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A Clinical Trial to Investigate Long-term Safety, Tolerability, and Efficacy of Weekly Subcutaneous Doses With TransCon CNP in Children and Adolescents With Achondroplasia

Phase 2
Conditions
Achondroplasia
Interventions
Registration Number
NCT05929807
Lead Sponsor
Ascendis Pharma Growth Disorders A/S
Brief Summary

TransCon CNP administered once-weekly in children and adolescents with achondroplasia who have completed a prior TransCon CNP clinical trial. Participants who complete a prior TransCon CNP trial and meet all eligibility criteria will be invited to continue into the long-term open label extension trial to receive 100 ยตg CNP/kg/week of TransCon CNP. Trial treatment will be completed when the participant reaches 16 years of age for females and 18 years of age for males and have femur and tibial epiphyseal closure. TransCon CNP treatment will continue if femur and tibial epiphyseal closure is not confirmed at the age of 16 years for females, and 18 years for males. Treatment with TransCon CNP will be completed once femur and tibial epiphyseal closure is confirmed by radiographic imaging. The trial duration is individual for each trial participant. Visits will occur every 12-14 weeks throughout the trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
140
Inclusion Criteria
  • Written, signed informed consent of the parent(s) or legal guardian(s) of the participant, and as required by the institutional review board/human research ethics committee/independent ethics committee (IRB/HREC/IEC). For participants who are below the age of consent, a written assent will be obtained in accordance with applicable requirements as required by IRB/HREC/IEC. Upon reaching the legal age of consent, depending on applicable requirements, these participants will be asked to give their own written consent.
  • Participants with achondroplasia who have completed a clinical trial with TransCon CNP.
  • Parent(s)/legal guardian(s) willing and able to administer weekly SC injections of TransCon CNP and to follow the protocol.
  • Considered eligible based on the safety evaluations performed for evaluating stopping/holding rule criteria during the prior TransCon CNP clinical trial.
Exclusion Criteria
  • Known or suspected hypersensitivity to the investigational product or related products (trehalose, tris[hydroxymethyl]aminomethane, succinate, and methoxy polyethylene glycol [mPEG]).
  • Have received any dose of prescription medications, investigational medicinal product (other than TransCon CNP).
  • Sexually active female participants and female partners of male participants of childbearing potential not using a highly effective form of contraceptive (including oral, injectable, or implantable contraception, or intrauterine device (IUD)) for the entire trial period and for 90 days post end of the trial.
  • Participants with serum 25-hydroxy-vitamin D (25OHD) levels of <50 nmol/L (<20 ng/mL) at Visit 1 must be on treatment regimen of Vitamin D supplementation.
  • Any disease or condition that, in the opinion of the investigator, may make the participant unlikely to fully complete the trial, may confound interpretation of trial results, or may present undue risk from receiving trial treatment. This could include family situations, complications or manifestations, or medications that might impact safety or be considered confounding.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
TransCon CNP 100 mcgTransCon CNPTransCon CNP 100 mcg delivered once weekly by subcutaneous injection
Primary Outcome Measures
NameTimeMethod
Safety and TolerabilityThrough trial completion, an average of 10 years

Incidence of Treatment-Emergent Adverse Events

Height Z-scoresThrough trial completion, an average of 10 years

Number of standard deviations

Secondary Outcome Measures
NameTimeMethod
Annualized Growth VelocityThrough trial completion, an average of 10 years

cm per year

Trial Locations

Locations (2)

Ascendis Pharma Investigational Site

๐Ÿ‡ฎ๐Ÿ‡ช

Dublin, Ireland

Ascendis Investigational Site

๐Ÿ‡ต๐Ÿ‡น

Coimbra, Portugal

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