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TransCon CNP

Phase 2

Achondroplasia | Small molecule | Other |Ascendis Pharma A/S|Last Updated: Jan 15, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment281
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05929807A Clinical Trial to Investigate Long-term Safety, Tolerability, and Efficacy of Weekly Subcutaneous Doses With TransCon CNP in Children and Adolescents With AchondroplasiaPHASE2 ENROLLING BY_INVITATION 140Jun 21, 2023Mar 1, 2039Oct 27, 202517 United States, Australia +8
NCT05598320A Clinical Trial to Evaluate Efficacy and Safety of TransCon CNP Compared With Placebo in Children With AchondroplasiaPHASE2 COMPLETED 84Mar 3, 2023Aug 13, 2025Jan 15, 202610 United States, Australia +5
NCT04085523A Dose Escalation Trial Evaluating Safety, Efficacy, and Pharmacokinetics of TransCon CNP Administered Once Weekly in Prepubertal Children With AchondroplasiaPHASE2 COMPLETED 57Jun 24, 2020Oct 1, 2024May 22, 202515 United States, Australia +6
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Study Endpoints
Primary Endpoints
Safety and Tolerability
Through trial completion, an average of 10 years

Incidence of Treatment-Emergent Adverse Events

Height Z-scores
Through trial completion, an average of 10 years

Number of standard deviations

Annualized Growth Velocity
52 weeks

cm per year

Annualized Height Velocity (cm/Year) After 52 Weeks of Double-blind Treatment
52 weeks

The primary efficacy analysis compared the difference in the primary efficacy endpoint between the TransCon CNP treatment group and the pooled placebo group using an ANCOVA model with the annualized height velocity (AHV) at Week 52 as the response variable, treatment (dose groups and placebo) and sex as factors, baseline age and baseline height SDS as the covariates, and based on the Full Analysis Set.

Secondary Endpoints
Annualized Growth Velocity
Through trial completion, an average of 10 years
Height Z-score
52 weeks
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TransCon CNP 100 mcgEXPERIMENTALTransCon CNP 100 mcg delivered once weekly by subcutaneous injection
TransCon CNPEXPERIMENTALOnce weekly double-blinded treatment with SC injection of 100 µg/kg of TransCon CNP for 52 weeks
Placebo for TransCon CNPPLACEBO_COMPARATOROnce weekly double-blinded treatment with SC injection of 100 µg/kg of Placebo for TransCon CNP for 52 weeks
Open-Label Extension Period: TransCon CNPEXPERIMENTALParticipants who completed the 52-week blinded treatment period continued into the open-label extension period and received treatment with TransCon CNP 100 µg/kg delivered once weekly by subcutaneous injection.
TransCon CNP 6 mcgEXPERIMENTALTransCon CNP 6 mcg CNP/kg delivered once weekly by subcutaneous injection.
TransCon CNP 20 mcgEXPERIMENTALTransCon CNP 20 mcg CNP/kg delivered once weekly by subcutaneous injection.
TransCon CNP 50 mcgEXPERIMENTALTransCon CNP 50 mcg CNP/kg delivered once weekly by subcutaneous injection.
PlaceboPLACEBO_COMPARATORPlacebo mimicking 6, 20, 50, or 100 mcg CNP/kg delivered once weekly by subcutaneous injection.
Interventions
NameTypeDescription
TransCon CNPDRUGTransCon CNP drug product is a lyophilized powder in a single-use vial. Prior to use, the lyophilized powder is reconstituted with sterile water for injection and administered by subcutaneous injection via syringe and needle.
Placebo for TransCon CNPDRUGOnce-weekly subcutaneous injection of 100 µg/kg placebo for TransCon CNP
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Eligibility Criteria
Age Range3 Years — 15 Years
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * Written, signed informed consent of the parent(s) or legal guardian(s) of the participant, and as required by the institutional review board/human research ethics committee/independent ethics committee (IRB/HREC/IEC). For participants who are below the age of consent, a writte...

Countries:United StatesAustraliaAustriaCanadaDenmarkGermanyIrelandNew ZealandPortugalSpain
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05929807primaryCompletionDate: changed
LOWMay 24, 2026NCT05929807studyFirstPostDate: changed