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Trial registered on ANZCTR
Registration number
ACTRN12624001288516
Ethics application status
Approved
Date submitted
1/10/2024
Date registered
23/10/2024
Date last updated
23/10/2024
Date data sharing statement initially provided
23/10/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Clinical outcomes following prescription of Vosoritide in children with Achondroplasia 0-2 years of age
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Scientific title
Clinical outcomes following prescription of Vosoritide in children with Achondroplasia 0-2 years of age
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Secondary ID [1]
313086
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Nil known
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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
335325
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Condition category
Condition code
Human Genetics and Inherited Disorders
331897
331897
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0
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This study will prospectively observe the growth and developmental outcomes of children who are given a daily subcutaneous injection of vosoritide prescribed under the Australian prescribing guidelines, in comparison to age-matched historical controls who did not receive any therapeutic intervention. Outcomes measured will be achondroplasia-related comorbidities, age meeting developmental milestones, functional/quality of life status, skull and brain morphology, growth and body proportions. Assessments completed for prospective participants receiving vosoritide will be those routinely collected as part of standard of care for patients receiving vosoritide therapy. These assessments include: physical examination, weight, growth measurements, vital signs, achondroplasia developmental checklist, adverse events, MRI or sleep studies as clinically indicated, review of any interventions related to achondroplasia management, review of vosoritide administration and management. The only addition to routine assessment is the WeeFIM functional and quality of life measure which will be administered for participants >3 years. The total time to complete all assessments will be approximately one hour. The overall duration of observation will be five years from time of enrolment.
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Intervention code [1]
329641
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Not applicable
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Comparator / control treatment
The control group will be children with achondroplasia who have not had any therapeutic intervention for achondroplasia. Data will be retrospectively collected from medical records for patients seen between Jan 2000 and Dec 2023 in the Bone Dysplasia Clinic at RCH/MCRI.
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Control group
Historical
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Outcomes
Primary outcome [1]
339514
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Any achondroplasia associated comorbidities or surgeries (composite outcome) such as foramen magnum decompression, sleep disordered breathing and ear nose and throat surgeries.
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Assessment method [1]
339514
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Medical records will be reviewed to identify instances of achondroplasia associated comorbidities and surgeries such as foramen magnum decompression surgery, sleep studies indicating sleep disordered breathing, ear nose and throat surgeries including adenoidectomy, tonsillectomy, and ventilation tubes.
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Timepoint [1]
339514
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Baseline then 6 monthly visits until five years from consenting
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Secondary outcome [1]
440260
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Skull and brain morphology (composite outcome) including Achondroplasia Foramen Magnum Scores (AFMS).
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Assessment method [1]
440260
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MRI
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Timepoint [1]
440260
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Baseline then 6 monthly visits until five years from consenting
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Secondary outcome [2]
440261
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Length/height
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Assessment method [2]
440261
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Infant length board or stadiometer
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Timepoint [2]
440261
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Baseline then 6 monthly visits until five years from consenting
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Secondary outcome [3]
440570
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Sitting heights or crown to rump length
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Assessment method [3]
440570
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Stadiometer or infant length board
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Timepoint [3]
440570
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Baseline then 6 monthly visits until five years from consenting
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Secondary outcome [4]
440888
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Head circumference
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Assessment method [4]
440888
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Occipital frontal circumference measured using a flexible measuring tape
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Timepoint [4]
440888
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Baseline then 6 monthly visits until five years from consenting
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Secondary outcome [5]
440889
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Weight
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Assessment method [5]
440889
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Infant or standing scales
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Timepoint [5]
440889
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Baseline then 6 monthly visits until five years from consenting
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Eligibility
Key inclusion criteria
Prospective observational study:
Children with achondroplasia aged 0 to 2 years who attend the Bone Dysplasia Clinic at the Royal Children's Hospital/Murdoch Children's Research Institute who are prescribed vosoritide and for whom the parent/guardian signs informed consent.
Retrospective chart review (historical controls):
All children with achondroplasia aged 0 to 7 years who attended the Bone Dysplasia Clinic at the Royal Children's Hospital/Murdoch Children's Research Institute between 2000 and 2023 and who have not had any therapeutic drug for achondroplasia.
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Minimum age
0
Years
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Maximum age
2
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
None
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Study design
Purpose
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Duration
Longitudinal
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
2/10/2024
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Date of last participant enrolment
Anticipated
2/10/2028
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Actual
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Date of last data collection
Anticipated
3/10/2033
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Actual
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Sample size
Target
35
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Accrual to date
1
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
27173
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The Royal Childrens Hospital - Parkville
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Recruitment postcode(s) [1]
43255
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3052 - Parkville
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Funding & Sponsors
Funding source category [1]
317530
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Commercial sector/Industry
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Name [1]
317530
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BioMarin
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Address [1]
317530
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Country [1]
317530
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Australia
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Primary sponsor type
Other
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Name
Murdoch Children's Research Institute
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Address
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Country
Australia
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Secondary sponsor category [1]
319832
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None
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Name [1]
319832
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Address [1]
319832
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Country [1]
319832
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Other collaborator category [1]
283244
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Commercial sector/Industry
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Name [1]
283244
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BioMarin
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Address [1]
283244
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Country [1]
283244
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
316242
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The Royal Children’s Hospital Human Research Ethics Committee
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Ethics committee address [1]
316242
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http://www.rch.org.au/ethics
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Ethics committee country [1]
316242
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Australia
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Date submitted for ethics approval [1]
316242
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18/07/2024
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Approval date [1]
316242
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13/09/2024
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Ethics approval number [1]
316242
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Summary
Brief summary
An observational study in children 0-2 years of age with ACH who initiate vosoritide treatment, receiving daily subcutaneous injections of vosoritide, followed up in accordance with the Australian achondroplasia management guidelines. Outcomes in treated children will be compared retrospective data of untreated children. A retrospective study (2000-2023) will be undertaken to collect data on children 0-7 years of age who have not had any therapeutic treatment for ACH. It is hypothesised that children receiving vosoritide will have better growth and developmental outcomes compared to historical controls.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
137258
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Prof Ravi Savarirayan
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Address
137258
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Murdoch Children's Research Institute 50 Flemington Rd, Parkville, Victoria, 3052
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Country
137258
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Australia
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Phone
137258
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+61 399366541
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Fax
137258
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Email
137258
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[email protected]
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Contact person for public queries
Name
137259
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Natassja Billich
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Address
137259
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Murdoch Children's Research Institute 50 Flemington Rd, Parkville, Victoria, 3052
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Country
137259
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Australia
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Phone
137259
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+61 399366532
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Fax
137259
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Email
137259
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[email protected]
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Contact person for scientific queries
Name
137260
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Natassja Billich
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Address
137260
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Murdoch Children's Research Institute 50 Flemington Rd, Parkville, Victoria, 3052
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Country
137260
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Australia
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Phone
137260
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+61 399366532
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Fax
137260
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Email
137260
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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