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Not yet recruitingNCT07559513OPTIMA-2Updated Aug 24, 2026

A Study to Investigate the Safety, Pharmacokinetics (PK), and Efficacy of Garetosmab in Children and Adolescents With Fibrodysplasia Ossificans Progressiva (FOP)

A Phase 3 interventional study of garetosmab in Fibrodysplasia Ossificans Progressiva (FOP), sponsored by Regeneron Pharmaceuticals. Not yet recruiting. Open to participants aged 2 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by Regeneron Pharmaceuticals · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
18
Allocation
Non-randomized
Ages
2 Years to 18 Years
Sex
All
01

Study summary

This study is researching an experimental drug called garetosmab, referred to as "study drug". The study is focused on children and adolescent participants with FOP.

The aim of the study is to see how safe, tolerable, and effective the study drug is.

The study is looking at several other research questions, including:

  • What side effects may happen from taking the study drug
  • How much study drug is in the blood at different times
  • Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)
02

Conditions studied

  • Fibrodysplasia Ossificans Progressiva (FOP)

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Keywords

  • Type I Activin A Receptor (ACVR1) FOP-causing mutation
03

In context

Myositis Ossificans

25 studies on the registry are indexed under Myositis Ossificans; 5 are open to participants now.

This study's planned enrollment of 18 is below the median of 48 across 15 interventional studies indexed under Myositis Ossificans.

Browse Myositis Ossificans studies →

Lead sponsor

Regeneron Pharmaceuticals is the lead sponsor of 400 studies on the registry; 91 are open to participants now.

Of its 120 completed or terminated interventional studies of FDA-regulated products, 77 (64%) have results posted.

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

04

Who can participate

Ages eligible
2 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. For USA participants, age criteria are 4 to \< 18 years old, at the time of the administration of the first dose of study intervention. Non-USA participants age criteria are 2 to \< 18 years old
  2. Must have a confirmation of FOP diagnosis, as described in the protocol
  3. At the time of enrollment, participants must weight:

    1. Cohort 1 > 30 kg
    2. Cohort 2 > 30 kg
    3. Cohort 3 ≤ 30 kg

Key Exclusion Criteria:

  1. Cumulative Analog Joint Involvement Scale (CAJIS) score > 19 at the time of screening
  2. Participant has significant concomitant illness or history of significant illness, as described in the protocol
  3. Previous history or diagnosis of cancer
  4. Ongoing significant viral or bacterial illness, within 2 weeks of the first study drug administration
  5. History of severe respiratory compromise requiring oxygen, respiratory support
  6. Known history of cerebral vascular malformation
  7. Participants with a history of severe, non-traumatic bleeding requiring transfusion or hospitalization for hemodynamic compromise
  8. Participants with a known pre-existing medical history of a bleeding diathesis, as described in the protocol

NOTE: Other Protocol-defined Inclusion/Exclusion Criteria Apply

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (estimated)

Study arms

  • Experimental
    Cohort 1: Adolescents

    Drug: garetosmab

  • Experimental
    Cohort 2: Children

    Drug: garetosmab

  • Experimental
    Cohort 3: Children and Adolescents

    Drug: garetosmab

Interventions

  • Druggaretosmab

    Administered per the protocol

    Also known as: REGN2477

06

What researchers measure

Primary outcomes

  1. Occurrence of Treatment-Emergent Adverse Event (TEAEs)

    Time frame: Baseline to week 28

  2. Occurrence of TEAEs

    Time frame: Baseline to week 56

  3. Severity of TEAEs

    Time frame: Baseline to week 28

  4. Severity of TEAEs

    Time frame: Baseline to week 56

  5. Concentrations of functional garetosmab in serum

    Time frame: Through week 56

Secondary outcomes

  1. Total volume of new Heterotopic Ossification (HO) lesion

    Time frame: At week 28 and week 56

  2. Number of new HO lesions

    Time frame: At week 28 and week 56

  3. Occurrence of new HO lesions

    Time frame: At week 28 and week 56

  4. Number of clinician-assessed flare-ups

    Time frame: Through week 28 and week 56

  5. Occurrence of clinician-assessed flare-ups

    Time frame: Through week 28 and week 56

  6. Number of patient/caregiver-reported flare-ups

    Time frame: Through Week 28 and week 56

  7. Occurrence of patient/caregiver-reported flare-ups

    Time frame: Through week 28 and week 56

  8. Change from baseline in Tanner puberty scale

    Tanner puberty scale or stages: Staging of sexual development is graded on a 5-point ordinal scale ranging from 1 (prepubertal) to 5 (adultlike) for female breast development, male external genitals, and pubic hair

    Time frame: At week 28 and week 56

  9. Characteristics of menstrual cycles for female participants who reached menarche

    Time frame: Over 28 weeks and 56 weeks

  10. Height-for-age Z-Scores according to the World Health Organization (WHO) Growth Reference Data for Children

    Participants 5-19 years of age Z-score represents standardized measure of how far an individual deviated from study cohort average at baseline. A higher Z-score reflects better performance.

    Time frame: Through week 56

  11. Concentrations of total activin A in serum

    Time frame: Through week 56

  12. Occurence of Anti-Drug Antibody (ADA) to garetosmab

    Time frame: Through week 56

  13. Magnitude of ADA to garetosmab

    Time frame: Through week 56

  14. Change from baseline in hearing function as assessed by audiometry

    Time frame: At week 28 and week 56

  15. Change from baseline in Pediatric Quality of Life inventory (PedsQL) scores

    Age-appropriate PedsQL Generic Core Scales will be used to measure HRQoL in children and adolescents. Response options include 5-point Likert scale (or 3-point Likert scale for the young children self-report) for each item asking about experience within the past week. Global scores are transformed to a 0 to 100 scale with higher scores indicating better quality of life.

    Time frame: At week 28 and week 56

  16. Acceptability and tolerability assessment via exit interview

    Each interview will be conducted by trained external interviewers following a semi-structured interview guide of questions for the participants about their overall experience in the trial.

    Time frame: Up to week 30

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.

Supporting information: Study protocol, Sap, Icf, Csr, Analytic code

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07559513
Lead sponsor
Regeneron Pharmaceuticals
Responsible party
Sponsor
First posted
Apr 30, 2026
Start date
Feb 2, 2027 (estimated)
Primary completion
Dec 10, 2028 (estimated)
Completion
Dec 21, 2029 (estimated)
Last update
Aug 24, 2026

Study contacts

Clinical Trials Administrator
Contact
clinicaltrials@regeneron.com
844-734-6643
Clinical Trial Management
study director · Regeneron Pharmaceuticals

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 not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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