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进行性骨化性纤维发育不全

Fibrodysplasia ossificans progressiva

定义 英文原文(暂无中文)

Fibrodysplasia ossificans progressiva (FOP) is a severely disabling heritable disorder of connective tissue characterized by congenital malformations of the great toes and progressive heterotopic ossification that forms qualitatively normal bone in characteristic extraskeletal sites.

别名

进行性骨化性肌炎

基本事实

遗传方式
常染色体显性、不适用
发病年龄
儿童期
患病率
<1 / 1 000 000

相关基因 1

基因名称关联类型
ACVR1activin A receptor type 1Disease-causing germline mutation(s) (gain of function) in

临床表型 35

必现 100%1

  • 异位性骨化 HP:0011986

极常见 99–80%11

  • 拇趾形态异常 HP:0001844
  • 椎骨形态异常 HP:0003468
  • 第一跖骨异常 HP:0010054
  • 韧带组织异位性骨化 HP:0011989
  • 肌肉组织异位性骨化 HP:0011987
  • 颈椎融合 HP:0002949
  • 关节活动受限 HP:0001376
  • 骨软骨瘤 HP:0030431
  • 短拇趾 HP:0010109
  • 脊柱强直 HP:0003306
  • 皮下结节 HP:0001482

常见 79–30%11

  • 股骨颈形态异常 HP:0003367
  • 拇指形态异常 HP:0001172
  • 脱发 HP:0001596
  • 拇趾骨发育不良或发育不全 HP:0010058
  • 指(趾)内弯 HP:0030084
  • 听力受损 HP:0000365
  • 髋关节发育不良 HP:0001385
  • 髋痛 HP:0030838
  • 骨折易感性增加 HP:0002659
  • 呼吸功能不全 HP:0002093
  • 脊柱侧弯 HP:0002650

偶见 29–5%7

  • 深静脉血栓形成 HP:0002625
  • 内生软骨瘤 HP:0030038
  • 发育迟滞 HP:0001508
  • 拇趾外翻 HP:0001822
  • 淋巴水肿 HP:0001004
  • 肾结石 HP:0000787
  • 关节骨性联接 HP:0100240

罕见 <4–1%5

  • 贫血 HP:0001903
  • 骨成熟延迟 HP:0002750
  • 青光眼 HP:0000501
  • 智力障碍 HP:0001249
  • 癫痫发作 HP:0001250

