Growth Hormone Treatment in Children Born Small for Gestational Age (SGA)

NCT ID: NCT00184717

Last Updated: 2017-07-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

98 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-08-18

Study Completion Date

2009-12-28

Brief Summary

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This study is conducted in Japan. The aim of this trial is to assess the efficacy and safety of somatropin in children born small for gestational age (SGA) in Japan.

In the main period, subjects will receive either active treatment for 104 weeks (two dosing regimens) or no treatment for 52 weeks followed by an extension period where subjects who received active treatment for 104 weeks (two years) will continue with the same treatment for further 156 weeks (three years) while those subjects who received no treatment for 52 weeks (one year) will be randomised to receive two dosing regimens for 208 weeks (four years). In total, subjects participate in trial for 260 weeks (five years).

Main period is registered internally at Novo Nordisk as GHLIQUID-1516 while the extension period is registered as GHLIQUID-1517.

Detailed Description

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Conditions

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Foetal Growth Problem Small for Gestational Age

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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0.033 mg / NN-220

In the 156-week main period, subjects received 0.033 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime followed by a 104-week extension period where subjects received 0.033 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime

Group Type EXPERIMENTAL

somatropin

Intervention Type DRUG

0.033 mg/kg/day of NN-220 for s.c. injection in cartridge

0.067 mg / NN-220

In the 156-week main period, subjects received 0.067 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime followed by a 104-week extension period where subjects received 0.067 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime

Group Type EXPERIMENTAL

somatropin

Intervention Type DRUG

0.067 mg/kg/day of NN-220 for s.c. injection in cartridge

No treatment

No somatropin (NN-220) treatment was given in the 52-week main period. Subjects was re-randomised to recive two dosing regimens (0.033 mg/kg/day or 0.067 mg/kg/day) in the 208-week extension period

Group Type NO_INTERVENTION

No interventions assigned to this group

No treatment --> 0.033 mg

In the 208-week extension period, subjects received 0.033 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime after having received no somatromin (NN-220) treatment in the 52-week main period

Group Type EXPERIMENTAL

somatropin

Intervention Type DRUG

0.033 mg/kg/day of NN-220 for s.c. injection in cartridge

No treatment --> 0.067 mg

In the 208-week extension period, subjects received 0.067 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime after having received no somatromin (NN-220) treatment in the 52-week main period

Group Type EXPERIMENTAL

somatropin

Intervention Type DRUG

0.067 mg/kg/day of NN-220 for s.c. injection in cartridge

Interventions

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somatropin

0.033 mg/kg/day of NN-220 for s.c. injection in cartridge

Intervention Type DRUG

somatropin

0.067 mg/kg/day of NN-220 for s.c. injection in cartridge

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* For MAIN period (GHLIQUID-1516):
* Born small for gestational age (SGA) with birth weight and birth length below the 10th percentile for gestational age, and additional either birth length below or equal to -2.0 standard deviation score (SDS) or birth weight below or equal to -2.0 SDS for gestational age
* Growth failure with height at -2.0 SDS or below for chronological age (CA)
* Normal growth hormone (GH) production, defined as peak GH level \> 10 ng/mL in one GH provocation test
* For EXTENSION period (GHLIQUID-1517):
* Subjects who completed the main period
* Chronological age (CA) for boys at least 4 years, but maximum 11 years
* Chronological age (CA) for girls at least 4 years, but maximum 10 years

Exclusion Criteria

* Subjects with diabetes mellitus
* Subjects suffering from malignancy
* Several medical conditions
Minimum Eligible Age

3 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novo Nordisk A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Global Clinical Registry (GCR, 1452)

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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Novo Nordisk Investigational Site

Tokyo, , Japan

Site Status

Countries

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Japan

References

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Tanaka T, Yokoya S, Seino Y, Togari H, Mishina J, Kappelgaard AM, Fujieda K. Long-term efficacy and safety of two doses of growth hormone in short Japanese children born small for gestational age. Horm Res Paediatr. 2011;76(6):411-8. doi: 10.1159/000334152. Epub 2011 Nov 29.

Reference Type RESULT
PMID: 22156542 (View on PubMed)

Kappelgaard AM, Kiyomi F, Horikawa R, Yokoya S, Tanaka T. The impact of long-term growth hormone treatment on metabolic parameters in Japanese patients with short stature born small for gestational age. Horm Res Paediatr. 2014;81(4):272-9. doi: 10.1159/000358196. Epub 2014 Feb 11.

Reference Type RESULT
PMID: 24526136 (View on PubMed)

Horikawa R, Tanaka T, Nishinaga H, Ogawa Y, Yokoya S. The influence of a long-term growth hormone treatment on lipid and glucose metabolism: a randomized trial in short Japanese children born small for gestational age. Int J Pediatr Endocrinol. 2016;2016:19. doi: 10.1186/s13633-016-0036-4. Epub 2016 Oct 26.

Reference Type DERIVED
PMID: 27799945 (View on PubMed)

Related Links

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http://novonordisk-trials.com

Clinical Trials at Novo Nordisk

Other Identifiers

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JapicCTI-050137

Identifier Type: REGISTRY

Identifier Source: secondary_id

JapicCTI-050132

Identifier Type: REGISTRY

Identifier Source: secondary_id

2017-000914-47

Identifier Type: REGISTRY

Identifier Source: secondary_id

GHLIQUID-1517

Identifier Type: -

Identifier Source: org_study_id

NCT00184704

Identifier Type: -

Identifier Source: nct_alias

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