A Study to Evaluate the Efficacy and Safety of Infigratinib in Children and Adolescents With Achondroplasia

NCT ID: NCT06164951

Last Updated: 2025-11-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-10

Study Completion Date

2026-04-30

Brief Summary

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This is a Phase 3, multicenter, double-blind, randomized, placebo-controlled study to evaluate the efficacy and safety of infigratinib in children and adolescents with achondroplasia (ACH) who have completed at least 26 weeks of participation in the QED-sponsored study PROPEL (QBGJ398-001).

Detailed Description

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Conditions

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Achondroplasia

Keywords

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Skeletal dysplasia Endochondral ossification 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 Annualized height velocity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Infigratinib 0.25 mg/kg/day

Infigratinib at 2, 3.5, 5, 7, 10 mg

Group Type EXPERIMENTAL

Infigratinib 0.25 mg/kg/day

Intervention Type DRUG

Daily doses of oral Infigratinib (sprinkle capsules) at 2, 3.5, 5, 7, 10 mg

Placebo 0.25 mg/kg/day

Placebo Comparator at 2, 3.5, 5, 7, 10 mg

Group Type PLACEBO_COMPARATOR

Placebo Comparator 0.25 mg/kg/day

Intervention Type DRUG

Daily doses of oral Placebo Comparator (sprinkle capsules) at 2, 3.5, 5, 7, 10 mg

Interventions

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Infigratinib 0.25 mg/kg/day

Daily doses of oral Infigratinib (sprinkle capsules) at 2, 3.5, 5, 7, 10 mg

Intervention Type DRUG

Placebo Comparator 0.25 mg/kg/day

Daily doses of oral Placebo Comparator (sprinkle capsules) at 2, 3.5, 5, 7, 10 mg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Subject must be 3 to \<18 years of age at screening with growth potential defined as annualized height velocity of \>1.5 cm/year over a period of at least 6 months of participation in the PROPEL observational study (QBGJ398-001), pubertal Tanner stage ≤4, and bone age ≤13 years in females and ≤15 years in males.

Type of Subject and Disease Characteristics
2. Subjects who have a diagnosis of ACH that has been documented clinically and confirmed by genetic testing.
3. Subjects must have completed at least 26 weeks in the PROPEL (QBGJ398-001) study before screening.
4. Subjects are able to swallow oral medication.
5. Subjects and parent(s), legal guardian(s), or caregivers are willing and able to comply with study visits and study procedures.
6. Subjects are ambulatory and able to stand without assistance.

Sex and Contraceptive/Barrier Requirements
7. Negative pregnancy test in girls ≥10 years of age or girls of any age who have experienced menarche.
8. If sexually active, subjects, whether male or female, must be willing to use a highly effective method of contraception while taking study drug and for 3 months after the last dose of study drug.

Informed Consent
9. Signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form and in this protocol, must be obtained for each subject from their parent(s) or legal guardian and signed informed consent/assent must be obtained from the subject (when applicable)

Exclusion Criteria

Medical Conditions

1. Subjects who have hypochondroplasia or short stature condition other than ACH.
2. Significant concurrent disease or condition that, in the view of the investigator and/or sponsor, would confound assessment of efficacy or safety of infigratinib.
3. Current evidence of clinically significant corneal or retinal disorder/keratopathy -confirmed by ophthalmic examination.
4. Concurrent circumstance, disease or condition that, in the view of the investigator and/or sponsor, would interfere with study participation or safety evaluations and/or would require treatment with a prohibited medication, and/or would place the subject at high risk for poor treatment compliance or for not completing the study.
5. History and/or current evidence of extensive ectopic tissue calcification.
6. History of malignancy.

Prior/Concomitant Therapy
7. Having received or planning to receive treatment with any other investigational or approved product for the treatment of ACH or short stature.
8. Regular long-term treatment (≥3 weeks) with supraphysiologic doses of glucocorticoid therapy (ie, \>15 mg/m2/day of hydrocortisone or equivalent) or treatment with glucocorticoids at anti-inflammatory doses (ie, 2.5-10 mg/kg/day of hydrocortisone or equivalent) for over 3 weeks within 6 months of the screening visit (low-dose local preparations including inhaled steroid for asthma, intranasal sprays for allergies, and topical steroids are allowed).
9. Previous limb-lengthening surgery at any time or planned/expected to have limb-lengthening surgery or guided growth surgery during the study period. Guided growth surgery with plates removed at least 12 months prior to screening is allowed.
10. Currently receiving treatment with agents that are known strong inducers or inhibitors of CYP3A4 or prolonged treatment (\>1 week) with medications that alter the pH of the gastrointestinal tract including antacids, H2 antagonists (eg, ranitidine, famotidine), and proton-pump inhibitors (eg, omeprazole).
11. Current evidence of endocrine alterations of calcium/phosphorus homeostasis.

Diagnostic assessments
12. Subjects who have significant abnormality in screening laboratory results.

Other Exclusions
13. Having had a fracture of the long bones (ie, extremities) or spine within 12 months prior to screening.
14. Pregnant or breastfeeding at the screening visit or planning to become pregnant (self or partner) at any time during the study.
15. Allergy or hypersensitivity to any components of the study drug.
Minimum Eligible Age

3 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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QED Therapeutics, a BridgeBio company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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QED Therapeutics, Inc. Medical Director, Clinical Development

Role: STUDY_DIRECTOR

QED Therapeutics

Locations

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QED Investigative Site

San Francisco, California, United States

Site Status

QED Investigative Site

Aurora, Colorado, United States

Site Status

QED Investigative Site

Baltimore, Maryland, United States

Site Status

QED Investigative Site

Columbia, Missouri, United States

Site Status

QED Investigative Site

Cincinnati, Ohio, United States

Site Status

QED Investigative Site

Nashville, Tennessee, United States

Site Status

QED Investigative Site

Madison, Wisconsin, United States

Site Status

QED Investigative Site

Buenos Aires, Buenos Aires F.D., Argentina

Site Status

QED Investigative Site

Parkville, Victoria, Australia

Site Status

QED Investigative Site

Edmonton, Alberta, Canada

Site Status

QED Investigative Site

London, Ontario, Canada

Site Status

QED Investigative Site

Ottawa, Ontario, Canada

Site Status

QED Investigative Site

Montreal, Quebec, Canada

Site Status

QED Investigative Site

Bron, , France

Site Status

QED Investigative Site

Paris, , France

Site Status

QED Investigative Site

Toulouse, , France

Site Status

QED Investigative Site

Rome, , Italy

Site Status

QED Investigative Site

Bergen, , Norway

Site Status

QED Investigative Site

Oslo, , Norway

Site Status

QED Investigative Site

Singapore, , Singapore

Site Status

QED Investigative Site

Málaga, , Spain

Site Status

QED Investigative Site

Vitoria-Gasteiz, , Spain

Site Status

QED Investigative Site

Bristol, , United Kingdom

Site Status

QED Investigative Site

Glasgow, , United Kingdom

Site Status

QED Investigative Site

London, , United Kingdom

Site Status

QED Investigative Site

Manchester, , United Kingdom

Site Status

QED Investigative Site

Sheffield, , United Kingdom

Site Status

Countries

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Germany United States Argentina Australia Canada France Italy Norway Singapore Spain United Kingdom

Other Identifiers

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QBGJ398-303

Identifier Type: -

Identifier Source: org_study_id