NCT05813314
- Objective
- Not yet disclosed
- Design
- Not yet disclosed
- Participants
- Not yet disclosed
- Primary endpoint
- Not yet disclosed
- Results
- Results not yet reported; program terminated October 12, 2023
pharma · Phenylketonuria · Achondroplasia
BioMarin Pharmaceutical Australia Pty Ltd
BioMarin Pharmaceutical Australia is a pharma organization headquartered in San Rafael, USA. Primary therapeutic focus areas include Phenylketonuria, Achondroplasia, Duchenne Muscular Dystrophy, Phenylketonuria (PKU), Hy
Phase 1 · other · Achondroplasia
BMN 111 administration via Injector Pen (internal code 111-104) is a Phase 1 program developed by BioMarin Pharmaceutical Australia Pty Ltd for the treatment of achondroplasia, a genetic disorder affecting bone growth. The program focuses on an alternative delivery method—an injector pen formulation—for BMN 111, which
Internal code 111-104
BMN 111 administration via Injector Pen (internal code 111-104) is a Phase 1 program developed by BioMarin Pharmaceutical Australia Pty Ltd for the treatment of achondroplasia, a genetic disorder affecting bone growth. The program focuses on an alternative delivery method—an injector pen formulation—for BMN 111, which is itself in Phase 3 development as a small-molecule therapeutic. The program was terminated as of October 12, 2023, with no mechanism of action or target information disclosed in available records. Achondroplasia represents a significant unmet medical need, with multiple competing therapies in development across various phases, including other BioMarin candidates (BMN 333, vosoritide) and external competitors (infigratinib from BridgeBio, TYRA-300 from Tyra Biosciences). The termination of this specific formulation study suggests a strategic pivot or deprioritization within BioMarin's achondroplasia portfolio, though the parent BMN 111 program continues in Phase 3 evaluation. Regulatory pathways and approval timelines remain undisclosed.
Achondroplasia is the most common form of skeletal dysplasia, affecting approximately 1 in 25,000 live births globally. The condition results in disproportionate short stature and carries significant morbidity including spinal stenosis, limb deformities, and reduced quality of life. Current management is largely supportive, creating substantial unmet medical need for disease-modifying therapies. The termination of the BMN 111 injector pen formulation reflects competitive and clinical prioritization decisions within a crowded therapeutic landscape. BioMarin maintains multiple Phase 3 programs (BMN 111, BMN 333, and 111-302) alongside earlier-stage candidates, suggesting a portfolio strategy to identify the optimal therapeutic candidate and formulation. The competitive field includes both small-molecule FGFR inhibitors (infigratinib, TYRA-300) and biologic approaches (vosoritide, TransCon CNP), indicating multiple mechanistic pathways are being pursued. Market potential is substantial given the chronic nature of achondroplasia and the absence of approved disease-modifying treatments. The injector pen formulation termination may indicate clinical or commercial challenges with this delivery approach, potentially redirecting development resources toward alternative formulations or lead candidates with stronger efficacy or safety profiles.
BMN 111 administration via Injector Pen is a formulation variant of BMN 111, classified as a small-molecule therapeutic. The parent BMN 111 program is in Phase 3 development for achondroplasia. Specific details regarding mechanism of action, molecular target, and route of administration for this formulation variant are not disclosed in available records. The program represents an alternative delivery strategy (injector pen) for the underlying BMN 111 compound. Related therapies in BioMarin's achondroplasia portfolio include BMN 333 (Phase 3), vosoritide (Phase 2, monoclonal antibody mechanism), and 111-208 (Phase 2). Competitive small-molecule approaches include infigratinib (BridgeBio, Phase 2–3) and TYRA-300 (Tyra Biosciences, Phase 2). Patent status and first approval information are not yet disclosed.
Also known as: ACH, achondroplastic dwarfism
Prevalence: Prevalence at birth: 1-9 / 100 000 (Worldwide) — source: Orphanet, validated.
Achondroplasia is the most common form of chondrodysplasia, characterized by rhizomelia, exaggerated lumbar lordosis, brachydactyly, and macrocephaly with frontal bossing and midface hypoplasia.
ClinicalTrials.gov lists 46 registered studies for Achondroplasia (AACT aggregate).
