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Connective Tissue & Musculoskeletal

Achondroplasia Clinical Trials and Treatments

Also called Short-Limbed Dwarfism, Achondroplastic Dwarfism, Chondrodystrophy

Achondroplasia is caused by a gain-of-function mutation in the FGFR3 gene on chromosome 4, which encodes a receptor that normally limits bone growth. Nearly all cases (over 97%) involve the same specific mutation (G380R), making it one of the most genetically uniform rare diseases.

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About Achondroplasia

Achondroplasia is caused by a gain-of-function mutation in the FGFR3 gene on chromosome 4, which encodes a receptor that normally limits bone growth. Nearly all cases (over 97%) involve the same specific mutation (G380R), making it one of the most genetically uniform rare diseases. The overactive FGFR3 receptor suppresses growth plate activity in the long bones, leading to shortened limbs while the trunk grows to near-normal size.

Beyond short stature, achondroplasia causes significant medical complications that require lifelong monitoring. Foramen magnum stenosis (narrowing at the base of the skull) is a serious concern in infancy that can compress the brainstem and spinal cord. Spinal stenosis develops in most adults and is the leading cause of pain and disability. Sleep apnea from midface hypoplasia affects a large proportion of children and adults. Hydrocephalus, recurrent ear infections, and obesity are additional concerns. In 2021, the FDA approved Voxzogo (vosoritide), a C-type natriuretic peptide analog developed by BioMarin that counteracts the overactive FGFR3 signaling to promote bone growth in children with open growth plates. This was the first drug approved specifically for achondroplasia.

Common Symptoms of Achondroplasia

Recognizing the signs of Achondroplasia early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Short stature with disproportionately short arms and legs, especially upper arms and thighs
  • Large head (macrocephaly) with prominent forehead and flattened nasal bridge
  • Limited elbow extension and reduced range of motion at multiple joints
  • Bowed legs (genu varum) that worsen with walking
  • Exaggerated lower back curve (lumbar lordosis) with prominent abdomen
  • Spinal stenosis causing back pain, leg weakness, and numbness in adulthood
  • Obstructive sleep apnea from midface underdevelopment
  • Recurrent middle ear infections and conductive hearing loss in childhood
  • Delayed motor milestones, with walking typically starting at 18 to 24 months
  • Dental crowding from smaller jaw size

Who Achondroplasia Affects

Achondroplasia is present from birth and affects males and females equally across all racial and ethnic groups. About 80% of cases are de novo mutations in parents of average height, with a strong association with advanced paternal age.

The remaining 20% are inherited from an affected parent in an autosomal dominant pattern. Average adult height is approximately 4 feet 4 inches for males and 4 feet 1 inch for females.

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FDA-Approved Treatments for Achondroplasia

There is currently 1 FDA-approved medication for Achondroplasia. These therapies represent the current standard of care and may be used alongside or compared against investigational treatments in active clinical trials.

navepegritide
Ascendis Pharma
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Source: openFDA drug labeling data. This list may not include all treatments. Always consult your doctor.

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Help Paying for Achondroplasia Treatment

Charity funds and drugmaker programs for Achondroplasia, checked at the source. Pick your insurance to see what fits.

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Charity funds
  • From a charity · Little People of America
    Grant for Overall Accessible Living (GOAL) fund
    Open

    Pays for: Mobility devices and occupational tools (partial cost; LPA membership required).

    The foundation says: “Applications are being accepted for the GOAL Fund.”
Status as each foundation showed it on October 5, 2026.
Drugmaker programs
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Side Effect Explorer

Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.

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Genetic Testing

Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.

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Trusted Achondroplasia Resources

Reputable organizations and medical references for learning more about Achondroplasia, including disease registries, foundation resources, and clinical guidelines.

