ClinicalTrials.gg
CompletedNCT04265651Updated Oct 22, 2025

Study of Infigratinib in Children With Achondroplasia

A Phase 2 interventional study of Infigratinib 0.016 mg/kg and Infigratinib 0.032 mg/kg in Achondroplasia, sponsored by QED Therapeutics, a BridgeBio company. Completed at 19 sites in 6 countries. Open to participants aged 3 Years to 11 Years. Per ClinicalTrials.gov, last updated 2025-10-22.

Sponsored by QED Therapeutics, a BridgeBio company (part of BridgeBio) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Oct 2024, 2 years ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Oct 2025.
Phase
Phase 2
Study type
Interventional
Enrollment
84
Allocation
Non-randomized
Ages
3 Years to 11 Years
Sex
All
01

Study summary

This is a Phase 2, multicenter, open-label, dose-escalation and dose-expansion study to evaluate the safety, tolerability, and efficacy of infigratinib, a fibroblast growth factor receptor (FGFR) 1-3-selective tyrosine kinase inhibitor, in children 3 to 11 years of age with Achondroplasia (ACH) who previously participated in the PROPEL study (Protocol QBGJ398-001) for at least 6 months. The study includes dose escalation with extended treatment, and dose expansion. The study also includes a PK Substudy to fully characterize the pharmacokinetics of infigratinib in children with ACH.

02

Conditions studied

  • Achondroplasia

Keywords

  • 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
03

In context

Achondroplasia

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

This study's enrollment of 84 is above the median of 74 across 28 interventional studies indexed under Achondroplasia.

Browse Achondroplasia studies →

Lead sponsor

QED Therapeutics, a BridgeBio company is the lead sponsor of 8 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
3 Years to 11 Years
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

  1. Signed by participant or parent(s) or legally authorized representative (LAR) and signed informed assent by the participant (when applicable).
  2. Diagnosis of ACH, documented clinically and confirmed by genetic testing.
  3. At least a 6-month period of growth assessment in the PROPEL study (Protocol QBGJ398-001) before study entry.
  4. Ambulatory and able to stand without assistance
  5. Able to swallow oral medication.

Exclusion criteria

Exclusion Criteria:

  1. Hypochondroplasia or short stature condition other than ACH.
  2. In females, having had their menarche.
  3. Height \< -2 or > +2 standard deviations for age and sex based on reference tables on growth in children with ACH.
  4. Significant concurrent disease or condition that, in the view of the Investigator and/or Sponsor, would confound assessment of efficacy or safety of infigratinib.
  5. Current evidence of corneal or retinal disorder/keratopathy.
  6. History of .
  7. Currently receiving treatment with agents that are known strong inducers or inhibitors of and medications which increase serum phosphorus and/or calcium concentration.
  8. 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.
  9. Treatment with a C-type natriuretic peptide (CNP) analog, fibroblast growth factor (FGF) ligand trap, or treatment targeting FGFR inhibition at any time.
  10. Regular long-term treatment (>3 weeks) with oral (low-dose ongoing inhaled steroid for asthma is acceptable).
  11. Treatment with any other product or investigational medical device for the treatment of ACH or short stature.
  12. Previous limb-lengthening surgery or guided growth surgery.
  13. Fracture within 12 months of screening.
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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
84 participants (actual)

Study arms

  • Experimental
    Infigratinib 0.016 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.

    Drug: Infigratinib 0.016 mg/kg

  • Experimental
    Infigratinib 0.032 mg/kg

    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.

    Drug: Infigratinib 0.032 mg/kg

  • Experimental
    Infigratinib 0.064 mg/kg

    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.

    Drug: Infigratinib 0.064 mg/kg

  • Experimental
    Infigratinib 0.128 mg/kg

    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.

    Drug: Infigratinib 0.128 mg/kg

  • Experimental
    Infigratinib 0.25 mg/kg

    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.

    Drug: Infigratinib 0.25 mg/kg

Interventions

  • DrugInfigratinib 0.016 mg/kg

    Drug page: Infigratinib

    Initial cohort dose of infigratinib at the protocol-specified starting dose, with subsequent cohort escalations based on protocol-specific criteria. Infigratinib tablets to be administered by mouth.

  • DrugInfigratinib 0.032 mg/kg

    Drug page: Infigratinib

    Subsequent cohort dose escalation based on protocol-specific criteria. Infigratinib tablets to be administered by mouth.

  • DrugInfigratinib 0.064 mg/kg

    Drug page: Infigratinib

    Subsequent cohort dose escalation based on protocol-specific criteria. Infigratinib tablets to be administered by mouth.

  • DrugInfigratinib 0.128 mg/kg

    Drug page: Infigratinib

    Subsequent cohort dose escalation based on protocol-specific criteria. Infigratinib tablets to be administered by mouth.

  • DrugInfigratinib 0.25 mg/kg

    Drug page: Infigratinib

    Subsequent cohort dose escalation based on protocol-specific criteria. Infigratinib tablets to be administered by mouth.

