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

Study Purpose

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 your 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)

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Key

Inclusion Criteria:

1. Clinical diagnosis of Fibrodysplasia Ossificans Progressiva (FOP) [(based on findings of congenital malformation of the great toes, episodic soft tissue swelling, 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 is defined as pain, swelling, stiffness, or other signs and symptoms associated with FOP flare-ups; or worsening of joint function, or radiographic progression of HO lesions (increase in size or number of HO lesions) with/without being associated with flare-up episodes. 4. Willing and able to undergo CT imaging procedures and other procedures as defined in the protocol. Key

Exclusion Criteria:

1. Cumulative Analog Joint Involvement Scale (CAJIS) score at screening >19. 2. Participant has significant concomitant illness or history of significant illness such as but not limited to cardiac, renal, rheumatologic, neurologic, psychiatric, endocrine, metabolic, or lymphatic disease, that in the opinion of the study investigator might confound the results of the study or pose additional risk to the patient by their participation in the study. 3. Previous history or diagnosis of cancer. 4. Severely impaired renal function defined as estimated glomerular filtration rate <30 milliliter per minute (mL/min) (/1.73 m^2 calculated by the Modification of Diet in Renal Disease equation. 5. Uncontrolled diabetes defined as hemoglobin A1C (HbA1c) >9% at screening. 6. History of poorly controlled hypertension, as defined by: 1. Systolic blood pressure ≥180 mm Hg or diastolic blood pressure ≥110 mm Hg at the screening visit. 2. Systolic blood pressure of 160 mm Hg to 179 mm Hg or diastolic blood pressure of 100 mm Hg to 109 mm Hg at the screening visit, AND a history of end-organ damage (including history of left-ventricular hypertrophy, heart failure, angina, myocardial infarction, stroke, transient ischemic attack, peripheral arterial disease, end-stage renal disease, and moderate-to-advanced retinopathy. 7. Known history of cerebral vascular malformation. 8. Cardiovascular conditions such as New York Heart Association class III or IV heart failure, cardiomyopathy, intermittent claudication, myocardial infarction, or acute coronary syndrome within 6 months prior to screening; symptomatic ventricular cardiac arrhythmia. 9. 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. 10. Prior use in the past year and concomitant use of bisphosphonates. 11. Concurrent participation in another interventional clinical study or a non-interventional study with radiographic measures or invasive procedures (eg, collection of blood or tissue samples) 12. Treatment with another investigational drug, denosumab, imatinib or isotretinoin in the last 30 days or within 5 half-lives of the investigational drug, whichever is longer. 13. Pregnant or breastfeeding women. 14. Women of childbearing potential (WOCBP) who are unwilling to practice highly effective contraception, as defined in the protocol. 15. Male patients with WOCBP partners who are not willing to use condoms with WOCBP partners to prevent potential fetal exposure, as defined in the protocol. Note: Other protocol defined Inclusion/Exclusion Criteria apply

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05394116
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 3
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Regeneron Pharmaceuticals
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Clinical Trial Management
Principal Investigator Affiliation Regeneron Pharmaceuticals
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries Australia, Brazil, Chile, China, Colombia, Finland, France, Hong Kong, Italy, Japan, Korea, Republic of, Malaysia, Netherlands, Poland, South Africa, Spain, United Kingdom, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Fibrodysplasia Ossificans Progressiva
Study Website: View Trial Website
Arms & Interventions

Arms

Experimental: High dose Garetosmab

Garetosmab is administered by intravenous (IV) administration every 4 weeks (Q4W)

Experimental: Low dose Garetosmab

Garetosmab is administered by IV administration Q4W

Experimental: Placebo

Placebo to match garetosmab, is supplied as a liquid solution without the monoclonal antibody (or the protein) and is administered IV Q4W.

Interventions

Drug: - Garetosmab

Garetosmab is supplied as a liquid drug product and will be administered IV.

