2023

FOP Registry Annual Report

2023 Data Recap

The FOP Registry is available to individuals with FOP and their doctors to share information about their medical journeys. No matter where they live, everyone with FOP can participate. The Registry is available in 9 languages - English, French, German, Italian, Korean, Polish, Portuguese, Russian and Spanish.

Information from the FOP Registry is used to increase our understanding of the condition, improve clinical care, and speed the development of treatments.

Here's a recap of what we learned in 2023.

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Dear FOP Families and Friends of the FOP Registry,

It is with tremendous gratitude for your many contributions to the FOP Registry that we present the 2023 FOP Registry Annual Report.

The FOP Registry is the largest database on FOP in the world. Our 328 participants (and counting!) provide valuable insights into their experiences living with the condition, including diagnoses, symptoms, flares, and doctor visits. These experiences, recorded over the last 8 years, help researchers, doctors, and drug developers better understand the condition. This in turn can lead to better patient care, as well as potential new treatments and even a cure.

Our success in compiling this valuable database is a tribute to the time and effort every participant takes to record their experiences.

You may notice that this year’s annual report looks a bit different from previous years. We are pleased to introduce our new, interactive format, designed to give users a more engaging experience. We hope you like it, and we hope it makes exploring the Registry data more inviting than ever.

Thank you for your contributions to the FOP Registry. Together, we can truly make a difference in the lives of people living with FOP.

With great appreciation,

Michelle Davis
Executive Director
IFOPA

FOP Demographics

Who is participating in the Registry?

328

people are enrolled

29

enrolled in 2023

Did You Know?
When you see "n=" and then a number, it's referring to
the number of people who responded to that question.

FOP Demographics

Who is participating in the Registry?

69

countries are
represented

Top Five Countries

United States
95 (29.0%)
Brazil
32 (9.8%)
United Kingdom
18 (5.5%)
France
17 (5.2%)
Italy
14 (4.3%)
  • Mexico 11
  • Spain 11
  • Canada 9
  • China 7
  • Colombia 7
  • Germany 7
  • India 7
  • Poland 7
  • Australia 6
  • Russia 6

Countries with less than 5 participants:

Albania, Argentina, Austria, Bahrain, Bangladesh, Belarus, Belgium, Benin, Bolivia, Bulgaria, Cambodia, Chile, Denmark, Ecuador, Estonia, Ethiopia, Finland, Ghana, Greece, Hungary, Indonesia, Iran, Jordan, Kenya, Latvia, Macedonia, Malaysia, Malta, Morocco, Netherlands, New Zealand, Nigeria, Not Specified, Pakistan, Panama, Paraguay, Peru, Philippines, Portugal, Puerto Rico, Romania, Saudi Arabia, Serbia, South Africa, Sweden, Switzerland, Thailand, Turkey, Uganda, United Arab Emirates, Uruguay, Venezuela, Vietnam

FOP Data

Extra Bone Growth

N=328

Top 5 most common locations
for extra bone growth

neck61.6%
Shoulder63.7%
Upper Back65.2%
Lower Back61.3%
Hip46.0%

(All FOP Participants Enrolled as of
December 31, 2023)

FOP Data

First Visit at
Onset of FOP Symptoms

N=302

When patients and caregivers first notice symptoms of FOP, the majority visit their regular doctor, usually a pediatrician or general practitioner/internist.

FOP Data

Correct
Diagnosis

N=304

An official diagnosis of FOP is usually made by a specialist, most commonly a geneticist.

FOP Data

Head and Mouth

Jaw Status

62.0%

(168 of 271 people)

had extra bone growth

17.7%

(55 of 310 people)

experienced joint lock-up under the jaw

8.4%

(20 of 239 people)

experienced limited movement under the jaw without extra bone growth

FOP Data

Head and Mouth

Mouth Symptoms

n=37 experienced these mouth symptoms:

78.4%

Reduction in mouth opening

56.8%

Problems with chewing

54.1%

Pain in the teeth

54.1%

Problems with brushing or flossing teeth

43.2%

Problems with swallowing

40.5%

Pain in the gums

37.8%

Problems with speaking

10.8%

Changes in saliva odor during flare-ups

1.19

Average maximum mouth opening

(# of fingers)

n=31

This is emerging data from new survey questions added in 2022!

FOP Data

Head and Mouth

Dental Care

n=101
sought dental care
in the 2023 calendar year

of participants said they
experienced flare-ups or
decreases in jaw mobility
following a dental procedure

Reasons
for seeking
dental care:

2023 Registry Accomplishments

Developed the Sponsor Dashboard

Developed the 2024 Patient Insights Survey

Translated the FOP Registry video for patients to better understand Registry participation

Contributed Registry data towards 2 new observational research projects

Received 36-month Whole Body CT images from Ipsen's Natural History Study

Number of Data Requests in 2023 = 6

2023

What’s coming next?

Launching the Sponsor Dashboard

Launching the 2024 Patient Insights Survey to Registry participants for new insights into pain, puberty, impact of misdiagnosis, and more

Updating the FOP Registry Case Report Forms (the questions we ask patients in the FOP Registry) to align with emerging research and improve participant experience

Upgrading the Registry platform to make account creation and enrollment easier

2024

Publications and Presentations Utilizing Registry data

Sort by Year:

2022
2021
2020
2019
2018

An ACVR1 Activating Mutation Causes Neuropathic Pain and Sensory Neuron Hyperexcitability in Humans

Read in The Journal of the International Association for the Study of Pain 2022

Caregiver Support in Fibrodysplasia Ossificans Progressiva

Read in Journal of Rare Disease Research and Treatment 2021

Prevalence of Fibrodysplasia Ossificans Progressiva (FOP) in the United States: Estimate from Three Treatment Centers and a Patient Organization

Read in Orphanet Journal of Rare Diseases 2021

Social and Clinical Impact of COVID-19 on Patients with Fibrodysplasia Ossificans Progressiva

Read in NIH National Library of Medicine National Center for Biotechnology Information Preprint 2021

The Diagnostic Journey in Fibrodysplasia Ossificans Progressiva: Insights from the FOP Registry

Read in ASBMR 2020

Self-reported baseline phenotypes from the International Fibrodysplasia Ossificans Progressiva (FOP) Association Global Registry

Read in Bone 2020

Longitudinal Evaluation of Pain, Flare‐Up, and Emotional Health in Fibrodysplasia Ossificans Progressiva: Analyses of the International FOP Registry

Read in JBMR Plus 2019

The FOP Registry: A Global Observational Study of Fibrodysplasia Ossificans Progressiva

Read in Global Genes 2019

ACVR1-Induced Sensory Neuron Dysfunction in Fibrodysplasia Ossificans Progressiva

Read in ASBMR 2019

The FOP Connection Registry: Design of an international patient-sponsored registry for Fibrodysplasia Ossificans Progressiva

Read in Bone 2018

Thank You to Our 2023 Registry Sponsors

Visionary Partner

Incyte Pharmaceuticals

Leadership Partner

Regeneron Pharmaceuticals

Collaborating Partners

BioCryst Pharmaceuticals Ipsen

Supporter

Keros Therapeutics

The FOP Registry would not be possible without our Medical Advisory Board members, Participant Advisory Board members, and Registry participants.

Special Thanks to:

Radiant Hope Foundation for the initial vision and funding support of the FOP Registry.

Questions?

Don't hesitate to reach out by email: [email protected]

www.FOPRegistry.org

©2024 IFOPA. All rights reserved.