BridgeBio's Dwarfism Candidate Shows Favorable Height Increase, Safety Profile

  • BridgeBio Pharma Inc BBIO announced results from PROPEL2 Phase 2 trial of infigratinib in children with achondroplasia, a genetic condition affecting a protein in the body called the fibroblast growth factor receptor. 
  • In achondroplasia, this protein begins to function abnormally, slowing down the growth of bone in the cartilage of the growth plate.
  • Infigratinib is an oral small molecule designed to inhibit FGFR3 and target achondroplasia at its source.
  • At the highest dose level evaluated to date (Cohort 5, 0.25 mg/kg once daily), the mean increase from baseline in annualized height velocity (AHV) for the ten children with six-month visits was +3.03 cm/yr.
  • 80% of the ten children with six-month visits were responders, with a change from baseline AHV of at least 25%. Among the responders, the average change from baseline in AHV was +3.81 cm/yr.
  • Related: BridgeBio Pharma Shares Preliminary Data From Gene Therapy Candidate In Ultra Rare Disorder.
  • Combined with the previously reported Cohort 4 change from baseline in AHV value of +1.52 cm/yr, the Cohort 5 data demonstrate a strong dose-response for infigratinib
  • Median follow-up across all cohorts is 71.1 weeks. The study has shown a well-tolerated safety profile, with no drug-related treatment-emergent adverse events in Cohort 5. 
  • No serious adverse events or discontinuations due to AEs were reported in any cohort.
  • BridgeBio has started enrolling children in the run-in for a Phase 3 trial. 
  • Additionally, BridgeBio expects to initiate development for infigratinib in hypochondroplasia, a skeletal dysplasia closely related to achondroplasia and similarly driven by FGFR3 gain-of-function variants. 
  • Infigratinib has IP protection out to at least 2041.
  • Price Action: BBIO shares 60.30% at $17.50 on the last check Monday.
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