ClinicalTrials.gg
Active, not recruitingNCT03424018Updated Mar 13, 2026

An Extension Study to Evaluate the Efficacy and Safety of BMN 111 in Children With Achondroplasia

A Phase 3 interventional study of BMN 111 in Achondroplasia, sponsored by BioMarin Pharmaceutical. Active, not recruiting at 24 sites in 7 countries. Open to participants aged 6 Years and older. Per ClinicalTrials.gov, last updated 2026-03-13.

Sponsored by BioMarin Pharmaceutical · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
119
Allocation
Not applicable
Ages
6 Years and older
Sex
All
01

Study summary

The intent and design of this Phase 3 study is to assess BMN 111 as a therapeutic option for the treatment of children with Achondroplasia

02

Conditions studied

  • Achondroplasia

Keywords

  • ACH
  • Achondroplasia
  • Bone Diseases
  • Bone Diseases, Developmental
  • Dwarfism
  • Genetic Diseases, Inborn
  • Musculoskeletal Diseases
  • Natriuretic Agents
  • Natriuretic Peptide, C-Type
  • Osteochondrodysplasias
  • Physiological Effects of Drugs
  • Skeletal Dysplasias
03

In context

Achondroplasia

47 studies on the registry are indexed under Achondroplasia; 13 are open to participants now.

This study's enrollment of 119 is above the median of 74 across 28 interventional studies indexed under Achondroplasia.

Browse Achondroplasia studies →

Lead sponsor

BioMarin Pharmaceutical is the lead sponsor of 112 studies on the registry; 13 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 12 (71%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Must have completed Study 111-301
  • Female >= 10 years old or who have begun menses must have a negative pregnancy test at the Baseline Visit and be willing to have additional pregnancy tests during the study
  • If sexually active, willing to use a highly effective method of while participating in the study
  • Are willing and able to perform all study procedures
  • Parent(s) or guardian(s) are willing and able to provide written, signed after the nature of the study has been explained and prior to performance of any research-related procedure. Also, subjects under the age of majority are willing and able to provide written assent (if required by local regulations or the IRB/IEC) after the nature of the study has been explained and prior to performance of any research-related procedure. Subjects who reach the age of majority in their country while the study is ongoing will be asked to provide their own written consent again upon reaching the legal age of majority.

Exclusion criteria

Exclusion Criteria:

  • Permanently discontinued BMN 111 or placebo prior to completion of the 111-301 study
  • Have a finding or arrhythmia on Baseline that indicates abnormal cardiac function
  • Evidence of decreased growth velocity (\<1.5 cm/year) as assessed over a period of at least 6 months or of growth plate closure (proximal tibia, distal femur) through bilateral lower extremity X-rays.
  • Require any agent prior to completion of study period
  • Current therapy with medications known to alter renal function
  • Pregnant or breastfeeding or plan to become pregnant during study
  • Concurrent disease or condition that, in the view of the investigator, would interfere with study participation or safety evaluations, for any reason.
  • Have a condition or circumstance that, in the view of the investigator, places the subject at high risk for poor treatment compliance or for not completing the study.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
119 participants (actual)

Study arms

  • Experimental
    BMN 111

    Drug: BMN 111

Interventions

  • Subcutaneous injection of recommended dose of BMN 111 based on weight-band dosing once daily.

    Also known as: Vosoritide, Modified recombinant human C-type natriuretic peptide

06

What researchers measure

Primary outcomes

  1. Change from baselines in mean annualized growth velocity

    Long term efficacy as measured by change in annualized growth velocity

    Time frame: Through study completion, an average of 1 year

Secondary outcomes

  1. Changes in health-related quality of life as measured by the Quality of Life in Short-Statured Youth questionnaire

    Time frame: Through study completion, every 6-12 months

  2. Potential changes in daily activity performance as measured by Activities of Daily Living questionnaire

    Time frame: Through study completion, every 12 months

  3. Characterize maximum concentration (Cmax) of BMN 111 in plasma

    Time frame: Through study completion, every 12 months

  4. Characterize the area under the plasma concentration time-curve from time 0 to infinity (AUC0-∞)

    Time frame: Through study completion, every 12 months

  5. Characterize the area under the plasma concentration time-curve from time 0 to the last measurable concentration (AUC0-t)

