This is a Phase 2, multicenter, open-label, extension (OLE) study to evaluate the long-term safety, tolerability, and efficacy of infigratinib, an FGFR 1-3-selective tyrosine kinase inhibitor, in subjects with ACH who previously completed a QED-sponsored interventional study, and potentially in additional subjects who are naïve to infigratinib treatment. Quality of Life assessments for this subject population will also be evaluated. Treatment-naïve subjects must have at least a 6-month period of growth assessment in study QBGJ398-001 (PROPEL) and will be enrolled in this OLE study only after a dose to be explored further is identified in Phase 2 Study QBGJ398-201 and subjects are not otherwise eligible to enroll in another QED-sponsored Phase 2 or Phase 3 ACH study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
300
Infigratinib minitablets or sprinkle capsules to be administered by mouth. In subjects that completed a prior study with infigratinib, the starting dose will be the same as the last dose received in the prior interventional study with infigratinib. Infigratinib dose may be adjusted to 0.25 mg/kg/day (the dose selected to be explored further in the dose escalation portion of Phase 2 study QBGJ398-201 (PROPEL 2)).
Infigratinib sprinkle capsules to be administered by mouth. Starting dose for the subjects naïve to Infigratinib will be 0.25 mg/kg/day (the dose selected to be explored further in the dose escalation portion of Phase 2 study QBGJ398-201 (PROPEL 2)).
USCF Benioff Children's Hospital, Oakland
Oakland, California, United States
Children's Hospital Colorado
Aurora, Colorado, United States
Nemours Alfred I. Dupont Hospital for Children
Wilmington, Delaware, United States
Johns Hopkins University
Baltimore, Maryland, United States
University of Missouri
Columbia, Missouri, United States
Incidence of treatment emergent adverse events (TEAE) and serious TEAE
Time frame: 10 years
Changes over time in height Z-score in relation to ACH and non-ACH growth charts
Time frame: 10 years
Changes over time in absolute height velocity, expressed as height velocity Z-score in relation to ACH and non ACH growth charts
Time frame: 10 years
Changes over time in body proportions
Time frame: 10 years
Changes over time in weight z-score
Time frame: 10 years
Changes overtime in BMI
Time frame: 10 years
Age of puberty onset and time to Tanner stage ≥4
Time frame: 10 years
Changes over time in number of episodes of otitis media per year
Time frame: 10 years
Changes over time in number of episodes and/or severity of sleep apnea
Time frame: 10 years
Changes over time in range of motion (elbow)
Time frame: 10 years
Changes over time in skeletal abnormalities of the lower extremities and spine
Time frame: 10 years
Changes in health-related Quality of life [HRQoL] as assessed by Pediatric Quality of Life Inventory (PedsQL)
Time frame: 10 years
Changes in health-related Quality of life [HRQoL] as assessed by Quality of Life in Short Stature Youth questionnaire (QoLISSY)
Time frame: 10 years
Overall pain as assessed by Numeric Rating Scale for pain (Pain-NRS)
Time frame: 10 years
Changes in functional abilities as evaluated by Functional Independence Measure for Children (WeeFIM)
Time frame: 10 years
Severity of the physical functioning challenges as assessed by Patient/Parent Global Impression of Severity (PGI-S)
Time frame: 10 years
Severity of the physical functioning challenges as assessed by Patient/Parent Global Impression of Change (PGI-C)
Time frame: 10 years
Subject and caregiver evaluation of treatment benefit as assessed by a qualitative interview
Time frame: 10 years
Changes in cognitive functions assessed by age-appropriate computerized tests
Time frame: 10 years
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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States
Vanderbilt University Medical Center
Nashville, Tennessee, United States
University Hospital and UW Health Clinics
Madison, Wisconsin, United States
Hospital de Pediatría SAMIC Prof. Dr. Juan P. Garrahan
Ciudad Autonoma Buenos Aires, Buenos Aires, Argentina
Murdoch Children's Hospital
Parkville, Victoria, Australia
...and 21 more locations