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Extension Study of Infigratinib in Children With Achondroplasia (ACH)

Primary Purpose

Achondroplasia

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Infigratinib
Infigratinib
Sponsored by
QED Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Achondroplasia focused on measuring Skeletal dysplasia, Endochondral ossification, Achondroplasia (ACH), Quality of life in achondroplasia, Fibroblast growth factor receptor 3, FGFR3, Endochondral bone formation, Short-limb disproportionate dwarfism, dwarfism, Bone disease, Functionality in achondroplasia, Musculoskeletal diseases, Osteochondrodysplasia, Genetic diseases, Long - term treatment, Growth, Average growth velocity

Eligibility Criteria

3 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Rollover Subjects Inclusion Criteria:

  1. Pediatric subjects with ACH who have completed study activities in a previous QED-sponsored interventional study with infigratinib.
  2. Subjects and parent(s) or legally authorized representatives (LARs) are willing and able to comply with study visits and study procedures.
  3. Subjects are able to swallow oral medication.
  4. If sexually active, subject must be willing to use a highly effective method of contraception while taking study drug and for 1 month after the last dose of study drug.
  5. The PI, or a person designated by the PI, will obtain written informed consent from each subject's LAR and the subject's assent, when applicable, before any study-specific activity is performed.

Rollover Subjects Exclusion Criteria:

  1. Subject has concurrent circumstance, disease, or condition that, in the view of the PI and/or sponsor, would interfere with study participation or safety evaluations.
  2. Subjects who developed a medical condition that will require the initiation of treatment with a prohibited medication.
  3. Subjects that have reached final height or near final height.

Key Inclusion Criteria for Treatment Naïve Subjects

  1. Subject must be 3 to <18 years of age (inclusive) at screening and have growth potential.
  2. Subjects who have a diagnosis of ACH, documented clinically and confirmed by genetic testing.
  3. Subjects have at least a 6-month period of growth assessment in the PROPEL study (Protocol QBGJ398 001) before study entry.
  4. In girls ≥10 years of age or girls of any age who have experienced menarche, having a negative pregnancy test.
  5. If sexually active, subject must be willing to use a highly effective method of contraception while taking study drug and for 1 month after the last dose of study drug.
  6. The PI, or a person designated by the PI, will obtain written informed consent from each subject's LAR and the subject's assent, when applicable, before any study-specific activity is performed.

Exclusion Criteria for Treatment Naïve Subjects

  1. Subjects who have hypochondroplasia or short stature condition other than ACH (e.g., trisomy 21, pseudoachondroplasia, psychosocial short stature).
  2. Subjects who have significant concurrent disease or condition that, in the view of the PI and/or sponsor, would represent an increased risk to the subject or would interfere with study participation or safety evaluations.
  3. Subjects who have a history of malignancy.
  4. Subjects who are currently receiving treatment with agents that are known strong inducers or inhibitors of cytochrome P450 (CYP) 3A4.
  5. Subjects who have received treatment with growth hormone, insulin-like growth factor 1 (IGF 1), anabolic steroids or any investigational or approved drug for the treatment of ACH in the previous 6 months.

Sites / Locations

  • Nemours Alfred I. Dupont Hospital for Children
  • Vanderbilt University Medical CenterRecruiting
  • Murdoch Children's HospitalRecruiting
  • Hopital Femme Mere EnfantRecruiting
  • Hopital Necker-Enfants MaladesRecruiting
  • Hopital des EnfantsRecruiting
  • Hospital Universitario La PazRecruiting
  • Hospital Universitario Virgen de la VictoriaRecruiting
  • Hospital Vithas San JoséRecruiting
  • Queen Elizabeth University HospitalRecruiting
  • St. Thomas' HospitalRecruiting
  • Manchester University Children's HospitalRecruiting
  • Sheffield Children's HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Arm 1: Rollover subjects

Arm 2: Treatment naïve subjects

Arm Description

Children who have completed QED-sponsored interventional study with infigratinib

Children naïve to infigratinib

Outcomes

Primary Outcome Measures

Incidence of treatment emergent adverse events (TEAE) and serious TEAE
Changes over time in height Z-score in relation to ACH and non-ACH growth charts

Secondary Outcome Measures

Changes over time in absolute height velocity, expressed as height velocity z-score in relation to ACH and non ACH growth chart
Changes over time in body proportions
Changes over time in weight z-score
Changes overtime in BMI
Age of puberty onset and time to Tanner stage ≥4
Changes over time in number of episodes of otitis media per year
Changes over time in number of episodes and/or severity of sleep apnea
Changes over time in range of motion (hip, knee and elbow)
Changes over time in skeletal abnormalities of the lower extremities and spine
Changes in health-related qQuality of life [HRQoL] as assessed by Pediatric Quality of Life Inventory (PedsQL) and Quality of Life in Short Stature Youth questionnaire (QoLISSY)
Changes in overall body pain as assessed by Numeric Rating Scale for pain (Pain-NRS)
Changes in functional abilities as evaluated by Functional Independence Measure for Children (WeeFIM)
Changes in cognitive functions assessed by age-appropriate computerized tests

