{"id":65,"date":"2022-11-28T20:55:16","date_gmt":"2022-11-28T20:55:16","guid":{"rendered":"https:\/\/hcp.biomarin.com\/en-us\/voxzogo2\/?page_id=65"},"modified":"2026-08-25T14:33:22","modified_gmt":"2026-08-25T14:33:22","slug":"safety-data","status":"publish","type":"page","link":"https:\/\/hcp.biomarin.com\/en-us\/voxzogo\/safety-data\/","title":{"rendered":"VOXZOGO Safety"},"content":{"rendered":"<div id=\"acf-block-63f52bb69e801_5-15\" class=\"block wrapped-content bg-band bg-band-white block-tight-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-63f52bb69e81d\" class=\"block-wysiwyg\">\n            <h1 style=\"text-align: left\">The safety profile of VOXZOGO has been carefully evaluated<sup>1-3<\/sup><\/h1>\n<h2 style=\"text-align: left\">Established safety profile in children 5 to 15 years<sup>1,2<\/sup><\/h2>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-68d6c00504ccb\" class=\"block split-content equal-bias content-align-top block-tight-top\" 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                                                                                                <p><strong>Over 1 year in the phase 3 pivotal trial (Study 301),<\/strong> adverse reactions that occurred in \u22655% of patients aged 5 to 15 years treated with VOXZOGO and at a percentage greater than placebo are provided in the table.<sup>1<\/sup><\/p>\n<p><strong>In the long-term open-label extension study (Study 302),<\/strong> adverse reactions reported for up to 6 years of treatment are consistent with those seen in the 1-year pivotal trial.<sup>2<\/sup><\/p>\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\/Mean-Upper-to-Lower-Body-Segment-ratio@4x-1-12.svg\" alt=\"Table comparing adverse reactions after 1 year in children aged 5 to 15 years old treated with VOXZOGO vs placebo\" \/>                                                <\/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\/Mean-Upper-to-Lower-Body-Segment-ratio@4x-1-13.svg\" alt=\"Table comparing adverse reactions after 1 year in children aged 5 to 15 years old treated with VOXZOGO vs placebo\" \/>                                                <\/div>\n                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-69ddb50b06851\" class=\"block wrapped-content block-zero-top block-zero-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<figure id=\"acf-block-69ddb50b06aef\">\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\/08\/Frame-690.svg\" alt=\"image\" \/>\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\/08\/Frame-697.svg\" alt=\"image\" \/>\t\t\t<\/div>\n            <\/div>\n    <\/figure>\n\n<div id=\"acf-block-6a72dde899980\" class=\"block-wysiwyg\">\n            <p>VOXZOGO may cause serious side effects including a temporary decrease in blood pressure in some patients;\u00a0to reduce the risk of decreased blood pressure and associated symptoms (dizziness, feeling tired, or nausea), patients should be well fed and hydrated in the hour before receiving VOXZOGO.<sup>1<\/sup><\/p>\n    <\/div>\n\n<div id=\"acf-block-66449f9b545f3\" class=\"block-wysiwyg\">\n            <p><small>*Includes adverse reactions occurring more frequently in the VOXZOGO arm and with a risk difference of \u22655% (ie, difference of &gt;2 subjects) between treatment arms.<sup>1<\/sup><br \/>\n<sup>\u2020<\/sup>Injection site reactions occurring more frequently in VOXZOGO-treated patients than placebo.<sup>1<\/sup><br \/>\n<sup>\u2021<\/sup>All events were transient and resolved without medical intervention; post-dose decreases in systolic blood pressure &lt;70 mm Hg (+2x age): 23% (14\/60) patients on VOXZOGO vs 25% (15\/61) patients on placebo; post-dose decreases in diastolic blood pressure &lt;40 mm Hg: 17% (10\/60) patients on VOXZOGO vs 10% (6\/61) patients on placebo.<sup>4<\/sup><br \/>\n<sup>\u00a7<\/sup>Includes the preferred terms: gastroenteritis and gastroenteritis, viral.<sup>1<\/sup><br \/>\n<sup>||<\/sup>Includes the preferred terms: dizziness, presyncope, procedural dizziness, and vertigo.<sup>1<\/sup><br \/>\n<sup>\u00b6<\/sup>Includes the preferred terms: fatigue, lethargy, and malaise.<sup>1<\/sup><br \/>\n<sup><em>#<\/em><\/sup>1 patient discontinued treatment due to pain, and 1 discontinued treatment due to anxiety with injections.<sup>1<\/sup><\/small><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-6a744bbe2c44c\" class=\"block wrapped-content bg-band bg-band-alternative block-zero-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-6a744bbe2c697\" class=\"block-wysiwyg\">\n            <h2 style=\"text-align: center\">VOXZOGO has over 10 years of clinical trial experience in achondroplasia.