Study of Infigratinib in Children With Achondroplasia
Achondroplasia
About this trial
This is an interventional treatment trial for Achondroplasia focused on measuring Skeletal dysplasia, Endochondral ossification, ACH, Shortened proximal limbs, Fibroblast growth factor receptor 3, FGFR3, Endochondral bone formation, Short-limb disproportionate dwarfism, dwarfism, Bone disease, Bone diseases, developmental, Musculoskeletal diseases, Osteochondrodysplasia, Genetic diseases, inborn, Inborn
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent by participant or parent(s) or legally authorized representative (LAR) and signed informed assent by the participant (when applicable).
- Diagnosis of ACH, documented clinically and confirmed by genetic testing.
- At least a 6-month period of growth assessment in the PROPEL study (Protocol QBGJ398-001) before study entry.
- Ambulatory and able to stand without assistance
- Able to swallow oral medication.
Exclusion Criteria:
- Hypochondroplasia or short stature condition other than ACH.
- In females, having had their menarche.
- Height < -2 or > +2 standard deviations for age and sex based on reference tables on growth in children with ACH.
- Significant concurrent disease or condition that, in the view of the Investigator and/or Sponsor, would confound assessment of efficacy or safety of infigratinib.
- Current evidence of corneal or retinal disorder/keratopathy.
- History of malignancy.
- Currently receiving treatment with agents that are known strong inducers or inhibitors of CYP3A4 and medications which increase serum phosphorus and/or calcium concentration.
- Treatment with growth hormone, insulin-like growth factor 1 (IGF-1), or anabolic steroids in the previous 6 months or long-term treatment (>3 months) at any time.
- Treatment with a C-type natriuretic peptide (CNP) analog, fibroblast growth factor (FGF) ligand trap, or treatment targeting FGFR inhibition at any time.
- Regular long-term treatment (>3 weeks) with oral corticosteroids (low-dose ongoing inhaled steroid for asthma is acceptable).
- Treatment with any other investigational product or investigational medical device for the treatment of ACH or short stature.
- Previous limb-lengthening surgery or guided growth surgery.
- Fracture within 6 months of screening.
Sites / Locations
- UCSF Benioff Children's HospitalRecruiting
- Nemours Alfred I. Dupont Hospital for ChildrenRecruiting
- Johns Hopkins School of MedicineRecruiting
- Cincinnati Children's Hospital Medical CenterRecruiting
- Vanderbilt University Medical CenterRecruiting
- Murdoch Children's HospitalRecruiting
- Stollery Children's HospitalRecruiting
- Hopital Femme Mere EnfantRecruiting
- Hopital Necker-Enfants MaladesRecruiting
- Hopital des EnfantsRecruiting
- Hospital Universitario La PazRecruiting
- Hospital Universitario Virgen de la VictoriaRecruiting
- Vithas Hospital San JoséRecruiting
- Sheffield Children's HospitalRecruiting
- Birmingham Children's HospitalRecruiting
- University Hospitals Bristol and Weston NHS Foundation TrustRecruiting
- Queen Elizabeth University HospitalRecruiting
- Evelina London Children's HospitalRecruiting
- Manchester University Children's HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Experimental
Experimental
Infigratinib 0.016 mg/kg
Infigratinib 0.032 mg/kg
Infigratinib 0.064 mg/kg
Infigratinib 0.128 mg/kg
Infigratinib 0.25 mg/kg
Dose Escalation: Infigratinib is provided as minitablets in 2 strengths: 0.1 mg and 1 mg for daily oral administration. The dose and number of minitablets/day will be calculated based on individual participant weight. Doses will be adjusted based on weight changes approximately every 3 months.
Dose Escalation and PK substudy: Infigratinib is provided as minitablets in 2 strengths: 0.1 mg and 1 mg for daily oral administration. The dose and number of minitablets/day will be calculated based on individual participant weight. Doses will be adjusted based on weight changes approximately every 3 months.
Dose Escalation and PK substudy: Infigratinib is provided as minitablets in 2 strengths: 0.1 mg and 1 mg for daily oral administration. The dose and number of minitablets/day will be calculated based on individual participant weight. Doses will be adjusted based on weight changes approximately every 3 months.
Dose Escalation and PK substudy: Infigratinib is provided as minitablets in 2 strengths: 0.1 mg and 1 mg for daily oral administration. The dose and number of minitablets/day will be calculated based on individual participant weight. Doses will be adjusted based on weight changes approximately every 3 months. Dose Expansion: Upon identification of the recommended dose from all cohorts analyzed, an expansion cohort of 20 subjects may begin enrollment to further determine safety, tolerability, efficacy, pharmacokinetics (PK) and pharmacodynamics (PD) of the selected dose.
Dose Escalation and PK substudy: Infigratinib is provided as minitablets in 2 strengths: 0.1 mg and 1 mg for daily oral administration. The dose and number of minitablets/day will be calculated based on individual participant weight. Doses will be adjusted based on weight changes approximately every 3 months.