Infigratinib: 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: 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)).
Study summary
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.
Eligibility
Sex
ALL
Min age
3 Years
Max age
18 Years
Healthy volunteers
No
Key Rollover Subjects Inclusion Criteria:
1. Pediatric subjects with ACH who have completed a previous QED-sponsored interventional study with infigratinib.
2. Subjects and parent(s), legal guardian(s), or caregiver(s) are willing and able to comply with study visits and study procedures.
3. Subjects are able to swallow oral medication.
4. Negative pregnancy test in girls ≥10 years of age or girls of any age who have experienced menarche.
5. If sexually active, subject must be willing to use a highly effective method of contraception while taking study drug and for 1 month after the last dose of study drug.
6. The PI, or a person designated by the PI, will obtain written informed consent from each subject's parent(s), legal guardian(s), or caregiver(s) and the subject's assent, when applicable, before any study-specific activity is performed.
Key Rollover Subjects Exclusion Criteria:
1. Subject has concurrent circumstance, disease, or condition that, in the view of the PI and/or sponsor, would interfere with study participation or safety evaluations.
2. Subjects who developed a medical condition that will require the initiation of treatment with a prohibited medication.
3. Subjects prematurely discontinued a prior QED-sponsored interventional study with infigratinib
4. Current participation in an ongoing clinical study with a sponsor other than QED
5. Subjects that have reached final height or near final height.
Key Inclusion Criteria for Treatment Naïve Subjects
1. Subject must be 3 to \<18 years of age at screening and have growth potential.
2. Subjects and parent(s), legal guardian(s), or caregiver(s) are willing and able to comply with study visits and study procedures.
3. Subjects are able to swallow oral medication.
4. Subjects who have a diagnosis of ACH, documented clinically and confirmed by genetic testing.
5. Subjects have at least a 6-month period of growth assessment in the PROPEL study (Protocol QBGJ398 001) before study entry.
6. Negative pregnancy test in girls ≥10 years of age or girls of any age who have experienced menarche.
7. If sexually active, subject must be willing to use a highly effective method of contraception while taking study drug and for 1 month after the last dose of study drug.
8. The PI, or a person designated by the PI, will obtain written informed consent from each subject's parent(s), legal guardian(s), or caregiver(s) and the subject's assent, when applicable, before any study-specific activity is performed.
Key Exclusion Criteria for Treatment Naïve Subjects
1. Subjects who have hypochondroplasia or short stature condition other than ACH (e.g., trisomy 21, pseudoachondroplasia, psychosocial short stature).
2. Subjects who have significant concurrent disease or condition that, in the view of the PI and/or sponsor, would represent an increased risk to the subject or would interfere with study participation or safety evaluations.
3. Subjects who have a history of malignancy.
4. Subjects who are currently receiving treatment with agents that are known strong inducers or inhibitors of cytochrome P450 (CYP) 3A4.
5. Subjects who discontinued treatment with prohibited medications for at least 5 half-lives before screening are eligible.
6. Subjects who have received treatment with growth hormone, insulin-like growth factor 1 (IGF 1), anabolic steroids or any investigational or approved drug for the treatment of ACH in the previous 6 months.
7. Subjects who have significant abnormality in screening laboratory results.
8. Subjects who have had a fracture within 12 months of screening.
Primary outcome measure(s)
Incidence of treatment emergent adverse events (TEAE) and serious TEAE — 10 years
Changes over time in height Z-score in relation to ACH and non-ACH growth charts — 10 years
Trial sites (31)
Facility
City
Region
Status
USCF Benioff Children's Hospital, Oakland
Oakland
California
Children's Hospital Colorado
Aurora
Colorado
Nemours Alfred I. Dupont Hospital for Children
Wilmington
Delaware
Johns Hopkins University
Baltimore
Maryland
University of Missouri
Columbia
Missouri
Cincinnati Children's Hospital Medical Center
Cincinnati
Ohio
Vanderbilt University Medical Center
Nashville
Tennessee
University Hospital and UW Health Clinics
Madison
Wisconsin
Hospital de Pediatría SAMIC Prof. Dr. Juan P. Garrahan
Ciudad Autonoma Buenos Aires
Buenos Aires
Murdoch Children's Hospital
Parkville
Victoria
Stollery Children's Hospital
Edmonton
Alberta
Children's Hospital - London Health Sciences Centre
London
Ontario
Children's Hospital of Eastern Ontario
Ottawa
Ontario
Centre Hospitalier Universitaire Sainte-Justine
Montreal
Quebec
Hopital Femme Mere Enfant
Lyon
France
Hopital Necker-Enfants Malades
Paris
France
Hopital des Enfants
Toulouse
France
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan
Italy
Policlinico A. Gemelli IRCCS
Roma
Italy
Haukeland University Hospital
Bergen
Norway
Oslo University Hospital
Oslo
Norway
KK Women's and Children's Hosptial
Singapore
Singapore
Hospital Universitario La Paz
Madrid
Spain
Hospital Universitario Virgen de la Victoria
Málaga
Spain
Hospital Vithas San José
Vitoria-Gasteiz
Álava
Birmingham Women's and Children's NHS Foundation Trust
Birmingham
United Kingdom
University Hospitals Bristol and Weston NHS Foundation Trust
Bristol
United Kingdom
Queen Elizabeth University Hospital
Glasgow
United Kingdom
St. Thomas' Hospital
London
United Kingdom
Manchester University Children's Hospital
Manchester
United Kingdom
Sheffield Children's Hospital
Sheffield
United Kingdom
More QED Therapeutics, a BridgeBio company trials in Spain
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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