<sup>1,5<\/sup><\/h2>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-6644a1efc4529\" class=\"block wrapped-content bg-band bg-band-secondary block-zero-top block-zero-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-6644a1efc4913\" class=\"block-wysiwyg\">\n            <h2 style=\"margin: 0px;text-align: left\">Consistent safety profile in children aged &lt;5 years<sup>1,3<\/sup><\/h2>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"Transient-decreases-in-blood-pressure\" class=\"block split-content equal-bias bg-band bg-band-secondary content-align-top 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                                                                                                <p><strong>Over 1 year in the phase 2 trial (Study 206),<\/strong> the most common adverse reactions (&gt;10%) reported in patients &lt;5 years were injection site reactions (86%) and rash (28%).<sup>1<\/sup><\/p>\n<p><strong>In the long-term open-label extension study (Study 208),<\/strong> adverse reactions reported for up to 4 years of treatment are consistent with those seen in the 1-year trial (see table).<sup>3<\/sup><\/p>\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\/Mean-Upper-to-Lower-Body-Segment-ratio@4x-1-18.svg\" alt=\"Table showing adverse events after 4 years of VOXZOGO treatment in children under 5 years old\" \/>                                                <\/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\/Mean-Upper-to-Lower-Body-Segment-ratio@4x-1-9.svg\" alt=\"Table showing adverse events after 4 years of VOXZOGO treatment in children under 5 years old\" \/>                                                <\/div>\n                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-664720d7a6409\" class=\"block wrapped-content bg-band bg-band-secondary 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-69ddb50b07add\">\n    <div class=\"image image-responsive 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-690x.svg\" 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-690xm.svg\" alt=\"\" \/>\t\t\t<\/div>\n            <\/div>\n    <\/figure>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-6644a1efc4529a\" class=\"block wrapped-content bg-band bg-band-secondary block-zero-top block-zero-bottom block-remove-top-padding\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-6644a1efc4913\" class=\"block-wysiwyg\">\n            <p><small><strong>ADL,<\/strong> activities of daily living; <strong>AE,<\/strong> adverse event; <strong>CTCAE,<\/strong> Common Terminology Criteria for Adverse Events; <strong>SAE,<\/strong> serious adverse event.<\/small><br \/>\n<small><br \/>\n*Data combined from children aged &lt;2 years and 2 to &lt;5 years at the start of treatment in clinical trials.<sup>3<\/sup><br \/>\n<sup>\u2020<\/sup>CTCAE (v5.0) grades refers to the severity of the AE: Grade 1 = mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated; Grade 2 = moderate; minimal, local, or non-invasive intervention indicated; limiting age-appropriate instrumental ADL; Grade 3 = severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL; Grade 4 = life-threatening consequences; urgent intervention indicated; Grade 5 = death related to AE.<sup>6<\/sup><br \/>\n<sup>\u2021<\/sup>No CTCAE Grade \u22653 hypersensitivity or anaphylaxis reported.<sup>3<\/sup><br \/>\n<sup>\u00a7<\/sup>No CTCAE Grade \u22652 injection site reactions were reported.<sup>3<\/sup><br \/>\n<\/small><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-6a72dde89a09d\" 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;color: #ffffff\">&#8220;Knowing that VOXZOGO is available from birth made us confident in our decision to treat Sophie with it.&#8221;<\/h3>\n<p style=\"text-align: center\">\u2013 Amanda, Sophie\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\/Group-332.png?v=0.18);\">\n\t\t\t<\/div>\n<\/div>\n\n<div id=\"acf-block-6644a1efc4529\" class=\"block wrapped-content bg-band bg-band-white block-zero-top block-zero-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-2-years\" class=\"block-wysiwyg\">\n            <h2 style=\"text-align: left\">Consistent safety profile in children aged &lt;2 years<sup>3<\/sup><\/h2>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-68d6c00505208\" class=\"block split-content equal-bias content-align-top block-zero-top block-zero-bottom\" 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                                                                                                <p><strong>Over 3 years in the in the long-term open-label extension study (Study 208),<\/strong> adverse reactions reported in children &lt;2 years old at treatment initiation (see table) were consistent with those seen in children aged 2 to &lt;5 years old.