Pediatric endocrinology

Phase 3 Trial of Oral Infigratinib in Children with Achondroplasia

N Engl J MedPublished Randomised controlled trial

Primary result · Change from baseline in annualized height velocityResult — go to the resultDifference in least-squares mean change 1.74 cm per year 95% CI 1.31–2.17

Authors' conclusion

In children with achondroplasia, treatment with once-daily oral infigratinib for 52 weeks resulted in a significantly greater increase from baseline in the annualized height velocity than placebo.

Study context

Population
Children with achondroplasia, 3 to 17 years of agerandomized 2:1
Participants
114 children
Comparison
Oral infigratinib 0.25 mg/kg once daily vs placebo for 52 weeks
  • Infigratinibn = 75
  • Placebon = 39reference
Primary endpoint
Change from baseline in annualized height velocity, infigratinib vs placebo
Follow-up
Week 52
Methodological detailsphase 3, multicenter, double-blind, placebo-controlled
  • Phase 3
  • Multicenter
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Change from baseline in annualized height velocity

Difference in least-squares mean change

1.74 cm per year

95% CI 1.31–2.17

P < 0.001

Infigratinibvs Placebo
difference in least-squares mean change 1.74 cm per year (95% CI 1.31–2.17); P < 0.001

Secondary outcomes

OutcomeDifference in least-squares mean change (96% CI)P value
Key secondary: change from baseline in height z score · week 520.32 (0.23–0.41)P < 0.001
Key secondary: change from baseline in upper-to-lower body segment ratio · week 52−0.02 (−0.06 to 0.01)

Safety

Adverse events

Serious adverse events

  • Adverse events: infigratinib denominator 74

Serious adverse events

No serious AEs or AEs leading to discontinuation considered by the investigator related to infigratinib or placebo

Original publication

Phase 3 Trial of Oral Infigratinib in Children with Achondroplasia. N Engl J Med. Published 28 June 2026. doi:10.1056/nejmoa2604565

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