence of a FGFR3 pathogenic variant associated with HCH).
Participants aged 0 to < 12 months must have a height Z-score of ≤ -1.0 SDS andparticipants aged ≥ 12 to < 36 months must have a height Z-score of ≤ -2.0 SDS in reference to the average stature of the same sex and age, as calculated using the Center for Disease Control and Prevention (CDC) growth charts.
Participant's weight at the Day 1 visit (pre-treatment) must be ≥ 3 kg.
Disqualifiers
Short stature condition other than HCH (eg, ACH, trisomy 21, pseudoachondroplasia).
Have an unstable medical condition likely to require surgical intervention during the study period.
Taking any of the prohibited medications.
Have been treated with growth hormone, insulin-like growth factor 1 (IGF-1), or anabolic steroids in the 6 months prior to Screening, or long-term treatment (> 3 months) at any time.
Trial design
Parallel
Treatments tested in this trial
Vosoritide
DrugThe vosoritide dose administered will be based on the participant's weight and will follow the weight-band dosing regimen approved for ACH
Placebo
DrugSubcutaneous injection of recommended dose of placebo
Treatment groups
Trial outcomes
Primary outcomes
Incidence of treatment-emergent adverse events
Incidence of serious adverse events versus placebo over the course of the study
Changes from baseline in standard clinical laboratory values (hematology, urinalysis, and chemistry)
Changes from baseline in heart rate
Units of measure: bpm
Secondary outcomes
Change in height
Cumulative annualized growth velocity (AGV)
6-month interval AGV
Change from baseline in upper to lower body segment ratio
Sponsors and contacts
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BioMarin Pharmaceutical
Lead sponsor
ICON Clinical Research
Collaborator