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BMN 111

Phase 3

Achondroplasia | Small molecule | Other |BioMarin Pharmaceutical Inc.|Last Updated: Mar 13, 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 Trials6
Total Enrollment454
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03424018An Extension Study to Evaluate the Efficacy and Safety of BMN 111 in Children With AchondroplasiaPHASE3 ACTIVE NOT_RECRUITING 119Dec 12, 2017Jun 1, 2031Mar 13, 202624 United States, Australia +5
NCT03197766A Study to Evaluate the Efficacy and Safety of BMN 111 in Children With AchondroplasiaPHASE3 COMPLETED 121Dec 12, 2016Oct 30, 2019Mar 2, 202224 United States, Australia +5
NCT03583697A Clinical Trial to Evaluate the Safety and Efficacy of BMN 111 in Infants and Young Children With AchondroplasiaPHASE2 COMPLETED 75Jun 13, 2018Jan 26, 2022Jun 13, 202416 United States, Australia +2
NCT02724228A Study to Evaluate Long-Term Safety, Tolerability, & Efficacy of BMN 111 in Children With Achondroplasia (ACH)PHASE2 ACTIVE NOT_RECRUITING 30Jan 26, 2016Feb 1, 2028Mar 13, 20269 United States, Australia +2
NCT02055157A Phase 2 Study of BMN 111 to Evaluate Safety, Tolerability, and Efficacy in Children With AchondroplasiaPHASE2 COMPLETED 35Jan 13, 2014Oct 2, 2017Jan 15, 20219 United States, Australia +2
NCT01590446A Study to Evaluate Safety and Tolerability of BMN 111 Administered to Healthy Adult VolunteersPHASE1 COMPLETED 74Feb 1, 2012Jun 1, 2012Jun 11, 20121 United States
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Study Endpoints
Primary Endpoints
Change from baselines in mean annualized growth velocity
Through study completion, an average of 1 year

Long term efficacy as measured by change in annualized growth velocity

Change From Baseline in Annualized Growth Velocity (AGV) at Week 52
At Baseline and Week 52

AGV at a Post-baseline Visit is defined as \[(Height at Post-baseline Visit - Height at Baseline)/(Date of Post-baseline Visit - Date of Baseline Assessment)\] x 365.25 AGV at Baseline is defined as \[(Height at Baseline - last height measurement in Study 111-901 at least 6 months prior to Baseline)/(Date of Baseline Assessment - Date of last height measurement in Study 111-901 at least 6 months prior to Baseline)\] x 365.25

Number of Participants With Adverse Events (AEs) by Severity Grade and Study Drug Treatment-emergent Adverse Events (TEAEs)
Up to Week 56 (Safety Follow-Up +/-7d)

A treatment-emergent Adverse Events (TEAE) is any Adverse Events that newly appeared, increased in frequency or worsened in severity following initiation of study drug administration. A severity grade was defined by the Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03. As per CTCAE, Grade 1 scales as Mild; Grade 2 scales as Moderate; Grade 3 scales as severe or medically significant but not immediately life threatening; Grade 4 scales as life-threatening consequences; and Grade 5 scales as death related to AE. Safety Population includes all sentinel and randomized participants in the FAS who received at least one dose of vosoritide or placebo in this study. Serious adverse event (SAE)

Change From Baseline in Height Z-score at Week 52.
Baseline to Week 52

Z-Scores were derived using age-sex specific reference data (means and SDS) for average stature children per the Centers for Disease Control and Prevention. A height Z score of 0 would indicate that the subject's height is equal to the mean height for the average stature population of the same sex and age. A positive height Z score indicates that the subjects height is above the mean height for the average stature population of the same sex and age, whilst a negative height Z score indicates that the subjects height is below the mean height for the average stature population of the same sex and age. To conclude if the height Z score increases then this means the height deficit has decreased. standard deviation score (SDS). The primary efficacy analysis population was the subset of randomized participants in the FAS.

Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Until near final adult height is reached, and up to at least 16 years of age for females and 18 years of age for males, whichever occurs later

* Number of study participants with treatment-emergent adverse events. * Number of study participants with treatment-emergent serious adverse events

Overall Summary of Adverse Events During Initial 6-Month Period
Up to Month 6 ± 7 Days

A treatment-emergent Adverse Events (TEAE) is any Adverse Events that newly appeared, increased in frequency or worsened in severity following initiation of study drug administration. Serious adverse event (SAE).

Overall Summary of Adverse Events During Entire Study Period
Up to Month 25 ± 7 Days

A treatment-emergent Adverse Events (TEAE) is any Adverse Events that newly appeared, increased in frequency or worsened in severity following initiation of study drug administration. TEAE - Treatment-emergent adverse event. SAE - Serious adverse event.

Safety based on vitals signs
Daily throughout the study Assessed for approximately 8 days following each single dose in Part 1, and for approximately 24 days following each daily dose in Part 2
Safety based on adverse events
Daily throughout the study Assessed for approximately 8 days following each single dose in Part 1, and for approximately 24 days following each daily dose in Part 2
Secondary Endpoints
Changes in health-related quality of life as measured by the Quality of Life in Short-Statured Youth questionnaire
Through study completion, every 6-12 months
Potential changes in daily activity performance as measured by Activities of Daily Living questionnaire
Through study completion, every 12 months
Characterize maximum concentration (Cmax) of BMN 111 in plasma
Through study completion, every 12 months
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
BMN 111EXPERIMENTAL -
Active BMN 111EXPERIMENTALDaily subcutaneous injection of 15 micrograms per kilogram BMN111
PlaceboPLACEBO_COMPARATORDaily subcutaneous injection of placebo
Active BMN111EXPERIMENTALSubcutaneous injection of 15 μg/kg/day and/or 30 μg/kg/day of BMN111 daily.
BMN 111 - Subcutaneous InjectionEXPERIMENTAL111-205 is an open-label, extension study. Subjects receive the same stable dose of BMN 111 received upon completion of the 111-202 study, initially up to 30 μg/kg. BMN 111 will be administered by weight-band dosing regimen.
Cohort 1EXPERIMENTALCohort 1: 2.5 ug/kg
Cohort 2EXPERIMENTALCohort 2: 7.5 ug/kg,
Cohort 3EXPERIMENTALCohort 3: 15 ug/Kg
Cohort 4EXPERIMENTALCohort 4: 30 ug/kg
Interventions
NameTypeDescription
BMN 111DRUGSubcutaneous injection of recommended dose of BMN 111 based on weight-band dosing once daily.
PlaceboDRUGSubcutaneous injection of 15 μg/kg of placebo daily
Normal SalineDRUGSC injection, Part 1 single dose and Part 2 multiple dose
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Eligibility Criteria
Age Range6 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites24

Inclusion Criteria: * Must have completed Study 111-301 * Female \>= 10 years old or who have begun menses must have a negative pregnancy test at the Baseline Visit and be willing to have additional pregnancy tests during the study * If sexually active, willing to use a highly effective method of c...

Countries:United StatesAustraliaGermanyJapanSpainTurkey (Türkiye)United KingdomFrance
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT02724228primaryCompletionDate: changed
LOWMay 26, 2026NCT03424018primaryCompletionDate: changed
LOWMay 24, 2026NCT02724228studyFirstPostDate: changed
LOWMay 24, 2026NCT03424018studyFirstPostDate: changed