Pediatric endocrinology

A Phase 3 Trial of Vosoritide in Children with Hypochondroplasia

NEJM EvidPublished Randomised controlled trial

Primary result · LSM change from baseline in annualized growth velocityResult — go to the resultLSM difference 2.33 cm/year 95% CI 1.85–2.82

Authors' conclusion

One year of vosoritide treatment significantly increased linear growth in children with hypochondroplasia.

Study context

Population
Children with hypochondroplasia aged 3 to <18 years
Participants
81 children
Comparison
Vosoritide vs placebo
  • Vosoritiden = 41
  • Placebon = 40reference
Primary endpoint
Change from baseline in annualized growth velocity vs placebo
Follow-up
Week 52
Methodological detailsphase 3, multicenter, placebo-controlled, Hierarchical testing controlling type I error at one-sided 0.025 level for primary and six key secondary end points
  • Phase 3
  • Multicenter
  • Placebo-controlled
  • Hierarchical testing controlling type I error at one-sided 0.025 level for primary and six key secondary end points

Primary result

As reported in the abstract

LSM change from baseline in annualized growth velocity

Least squares mean (LSM) difference

2.33 cm/year

95% CI 1.85–2.82

two-sided P<0.0001

Change by group

Vosoritide

1.95

least squares mean · cm/year

Placebo

−0.39

least squares mean · cm/year

Vosoritidevs Placebo
LSM difference 2.33 cm/year (95% CI 1.85–2.82); two-sided P<0.0001

Safety

At least one AE · 52 weeks

Serious adverse event (AE) outcomes

There were no reports of grade 3 or higher AEs, AEs leading to treatment discontinuation, or deaths

Original publication

A Phase 3 Trial of Vosoritide in Children with Hypochondroplasia. NEJM Evid. Published 9 September 2026. doi:10.1056/evidoa2600257

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