Phase breakdown: NA (19), PHASE2 (16), PHASE3 (4), PHASE2/PHASE3 (3), PHASE1 (2), PHASE1/PHASE2 (1), PHASE4 (1)
Common investigational therapies:
Disease data sourced from MONDO Disease Ontology (MONDO:0007037), Orphanet — achondroplasia, NCT00001536, NCT01435629, NCT01516229, NCT01541306, NCT01590446, AACT (ClinicalTrials.gov aggregate), ClinicalTrials.gov, Open Targets Platform (CC BY 4.0).
Phase 1 initiation
Phase 1 trial for BMN 111 injector pen formulation initiated; specific enrollment and design details not disclosed.
Program terminated
BMN 111 injector pen program (111-104) terminated; rationale and clinical/commercial drivers not disclosed.
The achondroplasia therapeutic landscape includes multiple competing approaches at varying developmental stages. BioMarin maintains the most extensive portfolio, with BMN 111 in Phase 3, BMN 333 in Phase 3, 111-302 in Phase 3, vosoritide (monoclonal antibody) in Phase 2, and 111-208 in Phase 2. The termination of the BMN 111 injector pen formulation suggests internal prioritization toward other formulations or candidates within this portfolio. External competitors include BridgeBio Oncology Therapeutics with infigratinib available in both Phase 3 (0.25 mg/kg/day) and Phase 2 (0.016 mg/kg) dosing regimens, administered as oral minitablets. Tyra Biosciences is advancing TYRA-300 (0.125 mg/kg) in Phase 2. Lacuna Pharma is developing TransCon CNP with placebo comparator in Phase 2. Additionally, recombinant human growth hormone from Xiyuan Hospital of China Academy of Chinese Medical Sciences holds approved status. The competitive field reflects diverse mechanistic approaches (FGFR inhibitors, C-type natriuretic peptide analogs, growth hormone) and delivery strategies, indicating multiple pathways to address achondroplasia pathophysiology.
| Therapy | Company | Mechanism | Status |
|---|---|---|---|
| Recombinant human growth hormone | Xiyuan Hospital of China Academy of Chinese Medical Sciences | small_molecule | approved |
| 111-302 | BioMarin Pharmaceutical Australia Pty Ltd | small_molecule | phase_3 |
| 333-301 | BioMarin Pharmaceutical Australia Pty Ltd | small_molecule | phase_3 |
| BMN 333 | BioMarin Pharmaceutical Australia Pty Ltd | small_molecule | phase_3 |
| Infigratinib 0.25 mg/kg/day | BridgeBio Oncology Therapeutics | small_molecule | phase_3 |
| BMN 111 | BioMarin Pharmaceutical Australia Pty Ltd | small_molecule | phase_3 |
| 111-208 | BioMarin Pharmaceutical Australia Pty Ltd | small_molecule | phase_2 |
| vosoritide | BioMarin Pharmaceutical Australia Pty Ltd | mab | phase_2 |
| TYRA-300 0.125 mg/kg | Tyra Biosciences | small_molecule | phase_2 |
| Infigratinib 0.016 mg/kg | BridgeBio Oncology Therapeutics | small_molecule | phase_2 |
| Infigratinib is provided as a single dose of minitablets for oral administration | BridgeBio Oncology Therapeutics | small_molecule | phase_2 |
| TransCon CNP, Placebo for TransCon CNP | Lacuna Pharma Pty Ltd | small_molecule | phase_2 |
| INFIGRATINIB | — | Fibroblast growth factor receptor inhibitor | Phase 2 |
Additional associated therapies sourced from Open Targets Platform (CC0), linked to NovaPharmaNews drug profiles where matched.
Regulatory status for BMN 111 injector pen formulation (111-104) across major jurisdictions is not yet disclosed. The program was terminated on October 12, 2023, at Phase 1 stage. Associated clinical trial NCT05813314 was registered but specific regulatory pathway designations (breakthrough therapy, orphan drug, fast track) are not disclosed. Regulatory status for the parent BMN 111 program and competing therapies in achondroplasia remains undisclosed. FDA, EMA, PMDA (Japan), and NMPA (China) approval timelines and designations are not yet disclosed. The program's termination may reflect regulatory feedback, clinical trial outcomes, or strategic portfolio decisions, but specific regulatory drivers are not documented in available records.
