Clinical trial Recruiting at 25 sites Phase2; Phase3 Interventional Ages 2 to 17

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.

More Achondroplasia trials

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages2 Years to 17 Years
SexAll
Enrollment160 (estimated)
SponsorBioMarin Pharmaceutical
Industry-sponsored
Locations28 sites (Oakland, California and 27 other locations)
StatusRecruiting
StartedApril 20, 2026
Main results expectedJune 2029
Study endsSeptember 2029
Registry record updatedOctober 22, 2026
Trial IDNCT07441876 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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  • Observing children with achondroplasia over time

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  • Infigratinib treatment for children under 3 with achondroplasia

    This trial tests whether daily oral infigratinib helps children younger than 3 years who have achondroplasia.

    Recruiting at 12 sites Phase 2 QED Therapeutics, a BridgeBio company · Oakland, California and 11 other locations · NCT07169279

  • Evaluating TYRA-300 for children with achondroplasia

    This study is testing a new medication called TYRA-300 to see if it is safe and helps children aged 3 to 10 with achondroplasia grow better.

    Recruiting at 25 sites Phase 2 Tyra Biosciences, Inc · Torrance, California and 24 other locations · NCT06842355

  • Observational study of achondroplasia in the US

    This study looks at children in the U.S. with achondroplasia to see how they are doing with and without the treatment VOXZOGO™ over at least five years.

    Recruiting at 8 sites BioMarin Pharmaceutical · Oakland, California and 7 other locations · NCT06168201

  • Evaluating a new treatment for infants with achondroplasia

    This study is testing a new treatment for infants with achondroplasia to see if it helps them grow better compared to a placebo.

    Recruiting at 18 sites Phase 2 Ascendis Pharma A/S · Saint Paul, Minnesota and 17 other locations · NCT06079398

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.