Drug: - Placebo

Placebo to match garetosmab, is supplied as a liquid solution without the monoclonal antibody (or the protein) and is administered IV.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Los Angeles, California

Status

Recruiting

Address

University of California Los Angeles (UCLA) Medical Center

Los Angeles, California, 90095

Mayo Clinic, Rochester, Minnesota

Status

Withdrawn

Address

Mayo Clinic

Rochester, Minnesota, 55905

Vanderbilt University Medical Center, Nashville, Tennessee

Status

Recruiting

Address

Vanderbilt University Medical Center

Nashville, Tennessee, 37232

International Sites

Royal North Shore Hospital, St Leonards, New South Wales, Australia

Status

Recruiting

Address

Royal North Shore Hospital

St Leonards, New South Wales, 2065

Hospital Israelita Albert Einstein, Sao Paulo, Brazil

Status

Recruiting

Address

Hospital Israelita Albert Einstein

Sao Paulo, , 05652-900

Universidad de Concepcion, Concepcion, Bio Bio, Chile

Status

Recruiting

Address

Universidad de Concepcion

Concepcion, Bio Bio, 4030000

Tongji Hospital of Tongji University, Shanghai, China

Status

Recruiting

Address

Tongji Hospital of Tongji University

Shanghai, , 200065

Clinica Universidad de La Sabana, Chia, Cundinamarca, Colombia

Status

Recruiting

Address

Clinica Universidad de La Sabana

Chia, Cundinamarca, 140013

Helsinki, Stenbäckinkatu 11, Finland

Status

Recruiting

Address

HUS Children and Adolescents Park Hospital Clinical Trial Unit

Helsinki, Stenbäckinkatu 11, 00029

Hôpital Lapeyronie, Montpellier, France

Status

Recruiting

Address

Hôpital Lapeyronie

Montpellier, , 34090

Hopital Lariboisiere, Paris, France

Status

Recruiting

Address

Hopital Lariboisiere

Paris, , 75010

Queen Mary Hospital, Hong Kong, Hong Kong

Status

Recruiting

Address

Queen Mary Hospital

Hong Kong, , 22553838

IRCCS Istituto Giannina Gaslini, Genoa, Italy

Status

Recruiting

Address

IRCCS Istituto Giannina Gaslini

Genoa, , 16147

Nagoya University Hospital, Nagoya, Aichi, Japan

Status

Recruiting

Address

Nagoya University Hospital

Nagoya, Aichi, 466-8560

Oita University Hospital, Yufu, Oita, Japan

Status

Recruiting

Address

Oita University Hospital

Yufu, Oita, 879-5593

Kyushu University Hospital, Fukuoka, Japan

Status

Recruiting

Address

Kyushu University Hospital

Fukuoka, , 812-8582

Seoul National University Hospital, Seoul, Korea, Republic of

Status

Recruiting

Address

Seoul National University Hospital

Seoul, , 03080

Hospital Kuala Lampur, Kuala Lumpur, Malaysia

Status

Recruiting

Address

Hospital Kuala Lampur

Kuala Lumpur, , 50586

Amsterdam University Medical Center, Amsterdam, North Holland, Netherlands

Status

Recruiting

Address

Amsterdam University Medical Center

Amsterdam, North Holland, 1081 HV

Szpital Centrum Medyczne Medyk, Rzeszow, Podkarpackie, Poland

Status

Recruiting

Address

Szpital Centrum Medyczne Medyk

Rzeszow, Podkarpackie, 35-326

University of Cape Town, Rondebosch, Cape Town, South Africa

Status

Recruiting

Address

University of Cape Town

Rondebosch, Cape Town, 7700

Hospital Universitario Ramon y Cajal, Madrid, Spain

Status

Recruiting

Address

Hospital Universitario Ramon y Cajal

Madrid, , 28034

Middlesex, Greater London, United Kingdom

Status

Recruiting

Address

Royal National Orthropaedic Hospital NHS Trust

Middlesex, Greater London, HA7 4LP