近两年的全球研究 276L2

2024/10 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。

  • 2026-09综述开放获取
    Cell differentiation-related signaling pathways: biological functions, diseases and therapeutic targets
    Signal transduction and targeted therapy · DOI · Europe PMC
  • 2026-09
    A novel and effective treatment for fibrodysplasia ossificans progressiva
    Lancet (London, England) · DOI · Europe PMC
  • 2026-09
    Efficacy and safety of garetosmab, an activin A-blocking antibody, in fibrodysplasia ossificans progressiva (OPTIMA): a randomised, double-blind, placebo-controlled, phase 3 trial
    Lancet (London, England) · DOI · Europe PMC
  • 2026-09病例报告开放获取
    Congenital Clubfoot as an Early Manifestation of Duchenne Muscular Dystrophy?
    Muscles (Basel, Switzerland) · DOI · Europe PMC
  • 2026-09开放获取
    Proceedings of the 33rd European Paediatric Rheumatology Congress
    Pediatric rheumatology online journal · DOI · Europe PMC
  • 2026-09开放获取
    Dual HBV cccDNA-linked HiBiT reporter hepatocyte models for screening of candidate cccDNA modulators
    Virulence · 被引 1 · DOI · Europe PMC
  • 2026-09综述开放获取
    Macrophage-driven pathological ossification of the posterior longitudinal ligament: mechanistic insights and therapeutic opportunities
    Bone research · DOI · Europe PMC
  • 2026-09开放获取
    In Vivo Base Editing Partially Rescues Bone Dysplasia in a Mouse Model of Hutchinson-Gilford Progeria Syndrome
    Aging cell · DOI · Europe PMC
  • 2026-09开放获取
    The alpha and the omega (6 lipids): discovering dietary drivers of heterotopic ossification
    The Journal of clinical investigation · DOI · Europe PMC
  • 2026-09开放获取
    Rare variant analysis of whole genome sequenced juvenile idiopathic arthritis multiplex pedigrees identifies rare variants in NOD2 and ACVR1
    G3 (Bethesda, Md.) · DOI · Europe PMC
  • 2026-08临床试验开放获取
    Palovarotene impact on fibrodysplasia ossificans progressiva (FOP): data from month 48 of the phase III MOVE trial
    JBMR plus · DOI · Europe PMC
  • 2026-08开放获取
    BCX9250 is a potent small-molecule inhibitor of Activin A Receptor Type 1 (ACVR1/ALK2) for fibrodysplasia ossificans progressiva
    JBMR plus · DOI · Europe PMC
  • 2026-08开放获取
    Bridging the medical cliff: a paediatric-adult continuity of care model for 2,341 young adults with rare diseases in China
    Frontiers in pediatrics · DOI · Europe PMC
  • 2026-08综述开放获取
    Advances in gene transfer technologies: comparing viral and non-viral vectors for therapeutic applications
    3 Biotech · DOI · Europe PMC
  • 2026-08开放获取
    The socioeconomic impacts of fibrodysplasia ossificans progressiva: evidence from a retrospective case-control study in France
    JBMR plus · DOI · Europe PMC
  • 2026-08综述开放获取
    Progress in high-throughput screening for drug and material discovery in orthopedic diseases: a literature review
    PeerJ · DOI · Europe PMC
  • 2026-08综述开放获取
    Retinoic Acid Receptor γ Is a Ligand-Activated Gatekeeper to Stem Cell Developmental Progression
    International journal of molecular sciences · DOI · Europe PMC
  • 2026-08开放获取
    Prenatal characteristics and clinical outcomes in 82 cases with agenesis of corpus callosum: single tertiary center experience
    BMC pregnancy and childbirth · DOI · Europe PMC
  • 2026-08
    Adverse health outcomes across the life course in individuals with six rare bone diseases: a 10-year population-based cohort study
    European journal of endocrinology · DOI · Europe PMC
  • 2026-08开放获取
    Synthesis and Reactions of Hydrazine Trifluoroborate Salts
    Organic letters · DOI · Europe PMC

境外已获批用于本病的药物 3L2

欧盟 0 项、美国 3 项。同一药物在两地各批一次的,会分别列出。

「境外已获批」不等于「在中国能用」。中间隔着进口注册、临床急需境外新药通道、海南博鳌乐城国际医疗旅游先行区等几条路径,各有各的条件与费用。这一节能确定地告诉你的只有一件事:这个病在世界范围内已经有获得批准的药物,它叫什么名字。拿这个名字去问主治医生,是下一步最省力的做法。

药名一律保留英文原文,不作翻译——中国的药品通用名与英文名的音译经常不一致,译错会让人去找一个不存在的药。

尚未获批的在研药物(6 项)

这些药已被欧盟或美国的监管机构认定为罕见病用药(英文 orphan drug designation,中文行业里通称「孤儿药资格」——「孤儿」说的是这类药市场太小、没有厂商愿意认领,不是在说病人)。但这只是一种监管身份:意味着监管机构给予研发上的激励,不代表这个药已被证明有效,也不代表将来一定能上市,绝大多数最终不会成药。列在这里是为了看清有哪些方向正在被尝试。

