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REGN2477

Phase 3FDA approved

Fibrodysplasia Ossificans Progressiva | Monoclonal antibody | Rare Disease |Regeneron Pharmaceuticals, Inc.|Trials Updated: Oct 8, 2026

REGN2477 development status

FDA approval on record Aug 19, 2026
Highest phase Phase 3 (NCT07559513)
Phase scored for REGNPhase 2
Registered trials 9 across 1 sponsor since Aug 2016

REGN2477 target and mechanism

Molecular targetActivin A
Target classProtein
ModalityMonoclonal antibody

Also known as Garetosmab

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials3
Total Enrollment125

FDA Designations

No designations recorded

REGN2477 clinical trials

REGN2477 · 3 trials · 2 indications

Phase 3 2Phase 2 1
NCT07559513A Study to Investigate the Safety, Pharmacokinetics (PK), and Efficacy of Garetosmab in Children and Adolescents With Fibrodysplasia Ossificans Progressiva (FOP)Fibrodysplasia Ossificans Progressiva
NOT YET_RECRUITING18 Analytics
NCT05394116A Study to Assess Safety, Tolerability and Efficacy of Garetosmab Versus Placebo Administered Intravenously (IV) in Adult Participants With Fibrodysplasia Ossificans Progressiva (FOP)Fibrodysplasia Ossificans Progressiva
ACTIVE NOT_RECRUITING63 Analytics
PHASE3NOT YET_RECRUITING
A Study to Investigate the Safety, Pharmacokinetics (PK), and Efficacy of Garetosmab in Children and Adolescents With Fibrodysplasia Ossificans Progressiva (FOP)
Fibrodysplasia Ossificans ProgressivaUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Assess Safety, Tolerability and Efficacy of Garetosmab Versus Placebo Administered Intravenously (IV) in Adult Participants With Fibrodysplasia Ossificans Progressiva (FOP)
Fibrodysplasia Ossificans ProgressivaUnlock trial analytics

Study Endpoints

Primary Endpoints

Occurrence of Treatment-Emergent Adverse Event (TEAEs)
Baseline to week 56
Severity of TEAEs
Baseline to week 56
Concentrations of functional garetosmab in serum
Through week 56
Number of new HO lesions
At Week 56
Incidence and severity of treatment-emergent adverse events of special interest (AESIs)
Baseline to Week 56
Period 1: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
Up to Week 28

Treatment-emergent adverse events (TEAEs) are adverse events not present at baseline or represent the exacerbation of a pre-existing condition during the on-treatment period. A serious TEAE was defined as any untoward medical occurrence that resulted in any of following outcomes not present at baseline or represent the exacerbation of a pre-existing condition during the on-treatment period: death, life-threatening, required initial/prolonged in-participant hospitalization, persistent/significant disability/incapacity, congenital anomaly/birth defect/considered as medically important event. Number of participants with TEAEs and Serious TEAEs are reported.

Period 1: Number of Participants With TEAEs by Severity
Up to Week 28

Severity of TEAEs were graded as follows: Mild: Does not interfere in a significant manner with the participant's normal functioning level. It may be an annoyance. Prescription drugs are not ordinarily needed for relief of symptoms but may be given because of personality of the participants. Moderate: Produces some impairment of functioning but is not hazardous to health. It was uncomfortable or an embarrassment. Treatment for symptom may be needed. Severe: Produces significant impairment of functioning or incapacitation and was a definite hazard to the participant's health. Treatment for symptom may be given and/or participants hospitalized. Number of participants with TEAEs by severity is reported.

Period 1: Time-Weighted Average (Standardized Area Under the Curve [AUC]) of the Percent Change From Baseline in Total Lesion Activity by Fluorine-18-labeled Sodium Fluoride (18^F-NaF) Positron Emission Tomography (PET) at Week 28 (AHO)
Baseline and Week 28

18\^F-NaF PET is used to assess lesion and disease activity. Time-weighted average (standardized area under the curve \[AUC\]) of the percent change from baseline in total lesion activity by 18\^F-NaF PET up to Week 28 in AHO analysis set is reported.

Period 1: Percent Change From Baseline in the Total Volume of HO Lesions as Assessed by Computed Tomography (CT) at Week 28 (AHO)
Week 28

CT is a diagnostic imaging test used to create detailed images of internal organs, bones, soft tissue, and blood vessels. CT scan acquired contemporaneously to the PET scan. Percent change from baseline in the total volume of HO lesions as assessed by CT during Period 1 at Week 28 is reported.

Period 2: Number of New HO Lesions as Assessed by CT at Week 56 Relative to Week 28 Scan (AHO COVID-19 mITT)
Week 28, Week 56

CT is a diagnostic imaging test used to create detailed images of internal organs, bones, soft tissue, and blood vessels. CT scan acquired contemporaneously to the PET scan. HO detectable by CT that developed after baseline are referred to as "new HO lesions." Number of new HO lesions as assessed by CT at Week 56 relative to Week 28 scan is reported.

