FOP is caused by a mutation in a gene called “ACVR1” which encodes for the receptor protein “ACVR1/ALK2.” In healthy individuals, a protein called Activin A usually turns this receptor “off.” However, in FOP, Activin A turns the mutant receptor “on,” resulting in the abnormal bone growth (heterotopic ossification or HO) that is characteristic of FOP.
REGN2477 (also known as garetosmab) is an antibody that binds (i,e. holds onto) to Activin A, and blocks its activity. By binding and blocking Activin A, garetosmab may prevent the formation and stop the growth of HO in FOP. Garetosmab has received Orphan Drug status for FOP from the U.S. Food and Drug Administration (FDA), and orphan status for the treatment of FOP in the EU.
About the Clinical Trial
trial is a global, multi-center, placebo-controlled trial. Approximately 66 adults 18 years of age or older with the classic FOP mutation (R206H) or non-classic mutations will be enrolled. The trial is designed to evaluate the safety of garetosmab, and whether monthly dosing will reduce the formation of new HO and reduce the signs and symptoms of flare-ups.
- AGE: ≥ 18
- DISEASE ACTIVITY: Participants need to have had FOP disease activity within one year of the screening visit.
- MUTATIONS: R206H and other mutations of the ACVR1 gene resulting in heterotopic ossification
- STUDY TYPE: Interventional
- RANDOMIZED STUDY: Yes
- PLACEBO-CONTROLLED: Yes, participants will be randomized to high-dose garetosmab, low-dose garetosmab, or
- LENGTH OF PARTICIPATION: 56 weeks
Who is eligible to participate in Regeneron’s
Can children participate in the Regeneron
The current trial is not open to individuals with FOP under the age of 18. Many treatments are first studied in adults to establish the therapy’s safety profile before studying in children.
How many people can participate in the trial?
Approximately 66 people will be enrolled.
Half or up to 33 people will randomly be given garetosmab and half will be given
Can I participate in LUMINA-1 if I am currently enrolled in the FOP Registry?
Yes. If you are currently in the IFOPA registry, you may be able to also participate in the LUMINA-1 trial, as long as you meet the trial’s eligibility criteria.
This trial is 56 weeks with an additional 12 month follow-up period.
What centers and locations will be involved in the REGN2477 trial?
Regeneron is currently in the process of identifying further centers to participate in the Phase 3 study. Please refer to ifopa.org/optima for the latest information on clinical sites.
How is REGN2477 given to people with FOP?
REGN2477 is taken by IV infusion (i.e. given through the vein) every 4 weeks.
The safety of REGN2477 has been studied in healthy volunteers who do not have FOP. The
What are the travel commitments and requirements to participate in the trial?
Regeneron has hired a specialty travel agency to assist with arrangements for patients and caregivers. Individuals who participate in the REGN2477 trial will receive further information about their travel commitments and study reimbursement.
Who do I contact if I’m interested in learning more about Regeneron’s trial?
Have your doctor connect with Regeneron through one of the resources below:
Medical Information Hotline:
United States: 1-844-MID-REGN (1-844-643-7346)
Email: [email protected]
*For the complete list of eligibility criteria and details on this study, visit ClinicalTrials.gov and enter Identifier NCT05394116.
Participating Clinical Sites (as of November 7, 2023)
Northern Sydney Local Health District-Royal North Shore Hospital
Principal Investigator: Roderick Clifton-Bligh, BSC MB FRACP PhD FFSc
New Children's Hospital, Helsinki University Hospital
Principal Investigator: Matti Hero, MD, PhD
Principal Investigator: Christian Jorgensen, MD, PhD
Lariboisière Hospital AP-HP
Principal Investigator: Thomas Funck-Brentano, MD, PhD
Queen Mary Hospital
Principal Investigator: Evelyn Kuong, MBBS, FHKCOS, FHKAM, FRCSEd
Nagoya University Hospital
Principal Investigator: Kenichi Mishima, MD
Principal Investigator: Naoto Uemura, MD, PhD
Kuala Lumpur Hospital
Principal Investigator: Kavitha Rethnavelu
Medyk Medical Center Hospital
Principal Investigator: Jacek Tabarkiewicz, MD, PhD
University of Cape Town
Principal Investigator: Christiaan Scott, MBChB, FCPaed (SA)
Seoul National University Hospital (New)
Principal Investigator: Tae-Joon Cho, MD
Ramon y Cajal University Hospital
Principal Investigator: Javier Bachiller Corral, MD
Royal National Orthopaedic Hospital NHS Trust
Site is open to international participants -- contact Dr. Keen for additional information
Principal Investigator: Richard Keen, MD
Site is open to international participants -- contact Dr. Pignolo for additional information
Principal Investigator: Robert Pignolo, MD, PhD
University of California Los Angeles (UCLA) Medical Center
Principal Investigator: Deb Krakow, MD
Contact: Sarah Gaunt
Site is open to international participants -- contact Margo Black for additional information
Principal Investigator: Kathryn Dahir, MD
Contact: Margo Black, BSN, MSN
OPTIMA Trial Website
More information is available at optimatrial.com
This website is only visible to those living in countries where there is an active clinical trial site.
The IFOPA does not endorse nor recommend specific clinical trials. Please speak with your doctor if you are interested in participating in a clinical trial.