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NCT06382155PHASE2Recruiting

A Phase 2 Study of Vosoritide in Children With Idiopathic Short Stature

BioMarin Pharmaceutical

Start Date

10/21/2024

Completion Date

12/1/2036

Summary

The purpose of this study is to evaluate i) the effect of multiple doses of vosoritide and ii) the effect of the therapeutic dose of vosoritide compared to human growth hormone (hGH)(hGH; only in the United States), in children with idiopathic short stature (ISS).

Detailed Description

Following a minimum 6 month observational period in which baseline growth is assessed, participants in the vosoritide and placebo groups will complete a minimum of 6 months of randomized treatment (maximum of 6 months of placebo treatment), followed by open-label treatment with vosoritide until they reach near-final adult height, or at least 16 years of age for females or 18 years of age for males, whichever comes later. Participants randomized to the hGH group will receive open-label hGH for a minimum of 4 years. A Treatment Completion visit will occur approximately 4 weeks after the last administration of investigational product. Participants who discontinue study treatment after ≥13 weeks of exposure may remain in the study and complete follow-up assessments per the protocol schedule (including annual and periodic assessments through End of Study). If a participant discontinues treatment and declines further participation, they will be asked to return for a final Treatment Completion and End of Study visit approximately 4 weeks after the last injection. Safety monitoring includes regular clinical and imaging assessments, including hip and lower-extremity evaluations, monitoring for hypotension, fractures, and slipped capital femoral epiphysis, with oversight by an independent Data Monitoring Committee An independent Data Monitoring Committee will periodically review safety data and may recommend treatment discontinuation based on predefined safety signals

Eligibility Criteria

Age Range: 3 years to 11 years

Key Inclusion Criteria: 1. Height assessment corresponding to a height Z-score of ≤ -2.25 SDs in reference to the general population of the same age and sex, as calculated using the Centers for Disease Control and Prevention (CDC) growth charts 2. If participant is ≥ 5 years at Screening,must be Tanner Stage I to be eligible for enrollment and randomization3. Historic stimulation test result with serum or plasma GH level greater than 10 μg/L or serum IGF-1 in the normal range for age (≥ -1.00 SDs and ≤+2.00 SDs). Key Exclusions: 1. Known chromosomal imbalance or genetic variant causing short stature syndrome, including but not limited to Laron syndrome, Prader-Willi syndrome, Russell-Silver Syndrome, Turner syndrome, disproportionate skeletal dysplasias, abnormal SHOX gene analysis, or Rasopathy (including Noonan syndrome), ACAN deficiency. 2. Previous treatment with a growth promoting agent

Interventions

DRUG

Vosoritide Injection

DRUG

Human Growth Hormone

DRUG

Placebo

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Conditions

Idiopathic Short Stature

Locations

Consano Clinical Research, LLC

California City, California 78231

United States

Rady Children's Hospital - San Diego

California City, California 92123

United States

Children's Hospital of Orange County Main Campus - Orange

California City, California 92868

United States

Children's Hospital Los Angeles

Los Angeles, California 90027

United States

Children's Hospital Oakland Research Institute

Oakland, California 94609

United States

Center Of Excellence in Diabetes and Endocrinology

Sacramento, California 95821

United States

Lundquist Institute for Biomedical Innovation (LA BioMed)

Torrance, California 90502

United States

The Children's National Research Institute

Washington D.C., District of Columbia 20012

United States

Nemours Children's Specialty Care Jacksonville

Jacksonville, Florida 32207

United States

Nicklaus Children's Hospital

Miami, Florida 33155

United States

Optimal Research Sites

Orange City, Florida 32763

United States

Nemours Children's Health System - Corporate Headquarters

Pensacola, Florida 32514

United States

Centricity Research

Columbus, Georgia 31904

United States

St. Luke's Children's Endocrinology

Boise, Idaho 83712

United States

Rocky Mountain Clinical Research - Idaho Falls

Idaho Falls, Idaho 83404

United States

University of Iowa Stead Family Children's Hospital

Iowa City, Iowa 52242

United States

Kentucky Children's Hospital

Lexington, Kentucky 40536

United States

University of Louisville School of Medicine

Louisville, Kentucky 40202

United States

Velocity Clinical Research - MedPharmics - Lafayette

Lafayette, Louisiana 70508

United States

Ochsner Health Center for Children - New Orleans

New Orleans, Louisiana 70121

United States

University of Michigan

Ann Arbor, Michigan 48109

United States

University of Minnesota Masonic Children's Hospital

Minneapolis, Minnesota 55454

United States

UBMD Pediatrics

Buffalo, New York 14203

United States

NYU Langone Ambulatory Care Garden City

Garden City, New York 11530

United States

Atlantic Health Children's Specialty Center at Morristown

New York, New York 07960

United States

The Clinical and Translational Science Institute

New York, New York 10016

United States

Icahn School of Medicine at Mount Sinai

New York, New York 10029

United States

Children's Hospital at Montefiore

The Bronx, New York 10467

United States

University of North Carolina Children's Specialty Clinic

Chapel Hill, North Carolina 27514

United States

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio 45229

United States

Prisma Health Children's Hospital - Midlands

Columbia, South Carolina 29203

United States

University of Texas Southwestern Medical Center

Dallas, Texas 75390

United States

Cook Children's Endocrinology

Fort Worth, Texas 76104

United States

Baylor College of Medicine

Houston, Texas 77030

United States

Seattle Children's Hospital

Seattle, Washington 98105

United States

Murdoch Children's Research Institute

Parkville, Victoria 3052

Australia

Centre Hospitalier Universitaire d'Angers

Angers, 49 933

France

Hôpital de la Timone - Enfants

Marseille, 13005

France

CHU de Toulouse - Hôpital des Enfants

Toulouse, 31059

France

Hôpital Bicêtre

Le Kremlin-Bicêtre, Île-de-France Region 94270

France

Universitätsklinikum des Saarlandes

Homburg, Saarland 66421

Germany

Azienda Ospedaliero Universitaria - Ospedale Pediatrico Meyer

Florence, Florence 50139

Italy

Ospedale Pediatrico Bambino Gesù

Roma, Rome 00165

Italy

IRCCS Istituto Giannina Gaslini

Genova, 16147

Italy

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do 13620

South Korea

Inha University Hospital

Incheon, 22332

South Korea

Chungnam National University Sejong Hospital (CNUSH)

Sejong, 30099

South Korea