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Not yet recruitingNCT07924059cAtCHUpdated Nov 9, 2026

Phase 3 Clinical Trial Evaluating the Efficacy and Safety of Navepegritide and Lonapegsomatropin in Achondroplasia

A Phase 3 interventional study of Dual therapy with navepegritide and lonapegsomatropin and Dual therapy with navepegritide and placebo for lonapegsomatropin in Achondroplasia, sponsored by Ascendis Pharma A/S. Not yet recruiting. Open to participants aged 2 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Ascendis Pharma A/S · Phase 3, Interventional, and Treatment

Updated Nov 9, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
144
Allocation
Randomized
Ages
2 Years to 17 Years
Sex
All
01

Study summary

This pivotal trial is being conducted to evaluate the efficacy, safety and tolerability of dual therapy with navepegritide and lonapegsomatropin administered as separate subcutaneous (SC) injections once weekly in children with achondroplasia (ACH) aged 2 to 17 years.

02

Conditions studied

  • Achondroplasia

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03

In context

Achondroplasia

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

This study's planned enrollment of 144 is above the median of 74 across 28 interventional studies indexed under Achondroplasia.

Browse Achondroplasia studies →

Lead sponsor

Ascendis Pharma A/S is the lead sponsor of 17 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
2 Years to 17 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. Age 2 to \<18 years at randomization
  • 2. Clinical diagnosis of ACH with historical genetic confirmation
  • 3. At least 1 height measurement available from medical records

Exclusion criteria

Exclusion Criteria:

  • 1. Treatment with growth hormone within 1 year prior to randomization
  • 2. Prior treatment with certain medication(s) which potentially could have affected growth (prior treatment with vosoritide is not exclusive)
  • 3. History of any surgery intended to affect stature, growth, or body proportionality except procedures for leg bowing
  • 4. Unable to stand without assistance
  • 5. Known or suspected medical conditions other than achondroplasia that could affect growth
  • 6. Known history or presence of injury of the growth plates that affects growth potential of long bones
  • 7. Known history or presence of malignant disease
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
144 participants (estimated)

Study arms

  • Experimental
    Once weekly navepegritide SC and lonapegsomatropin SC

    Drug: Dual therapy with navepegritide and lonapegsomatropin

  • Experimental
    Once weekly navepegritide SC and placebo for lonapegsomatropin SC

    Drug: Dual therapy with navepegritide and placebo for lonapegsomatropin

  • Experimental
    Once weekly lonapegsomatropin SC and placebo for navepegritide SC

    Drug: Dual therapy with lonapegsomatropin and placebo for navepegritide

Interventions

  • DrugDual therapy with navepegritide and lonapegsomatropin

    Administered weekly as two separate SC injections. Treatment duration of up to 104 weeks

  • DrugDual therapy with navepegritide and placebo for lonapegsomatropin

    Administered as two separate SC injections. Treatment duration of up to 52 weeks of navepegritide and placebo for lonapegsomatropin followed by 52 weeks of navepegritide and lonapegsomatropin.

  • DrugDual therapy with lonapegsomatropin and placebo for navepegritide

    Administered as two separate SC injections. Treatment duration of up to 52 weeks of lonapegsomatropin and placebo for navepegritide followed by 52 weeks of navepegritide and lonapegsomatropin.

06

What researchers measure

Primary outcomes

  1. Annualized Growth Velocity (AGV)

    To evaluate the AGV, cm per year, of dual therapy with navepegritide and lonapegsomatropin compared to navepegritide alone

    Time frame: 52 weeks

Secondary outcomes

  1. Annualized Growth Velocity (AGV)

    To evaluate the AGV, cm per year, of dual therapy with navepegritide and lonapegsomatropin compared to lonapegsomatroptin alone

    Time frame: 52 weeks

  2. Annualized Growth Velocity (AGV) change from baseline

    To evaluate the change from baseline in AGV, cm per year

    Time frame: 52 weeks

  3. ACH-specific height Z-score

    To evaluate the change from baseline in ACH-specific height Z-score

    Time frame: 52 weeks

  4. CDC-based height Z-score

    To evaluate the change from baseline in CDC-based height Z-score

    Time frame: 52 weeks

  5. Treatment-emergent Adverse Events (AE)

    Number of events

    Time frame: Throughout trial duration 104 weeks

  6. Bone safety

    Qualitative assessment with radiology

    Time frame: Throughout trial duration 104 weeks

  7. Arm span Z-score

    Change from baseline in arm span Z-score.

    Time frame: 52 weeks

  8. Upper to lower body segment ratio

    Change from baseline in upper to lower body segment ratio.

    Time frame: 52 weeks

  9. Arm span

    Change from baseline in arm span, cm.

    Time frame: 52 weeks

  10. Interpedicular distance (IDP)

    Change from baseline in IDP (L1-L4 average), mm

    Time frame: 52 weeks

07

Study locations

No study locations are listed for this record.

08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Nov 2026; primary completion for Sep 2028, 22 months later.

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

Registered
Oct 30, 2026
First posted
Nov 9, 2026
StartEst.
Nov 2026
Primary completionEst.
Sep 2028
CompletionEst.
Sep 2029
Last update
Nov 9, 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.
Registered
First appeared on the registry. No changes since
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07924059
Lead sponsor
Ascendis Pharma A/S
Responsible party
Sponsor
First posted
Nov 9, 2026
Start date
Nov 2026 (estimated)
Primary completion
Sep 2028 (estimated)
Completion
Sep 2029 (estimated)
Last update
Nov 9, 2026

Study contacts

Ascendis Registry Inquiries
Contact
asnd_registryinquiries@ascendispharma.com
+45 61242484
Medical Director, MD
study director · Ascendis Pharma A/S

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 Nov 2026. You cannot join it, but the record below documents what was studied.

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