Full Information

First Posted
November 22, 2021
Last Updated
August 19, 2023
Sponsor
QED Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05145010
Brief Title
Extension Study of Infigratinib in Children With Achondroplasia (ACH)
Official Title
Phase 2, Open-Label, Long-Term, Extension (OLE) Study of Infigratinib, an FGFR 1-3-Selective Tyrosine Kinase Inhibitor, in Children With Achondroplasia: PROPEL OLE
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 6, 2021 (Actual)
Primary Completion Date
December 1, 2031 (Anticipated)
Study Completion Date
February 1, 2032 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
QED Therapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 2, multicenter, open-label, extension (OLE) study to evaluate the long-term safety, tolerability, and efficacy of infigratinib, an FGFR 1-3-selective tyrosine kinase inhibitor, in subjects with ACH who previously completed a QED-sponsored interventional study, and potentially in additional subjects who are naïve to infigratinib treatment. Quality of Life assessments for this subject population will also be evaluated. Treatment-naïve subjects must have at least a 6-month period of growth assessment in the PROPEL study (Protocol QBGJ398 001) and will be enrolled in this OLE study only after a dose to be explored further is identified in Phase 2 Study QBGJ398-201.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Achondroplasia
Keywords
Skeletal dysplasia, Endochondral ossification, Achondroplasia (ACH), Quality of life in achondroplasia, Fibroblast growth factor receptor 3, FGFR3, Endochondral bone formation, Short-limb disproportionate dwarfism, dwarfism, Bone disease, Functionality in achondroplasia, Musculoskeletal diseases, Osteochondrodysplasia, Genetic diseases, Long - term treatment, Growth, Average growth velocity

