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Fibrodysplasia Ossificans ProgressivaPhase 2FALKONNCT05039515

A Study to Assess the Effectiveness and Safety of 2 Dosage Regimens of Oral Fidrisertib (IPN60130) for the Treatment of Fibrodysplasia Ossificans Progressiva (FOP).

A Phase 2 study testing IPN60130 in people with Fibrodysplasia Ossificans Progressiva, run by Clementia Pharmaceuticals Inc. at 25 sites in 14 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

Fibrodysplasia Ossificans Progressiva (FOP) is a rare, severely disabling disease characterized by the presence of bone in soft tissue where bone normally does not exist, known as Heterotopic Ossification (HO). Read more about this study

Who is it for?
Ages 5 years and older
Conditions the study is for
Fibrodysplasia Ossificans Progressiva
What is being tested?
IPN60130
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
113 participants
Where
25 sitesin 14 countries
Study dates
1 Dec 2021to 27 Mar 2026
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 5 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participants must be at least 5 years of age, to be confirmed (entry for younger paediatric participants <15 years of age will only be once safety in adult and older paediatric participants ≥15 years of age has been established) at the time of signing the informed participant/parent consent and, for participants who are minors, age-appropriate assent.
  • Participants must be at least 15 years of age at the time of signing the informed participant/parent consent for the main study and, for participants who are minors, age-appropriate assent
  • Participants must be clinically diagnosed with FOP, with the R206H ACVR1 mutation or other FOP variants associated with progressive HO.
  • Participants must have disease progression in the preceding year of the screening visit.
  • Participants who have participated in a prior clinical study using another investigational product for the treatment of FOP may be enrolled after a washout of at least 5 half-lives of the other investigational product. Participants with prior treatment such as, but not limited to, imatinib, isotretinoin, garetosmab, or palovarotene may be enrolled 30 days after discontinuation or after washout of at least 5 half-lives, whichever is longer.
  • Washout period for palovarotene is 30 days
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  • Washout period for garetosmab is 4 months
  • Participants must be able to perform pulmonary function tests adequately and reliably.
  • Participants must be able to have an adequate echocardiography assessment at screening for evaluation of left ventricular structure and function as defined by the protocol.
  • Participants must be accessible for treatment and follow-up and be able to undergo all study procedures. Participants living at distant locations from the investigational site must be able and willing to travel to a site for the initial and all on-site follow-up visits. Participants must be able to undergo low-dose WBCT (excluding head) without sedation.
  • Body weight ≥10 kg.
  • Abstinent or using two highly effective forms of birth control. Females must also have a negative blood or urine pregnancy test prior to administration of study drug.
  • Participants must be capable of giving written, signed, and dated informed participant/parent consent; and for participants who are minors, age-appropriate assent and/or legal guardian consent (performed according to local regulations)

Who cannot join

  • Participants with complete heart block and left bundle branch block on screening electrocardiogram.
  • Participants with screening echocardiography showing septal or left ventricular free wall thickness >12 mm for adult participants or a z-score >3 compared with population norms for children and adolescent participants or left ventricular ejection fraction (LVEF) <50%.
  • Participants with severe mitral or tricuspid regurgitation on echocardiography at screening.
  • Participants with significant underlying lung disease requiring supplementary oxygen or forced vital capacity <35% of predicted at screening.
  • Participants with uncontrolled cardiovascular, hepatic, pulmonary, gastrointestinal, endocrine, metabolic, ophthalmologic, immunologic, psychiatric, or another significant disease as judged by the investigator.
  • Participants with severe hepatic impairment.
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  • Concomitant medications that are strong inhibitors (including grapefruit juice) or inducers (including St John's Wort) of cytochrome P450 (CYP) 3A4 activity; or kinase inhibitors such as imatinib.
  • Prior use in the past year and concomitant use of bisphosphonates for participants in the PET-CT sub study.
  • Concurrent participation in another interventional clinical study, or a noninterventional study with radiographic measures or invasive procedures (e.g. collection of blood or tissue samples).
  • Amylase or lipase >2× the upper limit of normal (ULN) or with a history of chronic pancreatitis.
  • Elevated aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >5×ULN.
  • Participants with hematologic abnormalities:
  • Hgb<10g/dL
  • Platelets<75,000/mm3
  • WBC<2000/mm3

Trial locations and contacts

25 sites in 14 countries.

