New 2-Year Data from Pivotal ApproaCH Trial of TransCon® CNP (Navepegritide) Show Pronounced Gains in Growth Outcomes in Children with Achondroplasia Aged ≥5 Years
“We are pleased to see confirmation of the expected sustained growth improvements in these children, with a consistent safety and tolerability profile,” said
ApproaCH Trial Design
ApproaCH was a randomized, double-blind, placebo-controlled pivotal trial in 84 children with achondroplasia aged 2–11 years, investigating TransCon CNP (100 µg/kg once-weekly) versus placebo for 52 weeks, followed by a 52-week open-label extension (OLE) period in which all participants received TransCon CNP through Week 104. Fifty-three of the 84 children were ≥5 years of age at the time of their enrollment in the trial.
Highlights of the ApproaCH Trial Data Through Week 104
Subgroup of children aged ≥5 years at enrollment
| AGV (cm/year) | |||
| LS Mean | Observed Mean3 | ||
| Week 52 | Week 52 | Week 104 | |
| TransCon CNP(n=36) | 5.79 | 5.84 | 5.71 |
| Placebo/TransCon CNP1 (n=17) | 4.02 | 3.88 | 5.53 |
| TransCon CNP vs. Placebo, Treatment Difference [95% CI] |
+1.78 [1.22, 2.33] p<0.0001 |
+1.972 [1.37, 2.56] p<0.0001 |
- |
| ACH-Specific Height Z-score, Change from Baseline |
Change from Baseline |
|||||
| LS Mean | Observed Mean3 | LS Mean | Observed Mean3 | |||
| Week 52 | Week 52 | Week 104 | Week 52 | Week 52 | Week 104 | |
| TransCon CNP (n=36) | +0.38 | +0.38 | +0.75 | +0.28 | +0.26 | +0.58 |
| Placebo/TransCon CNP1 (n=17) | +0.07 | +0.07 | +0.46 | -0.05 | -0.02 | +0.36 |
| TransCon CNP vs. Placebo, Treatment Difference2 [95% CI] |
+0.31 [0.20, 0.42] p<0.0001 |
+0.30 [0.18, 0.42] p<0.0001 |
- |
+0.32 [0.20, 0.44] p<0.0001 |
+0.29 [0.14, 0.44] p=0.0004 |
- |
Note: The observed mean is a simple average of recorded measurements; the LS mean is a model-based estimated average that adjusts for selected variables, typically baseline patient characteristics, enabling a more balanced comparison across arms of a clinical trial.
1 Week 104 data reflects placebo patients that crossed over to TransCon CNP treatment at Week 52
2 Not presented at PES 2026; included for context
3 Treatment differences between TransCon CNP and placebo were estimated from a T-test
Through up to two years of treatment, the safety profile in children ≥5 years was similar to the overall population, with a low rate of ISRs (all mild), no symptomatic hypotension, and no acceleration of bone age. Most adverse events in TransCon CNP-treated children were mild or moderate, with none leading to treatment discontinuation or withdrawal from the trial.
A slide presentation with these data can be found on the Investor Relations & News section of the
About TransCon CNP
TransCon CNP is a prodrug of C-type natriuretic peptide (CNP) administered once weekly, designed to provide continuous exposure of active CNP to receptors on tissues throughout the body to counteract the overactive FGFR3 signaling in achondroplasia. In
About Achondroplasia
Achondroplasia is a rare genetic condition arising from a systemic fibroblast growth factor receptor 3 (FGFR3) variant that leads to an imbalance in the effects of the FGFR3 and CNP signaling pathways, estimated to affect more than 250,000 people worldwide. While historically considered a bone growth disorder, the FGFR3 variant seen in achondroplasia is expressed in tissues throughout the body, and is associated with an increased risk of muscular, neurological, and cardiorespiratory complications in addition to skeletal dysplasia. Medical complications of achondroplasia can vary from individual to individual and across different stages of life. Throughout infancy and childhood, observed complications include spinal abnormalities, enlarged brain ventricles, impaired muscle strength and reduced stamina, hearing deficits and chronic ear infections, upper airway obstructions, sleep-disordered breathing, hip problems, leg bowing, and chronic pain; some of which persist or worsen in adulthood. These medical complications can affect physical well-being and quality of life, and may be impacted by a range of individual, clinical, and social factors. Some individuals with achondroplasia require multiple procedures and surgeries to address specific functional or anatomical concerns.
About
Forward-Looking Statements
This press release contains forward-looking statements that involve substantial risks and uncertainties. All statements, other than statements of historical facts, included in this press release regarding Ascendis’ future operations, plans and objectives of management are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Examples of such statements include, but are not limited to, statements relating to (i) TransCon CNP’s ability to promote healthy, proportional growth in children with achondroplasia across age groups, (ii) Ascendis’ ability to apply its TransCon technology platform to make a meaningful difference for patients and (iii) Ascendis’ use of TransCon to create new and potentially best-in-class therapies. Ascendis may not actually achieve the plans, carry out the intentions or meet the expectations or projections disclosed in the forward-looking statements and you should not place undue reliance on these forward-looking statements. Actual results or events could differ materially from the plans, intentions, expectations and projections disclosed in the forward-looking statements. Various important factors could cause actual results or events to differ materially from the forward-looking statements that Ascendis makes, including, without limitation: dependence on third‑party manufacturers, distributors, and service providers for Ascendis’ products and product candidates; risks related to regulatory review and approval, including the possibility of delays, requests for additional data or analyses, restrictions or limitations on use, approval with labeling that is more limited than expected, or failure to obtain approval in
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