  • human monoclonal antibody against activin A欧盟2016-11-18
    Treatment of fibrodysplasia ossificans progressiva
    官方记录
  • (R)‑tetrahydrofuran‑3‑yl 4‑(6‑(5‑(4‑ethoxy‑1‑isopropylpiperidin‑4‑yl)p欧盟2020-11-13
    Treatment of fibrodysplasia ossificans progressiva
    官方记录
  • andecaliximab欧盟2024-02-19
    Treatment of fibrodysplasia ossificans progressiva
    官方记录
  • zilurgisertib欧盟2025-08-22
    Treatment of fibrodysplasia ossificans progressiva
    官方记录
  • saracatinib欧盟2026-01-09
    Treatment of fibrodysplasia ossificans progressiva
    官方记录
  • Andecaliximab美国2024-03-19
    Treatment of fibrodysplasia ossificans progressiva
    官方记录

数据来自欧洲药品管理局(EMA)的药品与罕见病用药资格公开导出表,以及美国 FDA 的罕见病用药资格数据库(Orphan Drug Product Designation Database)。两边口径不同:欧盟一侧取的是当前状态仍为「已授权」的药品;美国一侧记录的是「曾获批准」这一事实,FDA 的公开表不追踪药物此后是否退市(例如 Relyvrio 于 2024 年撤市,表中仍记为已获批)。请以官方记录页为准。

在中国开展的临床试验 3L2

按病名在 ClinicalTrials.gov 检索、并校验研究中心含中国大陆而来。登记状态不等于现在真的能入组——务必按 NCT 号到原站核实,并与主治医生商量。

登记为可入组 1

  • 招募中NCT05090891
    To Assess the Efficacy, Safety, and Tolerability of INCB000928 in Participants With Fibrodysplasia Ossificans Progressiva
    II 期 · 干预性 · 2022/05/05Incyte Corporation
    中国研究中心 4 个:Beijing、Shanghai
其他状态的试验(2 项)
  • 已终止NCT05039515
    A Study to Assess the Effectiveness and Safety of 2 Dosage Regimens of Oral Fidrisertib (IPN60130) for the Treatment of Fibrodysplasia Ossificans Progressiva (FOP).
    II 期 · 干预性 · 2021/12/01Clementia Pharmaceuticals Inc.
    中国研究中心 4 个:Beijing、Shanghai
  • 进行中·不再招募NCT05394116
    A Study to Assess Safety, Tolerability and Efficacy of Garetosmab Versus Placebo Administered Intravenously (IV) in Adult Participants With Fibrodysplasia Ossificans Progressiva (FOP)
    III 期 · 干预性 · 2022/11/21Regeneron Pharmaceuticals
    中国研究中心 1 个:Shanghai

中国境外的在招试验 5L2

这些试验在中国没有研究中心,通常无法直接报名——入组一般要求在当地居住并接受随访。列在这里是因为它另有用处:看清楚全世界正在试哪些药、做到了哪一期、由谁在做。把药名和 NCT 编号记下来去问主治医生,或据此进一步查该药是否已在境外获批、是否有拓展性用药(expanded access)通道。

美国3加拿大1

CT.gov 报告命中 5 项,此处取回并展示最近的 4 项。

  • 尚未开始招募NCT07559513
    A Study to Investigate the Safety, Pharmacokinetics (PK), and Efficacy of Garetosmab in Children and Adolescents With Fibrodysplasia Ossificans Progressiva (FOP)
    III 期 · 干预性 · 2027/02/02Regeneron Pharmaceuticals
  • 招募中NCT06724562
    IL1 Inhibition in FOP
    观察性 · 2025/04/01University of California, San Francisco
    美国
  • 招募中NCT06089616
    A Study to Document and to Further Describe Long-term Safety and Effectiveness of Palovarotene in Participants With Fibrodysplasia Ossificans Progressiva (FOP)
    观察性 · 2024/12/05Ipsen
    加拿大、美国
  • 招募中NCT02745158
    The Fibrodysplasia Ossificans Progressiva (FOP) Registry
    观察性 · 2015/07The International FOP Association
    美国

外部标识与链接

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本页数据来源

  • 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
  • 中文病名:Orphanet 中文包,冻结于 2020-06-01
  • 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)