    Time frame: Through study completion, every 12 months

  6. Characterize the elimination half-life of BMN 111 (t1⁄2)

    Time frame: Through study completion, every 12 months

  7. Characterize the apparent clearance of drug

    Time frame: Through study completion, every 12 months

  8. Characterize the apparent volume of distribution based upon the terminal phase (Vz/F)

    Time frame: Through study completion, every 12 months

  9. Characterize the amount of time BMN 111 is present at maximum concentration (Tmax)

    Time frame: Through study completion, every 12 months

  10. BMN 111 Activity Biomarkers

    BMN 111 activity will be assessed by measuring bone and collagen metabolism

    Time frame: Through study completion, every 12 months

  11. Evaluate change from baseline in body proportion ratios of the extremities

    Time frame: Through study completion, every 6 months

  12. Effect of BMN 111 on bone morphology and quality

    The effect of BMN 111 on bone morphology/quality will be assessed by measuring bone mineral density via X-Ray and Dual X-ray Absorptiometry

    Time frame: Through study completion, every 12 months for DXA or 2 years for X-ray

  13. Final Adult Height

    Height at 16 years for females and 18 years for males

    Time frame: Up to at least 16 years of age for females and 18 years of age for males

Other outcomes

  1. Optional exploratory genomic biomarker analysis

    Exploratory genomic analysis of genes associated with CNP signaling

    Time frame: Once through study completion

07

Study locations

24 sites
08

References and documents

Publications

  • Savarirayan R, Irving M, Wilcox WR, Bacino CA, Hoover-Fong JE, Harmatz P, Polgreen LE, Palm K, Prada CE, Kubota T, Arundel P, Kotani Y, Leiva-Gea A, Bober MB, Hecht JT, Legare JM, Lawrinson S, Low A, Sabir I, Huntsman-Labed A, Day JRS. Sustained growth-promoting effects of vosoritide in children with achondroplasia from an ongoing phase 3 extension study. Med. 2025 May 9;6(5):100566. doi: 10.1016/j.medj.2024.11.019. Epub 2024 Dec 30. PubMed 39740666 ↗
  • Savarirayan R, Irving M, Wilcox WR, Bacino CA, Hoover-Fong JE, Harmatz P, Polgreen LE, Mohnike K, Prada CE, Kubota T, Arundel P, Leiva-Gea A, Rowell R, Low A, Sabir I, Huntsman-Labed A, Day J. Persistent growth-promoting effects of vosoritide in children with achondroplasia are accompanied by improvements in physical and social aspects of health-related quality of life. Genet Med. 2024 Dec;26(12):101274. doi: 10.1016/j.gim.2024.101274. Epub 2024 Sep 18. PubMed 39305160 ↗
  • Qi Y, Chan ML, Mould DR, Larimore K, Fisheleva E, Cherukuri A, Day J, Savarirayan R, Irving M, Bacino CA, Hoover-Fong J, Ozono K, Mohnike K, Wilcox WR, Bober MB, Henshaw J. Development of a Weight-Band Dosing Approach for Vosoritide in Children with Achondroplasia Using a Population Pharmacokinetic Model. Clin Pharmacokinet. 2024 May;63(5):707-719. doi: 10.1007/s40262-024-01371-6. Epub 2024 Apr 23. PubMed 38649657 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Dec 2017 (actual). Primary completion is estimated for Jun 2031, 162 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 28, 2017
First posted
Feb 6, 2018
StartActual
Dec 12, 2017
Primary completionEst.
Jun 2031
CompletionEst.
Jun 2031
Last update
Mar 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03424018
Responsible party
Sponsor
First posted
Feb 6, 2018
Start date
Dec 12, 2017
Primary completion
Jun 2031 (estimated)
Completion
Jun 2031 (estimated)
Last update
Mar 13, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Vosoritide

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