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
280 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Arm 1: Rollover subjects
Arm Type
Experimental
Arm Description
Children who have completed QED-sponsored interventional study with infigratinib
Arm Title
Arm 2: Treatment naïve subjects
Arm Type
Experimental
Arm Description
Children naïve to infigratinib
Intervention Type
Drug
Intervention Name(s)
Infigratinib
Intervention Description
Infigratinib minitablets to be administered by mouth. In subjects that completed a prior study with infigratinib, the starting dose will be the same as the last dose received in the prior interventional study with infigratinib. Infigratinib dose may be adjusted to the dose identified from the dose escalation portion of the Phase 2 study (PROPEL 2).
Intervention Type
Drug
Intervention Name(s)
Infigratinib
Intervention Description
Infigratinib minitablets to be administered by mouth. Starting dose for the subjects naive to infigratinib will be the one identified during QBGJ398-201 (PROPEL 2).
Primary Outcome Measure Information:
Title
Incidence of treatment emergent adverse events (TEAE) and serious TEAE
Time Frame
10 years
Title
Changes over time in height Z-score in relation to ACH and non-ACH growth charts
Time Frame
10 years
Secondary Outcome Measure Information:
Title
Changes over time in absolute height velocity, expressed as height velocity z-score in relation to ACH and non ACH growth chart
Time Frame
10 years
Title
Changes over time in body proportions
Time Frame
10 years
Title
Changes over time in weight z-score
Time Frame
10 years
Title
Changes overtime in BMI
Time Frame
10 years
Title
Age of puberty onset and time to Tanner stage ≥4
Time Frame
10 years
Title
Changes over time in number of episodes of otitis media per year
Time Frame
10 years
Title
Changes over time in number of episodes and/or severity of sleep apnea
Time Frame
10 years
Title
Changes over time in range of motion (hip, knee and elbow)
Time Frame
10 years
Title
Changes over time in skeletal abnormalities of the lower extremities and spine
Time Frame
10 years
Title
Changes in health-related qQuality of life [HRQoL] as assessed by Pediatric Quality of Life Inventory (PedsQL) and Quality of Life in Short Stature Youth questionnaire (QoLISSY)
Time Frame
10 years
Title
Changes in overall body pain as assessed by Numeric Rating Scale for pain (Pain-NRS)
Time Frame
10 years
Title
Changes in functional abilities as evaluated by Functional Independence Measure for Children (WeeFIM)
Time Frame
10 years
Title
Changes in cognitive functions assessed by age-appropriate computerized tests
Time Frame
10 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Rollover Subjects Inclusion Criteria: Pediatric subjects with ACH who have completed study activities in a previous QED-sponsored interventional study with infigratinib. Subjects and parent(s) or legally authorized representatives (LARs) are willing and able to comply with study visits and study procedures. Subjects are able to swallow oral medication. In girls ≥10 years of age or girls of any age who have experienced menarche, having a negative pregnancy test. If sexually active, subject must be willing to use a highly effective method of contraception while taking study drug and for 1 month after the last dose of study drug. The PI, or a person designated by the PI, will obtain written informed consent from each subject's LAR and the subject's assent, when applicable, before any study-specific activity is performed. Rollover Subjects Exclusion Criteria: Subject has concurrent circumstance, disease, or condition that, in the view of the PI and/or sponsor, would interfere with study participation or safety evaluations. Subjects who developed a medical condition that will require the initiation of treatment with a prohibited medication. Subjects prematurely discontinued a prior QED-sponsored interventional study with infigratinib Subjects that have reached final height or near final height. Key Inclusion Criteria for Treatment Naïve Subjects Subject must be 3 to <18 years of age at screening and have growth potential. Subjects who have a diagnosis of ACH, documented clinically and confirmed by genetic testing. Subjects have at least a 6-month period of growth assessment in the PROPEL study (Protocol QBGJ398 001) before study entry. In girls ≥10 years of age or girls of any age who have experienced menarche, having a negative pregnancy test. If sexually active, subject must be willing to use a highly effective method of contraception while taking study drug and for 1 month after the last dose of study drug. The PI, or a person designated by the PI, will obtain written informed consent from each subject's LAR and the subject's assent, when applicable, before any study-specific activity is performed. Key Exclusion Criteria for Treatment Naïve Subjects Subjects who have hypochondroplasia or short stature condition other than ACH (e.g., trisomy 21, pseudoachondroplasia, psychosocial short stature). Subjects who have significant concurrent disease or condition that, in the view of the PI and/or sponsor, would represent an increased risk to the subject or would interfere with study participation or safety evaluations. Subjects who have a history of malignancy. Subjects who are currently receiving treatment with agents that are known strong inducers or inhibitors of cytochrome P450 (CYP) 3A4. Subjects who have received treatment with growth hormone, insulin-like growth factor 1 (IGF 1), anabolic steroids or any investigational or approved drug for the treatment of ACH in the previous 6 months. Subjects who have significant abnormality in screening laboratory results. Subjects who have had a fracture within 12 months of screening.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
QED Therapeutics SVP, Clinical Development
Phone
1-877-280-5655
Email
PROPELstudyinfo@QEDTX.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
QED Therapeutics SVP, Clinical Development
Organizational Affiliation
QED Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Nemours Alfred I. Dupont Hospital for Children
City
Wilmington
State/Province
Delaware
ZIP/Postal Code
19803
Country
United States
Individual Site Status
Completed
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
LeeAnna Melton
Phone
615-343-6761
Email
LeeAnna.Melton@vumc.org
First Name & Middle Initial & Last Name & Degree
John A Phillips, MD
Facility Name
Murdoch Children's Hospital
City
Parkville
State/Province
Victoria
ZIP/Postal Code
3052
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cassandra Choy
Phone
+6139936637
Email
cassandra.choy@mcri.edu.au
First Name & Middle Initial & Last Name & Degree
Ravi Savarirayan, MD
Facility Name
Hopital Femme Mere Enfant
City
Lyon
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Magali Arnaud
Phone
330427855572
Email
massimiliano.rossi01@chu-lyon.fr
First Name & Middle Initial & Last Name & Degree
Massililiano Rossi, MD
Facility Name
Hopital Necker-Enfants Malades
City
Paris
Country
France
Individual Site Status
Recruiting
Facility Name
Hopital des Enfants
City
Toulouse
Country
France
Individual Site Status
Recruiting
Facility Name
Hospital Universitario La Paz
City
Madrid
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Virgen de la Victoria
City
Málaga
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Vithas San José
City
Vitoria-Gasteiz
State/Province
Álava
ZIP/Postal Code
01012
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Josep M de Bergua
Phone
+34650806071
Email
josepmaria.debergua@ucatrauma.com
First Name & Middle Initial & Last Name & Degree
Josep M de Bergua, MD
Facility Name
Queen Elizabeth University Hospital
City
Glasgow
ZIP/Postal Code
G12 0XH
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hannah Williamson
Phone
4401412327600
Email
hannah.williamson@ggc.sccc.nhs.uk
First Name & Middle Initial & Last Name & Degree
Helen McDevitt, MD
Facility Name
St. Thomas' Hospital
City
London
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Manchester University Children's Hospital
City
Manchester
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Sheffield Children's Hospital
City
Sheffield
ZIP/Postal Code
S10 2th
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jayne Evans
Phone
+441143053875
Email
jayne.evans17@nhs.net
First Name & Middle Initial & Last Name & Degree
Paul Arundel, MD

12. IPD Sharing Statement

Plan to Share IPD
No

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Extension Study of Infigratinib in Children With Achondroplasia (ACH)

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