A Study to Assess Safety, Tolerability and Efficacy of Garetosmab Versus Placebo Administered Intravenously (IV) in Adult Participants With Fibrodysplasia Ossificans Progressiva (FOP)

Last updated: March 21, 2025
Sponsor: Regeneron Pharmaceuticals
Overall Status: Active - Not Recruiting

Phase

3

Condition

Myositis

Treatment

Garetosmab

Placebo

Clinical Study ID

NCT05394116
R2477-FOP-2175
2023-508350-26-00
2022-000880-40
  • Ages > 18
  • All Genders

Study Summary

This study is researching an experimental drug called garetosmab. The study is focused on adult patients with fibrodysplasia ossificans progressiva (FOP).

The aim of the study is to see how safe and effective the study drug is in patients with FOP.

The study is looking at several other research questions, including:

  • What side effects may happen from receiving the study drug

  • How much study drug is in the blood at different times

  • Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects)

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Clinical diagnosis of Fibrodysplasia Ossificans Progressiva (FOP) [(based onfindings of congenital malformation of the great toes, episodic soft tissueswelling, and/or progressive Heterotopic Ossification (HO)]

  2. Confirmation of FOP diagnosis with documentation of Type I activin A receptor (ACVR1) FOP causing mutation

  3. FOP disease activity within 1 year of screening visit. FOP disease activity isdefined as pain, swelling, stiffness, or other signs and symptoms associated withFOP flare-ups; or worsening of joint function, or radiographic progression of HOlesions (increase in size or number of HO lesions) with/without being associatedwith flare-up episodes

  4. Willing and able to undergo CT imaging procedures and other procedures as defined inthe protocol

Exclusion

Key Exclusion Criteria:

  1. Cumulative Analog Joint Involvement Scale (CAJIS) score at screening >19

  2. Participant has significant concomitant illness or history of significant illnesssuch as but not limited to cardiac, renal, rheumatologic, neurologic, psychiatric,endocrine, metabolic, or lymphatic disease, that in the opinion of the studyinvestigator might confound the results of the study or pose additional risk to thepatient by their participation in the study

  3. Previous history or diagnosis of cancer

  4. Severely impaired renal function defined as estimated glomerular filtration rate <30milliliter per minute (mL/min) (/1.73 m^2 calculated by the Modification of Diet inRenal Disease equation

  5. Uncontrolled diabetes defined as hemoglobin A1C (HbA1c) >9% at screening

  6. History of poorly controlled hypertension, as defined by:

  7. Systolic blood pressure ≥180 mm Hg or diastolic blood pressure ≥110 mm Hg atthe screening visit

  8. Systolic blood pressure of 160 mm Hg to 179 mm Hg or diastolic blood pressureof 100 mm Hg to 10^9 mm Hg at the screening visit, AND a history of end-organdamage (including history of left-ventricular hypertrophy, heart failure,angina, myocardial infarction, stroke, transient ischemic attack, peripheralarterial disease, end-stage renal disease, and moderate-to-advanced retinopathy

  9. Known history of cerebral vascular malformation

  10. Cardiovascular conditions such as New York Heart Association class III or IV heartfailure, cardiomyopathy, intermittent claudication, myocardial infarction, or acutecoronary syndrome within 6 months prior to screening; symptomatic ventricularcardiac arrhythmia

  11. History of severe respiratory compromise requiring oxygen, respiratory support (eg,bilevel positive airway pressure [biPAP] or continuous positive airway pressure [CPAP]), or a history of aspiration pneumonia requiring hospitalization

  12. Prior use in the past year and concomitant use of bisphosphonates

  13. Concurrent participation in another interventional clinical study or anon-interventional study with radiographic measures or invasive procedures (eg,collection of blood or tissue samples)

  14. Treatment with another investigational drug, denosumab, imatinib or isotretinoin inthe last 30 days or within 5 half-lives of the investigational drug, whichever islonger

  15. Pregnant or breastfeeding women

  16. Women of childbearing potential (WOCBP) who are unwilling to practice highlyeffective contraception, as defined in the protocol

  17. Male patients with WOCBP partners who are not willing to use condoms with WOCBPpartners to prevent potential fetal exposure, as defined in the protocol

Note: Other protocol defined Inclusion/Exclusion Criteria apply

Study Design

Total Participants: 63
Treatment Group(s): 2
Primary Treatment: Garetosmab
Phase: 3
Study Start date:
November 21, 2022
Estimated Completion Date:
February 27, 2029

Connect with a study center

  • Royal North Shore Hospital

    St Leonards, New South Wales 2065
    Australia

    Site Not Available

  • Hospital Israelita Albert Einstein

    Sao Paulo, 05652-900
    Brazil

    Site Not Available

  • Universidad de Concepcion

    Concepcion, Bio Bio 4030000
    Chile

    Site Not Available

  • Tongji Hospital of Tongji University

    Shanghai, 200065
    China

    Site Not Available

  • Clinica Universidad de La Sabana

    Chia, Cundinamarca 140013
    Colombia

    Site Not Available

  • HUS Children and Adolescents Park Hospital Clinical Trial Unit

    Helsinki, Stenbäckinkatu 11 00029
    Finland

    Site Not Available

  • Hôpital Lapeyronie

    Montpellier, 34090
    France

    Site Not Available

  • Hopital Lariboisiere

    Paris, 75010
    France

    Site Not Available

  • Queen Mary Hospital

    Hong Kong, 22553838
    Hong Kong

    Site Not Available

  • IRCCS Istituto Giannina Gaslini

    Genoa, 16147
    Italy

    Site Not Available

  • Nagoya University Hospital

    Nagoya, Aichi 466-8560
    Japan

    Site Not Available

  • Oita University Hospital

    Yufu, Oita 879-5593
    Japan

    Site Not Available

  • Kyushu University Hospital

    Fukuoka, 812-8582
    Japan

    Site Not Available

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Site Not Available

  • Hospital Kuala Lampur

    Kuala Lumpur, 50586
    Malaysia

    Site Not Available

  • Amsterdam University Medical Center

    Amsterdam, North Holland 1081 HV
    Netherlands

    Site Not Available

  • Szpital Centrum Medyczne Medyk

    Rzeszow, Podkarpackie 35-326
    Poland

    Site Not Available

  • University of Cape Town

    Rondebosch, Cape Town 7700
    South Africa

    Site Not Available

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034
    Spain

    Site Not Available

  • Royal National Orthropaedic Hospital NHS Trust

    Middlesex, Greater London HA7 4LP
    United Kingdom

    Site Not Available

  • University of California Los Angeles (UCLA) Medical Center

    Los Angeles, California 90095
    United States

    Site Not Available

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Vanderbilt University Medical Center

    Nashville, Tennessee 37232
    United States

    Site Not Available

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