{"id":59,"date":"2022-11-28T20:52:54","date_gmt":"2022-11-28T20:52:54","guid":{"rendered":"https:\/\/hcp.biomarin.com\/en-us\/voxzogo2\/?page_id=59"},"modified":"2026-08-26T06:20:39","modified_gmt":"2026-08-26T06:20:39","slug":"how-voxzogo-works","status":"publish","type":"page","link":"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/how-voxzogo-works\/","title":{"rendered":"How VOXZOGO Works"},"content":{"rendered":"<div id=\"acf-block-6645d6c30881a\" class=\"block wrapped-content block-tight-top block-tight-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-6645d6c308956\" class=\"block-wysiwyg\">\n            <h1 style=\"text-align: left\">Only VOXZOGO is FDA approved to promote endochondral bone growth as early as birth<sup>1<\/sup><\/h1>\n    <\/div>\n\n<div id=\"acf-block-6645d6c308956\" class=\"block-wysiwyg\">\n            <h3 style=\"text-align: left\">Target the underlying cause of achondroplasia<sup>1,2<\/sup><\/h3>\n<p style=\"text-align: left\">VOXZOGO targets the cell signaling imbalance in achondroplasia by <strong>mimicking the body&#8217;s natural CNP to improve the balance and increase linear growth<\/strong>.<sup>1,2<\/sup><\/p>\n<p style=\"text-align: left\">Learn more about the impact of VOXZOGO.<sup>1<\/sup><\/p>\n<p style=\"text-align: left\"><a class=\"button button-download\" href=\"\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/08\/HCP-Growth-Narrative-Brochure-Update_DIGITAL.pdf?v=0.170\" target=\"_blank\">Download Brochure<\/a><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-68d4352a625b7\" class=\"block wrapped-content block-zero-top\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<figure id=\"acf-block-68d4352a62779\">\n    <div class=\"image image-responsive image-rounded image-natural-size image-align-center\">\n                    <div class=\"image-desktop\">\n\t\t\t    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/04\/fgfr3-v2.gif?v=0.171\" alt=\"Infographic showing VOXZOGO increasing CNP signaling to promote endochondral bone growth and help balance overactive FGFR3 signaling\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"image-mobile\">\n\t\t\t    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/04\/fgfr3-v2.gif?v=0.171\" alt=\"Infographic showing VOXZOGO increasing CNP signaling to promote endochondral bone growth and help balance overactive FGFR3 signaling\" \/>\t\t\t<\/div>\n            <\/div>\n    <\/figure>\n\n<figure id=\"acf-block-68d4352a62779\">\n    <div class=\"image image-responsive image-rounded image-align-left\">\n                    <div class=\"image-desktop\">\n\t\t\t    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/04\/Frame-741-d.png?v=0.171\" alt=\"\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"image-mobile\">\n\t\t\t    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/04\/Frame-741-m.png?v=0.171\" alt=\"\" \/>\t\t\t<\/div>\n            <\/div>\n            <figcaption><p>This graphic is an illustration of the cell signaling imbalance in achondroplasia and how VOXZOGO is designed to improve the balance. This graphic is not to scale and does not reflect a percentage growth.<\/p>\n<p><strong>CNP,<\/strong> C-type natriuretic peptide; <strong>FGFR3,<\/strong> fibroblast growth factor receptor 3.<\/p>\n<\/figcaption>\n    <\/figure>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-68d4352a633bf\" class=\"block split-content equal-bias bg-band bg-band-secondary block-zero-top block-remove-top-padding block-remove-bottom-padding\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                <div class=\"video-poster\">\n\t\t\t                            <a class=\"modal-video permitted\" href=\"https:\/\/player.vimeo.com\/video\/986752218\" style=\"background-image: url(https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2023\/01\/Video.png?v=0.171);\">Play<\/a>\n\t\t                            <\/div>\n                                    \n                                                                                                                    \n                                                                                                                \n\t\t                        \n                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <h3>Watch how VOXZOGO improves the balance of cell signaling to promote bone growth<sup>1<\/sup><\/h3>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-6a71cace04fef\" class=\"hero hero-split\">\n\t<div class=\"split-hero-text-area\">\n\t\t<div class=\"split-hero-text-content\">\n\t\t    \t\t\t                                        <h3 style=\"text-align: center\">&#8220;We knew there was a limited time frame on how much growth she really has, which helped us make our decision to treat early.