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NCT Number: NCT07559513

A Study to Investigate the Safety, Pharmacokinetics (PK), and Efficacy of Garetosmab in Children and Adolescents With Fibrodysplasia Ossificans Progressiva (FOP)

This study is researching an experimental drug called garetosmab, referred to as "study drug". The study is focused on children and adolescent participants with FOP.

The aim of the study is to see how safe, tolerable, and effective the study drug is.

The study is looking at several other research questions, including:

* What side effects may happen from taking 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 study drug less effective or could lead to side effects)

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Key information

Age range

2 year–18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • For USA participants, age criteria are 4 to < 18 years old, at the time of the administration of the first dose of study intervention. Non-USA participants age criteria are 2 to < 18 years old
  • Must have a confirmation of FOP diagnosis, as described in the protocol
  • At the time of enrollment, participants must weight:
  • Cohort 1 > 30 kg
  • Cohort 2 > 30 kg
  • Cohort 3 ≤ 30 kg

Key Exclusion Criteria:

  • Cumulative Analog Joint Involvement Scale (CAJIS) score > 19 at the time of screening
  • Participant has significant concomitant illness or history of significant illness, as described in the protocol
  • Previous history or diagnosis of cancer
  • Ongoing significant viral or bacterial illness, within 2 weeks of the first study drug administration
  • History of severe respiratory compromise requiring oxygen, respiratory support
  • Known history of cerebral vascular malformation
  • Participants with a history of severe, non-traumatic bleeding requiring transfusion or hospitalization for hemodynamic compromise
  • Participants with a known pre-existing medical history of a bleeding diathesis, as described in the protocol

NOTE: Other Protocol-defined Inclusion/Exclusion Criteria Apply

Treatment and study plan

garetosmab

Drug

Administered per the protocol

Other names: REGN2477

Primary outcomes

  1. Occurrence of Treatment-Emergent Adverse Event (TEAEs)

    Time frame: Baseline to week 28

  2. Occurrence of TEAEs

    Time frame: Baseline to week 56

  3. Severity of TEAEs

    Time frame: Baseline to week 28

  4. Severity of TEAEs

    Time frame: Baseline to week 56

  5. Concentrations of functional garetosmab in serum

    Time frame: Through week 56

Secondary outcomes

  1. Total volume of new Heterotopic Ossification (HO) lesion

    Time frame: At week 28 and week 56

  2. Number of new HO lesions

    Time frame: At week 28 and week 56

  3. Occurrence of new HO lesions

    Time frame: At week 28 and week 56

  4. Number of clinician-assessed flare-ups

    Time frame: Through week 28 and week 56

  5. Occurrence of clinician-assessed flare-ups

    Time frame: Through week 28 and week 56

  6. Number of patient/caregiver-reported flare-ups

    Time frame: Through Week 28 and week 56

  7. Occurrence of patient/caregiver-reported flare-ups

    Time frame: Through week 28 and week 56

  8. Change from baseline in Tanner puberty scale

    Time frame: At week 28 and week 56

    Tanner puberty scale or stages: Staging of sexual development is graded on a 5-point ordinal scale ranging from 1 (prepubertal) to 5 (adultlike) for female breast development, male external genitals, and pubic hair

  9. Characteristics of menstrual cycles for female participants who reached menarche

    Time frame: Over 28 weeks and 56 weeks

  10. Height-for-age Z-Scores according to the World Health Organization (WHO) Growth Reference Data for Children

    Time frame: Through week 56

    Participants 5-19 years of age Z-score represents standardized measure of how far an individual deviated from study cohort average at baseline. A higher Z-score reflects better performance.

  11. Concentrations of total activin A in serum

    Time frame: Through week 56

  12. Occurence of Anti-Drug Antibody (ADA) to garetosmab

    Time frame: Through week 56

  13. Magnitude of ADA to garetosmab

    Time frame: Through week 56

  14. Change from baseline in hearing function as assessed by audiometry

    Time frame: At week 28 and week 56

  15. Change from baseline in Pediatric Quality of Life inventory (PedsQL) scores

    Time frame: At week 28 and week 56

    Age-appropriate PedsQL Generic Core Scales will be used to measure HRQoL in children and adolescents. Response options include 5-point Likert scale (or 3-point Likert scale for the young children self-report) for each item asking about experience within the past week. Global scores are transformed to a 0 to 100 scale with higher scores indicating better quality of life.

  16. Acceptability and tolerability assessment via exit interview

    Time frame: Up to week 30

    Each interview will be conducted by trained external interviewers following a semi-structured interview guide of questions for the participants about their overall experience in the trial.

Study contacts

Contact information is provided by the study sponsor or research team.

Clinical Trials Administrator

CONTACT

[email protected]

844-734-6643

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Registry information

Official study title

Phase 3 Evaluation of the Safety, Pharmacokinetics, and Efficacy of Garetosmab (Anti-Activin A Monoclonal Antibody) in Children and Adolescents With Fibrodysplasia Ossificans Progressiva

Acronym: OPTIMA-2

Important dates

Study start
2026
Primary completion
2028
Study completion
2029
First posted
Apr 30, 2026
Registry last updated
Apr 30, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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