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-emergent adverse events (TEAEs) that lead to dose decrease or discontinuation

    Time frame: Up to 18 months

  2. Change from baseline in annualized height velocity

    Time frame: Up to 18 months

  3. PK parameters of infigratinib (Cmax- PK substudy only)

    Time frame: 21 days

  4. PK parameters of infigratinib (Clast- PK substudy only)

    Time frame: 21 days

  5. PK parameters of infigratinib (Tmax- PK substudy only)

    Time frame: 21 days

  6. PK parameters of infigratinib (AUC24- PK substudy only)

    Time frame: 21 days

  7. PK parameters of infigratinib (T1/2- PK substudy only)

    Time frame: 21 days

  8. PK parameters of infigratinib (AUCinf- PK substudy only)

    Time frame: 21 days

  9. PK parameters of infigratinib (CL/F- PK substudy only)

    Time frame: 21 days

  10. PK parameters of infigratinib (Vz/F- PK substudy only)

    Time frame: 21 days

  11. PK parameters of infigratinib (Racc- PK substudy only)

    Time frame: 21 days

Secondary outcomes

  1. Incidence of adverse events (AEs) and serious adverse events (SAEs) as a measure of safety and tolerability

    Time frame: Up to 18 months

  2. Absolute height velocity (annualized to cm/year), expressed numerically and as Z-score in relation to ACH and non-ACH tables

    Time frame: Up to 18 months

  3. Absolute and change from baseline in weight (kg)

    Time frame: Up to 18 months

  4. Absolute and change from baseline in sitting height (cm)

    Time frame: Up to 18 months

  5. Absolute and change from baseline in head circumference (cm)

    Time frame: Up to 18 months

  6. Absolute and change from baseline in upper and lower arm length (cm)

    Time frame: Up to 18 months

  7. Absolute and change from baseline in thigh length (cm)

    Time frame: Up to 18 months

  8. Absolute and change from baseline in knee height (cm)

    Time frame: Up to 18 months

  9. Absolute and change from baseline in arm span (cm)

    Time frame: Up to 18 months

  10. Pharmacokinetic profile of infigratinib by assessment of maximum concentration (Cmax)

    Time frame: Up to 18 months

  11. Pharmacokinetic profile of infigratinib by assessment of time-to-maximum concentration (Tmax)

    Time frame: Up to 18 months

  12. Changes in pharmacodynamic parameters by assessing collagen X marker

    Time frame: Up to 18 months

07

Study locations

19 sites
  • UCSF Benioff Children's Hospital
    Oakland, California 94618, United States
  • Nemours Alfred I. Dupont Hospital for Children
    Wilmington, Delaware 19803, United States
  • Johns Hopkins School of Medicine
    Baltimore, Maryland 21211, United States
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
  • Murdoch Children's Hospital
    Parkville, Victoria 3052, Australia
  • Stollery Children's Hospital
    Edmonton, Alberta T6G 2H7, Canada
  • Hopital Femme Mere Enfant
    Lyon, France
  • Hopital Necker-Enfants Malades
    Paris, France
  • Hopital des Enfants
    Toulouse, France
  • Hospital Universitario La Paz
    Madrid, 24086, Spain
  • Hospital Universitario Virgen de la Victoria
    Málaga, Spain
  • Vithas Hospital San José
    Vitoria-Gasteiz, Álava 01012, Spain
  • Sheffield Children's Hospital
    Sheffield, England S10 2TH, United Kingdom
  • Birmingham Children's Hospital
    Birmingham, United Kingdom
  • University Hospitals Bristol and Weston NHS Foundation Trust
    Bristol, BS1 3NU, United Kingdom
  • Queen Elizabeth University Hospital
    Glasgow, United Kingdom
  • Evelina London Children's Hospital
    London, United Kingdom
  • Manchester University Children's Hospital
    Manchester, United Kingdom
08

References and documents

Publications

  • Savarirayan R, De Bergua JM, Arundel P, Salles JP, Saraff V, Delgado B, Leiva-Gea A, McDevitt H, Nicolino M, Rossi M, Salcedo M, Cormier-Daire V, Skae M, Kannu P, Phillips J 3rd, Saal H, Harmatz P, Candler T, Hill D, Muslimova E, Weng R, Bai Y, Raj S, Hoover-Fong J, Irving M, Rogoff D. Oral Infigratinib Therapy in Children with Achondroplasia. N Engl J Med. 2025 Feb 27;392(9):865-874. doi: 10.1056/NEJMoa2411790. Epub 2024 Nov 18. PubMed 39555818 ↗
  • Savarirayan R, De Bergua JM, Arundel P, McDevitt H, Cormier-Daire V, Saraff V, Skae M, Delgado B, Leiva-Gea A, Santos-Simarro F, Salles JP, Nicolino M, Rossi M, Kannu P, Bober MB, Phillips J 3rd, Saal H, Harmatz P, Burren C, Gotway G, Cho T, Muslimova E, Weng R, Rogoff D, Hoover-Fong J, Irving M. Infigratinib in children with achondroplasia: the PROPEL and PROPEL 2 studies. Ther Adv Musculoskelet Dis. 2022 Mar 21;14:1759720X221084848. doi: 10.1177/1759720X221084848. eCollection 2022. PubMed 35342457 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04265651
Responsible party
Sponsor
First posted
Feb 11, 2020
Start date
Mar 10, 2020
Primary completion
Oct 21, 2024
Completion
Oct 21, 2024
Last update
Oct 22, 2025

Study contacts

QED Therapeutics VP, Clinical Development
study director · QED Therapeutics

Oversight

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

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Studies of the drug tested here: Infigratinib

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