Evidence map›Paper›PMID 39216107›Full record

Trial reportJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2024

Characterization of flare-ups and impact of garetosmab in adults with fibrodysplasia ossificans progressiva: a post hoc analysis of the randomized, double-blind, placebo-controlled LUMINA-1 trial.

Richard Keen, Kathryn M Dahir, Jennifer McGinniss, Robert J Sanchez, Scott Mellis, Aris N Economides, Maja Di Rocco, Philippe Orcel, Christian Roux, Jacek Tabarkiewicz and 10 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03188666 (A Randomized, Placebo-controlled Study to Assess the Safety, Tolerability, Pharmacokinetics, and Effects on Heterotopic Bone Formation of REGN2477 in Patients With Fibrodysplasia Ossificans Progressiva), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03188666 phase2completednot on this map

A Randomized, Placebo-controlled Study to Assess the Safety, Tolerability, Pharmacokinetics, and Effects on Heterotopic Bone Formation of REGN2477 in Patients With Fibrodysplasia Ossificans Progressiva

TypeinterventionalSponsorRegeneron PharmaceuticalsRan2018 to 2021Enrolled44ConditionsFibrodysplasia Ossificans ProgressivaArmsREGN2477, Matching placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Richard KeenCentre for Metabolic Bone Disease, Royal National Orthopaedic Hospital NHS Trust, London, W1W 5AQ, United Kingdom.
Kathryn M DahirProgram for Metabolic Bone Disorders, Vanderbilt University Medical Center, Nashville, TN 37232, United States.ORCID 0000-0002-9980-9138
Jennifer McGinnissMedical Affairs, Scientific Communications, Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591, United States.
Robert J SanchezMedical Affairs, Scientific Communications, Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591, United States.ORCID 0000-0002-2998-3202
Scott MellisMedical Affairs, Scientific Communications, Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591, United States.
Aris N EconomidesMedical Affairs, Scientific Communications, Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591, United States.
Maja Di RoccoDepartment of Pediatrics, Unit of Rare Diseases, IRCCS Istituto Giannina Gaslini, Genoa, 16147, Italy.
Philippe OrcelDepartment of Rheumatology - DMU Locomotion, AP-HP Nord - Université de Paris and INSERM U1132 Bioscar, Paris, France.
Christian RouxCentre d'Evaluation des Maladies Osseuses, Cochin Hospital, Assistance Publique - Hôpitaux de Paris, 27 Rue du Faubourg Saint-Jacques, Paris, 75014, France.
Jacek TabarkiewiczCentre for Innovative Research in Medical and Natural Sciences, Rzeszów University, Rzeszów, 35-310, Poland.
Javier Bachiller-CorralDepartment of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid, 28034, Spain.
Angela M CheungDepartment of Medicine and Joint Department of Medical Imaging, University Health Network, University of Toronto, Toronto, ON, M5S 1A1, Canada.
Mona Al MukaddamDepartments of Orthopaedics, Medicine and the Center for Research in FOP & Related Disorders, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, United States.
Kusha MohammadiMedical Affairs, Scientific Communications, Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591, United States.
Jing GuMedical Affairs, Scientific Communications, Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591, United States.
Dushyanth SrinivasanMedical Affairs, Scientific Communications, Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591, United States.
Dinko Gonzalez TrotterMedical Affairs, Scientific Communications, Regeneron Pharmaceuticals, Inc., Tarrytown, NY 10591, United States.ORCID 0009-0005-5862-403X
E Marelise W EekhoffDepartment of Endocrinology and Metabolism, Amsterdam University Medical Centers (UMC), Vrije Universiteit, Amsterdam UMC Expert Center in Rare Bone Disease, Amsterdam Reproduction & Development, Amsterdam, 1081 HV, Netherlands.
Frederick S KaplanDepartments of Orthopaedics, Medicine and the Center for Research in FOP & Related Disorders, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, United States.
Robert J PignoloDepartment of Medicine, Mayo Clinic, Rochester, MN 55905, United States.

Funding

Regeneron Pharmaceuticals, Inc
6 · The paper itself

Abstract

Fibrodysplasia ossificans progressiva (FOP) is an ultra-rare disorder, characterized by progressive heterotopic ossification (HO) and painful soft-tissue inflammatory flare-ups. This was a post hoc analysis from a phase 2 (NCT03188666) trial in which adults with FOP received intravenous anti-activin A antibody garetosmab 10 mg/kg or placebo every 4 wk over 28 wk (Period 1), followed by a 28-wk open-label treatment and extension (Periods 2 and 3). Here we describe flare-ups, their relationship to new HO lesions, and the impact of garetosmab on flare-ups. Volume of new HO lesions was measured by CT. Patient-reported flare-ups were defined by any 2 of the following: new onset of pain, swelling, joint stiffness, decrease in movement, or perceived presence of HO. Flare-ups were experienced by 71% (17/24) of placebo-treated patients, 59% (10/17) of whom developed a new HO lesion irrespective of flare-up location; 24% of flare-ups location-matched new HO lesions. Twenty-nine new HO lesions occurred in the placebo cohort by week 28, of which 12 (41%) occurred in the same location as new or ongoing flare-ups. A higher volume of newly formed heterotopic bone (week 28) occurred in placebo-treated patients who had experienced a prior flare-up vs those without (median [Q1:Q3] of 16.6 [12.0:31.1] vs 3.2 cm3). Garetosmab was previously shown to decrease patient-reported flare-up frequency in Period 1; here, garetosmab reduced the median (Q1:Q3) duration of patient-reported flares (15.0 [6.0:82.0] vs 48.0 [15.0:1.00] d) and the severity of flare-ups vs placebo. Frequency of corticosteroid use was numerically reduced in those treated with garetosmab (40.0%) vs placebo (58.3%). In this analysis, 71% of placebo-treated adults with FOP experienced flare-ups over 28 wk, which were associated with an increased volume of newly formed heterotopic bone. Garetosmab reduced the severity and duration of flare-ups, with effects sustained during the entire trial.

Indexed as

Myositis OssificansAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedOssification, HeterotopicSymptom Flare Upactivin Afibrodysplasia ossificans progressivaflare-upsheterotopic ossificationnatural history

Identifiers

PMID39216107
PMCPMC11425702

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.