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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04085523
Registration number
NCT04085523
Ethics application status
Date submitted
9/09/2019
Date registered
11/09/2019
Date last updated
7/03/2024
Titles & IDs
Public title
A Dose Escalation Trial Evaluating Safety, Efficacy, and Pharmacokinetics of TransCon CNP Administered Once Weekly in Prepubertal Children With Achondroplasia
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Scientific title
ACcomplisH: A Phase 2, Multicenter, Double-blind, Randomized, Placebo-controlled, Dose Escalation Trial Evaluating Safety, Efficacy, and Pharmacokinetics of Subcutaneous Doses of TransCon CNP Administered Once Weekly for 52 Weeks in Prepubertal Children With Achondroplasia Followed by an Open-Label Extension Period
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Secondary ID [1]
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TCC-201
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Achondroplasia
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Musculoskeletal
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - TransCon CNP
Treatment: Drugs - Placebo for TransCon CNP
Experimental: TransCon CNP 6 mcg - TransCon CNP 6 mcg CNP/kg delivered once weekly by subcutaneous injection.
Experimental: TransCon CNP 20 mcg - TransCon CNP 20 mcg CNP/kg delivered once weekly by subcutaneous injection.
Experimental: TransCon CNP 50 mcg - TransCon CNP 50 mcg CNP/kg delivered once weekly by subcutaneous injection.
Experimental: TransCon CNP 100 mcg - TransCon CNP 100 mcg CNP/kg delivered once weekly by subcutaneous injection.
Placebo comparator: Placebo - Placebo mimicking 6, 20, 50, or 100 mcg CNP/kg delivered once weekly by subcutaneous injection.
Experimental: Open-Label Extension Period - Subjects who complete the 52-week blinded treatment period can continue into the 104-week open-label extension period and will receive treatment with TransCon CNP.
Treatment: Drugs: TransCon CNP
TransCon CNP drug product is a lyophilized powder in a single-use vial containing either TransCon CNP 3.9 mg CNP-38/vial or TransCon CNP 0.80 mg CNP-38/vial. Prior to use, the lyophilized powder is reconstituted with sterile water for injection and administered by subcutaneous injection via syringe and needle.
Treatment: Drugs: Placebo for TransCon CNP
Weekly subcutaneously injection of placebo.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Annualized Height Velocity (cm/Year) After 52 Weeks of Double-blind Treatment
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Assessment method [1]
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The primary efficacy analysis compared the difference in the primary efficacy endpoint between the TransCon CNP treatment group and the pooled placebo group using an ANCOVA model with the annualized height velocity (AHV) at Week 52 as the response variable, treatment (dose groups and placebo) and sex as factors, baseline age and baseline height SDS as the covariates, and based on the Full Analysis Set.
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Timepoint [1]
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52 weeks
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Eligibility
Key inclusion criteria
1. Clinical diagnosis of ACH with genetic confirmation
2. Age between 2 to 10 years old (inclusive) at Screening Visit
3. Prepubertal (Stage 1 breasts for girls or testicular volume < 4ml for boys) at Screening Visit
4. Able to stand without assistance
5. Caregiver willing and able to administer subcutaneous injections of study drug
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Minimum age
2
Years
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Maximum age
10
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Clinically significant findings at Screening that:
* are expected to require surgical intervention during participation in the trial or
* are musculoskeletal in nature, such as Salter-Harris fractures and severe hip pain or
* otherwise are considered by investigator or Medical Monitor/Medical Expert to make a participant unfit to receive study drug or undergo trial related procedures
2. Have received treatment (>3 months) of human growth hormone (hGH) or other medications known to affect stature or body proportionality at any time
3. Have received any dose of medications intended to affect stature or body proportionality within the previous 6 months of Screening Visit
4. Have received any study drug or device intended to affect stature or body proportionality at any time
5. History or presence of injury or disease of the growth plate(s), other than Achondroplasia, that affects growth potential of long bones
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
24/06/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/09/2024
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Actual
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Sample size
Target
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Accrual to date
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Final
57
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Ascendis Pharma Investigational Site - Parkville
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Recruitment postcode(s) [1]
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3052 - Parkville
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Recruitment outside Australia
Country [1]
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United States of America
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Arkansas
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United States of America
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Colorado
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United States of America
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Minnesota
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United States of America
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Missouri
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United States of America
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New York
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United States of America
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Texas
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United States of America
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Washington
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United States of America
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Wisconsin
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Austria
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Linz
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Denmark
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Copenhagen
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Germany
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Berlin
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Ireland
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Dublin
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New Zealand
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State/province [13]
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Auckland
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Portugal
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State/province [14]
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Coimbra
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Ascendis Pharma A/S
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The trial is a multicenter, double-blind, randomized, placebo-controlled, dose escalation trial of weekly TransCon CNP administered subcutaneously in prepubertal children 2 to 10 years old, inclusive, with Achondroplasia.
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Trial website
https://clinicaltrials.gov/study/NCT04085523
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Trial related presentations / publications
Savarirayan R, Hoernschemeyer DG, Ljungberg M, Zarate YA, Bacino CA, Bober MB, Legare JM, Hogler W, Quattrin T, Abuzzahab MJ, Hofman PL, White KK, Ma NS, Schnabel D, Sousa SB, Mao M, Smith A, Chakraborty M, Giwa A, Winding B, Volck B, Shu AD, McDonnell C. Once-weekly TransCon CNP (navepegritide) in children with achondroplasia (ACcomplisH): a phase 2, multicentre, randomised, double-blind, placebo-controlled, dose-escalation trial. EClinicalMedicine. 2023 Oct 2;65:102258. doi: 10.1016/j.eclinm.2023.102258. eCollection 2023 Nov.
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Public notes
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Contacts
Principal investigator
Name
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Aimee D. Shu, MD
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Address
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Ascendis Pharma, Inc.
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/23/NCT04085523/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/23/NCT04085523/SAP_001.pdf
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Savarirayan R, Hoernschemeyer DG, Ljungberg M, Zar...
[
More Details
]
Results not provided in
https://clinicaltrials.gov/study/NCT04085523
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