FDA decision ahead
The FDA is due to decide on Infigratinib (BridgeBio Pharma) for Achondroplasia in children by February 4, 2027. Once-daily oral pill under priority review for children with achondroplasia, the most common form of dwarfism; it would be an alternative to the daily injections of the approved treatments. In the Phase 3 PROPEL 3 trial, infigratinib raised annualized height velocity by 2.10 cm per year over placebo. It has Orphan Drug, Breakthrough Therapy, Fast Track, and Rare Pediatric Disease designations.
The FDA is due to decide on Voxzogo (vosoritide) (BioMarin) for Achondroplasia (conversion to full approval) by February 28, 2027. Application to convert the 2021 accelerated approval into full approval.
See all upcoming rare disease FDA decisions →

Active Clinical Trials for Achondroplasia

Use this Achondroplasia clinical trial finder to see the 11 studies recruiting patients and 1 opening soon in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for connective tissue & musculoskeletal conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

TrialsSite mapPipeline timeline

Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

12 active trials worldwide
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RECRUITINGPHASE2Recently updatedNCT06842355

A Study of TYRA-300 in Children With Achondroplasia: BEACH301

Intervention: TYRA-300 0.125 mg/kg, TYRA-300 0.25 mg/kg, TYRA-300 0.375 mg/kg, TYRA-300 0.50 mg/kg, TYRA-300 0.625 mg/kg

Sponsor: Tyra Biosciences, Inc

The purpose of this study is to evaluate the safety, tolerability, and identify potentially effective dose(s) of TYRA-300 in children with achondroplasia with open growth plates.

Ages 3 Years – 10 Years25 locations
Started Mar 2025Updated 6 days agoEst. Jan 2030 (~3y 3m)
RECRUITINGPHASE2, PHASE3Recently updatedNCT07441876

Study to Evaluate the Efficacy and Safety of BMN 333 Versus Vosoritide in Children With Achondroplasia

Intervention: BMN 333, Vosoritide Injection [Voxzogo]

Sponsor: BioMarin Pharmaceutical

This is a multicenter, multinational, randomized, active-controlled, operationally seamless Phase 2/3 study of BMN 333 in treatment-naïve pediatric participants with achondroplasia (ACH). The study consists of a Phase 2 part and a Phase 3 part.

Ages 2 Years – 17 Years28 locations
Started Apr 2026Updated 1 week agoEst. Jun 2029 (~2y 8m)
RECRUITINGRecently updatedNCT07388966

Prospective Longitudinal Multicentric Study to Measure Limb Movement in Patients With FGFR3-related Skeletal Dysplasia

Sponsor: SYSNAV

The study aims to identify which Syde®-derived digital outcomes are reliable in FGFR3-related Skeletal Dysplasia. This requires to set-up a natural history study to measure limb movements in patients with ACH or HCH.

Ages 2 Years – 65 Years4 locations
Started Feb 2026Updated 2 weeks agoEst. Dec 2028 (~2y 2m)
RECRUITINGPHASE2Recently updatedNCT07169279

Interventional Study of Infigratinib in Children < 3 Years Old With Achondroplasia (ACH)

Intervention: Infigratinib is provided as a single dose of minitablets for oral administration, Infigratinib is provided as sprinkle capsules for daily oral administration, Infigratinib or placebo comparator is provided as sprinkle capsules for daily oral administration, Infigratinib is provided as sprinkle capsules for daily oral administration

Sponsor: QED Therapeutics, a BridgeBio company

This is a Phase 2, multicenter, randomized, placebo-controlled study to evaluate the safety and efficacy of infigratinib in participants < 3 years old with ACH. The purposes of the SAD and Phase 2 portions are to identify and confirm the dose of infigratinib to be used in the Pha...

Ages 0 Years – 32 Months12 locations
Started Nov 2025Updated 2 months agoEst. Mar 2030 (~3y 5m)
RECRUITINGUpdated a few months agoNCT06168201

VIrtual STudy in Achondroplasia for the US (VISTA)

Sponsor: BioMarin Pharmaceutical

This is an observational study of individuals with achondroplasia in the United States. The primary study population consists of pediatric individuals treated and untreated with VOXZOGO™. Study enrollment started in February 2023. The projected total duration of the study is appr...

Ages 0 Months – 18 Years8 locations
Started Feb 2023Updated 3 months agoEst. Feb 2028 (~1y 4m)
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Active trial locations21 cities in the US
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Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Patient Communities

Connect with other Achondroplasia patients, caregivers, and advocacy groups across Facebook groups, Reddit communities, and YouTube channels. These patient communities offer peer support, shared experiences, caregiver resources, and real-time discussion about Achondroplasia treatments, clinical trial participation, and day-to-day disease management.

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Related Connective Tissue & Musculoskeletal Conditions

Other rare diseases in the connective tissue & musculoskeletal category. Patients with Achondroplasia may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing Achondroplasia Treatments

5 pharmaceutical companies have Achondroplasia in their rare disease portfolio

Frequently Asked Questions About Achondroplasia