Garetosmab is effective in fibrodysplasia ossificans progressiva

The Phase II LUMINA 1 trial assessed the safety and efficacy of garetosmab, a monoclonal antibody that blocks activin A signaling pathways, in 44 adults with fibrodysplasia ossificans progressiva (FOP).

  • The number and volume of new heterotopic ossifications, as well as that of soft-tissue inflammatory flare-ups, were significantly reduced on garetosmab compared with placebo.
  • During the 76-week open-label period, there were no new heterotopic ossifications.
  • Thirty-four participants elected to continue treatment at the end of the open-label extension.
  • All participants on garetosmab experienced at least one treatment-emergent side effect, including epistaxis, eyelash and/or eyebrow loss and skin abscesses.
  • Five out of 44 participants died during the open-label phase, but this could not be linked to garetosmab.

In order to better define the benefit-risk profile of garestomab in FOP, the OPTIMA phase III trial is currently underway, including in France (Montpellier, Paris).

 

Garetosmab in Fibrodysplasia Ossificans Progressiva: Clinical Pharmacology Results from the Phase 2 LUMINA-1 Trial. Wang Y, Nguyen JH, de Ruiter RD et al. J Clin Pharmacol. 2023 Sep 11.

 

Garetosmab in fibrodysplasia ossificans progressiva: a randomized, double-blind, placebo-controlled phase 2 trial. Di Rocco M, Forleo-Neto E, Pignolo RJ et al. Nat Med. 2023 Oct;29(10):2615-2624.