TheraRadar
Data updated: Mar 29, 2026

VOXZOGO

VOSORITIDE
Approved 2021-11-19

VOXZOGO (vosoritide) is a C-type natriuretic peptide (CNP) analog indicated to increase linear growth in pediatric patients with achondroplasia who have open epiphyses. The drug received accelerated approval based on demonstrated improvements in annualized growth velocity. Continued approval for this indication may be contingent upon the verification and description of clinical benefit in confirmatory trials.

Source: FDA Label • BIOMARIN PHARM

How VOXZOGO Works

In patients with achondroplasia, endochondral bone growth is negatively regulated by a gain-of-function mutation in fibroblast growth factor receptor 3 (FGFR3). Vosoritide binds to natriuretic peptide receptor-B (NPR-B), which antagonizes FGFR3 downstream signaling by inhibiting the ERK1/2 and MAPK pathways. This inhibition promotes chondrocyte proliferation and differentiation, acting as a positive regulator of endochondral bone growth to increase skeletal growth.

2
Indications
--
Phase 3 Trials
4
Years on Market

Details

Status
Prescription
First Approved
2021-11-19
Routes
SUBCUTANEOUS
Dosage Forms
POWDER

Companies

Active Ingredient: VOSORITIDE

VOXZOGO Approval History

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What VOXZOGO Treats

1 indications

VOXZOGO is approved for 1 conditions since its original approval in 2021. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Achondroplasia
Source: FDA Label

VOXZOGO Competitors

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6 other drugs also target FGFR3. Compare mechanisms, indications, and trial activity.

Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (FGFR3). Earlier expiry dates signal biosimilar/generic opportunities.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

VOXZOGO FDA Label Details

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Indications & Usage

FDA Label (PDF)

VOXZOGO is indicated to increase linear growth in pediatric patients with achondroplasia with open epiphyses. This indication is approved under accelerated approval based on an improvement in annualized growth velocity [see Clinical Studies ] . Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trial(s). VOXZOGO is a C type natriuretic peptide (CNP) analog indicated to increase linear growth in pediatric patients with achondroplasia with open epiphyses. This indication is approved under accelerated approval based on an...

VOXZOGO Patents & Exclusivity

Latest Patent: Jul 2042
Exclusivity: Oct 2030

Patents (72 active)

US12233106 Expires Jul 11, 2042
US11911446 Expires Aug 1, 2036
US11590204 Expires Aug 1, 2036
US12514906 Expires Aug 1, 2036
US10646550 Expires Aug 1, 2036
US9907834 Expires Aug 1, 2036
US8198242 Expires Jun 11, 2030
USRE48267 Expires May 20, 2030
+ 62 more patents

Exclusivity

NCE Until Nov 2026
NPP Until Oct 2026
ODE-387 Until Nov 2028
ODE-449 Until Oct 2030
NCE Until Nov 2026
Source: FDA Orange Book

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.