BMN 333 versus daily vosoritide for growth in children with achondroplasia
Official title: A Multicenter, Randomized, Operationally Seamless Phase 2/3 Study to Evaluate the Efficacy and Safety of BMN 333 Versus Vosoritide in Children With Achondroplasia
Run by BioMarin Pharmaceutical · NCT07441876 · Data updated 2026-11-12
This trial tests whether weekly BMN 333 injections help children with achondroplasia grow as well as daily vosoritide.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 2 Years to 17 Years |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | BioMarin Pharmaceutical Industry-sponsored |
| Locations | 28 sites (Oakland, California and 27 other locations) |
| Status | Recruiting |
| Started | April 20, 2026 |
| Main results expected | June 2029 |
| Study ends | September 2029 |
| Registry record updated | October 22, 2026 |
| Trial ID | NCT07441876 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are treatment-naïve, ambulatory children with genetically confirmed achondroplasia who have open growth plates and meet the trial age criteria (Phase 2: 2 to <11 years; Phase 3: 2 to <18 years).
✕Probably not a fit
Children with other causes of short stature, prior growth-promoting treatments, closed epiphyses, or significant comorbid conditions excluded by the protocol are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicenter, multinational, randomized, active-controlled, operationally seamless Phase 2/3 study compares BMN 333 with vosoritide in treatment-naïve children with genetically confirmed achondroplasia. Phase 2 will identify the optimal BMN 333 dose and determine whether to proceed into Phase 3, and Phase 3 will compare the selected BMN 333 dose against daily vosoritide. Participants receive 52 weeks of treatment (BMN 333 once weekly; vosoritide once daily) and are followed for up to 61 weeks from screening to safety follow-up. Key eligibility includes specified age ranges, open epiphyses, ambulatory status, Tanner staging as required by phase, and no prior growth-promoting therapy.
Why it matters
Potential benefit: If successful, BMN 333 could provide similar or improved growth with once-weekly dosing, reducing injection frequency compared with daily vosoritide.
How similar studies have gone: Vosoritide has shown growth benefits in prior trials and is an approved therapy for achondroplasia, while BMN 333 is a newer agent being directly compared to vosoritide in this Phase 2/3 program.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Participants must be aged ≥ 2 to \< 11 years (Phase 2) or ≥ 2 to \< 18 years (Phase 3), at the time of signing the informed consent 2. Participants must have ACH (confirmed by documented genetic testing) and open epiphyses 3. Are Tanner Stage I (Phase 2) or any Tanner stage (Phase 3) 4. Are ambulatory and able to stand without assistance Exclusion Criteria: 1. Have any short stature condition other than ACH (eg, hypochondroplasia, trisomy 21, pseudoachondroplasia, GH deficiency) 2. Have any of the following disorders: Hypothyroidism or hyperthyroidism, unless treated with evidence of normalized thyroid-stimulating hormone (TSH) levels, diabetes mellitus, unless considered well-controlled, autoimmune inflammatory disease, inflammatory bowel disease, autonomic neuropathy, anemia defined as hemoglobin \< 10 g/dL, vitamin D deficiency, significant hip pathology. 3. Have history of any renal insufficiency or cardiac/ cardiovascular disease that places the participant at increased risk of an adverse cardiac outcome in the setting of hypotension. 4. Have had bone fractures of the long bones or spine within 6 months prior to screening. 5. Have used vosoritide, any other approved product (except GH, as detailed below), investigational product, or investigational medical device for the treatment of ACH or short stature at any time 6. Have been treated with GH, insulin-like growth factor 1, or anabolic steroids in the 6 months prior to treatment start
Where it's running
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UCSF Benioff Children's Hospital Oakland
Oakland, California, United States Recruiting -
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States Recruiting -
Johns Hopkins Medicine
Baltimore, Maryland, United States Recruiting -
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States Recruiting -
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States Recruiting -
Texas Children's Hospital
Dallas, Texas, United States Recruiting
Show 22 more locations
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Texas Children Hospital, Baylor College of Medicine
Houston, Texas, United States Recruiting -
Consano Clinical Research, LLC
San Antonio, Texas, United States Recruiting -
Murdoch Children's Research Institute
Parkville, Victoria, Australia Recruiting -
McGill University Health Centre
Québec, Monteral, Canada Recruiting -
Universite de Montreal - Centre Hospitalier Universitaire Sainte-Justine
Montreal, Quebec, Canada Recruiting -
Hokkaido University Hospital
Hokkaido, Japan Recruiting -
Osaka City General Hospital
Osaka, Japan Recruiting -
National Center for Child Health and Development
Tokyo, Japan Recruiting -
Uniwersytecki Szpital Kliniczny im. J. Mikulicza-Radeckiego we Wroclawiu Klinika Pediatrii i Chorob Infekcyjnych
Wroclaw, Poland Recruiting -
Institutul National de Endocrinologie C.I.Parhon
Bucharest, Romania Recruiting -
Craiova Emergency Clinical County
Craiova, Romania Recruiting -
Seoul National University Hospital
Seoul, South Korea Recruiting -
Pusan National University Yangsan Hospital
Yangsan, South Korea Recruiting -
University Hospitals Bristol NHS Foundation Trust - Bristol Royal Hospital for Children
Bristol, United Kingdom Recruiting -
Queen Elizabeth University Hospital
Glasgow, United Kingdom Recruiting -
Alder Hey Childrens NHS Foundation Trust
Liverpool, United Kingdom Recruiting -
Great Ormond Street Hospital
London, United Kingdom Recruiting -
St Thomas Hospital
London, United Kingdom Recruiting -
University NHS Foundation Trust NIHR Wellcome Trust Clinical Research Facility
Manchester, United Kingdom Recruiting -
Nemours Children's Health
Wilmington, Delaware, United States Not yet recruiting -
Irccs Ospedale Gaslini Di Genova
Genova, Italy Not yet recruiting -
Fondazione IRCCS Ca Grande Ospedale Maggiore
Milan, Italy Not yet recruiting
Study contacts
- Study coordinator: Trial Specialist
- Email: medinfo@bmrn.com
- Phone: 1-800-983-4587
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.