&#8221;<\/h3>\n<p class=\"voxzogo-name\" style=\"text-align: center\">\u2013 Julie, Eve\u2019s mom<\/p>\n                        \t\t<\/div>\n\t<\/div>\n\t<div class=\"split-hero-image\" style=\"background-image: url(https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/08\/Mobile-Video-Thumbnail.png?v=0.171);\">\n\t\t\t<\/div>\n<\/div>\n\n<div id=\"acf-block-69f9fe2b60757\" class=\"block icon-heading\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n            <div class=\"icon\">\n                                    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/05\/Layer_1.svg?v=0.171\" alt=\"\" \/>                            <\/div>\n            <div class=\"heading\">\n                                    <h2>International consensus guidelines provide a practical framework for clinicians treating with VOXZOGO<sup>5<\/sup>\n<\/h2>\n                            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-69f8b150a73da\" class=\"block wrapped-content bg-band block-zero-top block-zero-bottom block-remove-bottom-padding\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-69f8b150a7523\" class=\"block-wysiwyg\">\n            <p class=\"voxzogo-small\">Developed by 16 international experts (14 clinical experts, 2 patient representatives; 5 from the US). BioMarin provided funding for this project, including to the participants. BioMarin was not involved in the selection of the guidelines development group, defining the guidelines scope, the voting process, analysis of the results, or preparation of the submitted manuscript. Please see Acknowledgements section of the 2025 publication for additional detail.<sup>5<\/sup><\/p>\n<p><a class=\"button button-arrow external_link\" href=\"https:\/\/www.nature.com\/articles\/s41574-024-01074-9\" target=\"_blank\" rel=\"noopener\">View Guidelines<\/a><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-69f8b150a756b\" class=\"block wrapped-content bg-band block-zero-top block-zero-bottom block-remove-top-padding block-remove-bottom-padding\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-69f8b150a758d\" class=\"block-wysiwyg\">\n            <h3 style=\"margin-top: 20px;text-align: left\"><span style=\"color: #000000\">These guidelines provide recommendations across the treatment pathway, from before starting treatment to ongoing monitoring<sup>5<\/sup>:<\/span><\/h3>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-68d4352a635d2\" class=\"block split-content equal-bias bg-band block-zero-top block-zero-bottom block-remove-top-padding block-remove-bottom-padding\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                                                                                                \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image image-responsive\">\n                                                                                            <div class=\"image-desktop\">\n                                                    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/08\/container-Form-1.svg\" alt=\"image\" \/>                                                <\/div>\n                                                <div class=\"image-mobile\">\n                                                    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/08\/container-Form-1-1.svg\" alt=\"image\" \/>                                                <\/div>\n                                                                                    <\/div>\n                                                                            <\/figure>\n                                \n                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                                                                                                                                                                                                    \n                                                                                                                \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image image-responsive\">\n                                                                                            <div class=\"image-desktop\">\n                                                    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/08\/container-Form-2.svg\" alt=\"image\" \/>                                                <\/div>\n                                                <div class=\"image-mobile\">\n                                                    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/08\/container-Form-2-1.svg\" alt=\"image\" \/>                                                <\/div>\n                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-68f9519c945c7\" class=\"block wrapped-content bg-band block-zero-top block-zero-bottom block-remove-top-padding block-remove-bottom-padding\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-68f9519c945f4\" class=\"block-wysiwyg\">\n            <p>These are select sections of a few recommendations for the use of VOXZOGO in clinical practice. The guidelines publication should be reviewed in its entirety along with the VOXZOGO Prescribing Information.