25 sites in 14 countries

United States4 sites
  • The Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • The Perelman School of Medicine - The University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • University of California San Francisco (UCSF)

    San Francisco, California, 94143

Other trials in United States

China4 sites
  • Children's Hospital Capital Institute of Pediatrics (CIP)

    Beijing

  • Peking Union Medical College Hospital

    Beijing

  • Shangai Children Medical Center

    Shanghai

  • Tongi University - Tongi Hospital

    Shanghai

Other trials in China

Japan3 sites
  • Nagoya University Hospital

    Nagoya

  • Aichi Children's Health and Medical Center

    Ōbu

  • The University of Tokyo Hospital

    Tokyo

Other trials in Japan

Canada2 sites
  • University of Alberta, Alberta Health Services (AHS)

    Edmonton

  • University Health Network (UHN), Toronto General Hospital (TGH)

    Toronto

Other trials in Canada

France2 sites
  • Groupe Hospitalier Necker Enfants Malades

    Paris, 75015

  • Hopital Lariboisiere

    Paris

Other trials in France

Spain2 sites
  • Hospital Universitario Ramon y Cajal

    Pozuelo de Alarcón, 28224

  • Hospital Universitario Y Politecnico La Femerge

    Valencia, 46026

Other trials in Spain

Argentina1 site
  • Hospital Italiano de Buenos Aires

    Buenos Aires

Other trials in Argentina

Australia1 site
  • Royal North Shore Hospital - New South Wales

    Sydney

Other trials in Australia

Belgium1 site
  • University Hospitals Leuven

    Leuven

Other trials in Belgium

Italy1 site
  • Irccs Gaslini Institute

    Genoa, 16147

Other trials in Italy

Mexico1 site
  • Instituto Nacional De Rehabilitacion

    Mexico City

Other trials in Mexico

Portugal1 site
  • Hospital Center Lisbon North, E.P.E- Hospital Santa Maria

    Lisbon

Other trials in Portugal

South Korea1 site
  • Seoul National University Hospital

    Seoul

Other trials in South Korea

Sweden1 site
  • Norrlands Universitetssjukhus

    Umeå

Other trials in Sweden

About this study

Official title: A Phase 2 Study to Assess the Efficacy and Safety of 2 Dosage Regimens of Oral Fidrisertib (IPN60130) for the Treatment of Fibrodysplasia Ossificans Progressiva in Male and Female Paediatric and Adult Participants.

Fibrodysplasia Ossificans Progressiva (FOP) is a rare, severely disabling disease characterized by the presence of bone in soft tissue where bone normally does not exist, known as Heterotopic Ossification (HO). It is often associated with painful, recurrent episodes of soft tissue swelling (flare-ups) that lead to abnormal stiffening and immobility (ankyloses) of major joints with cumulative and irreversible loss of movement and disability.

This study will evaluate the efficacy of 2 dosing regimens of IPN60130 in inhibiting new HO volume compared with placebo (a dummy treatment) in adult and paediatric participants with FOP. It will be assessed by a scan (provides internal images of the body) called low dose Whole Body Computed Tomography (WBCT), excluding head.

Adults and participants 5 years of age or older are also eligible for a sub study to evaluate HO lesions assessed by another type of scan, Fluorine-18-labelled natrium fluoride Positron Emission Tomography-Computed Tomography ([18F]NaF PET-CT ).

Read the detailed description

Note on Primary Completion Date and Results Disclosure:

The Primary Completion Date (PCD) reflects the date when data collection is completed for all primary outcomes, as defined in the Final Rule (42 CFR Part 11). In this study, safety outcomes are designated as primary and collected through the end of study.

Therefore the PCD has been updated to align with this definition. The interim analyses will proceed per the protocol and SAP. Results will be disclosed in line with applicable regulatory timelines.

Being tested
IPN60130, Placebo
Medical subject headings
Myositis Ossificans

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IPN60130Drug

    Also called Fidrisertib

    Immediate-release capsule containing high dose of the drug substance.

  • IPN60130Drug

    Also called Fidrisertib

    Immediate-release capsule containing low dose of the drug substance.

  • PlaceboDrug

    Placebo will be supplied as powder filled hard capsules

Study groups in NCT05039515
Study groupRoleWhat they receive
IPN60130 high dosageExperimentalOral capsule, swallowed whole or sprinkled onto food, once daily
Receives: Drug: IPN60130
IPN60130 low dosageExperimentalOral capsule, swallowed whole or sprinkled onto food, once daily
Receives: Drug: IPN60130
PlaceboPlacebo comparatorOral capsule, swallowed whole or sprinkled onto food, once daily
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Annualized change in HO volume as assessed by low-dose WBCT (excluding the head) in treated participants receiving IPN60130 compared with placebo.

    Measured: From baseline to 12 months

  2. Incidence of Adverse Events / Serious Adverse Events (AEs/SAE)

    Measured: From baseline until the end of study (63 months)

  3. Change from baseline in clinically significant abnormal values in laboratory parameters (haematology, biochemistry, and urinalysis)

    Percentage of participants with clinically significant change in laboratory parameters (biochemistry, hematology and urinalysis) will be reported. The clinical significance will be graded by the investigator.