BMN 111 administration via Injector Pen (internal code 111-104) is a Phase 1 formulation variant of BMN 111, a small-molecule therapeutic developed by BioMarin Pharmaceutical Australia Pty Ltd for achondroplasia. The program was terminated on October 12, 2023.
The program targets achondroplasia, the most common form of skeletal dysplasia, characterized by disproportionate short stature and multiple skeletal complications.
BioMarin Pharmaceutical Australia Pty Ltd is the sponsor and developer of BMN 111 administration via Injector Pen.
The program was terminated as of October 12, 2023. It had reached Phase 1 stage of development.
The specific rationale for termination is not disclosed in available records. Possible drivers include clinical findings, manufacturing challenges, or strategic portfolio prioritization.
The mechanism of action for BMN 111 is not disclosed in available records.
The specific molecular target is not disclosed in available records.
The program focuses on injector pen delivery, but specific route of administration (subcutaneous, intramuscular, etc.) is not disclosed.
NCT05813314 is the primary clinical trial identifier associated with this program, though detailed trial design and results are not yet disclosed.
Yes, BMN 111 is the parent program, which remains in Phase 3 development for achondroplasia.
BioMarin is developing multiple achondroplasia candidates including BMN 111 (Phase 3), BMN 333 (Phase 3), 111-302 (Phase 3), vosoritide (Phase 2), and 111-208 (Phase 2).
Key competitors include infigratinib (BridgeBio, Phase 2–3), TYRA-300 (Tyra Biosciences, Phase 2), vosoritide (BioMarin, Phase 2), TransCon CNP (Lacuna Pharma, Phase 2), and recombinant human growth hormone (approved).
Regulatory designations such as breakthrough therapy, orphan drug, or fast track status are not disclosed in available records.
Achondroplasia currently lacks approved disease-modifying therapies; management is largely supportive. The condition causes significant morbidity including spinal stenosis, limb deformities, and reduced quality of life.
The first disclosure date is not yet disclosed in available records.
No partnership information is disclosed; BioMarin Pharmaceutical Australia Pty Ltd is listed as the sole sponsor.
BMN 111 administration via Injector Pen → Drug → Target → Indication → Company → Trials → Competitors
Strategic Implications: The termination of the BMN 111 injector pen formulation (111-104) at Phase 1 suggests BioMarin has deprioritized this particular delivery approach in favor of alternative formulations or lead candidates. With three Phase 3 programs active (BMN 111, BMN 333, 111-302), the company appears to be pursuing a multi-candidate strategy to maximize probability of success and identify optimal therapeutic profile. The injector pen termination may reflect clinical tolerability concerns, manufacturing challenges, or commercial assessment that alternative delivery methods offer superior patient convenience or compliance profiles.
Competitive Implications: BioMarin's extensive achondroplasia portfolio positions it as the dominant player in terms of development stage and candidate diversity. However, the termination of a formulation variant demonstrates that portfolio breadth does not guarantee all candidates advance. Competitors including BridgeBio (infigratinib) and Tyra Biosciences (TYRA-300) are advancing FGFR inhibitor approaches with potentially differentiated dosing regimens and formulations. The competitive field remains unsettled, with multiple Phase 2–3 programs competing for first-mover advantage and optimal efficacy/safety profile recognition.
Future Catalysts: Primary catalysts will be Phase 3 data readouts for BMN 111, BMN 333, and 111-302, as well as regulatory decisions on these programs. Competitive Phase 3 data from infigratinib (BridgeBio) will be critical. Earlier-stage programs (vosoritide Phase 2, TYRA-300 Phase 2, TransCon CNP Phase 2) may generate interim data supporting advancement or discontinuation. The absence of approved disease-modifying therapies means first regulatory approval in achondroplasia will represent a significant clinical and commercial milestone.
Expected Milestones: Phase 3 data readouts from BioMarin's active programs are expected but specific timelines are not disclosed. Regulatory submissions and approval decisions for lead Phase 3 candidates are anticipated but dates remain undisclosed. Competitive Phase 3 and Phase 2 data from BridgeBio, Tyra, and Lacuna are expected to inform the competitive landscape over the next 12–36 months.
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Intelligence compiled from public regulatory and clinical sources (FDA, EMA, ClinicalTrials.gov and company disclosures). Figures may be editorial or analyst estimates; verify against primary sources before relying on them.