<sup>3<\/sup><\/p>\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\/Mean-Upper-to-Lower-Body-Segment-ratio@4x-1-14.svg\" alt=\"Table showing adverse events after 3 years of VOXZOGO treatment in children under 2 years old\" \/>                                                <\/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\/Mean-Upper-to-Lower-Body-Segment-ratio@4x-1-19.svg\" alt=\"Table showing adverse events after 3 years of VOXZOGO treatment in children under 2 years old\" \/>                                                <\/div>\n                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-6644a1efc4529\" class=\"block wrapped-content bg-band bg-band-white block-zero-top block-zero-bottom block-remove-top-padding\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-6644a1efc4913\" class=\"block-wysiwyg\">\n            <p><small><strong>ADL,<\/strong> activities of daily living; <strong>AE,<\/strong> adverse event; <strong>CTCAE,<\/strong> Common Terminology Criteria for Adverse Events; <strong>SAE,<\/strong> serious adverse event.<\/small><\/p>\n<p><small>*CTCAE (v5.0) grades refers to the severity of the AE: Grade 1 = mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated; Grade 2 = moderate; minimal, local, or non-invasive intervention indicated; limiting age-appropriate instrumental ADL; Grade 3 = severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL; Grade 4 = life-threatening consequences; urgent intervention indicated; Grade 5 = death related to AE.<sup>6<\/sup><br \/>\n<sup>\u2020<\/sup>No CTCAE Grade \u22653 hypersensitivity or anaphylaxis reported.<sup>3<\/sup><br \/>\n<sup>\u2021<\/sup>No CTCAE Grade \u22652 injection site reactions were reported.<sup>3<\/sup><\/small><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-68dd9d425a2c1\" 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\">Hear from an experienced specialist\n<\/h2>\n\t\t\t\t\t\t    \t\t\t\t\t\t    \t\t\t\t\t\t        <p>Amrit Bhangoo, MD, explains why he prescribes VOXZOGO as early as birth.<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=\"\/en-us\/voxzogo\/resources-for-your-practice\/\" target=\"_self\">Watch Now<\/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-63f52bb69e8ce\" 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>Savarirayan R, Irving M, Wilcox WR, et al. Sustained growth-promoting effects of vosoritide in children with achondroplasia from an ongoing phase 3 extension study. <em>Med<\/em>. 2025;6(5):100566.\n<\/span><\/li>\n                                                                                                                                                <li><span>Savarirayan R, Wilcox WR, Harmatz P, et al. Persistence of growth-promoting effects in infants and toddlers with achondroplasia: results from a Phase 2 extension study with vosoritide. Annual Clinical Genetics Meeting (ACMG). Toronto, Canada. 2024. Poster P131.\n<\/span><\/li>\n                                                                                                                                                <li><span>Savarirayan R, Tofts L, Irving M, et al. Once-daily, subcutaneous vosoritide therapy in children with achondroplasia: a randomised, double-blind, phase 3, placebo-controlled, multicentre trial. <em>Lancet<\/em>. 2020;396(10252):684-692.\n<\/span><\/li>\n                                                                                                                                                <li><span>ClinicalTrials.gov. Search: Achondroplasia, BioMarin Pharmaceutical. Accessed March 17, 2026. https:\/\/www.clinicaltrials.gov\/search?cond=Achondroplasia&amp;term=BioMarin%20Pharmaceutical&amp;viewType=Table\n<\/span><\/li>\n                                                                                                                                                <li><span>US Department of Health and Human Services. Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0. Published November 27, 2017. Accessed March 17, 2026. https:\/\/dctd.cancer.gov\/research\/ctep-trials\/for-sites\/adverse-events\/ctcae-v5-5&#215;7.pdf\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-65","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Achondroplasia Treatment Safety Profile | VOXZOGO\u00ae Data<\/title>\n<meta name=\"description\" content=\"Explore the safety data on VOXZOGO\u00ae (vosoritide) from pivotal and long-term clinical trials in infants and children with achondroplasia.\" \/>\n<meta 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