    Measured: From baseline until the end of study (63 months)

  4. Change from baseline in physical examination findings

    Percentage of participants with clinically significant changes in physical examination findings will be reported. The clinical significance will be graded by the investigator.

    Measured: From baseline until the end of study (63 months)

  5. Change from baseline in clinically significant vital signs

    Percentage of participants with clinically significant changes in Vital Signs will be reported. The clinical significance will be graded by the investigator.

    Measured: From baseline until the end of study (63 months)

  6. Change from baseline in clinically significant Electrocardiogram (ECG) readings

    Percentage of participants with clinically significant changes in ECG readings will be reported. The clinical significance will be graded by the investigator.

    Measured: From baseline until the end of study (63 months)

Secondary outcomes (14)
  1. Change in HO volume of new HO lesions as detected by WBCT in participants receiving IPN60130 compared with placebo recipients

    Measured: From baseline up to 12 months

  2. Change in number of HO lesions by WBCT in participants receiving IPN60130 compared with placebo recipients

    Measured: From baseline up to 12 months

  3. Flare-up rate and number of flare-up days in participants receiving IPN60130 compared with placebo recipients

    The rate and the number of flare-up days, the flare-up being confirmed by the Investigator, will be compared between participants treated with IPN60130 and those treated with Placebo at Month 12

    Measured: From baseline up to 12 months

  4. The number of body regions with new HO in participants receiving IPN60130 compared with placebo recipients

    Measured: From baseline up to 12 months

  5. Change in pain intensity

    Assessed in participants ≥13 years old with the Numeric pain rating scale (NRS) and in participants <13 years old with Wong Baker Faces Pain Scale (FPS)

    Measured: From baseline up to 12 months

  6. The proportion of participants with any new HO in participants receiving IPN60130 compared with placebo recipients

    Measured: From baseline up to 12 months

  7. Change from baseline in HO volume as detected by WBCT in participants receiving IPN60130 compared with placebo recipients and with participants receiving the standard of care in the Natural history study (NHS)

    Measured: From baseline up to 60 months

  8. Change from baseline in Cumulative Analogue Joint Involvement Scale for FOP (CAJIS) by treatment arm compared with placebo recipients and participants receiving the standard of care in the NHS across all available timepoints

    Measured: From baseline up to 60 months

  9. Change in the FOP Physical Function Questionnaire (FOP-PFQ) by treatment arm compared with placebo recipients and participants receiving the standard of care in the NHS from baseline across all available timepoints

    Measured: From baseline up to 60 months

  10. Pharmacokinetic (PK) parameter: Cmax of IPN60130

    Cmax is defined as the maximum observed concentration of IPN60130

    Measured: From baseline up to Month 24

  11. PK parameter: AUC of IPN60130

    AUC is defined as the concentration of drug over time.

    Measured: Every 6 months up to Month 24

  12. PK parameter: Ctrough of IPN60130

    Ctrough is defined as the plasma concentration at the end of the dosing interval.

    Measured: Every 6 months up to Month 24

  13. PK parameter: Cmin of IPN60130

    Cmin is defined as the minimum observed concentration of IPN60130

    Measured: Every 6 months up to Month 24

  14. Assessment of the exposure-response relationship

    The exposure-response relationship will be assessed by modelling using relevant efficacy and safety parameters

    Measured: From baseline up to 60 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Sep 2021
  2. Study start1 Dec 2021
  3. Primary completion27 Mar 2026
  4. Study completion27 Mar 2026

Why it stopped: Following the planned FALKON Part A primary analysis, the study did not meet its primary endpoint of reducing heterotopic ossification (HO) volume compared with placebo and met predefined futility criteria.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
113 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05039515
Sponsor's protocol ID
D-CA-60130-452
Other IDs
2020-002858-24, 2024-511469-13-00
Acronym
FALKON
Status last verified
Apr 2026
First submitted
2 Sep 2021
Last updated
24 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of study participants.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing IPN60130 in people with Fibrodysplasia Ossificans Progressiva, run by Clementia Pharmaceuticals Inc. at 25 sites in 14 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 24 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United States, China, Japan, Canada, France and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: Following the planned FALKON Part A primary analysis, the study did not meet its primary endpoint of reducing heterotopic ossification (HO) volume compared with placebo and met predefined futility criteria.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Annualized change in HO volume as assessed by low-dose WBCT (excluding the head) in treated participants receiving IPN60130 compared with placebo. (time frame: From baseline to 12 months). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Apr 2026.

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