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An Extension Study to Evaluate the Efficacy and Safety of BMN 111 in Children With Achondroplasia

Phase 3
Active, not recruiting
Conditions
Achondroplasia
Interventions
Registration Number
NCT03424018
Lead Sponsor
BioMarin Pharmaceutical
Brief Summary

The intent and design of this Phase 3 study is to assess BMN 111 as a therapeutic option for the treatment of children with Achondroplasia

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
119
Inclusion Criteria
  • Must have completed Study 111-301
  • Female >= 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
  • If sexually active, willing to use a highly effective method of contraception while participating in the study
  • Are willing and able to perform all study procedures
  • Parent(s) or guardian(s) are willing and able to provide written, signed informed consent after the nature of the study has been explained and prior to performance of any research-related procedure. Also, subjects under the age of majority are willing and able to provide written assent (if required by local regulations or the IRB/IEC) after the nature of the study has been explained and prior to performance of any research-related procedure. Subjects who reach the age of majority in their country while the study is ongoing will be asked to provide their own written consent again upon reaching the legal age of majority.
Exclusion Criteria
  • Permanently discontinued BMN 111 or placebo prior to completion of the 111-301 study
  • Have a clinically significant finding or arrhythmia on Baseline ECG that indicates abnormal cardiac function
  • Evidence of decreased growth velocity (<1.5 cm/year) as assessed over a period of at least 6 months or of growth plate closure (proximal tibia, distal femur) through bilateral lower extremity X-rays.
  • Require any investigational agent prior to completion of study period
  • Current therapy with medications known to alter renal function
  • Pregnant or breastfeeding or plan to become pregnant during study
  • Concurrent disease or condition that, in the view of the investigator, would interfere with study participation or safety evaluations, for any reason.
  • Have a condition or circumstance that, in the view of the investigator, places the subject at high risk for poor treatment compliance or for not completing the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
BMN 111BMN 111-
Primary Outcome Measures
NameTimeMethod
Change from baselines in mean annualized growth velocityThrough study completion, an average of 1 year

Long term efficacy as measured by change in annualized growth velocity

Secondary Outcome Measures
NameTimeMethod
Characterize maximum concentration (Cmax) of BMN 111 in plasmaThrough study completion, every 12 months
Characterize the area under the plasma concentration time-curve from time 0 to the last measurable concentration (AUC0-t)Through study completion, every 12 months
Characterize the elimination half-life of BMN 111 (t1⁄2)Through study completion, every 12 months
Characterize the apparent clearance of drugThrough study completion, every 12 months
Characterize the apparent volume of distribution based upon the terminal phase (Vz/F)Through study completion, every 12 months
Changes in health-related quality of life as measured by the Quality of Life in Short-Statured Youth questionnaireThrough study completion, every 6-12 months
Potential changes in daily activity performance as measured by Activities of Daily Living questionnaireThrough study completion, every 12 months
Characterize the area under the plasma concentration time-curve from time 0 to infinity (AUC0-∞)Through study completion, every 12 months
BMN 111 Activity BiomarkersThrough study completion, every 12 months

BMN 111 activity will be assessed by measuring bone and collagen metabolism

Evaluate change from baseline in body proportion ratios of the extremitiesThrough study completion, every 6 months
Effect of BMN 111 on bone morphology and qualityThrough study completion, every 12 months for DXA or 2 years for X-ray

The effect of BMN 111 on bone morphology/quality will be assessed by measuring bone mineral density via X-Ray and Dual X-ray Absorptiometry

Characterize the amount of time BMN 111 is present at maximum concentration (Tmax)Through study completion, every 12 months
Final Adult HeightUp to at least 16 years of age for females and 18 years of age for males

Height at 16 years for females and 18 years for males

Trial Locations

Locations (24)

Saitama Children's Medical Center

🇯🇵

Saitama, Japan

Universitätsklinikum Münster

🇩🇪

Münster, Germany

Institut Catala de Traumatologica I Medicina de l'Esport

🇪🇸

Barcelona, Spain

Children's Hospital & Research Center Oakland

🇺🇸

Oakland, California, United States

Otto-von-Gericke Universitaet, Universitaetskinderklinik

🇩🇪

Magdeburg, Germany

The Children's Hospital at Westmead

🇦🇺

Westmead, New South Wales, Australia

Hospital Sant Joan de Deu

🇪🇸

Barcelona, Spain

Hospital Universitario Virgen de la Victoria

🇪🇸

Málaga, Spain

Medical College of Wisconsin, Children's Hospital

🇺🇸

Milwaukee, Wisconsin, United States

Acibadem University School of Medicine

🇹🇷

Istanbul, Turkey

Sheffield Children's NHS Foundation Trust

🇬🇧

Sheffield, United Kingdom

Harbor - UCLA Medical Center

🇺🇸

Torrance, California, United States

Ann and Robert H. Lurie Children's Hospital of Chicago

🇺🇸

Chicago, Illinois, United States

University of Missouri

🇺🇸

Columbia, Missouri, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

Seattle Children's Hospital

🇺🇸

Seattle, Washington, United States

Cincinnati Children's Hospital Medical Center

🇺🇸

Cincinnati, Ohio, United States

Osaka University Hospital

🇯🇵

Osaka, Japan

Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

Alfred I. duPont Hospital for Children

🇺🇸

Wilmington, Delaware, United States

Tokushima University Hospital

🇯🇵

Tokushima, Japan

Murdoch Children's Research Institute

🇦🇺

Parkville, Victoria, Australia

Emory University

🇺🇸

Atlanta, Georgia, United States

Guy's and St. Thomas NHS Foundation Trust Evelina Children's Hospital

🇬🇧

London, United Kingdom

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