This study is researching an experimental drug called garetosmab. The study is focused on adult patients with fibrodysplasia ossificans progressiva (FOP). The aim of the study is to see how safe and effective the study drug is in patients with FOP. The study is looking at several other research questions, including: * What side effects may happen from receiving 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 drug less effective or could lead to side effects)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
63
Garetosmab is supplied as a liquid drug product and will be administered IV.
Placebo to match garetosmab, is supplied as a liquid solution without the monoclonal antibody (or the protein) and is administered IV.
University of California Los Angeles (UCLA) Medical Center
Los Angeles, California, United States
Vanderbilt University Medical Center
Nashville, Tennessee, United States
Royal North Shore Hospital
St Leonards, New South Wales, Australia
Hospital Israelita Albert Einstein
São Paulo, Brazil
Universidad de Concepcion
Concepción, Bio Bio, Chile
Tongji Hospital of Tongji University
Shanghai, China
Clinica Universidad de La Sabana
Chía, Cundinamarca, Colombia
HUS Children and Adolescents Park Hospital Clinical Trial Unit
Helsinki, Stenbäckinkatu 11, Finland
Hôpital Lapeyronie
Montpellier, France
Hopital Lariboisiere
Paris, France
...and 12 more locations
Number of new HO lesions
Time frame: At Week 56
Incidence and severity of treatment-emergent adverse events of special interest (AESIs)
Time frame: Baseline to Week 56
Number of clinician-assessed flare-ups
Investigator assess flare-up events according to his/her medical judgment. A FOP flare-up is characterized as episodic, painful inflammatory soft tissue swelling. Week 84 Only for Patients on Extended Treatment
Time frame: Through Weeks 28, 56 and 84
Occurrence of new HO lesions
Reported as Yes/No Week 84 Only for Patients on Extended Treatment
Time frame: At Weeks 28, 56 and 84
Total volume of new HO lesions
Week 84 Only for Patients on Extended Treatment
Time frame: At Weeks 28, 56 and 84
Occurrence of patient-reported flare-ups
Reported as Yes/No
Time frame: Through Weeks 28 and 56
Number of new HO lesions
Week 84 Only for Patients on Extended Treatment
Time frame: At week 28 and 84
Occurrence of clinician-assessed flare-ups
Reported as Yes/No Week 84 Only for Patients on Extended Treatment
Time frame: Through Weeks 28, 56 and 84
Number of patient-reported flare-ups
Flare-up is defined as two or more of the following: pain, swelling, joint stiffness, or decrease in movement. The FOP flare-up dairy is a questionnaire and is self-completed by the participant daily.
Time frame: Through Weeks 28 and 56
Change in joint function assessment by physician using cumulative analog joint involvement scale (CAJIS)
CAJIS is a clinician assessment of 15 major joints; each major joint rated normal unaffected (0), affected (1), or completely functionally ankylosed (2). The total score ranges from 0 to 30
Time frame: Baseline to Weeks 28 and 56
Change in pulmonary function as assessed by spirometry
Forced vital capacity (FVC) and Forced expiratory volume in 1 second (FEV1) and the ratio of FEV1/FVC will be determined by spirometry.
Time frame: Baseline at Weeks 28 and 56
Change in disease severity as assessed by the Patient Global Impression of Severity (PGIS)
PGIS is a single item, self-administered questionnaire to assess the patient's global impression of severity
Time frame: Baseline to Weeks 28 and 56
Change in disease severity as assessed by the Patient's Global Impression of Change (PGIC)
PGIC is a single item, self-administered questionnaire to assess the patient's global impression of change
Time frame: At Weeks 28 and 56
Change in disease severity as assessed by the Clinician's Global Impression of Change (CGIC)
CGIC is a single-item questionnaire to assess the clinician's global impression of change
Time frame: At Weeks 28 and 56
Concentration of total activin A in serum over time
Time frame: Through Week 56
Concentration of garetosmab in serum over time
Time frame: Through Week 56
Incidence of anti-drug antibodies (ADA) to garetosmab over time
Time frame: Through Week 56
Titer of ADA to garetosmab over time
Time frame: Through Week 56
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