<sup>1,5<\/sup><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-68d4383d24d53\" class=\"block wrapped-content bg-band block-zero-top block-zero-bottom block-remove-top-padding\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<figure id=\"acf-block-68dd98b484cd1\">\n    <div class=\"image image-responsive image-rounded image-align-left\">\n                    <div class=\"image-desktop\">\n\t\t\t    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/04\/Frame-697-1900x201.png\" alt=\"\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"image-mobile\">\n\t\t\t    <img decoding=\"async\" class=\"\" src=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/wp-content\/uploads\/sites\/4\/2026\/04\/Frame-697-m.png?v=0.171\" alt=\"\" \/>\t\t\t<\/div>\n            <\/div>\n    <\/figure>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-patient-stories\" class=\"block call-to-action block-zero-top block-zero-bottom\" style=\"\">\n    <div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"box\">\n\t\t\t\t<div class=\"overlay\"><\/div>\n\t\t\t\t<div class=\"cta-content\">\n\t\t\t\t    \t\t\t\t\t<div class=\"cta-content-main\">\n                        <div class=\"content-block\">\n\t\t\t\t\t        \t\t\t\t\t        \t\t\t\t\t\t        <h2 class=\"h3\">Prescribed to 5,000+ infants and children with achondroplasia worldwide<sup>1,6<\/sup>\n<\/h2>\n\t\t\t\t\t\t    \t\t\t\t\t\t    \t\t\t\t\t\t        <p>Hear from real families who have chosen treatment with VOXZOGO.<sup>1<\/sup><\/p>\n\t\t\t\t\t\t    \t\t\t\t\t    <\/div>\n\t\t\t\t\t                                <div class=\"content-block\">\n                                <p><a class=\"button button-arrow\" href=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/patient-stories\/\" target=\"_self\">Explore Patient Stories<\/a><\/p>\n                            <\/div>\n\t\t\t\t\t                        <\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-68d4383d251ef\" class=\"block references block-zero-top block-zero-bottom\">\n    <div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t    \t\t\t    <h4>References:\n<\/h4>\n\t\t\t\t\t\t                <ol>\n                                                                                                                        <li><span>VOXZOGO [package insert]. Novato, CA: BioMarin Pharmaceutical Inc; 2024.\n<\/span><\/li>\n                                                                                                                                                <li><span>Horton WA, Hall JG, Hecht JT. Achondroplasia. <em>Lancet<\/em>. 2007;370(9582):162-172.\n<\/span><\/li>\n                                                                                                                                                <li><span>Mackie EJ, Tatarczuch L, Mirams M. The skeleton: a multi-functional complex organ: the growth plate chondrocyte and endochondral ossification. <em>J Endocrinol.<\/em> 2011;211(2):109-121.\n<\/span><\/li>\n                                                                                                                                                <li><span>Breeland G, Sinkler MA, Menezes RG. Embryology, bone ossification. In: StatPearls. StatPearls Publishing; 2023. Accessed March 17, 2026. \u2028https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK539718\/\n<\/span><\/li>\n                                                                                                                                                <li><span>Savarirayan R, Hoover-Fong J, Ozono K, et al. International consensus guidelines on the implementation and monitoring of vosoritide therapy in individuals with achondroplasia. <em>Nat Rev Endocrinol.<\/em> 2025;21(5):314-324.\n<\/span><\/li>\n                                                                                                                                                <li><span>Data on file [1]. BioMarin Pharmaceutical Inc; 2025.\n<\/span><\/li>\n                                                            <\/ol>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-59","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How Does VOXZOGO\u00ae Work in Achondroplasia? | Mechanism of Action<\/title>\n<meta name=\"description\" content=\"Learn how VOXZOGO\u00ae (vosoritide) can improve the balance of cell signaling to promote bone growth from birth in children with achondroplasia and open growth plates.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/how-voxzogo-works\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How Does VOXZOGO\u00ae Work in Achondroplasia? 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