A Study of TYRA-300 in Children With Achondroplasia: BEACH301
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: TYRA-300 0.125 mg/kg, TYRA-300 0.25 mg/kg, TYRA-300 0.375 mg/kg, TYRA-300 0.50 mg/kg.
- Who it may be relevant to
- Registry conditions: Achondroplasia. Basic parameters: 3 years — 10 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States, Australia, Canada, France, Netherlands +3
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
A Multicenter, Phase 2, Dose-Escalation/Dose-Expansion Study of TYRA-300 in Children With Achondroplasia With Open Growth Plates: BEACH301
Overview
The purpose of this study is to evaluate the safety, tolerability, and identify potentially effective dose(s) of TYRA-300 in children with achondroplasia with open growth plates.
Detailed description
This is a Phase 2, multicenter, open-label, dose-escalation study to determine the safety, tolerability, and identify potentially effective dose(s) of TYRA-300, a fibroblast growth factor receptor (FGFR)-3 selective tyrosine kinase inhibitor, in children 3 to 10 years of age with achondroplasia with open growth plates that will examine three cohorts of children: the Sentinel Safety Cohort, Cohort 1, and Cohort 2.
Interventions
- Drug TYRA-300 0.125 mg/kg
Initial dose level of TYRA-300 per protocol, subsequent dose level escalations will occur based on criteria outlined in the protocol. - Drug TYRA-300 0.25 mg/kg
Subsequent dose level escalations will occur based on criteria outlined in the protocol. - Drug TYRA-300 0.375 mg/kg
Subsequent dose level escalations will occur based on criteria outlined in the protocol. - Drug TYRA-300 0.50 mg/kg
Subsequent dose level escalations will occur based on criteria outlined in the protocol.
Primary outcome measures
- Incidence of treatment-related adverse events as assessed by CTCAE v5.0 [Time frame: Up to 12 months]
- Change from baseline in annualized growth velocity (Cohort 1) [Time frame: 12 months]
Secondary outcome measures (12)
- Change from baseline in annualized growth velocity (Cohort 1) [Time frame: 6 months]
- Change from baseline in height z-score (Cohort 1) [Time frame: 6 and 12 months]
- Pharmacokinetics: maximum plasma concentration (Cmax) [Time frame: 15 days]
- Pharmacokinetics: time to reach maximum plasma concentration (Tmax) [Time frame: 15 days]
- Pharmacokinetics: area under the plasma concentration-time curve (AUC) [Time frame: 15 days]
- Pharmacokinetics: half-life of TYRA-300 (t1/2) [Time frame: 15 days]
- Pharmacokinetics: apparent total clearance (CL/F) [Time frame: 15 days]
- Pharmacokinetics: apparent volume of distribution (Vd/F) [Time frame: 15 days]
- Change from baseline in annualized growth velocity (Cohort 2) [Time frame: 6 and 12 months]
- Change from baseline in height z-score (Cohort 2) [Time frame: 6 and 12 months]
- Change from baseline in standing height (cm) [Time frame: 6 and 12 months]
- Change from baseline in sitting height (cm) [Time frame: 6 and 12 months]
Eligibility criteria
Inclusion criteria
- Aged 3 to 10 years old (inclusive) at the time of consent.
- Informed consent provided by parent(s) or legal guardian(s). As study participants are less than 18 years old, participants are willing and able to provide written assent (where applicable and required).
- Molecular diagnosis of achondroplasia (FGFR3 G380R).
- Radiographically confirmed open growth plates at Screening, as determined by bone age X-ray.
- Able to stand and ambulate independently.
- Able to take oral medication.
- Sentinel Safety Cohort only: aged 5 to 10 years old (inclusive).
- Cohort 1 only: aged 3 to 10 years old (inclusive) and are naive to prior growth accelerating therapy.
- Cohort 2 only: aged 3 to 10 years old (inclusive) and have received prior growth accelerating therapy.
Exclusion criteria
- Presence or history of any concurrent disease or condition that would interfere with study participation, safety evaluations, or any uncontrolled or untreated condition that could impact pediatric growth.
- Diagnosis of endocrine condition that alters calcium/phosphate homeostasis.
- Prior limb lengthening surgery or planned or expected to have limb lengthening surgery while enrolled in the study.
- Taking medications that are strong inhibitors or inducers of cytochrome P450 (Cyp) 3A4.
- History or current evidence of corneal or retinal disorder/keratopathy.
- Presence of guided growth hardware/8 plates. Planned or anticipated orthopedic surgeries.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Non-randomized
- Model
- Sequential
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 12 centers
- Lundquist Institute for Biomedical Innovation — Torrance
- Children's Hospital Colorado — Aurora
- Nemours Alfred I duPont Hospital for Children — Wilmington
- Johns Hopkins University School of Medicine — Baltimore
- Uncommon Cures — Chevy Chase
- University of Missouri — Columbia
- Washington University — St Louis
- Duke University Hospital — Durham
- … and 4 more centers
Canada · 3 centers
- Women's and Children's Health Research Institute, University of Alberta — Edmonton
- Children's Hospital of Eastern Ontario — Ottawa
- The Hospital for Sick Children — Toronto
Australia · 2 centers
- The Children's Hospital at Westmead — Westmead
- Royal Children's Hospital — Parkville
Spain · 2 centers
- Unidad de Cirugía Artroscópica (MIKS Hospital) — Vitoria-Gasteiz
- Hospital Univeristario La Paz — Madrid
United Kingdom · 2 centers
- Great Ormond Street Hospital — London
- Sheffield Children's Hospital — Sheffield
France · 1 center
- Imagine Institute — Paris
Netherlands · 1 center
- UMC Utrecht — Utrecht
Sweden · 1 center
- Astrid Lindgren Children's Hospital (Karolinska University Hospital) — Stockholm
Identifiers
NCT: NCT06842355 · TYR300-201