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TransCon CNP

Phase 2

Achondroplasia | Small molecule | Rare Disease |Ascendis Pharma A/S|Last Updated: Aug 17, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment197

FDA Designations

PRIORITY_REVIEW

Clinical trial landscape

TransCon CNP · 2 trials · 1 indication

Phase 2 2
NCT05929807A Clinical Trial to Investigate Long-term Safety, Tolerability, and Efficacy of Weekly Subcutaneous Doses With TransCon CNP in Children and Adolescents With AchondroplasiaAchondroplasia
ENROLLING BY_INVITATION140 Analytics
NCT04085523A Dose Escalation Trial Evaluating Safety, Efficacy, and Pharmacokinetics of TransCon CNP Administered Once Weekly in Prepubertal Children With AchondroplasiaAchondroplasia
COMPLETED57 Analytics
PHASE2ENROLLING BY_INVITATION
A Clinical Trial to Investigate Long-term Safety, Tolerability, and Efficacy of Weekly Subcutaneous Doses With TransCon CNP in Children and Adolescents With Achondroplasia
AchondroplasiaUnlock trial analytics
PHASE2COMPLETED
A Dose Escalation Trial Evaluating Safety, Efficacy, and Pharmacokinetics of TransCon CNP Administered Once Weekly in Prepubertal Children With Achondroplasia
AchondroplasiaUnlock trial analytics

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 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
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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 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.
Open-Label Extension Period: TransCon CNPEXPERIMENTALParticipants who completed the 52-week blinded treatment period continued into the 104-week open-label extension period and received treatment with TransCon CNP (navepegritide) doses escalated up to a maximum of 100 mcg/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 CNPDRUGWeekly subcutaneously injection of placebo.
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Eligibility Criteria

Age Range3 Years to 15 Years
SexALL
Healthy VolunteersNo
Study Sites19

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 StatesAustraliaAustriaCanadaDenmarkFranceGermanyIrelandNew ZealandPortugalSpainUnited Kingdom
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Recent Changes (Last 90 Days)

LOWAug 17, 2026NCT05929807lastUpdatePostDate: changed
LOWAug 17, 2026NCT05929807lastUpdatePostDate: changed
LOWAug 14, 2026NCT05929807lastUpdatePostDate: changed
LOWAug 14, 2026NCT05929807lastUpdatePostDate: changed
LOWAug 14, 2026NCT05929807lastUpdatePostDate: changed
MEDIUMAug 2, 2026NCT04085523TRIAL_REMOVED: changed
MEDIUMAug 2, 2026NCT04085523TRIAL_REMOVED: changed
MEDIUMAug 2, 2026NCT04085523TRIAL_REMOVED: changed
MEDIUMAug 2, 2026NCT04085523TRIAL_REMOVED: changed

Frequently asked questions about TransCon CNP

What is TransCon CNP used for in achondroplasia?

TransCon CNP is an investigational small molecule being developed for achondroplasia, a rare genetic condition affecting bone growth. It is designed for once-weekly subcutaneous administration in children and adolescents with achondroplasia. The drug is currently in Phase 2 clinical development and has not yet been approved by regulatory authorities.

Who is developing TransCon CNP?

TransCon CNP is being developed by Ascendis Pharma A/S, a biopharmaceutical company traded on the NASDAQ under the ticker ASND. Ascendis Pharma is conducting clinical trials of TransCon CNP in multiple countries, including the United States, Australia, and several European nations, for the treatment of achondroplasia.

What phase is TransCon CNP in?

TransCon CNP is in Phase 2 clinical development for achondroplasia. It is an investigational drug, meaning it has not been approved by the FDA or other regulatory agencies. Two Phase 2 trials have been conducted or are ongoing, with one completed and one currently enrolling participants by invitation.

What clinical trials is TransCon CNP in?

TransCon CNP has been studied in two Phase 2 clinical trials. The first, NCT04085523, was a completed dose escalation trial in prepubertal children with achondroplasia. The second, NCT05929807, is an ongoing long-term safety and efficacy trial in children and adolescents with achondroplasia, enrolling 140 participants across multiple countries.

How does TransCon CNP work?

TransCon CNP is designed to deliver C-type natriuretic peptide (CNP) for the treatment of achondroplasia. CNP is a naturally occurring peptide that regulates endochondral bone growth. The drug is formulated to provide sustained exposure to CNP with once-weekly dosing, which may help address the underlying growth deficiency in achondroplasia.

Is TransCon CNP the same as other CNP-based therapies?

TransCon CNP is a specific investigational product developed by Ascendis Pharma. It is designed as a long-acting form of CNP for weekly administration. While other CNP-based therapies may exist, TransCon CNP is distinguished by its TransCon technology platform, which is intended to optimize the pharmacokinetic profile of the peptide.