Period 1: Time-weighted Average (Standardized AUC) of the Percent Change From Baseline in Total Lesion Activity Assessed by 18^F-NaF PET at Week 28 (AHOC)
Week 28

18\^F-NaF PET is used to assess lesion and disease activity. Time-weighted average (Standardized AUC) of the percent change from baseline in total lesion activity as assessed by 18\^F-NaF PET in Active HO Classic ACVR1 Mutation (AHOC) analysis set up to Week 28 is reported.

Period 1: Percent Change From Baseline in the Total Volume of HO Lesions as Assessed by CT at Week 28 (AHOC)
Week 28

CT is a diagnostic imaging test used to create detailed images of internal organs, bones, soft tissue, and blood vessels. CT scan acquired contemporaneously to the PET scan. Percent change from baseline in the total volume of HO lesions was assessed by CT at Week 28 in AHOC analysis set is reported.

Secondary Endpoints

Total volume of new Heterotopic Ossification (HO) lesions
At week 28 and week 56
Number of new HO lesions
At week 28 and week 56
Occurrence of new HO lesions
At week 28 and week 56
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1: AdolescentsEXPERIMENTALParticipants aged 12 - 18 years old
Cohort 2: ChildrenEXPERIMENTALChildren who are 4 to 12 years old (for non-US sites only 2 to 12 years old)
Cohort 3: Children and AdolescentsEXPERIMENTALParticipants and Children aged 4 to 18 years old (for non-US sites only 2 to 18 years old)
High dose GaretosmabEXPERIMENTALGaretosmab is administered by intravenous (IV) administration every 4 weeks (Q4W)
Low dose GaretosmabEXPERIMENTALGaretosmab is administered by IV administration Q4W
PlaceboEXPERIMENTALPlacebo to match garetosmab, is supplied as a liquid solution without the monoclonal antibody (or the protein) and is administered IV Q4W.
REGN2477EXPERIMENTAL -

Interventions

NameTypeDescription
garetosmabDRUGAdministered per the protocol
PlaceboDRUGPlacebo to match garetosmab, is supplied as a liquid solution without the monoclonal antibody (or the protein) and is administered IV.
REGN2477DRUGPharmaceutical form: liquid product for injection/infusion; Route of administration: Intravenous (IV); Administered during treatment periods 1 and 2.
Matching placeboDRUGPharmaceutical form: Liquid product for injection/infusion; Route of administration: Intravenous (IV); Administered during treatment period 1 only.
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Eligibility Criteria

Age Range2 Years to 18 Years
SexALL
Healthy VolunteersNo

Key Inclusion Criteria: 1. For USA participants, age criteria are 4 to \< 18 years old, at the time of the administration of the first dose of study intervention. Non-USA participants age criteria are 2 to \< 18 years old 2. Must have a confirmation of FOP diagnosis, as described in the protocol 3....

Countries:United StatesAustraliaBrazilChileChinaColombiaFinlandFranceHong KongItalyJapanMalaysiaNetherlandsPolandSouth AfricaSouth KoreaSpainUnited KingdomCanada
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Recent Changes (Last 90 Days)

MEDIUMOct 8, 2026NCT07559513primaryCompletionDate: changed
MEDIUMOct 8, 2026NCT07559513primaryCompletionDate: changed
LOWAug 24, 2026NCT07559513startDate: changed
LOWAug 24, 2026NCT07559513startDate: changed

Frequently asked questions about REGN2477

What is REGN2477 used for?

REGN2477 is an investigational therapy being studied for fibrodysplasia ossificans progressiva, a rare genetic disorder characterized by abnormal bone formation in soft tissues. It is a small molecule developed by Regeneron Pharmaceuticals and has been evaluated in a Phase 2 clinical trial in adults with the condition.

What does REGN2477 target?

REGN2477 targets Activin A, a protein involved in signaling pathways that regulate bone and tissue development. By targeting Activin A, the drug is designed to interfere with the abnormal bone formation that occurs in fibrodysplasia ossificans progressiva. Activin A is a protein target, and REGN2477 is a small molecule therapeutic.

Who is developing REGN2477?

REGN2477 is being developed by Regeneron Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker symbol REGN. Regeneron is the sponsor of the clinical program evaluating the drug in fibrodysplasia ossificans progressiva, a rare disease indication.

What phase is REGN2477 in?

REGN2477 is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA. The Phase 2 trial evaluating REGN2477 in fibrodysplasia ossificans progressiva has been completed, and the program remains in clinical development.

What clinical trials is REGN2477 in?

REGN2477 has been studied in one Phase 2 clinical trial, NCT03188666, titled a study to examine the safety, tolerability and effects on abnormal bone formation of REGN2477 in patients with fibrodysplasia ossificans progressiva. The trial enrolled 44 participants, was randomized, double-blind, and controlled, and has been completed.