A Study of Leuprolide 11.25 mg and 30 mg Administered Every 3 Months to Treat Central Precocious Puberty

NCT ID: NCT00635817

Last Updated: 2011-11-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2010-06-30

Brief Summary

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The purpose of this study is to determine if 11.25 and 30 mg formulations of leuprolide are effective in treating children with Central Precocious Puberty (CPP).

Detailed Description

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Study Design:

A total of 80 children with confirmed CPP were planned to be enrolled and randomized in a 1:1 ratio to receive 2 injections of either leuprolide acetate 11.25 mg or 30 mg depot formulation, each injection administered 3 mo apart (6 mo of treatment):

This study includes a 4-week Screening Period, two 3-mo treatment cycles, and a posttreatment follow-up period (12 weeks following the Mo 6 visit). Study visits will occur at Screening, Day 1, Week 2 (only for subjects participating in the pharmacokinetic subset), Mo 1, 2, 3, Mo 6/Early Termination, and 12 weeks later, for the Posttreatment Follow-up Visit.

This study was conducted at 18 sites in the United States and 4 sites in Puerto Rico.

Conditions

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Puberty, Precocious

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Leuprolide acetate 11.25 mg

There are 2 arms that received leuprolide acetate 11.25 mg. Subjects who are treatment naive to leuprolide acetate are designated to be in Arm A and subjects who have previously been treated with leuprolide acetate are designated to be in Arm B.

Group Type EXPERIMENTAL

Leuprolide acetate 11.25 mg

Intervention Type DRUG

Two intramuscular injections of leuprolide acetate for depot suspension 11.25 mg administered 3 mo apart.

Leuprolide acetate 30 mg

There are 2 arms that received leuprolide acetate 30 mg. Subjects who are treatment naive to leuprolide acetate are designated to be in Arm C and subjects who have previously been treated with leuprolide acetate are designated to be in Arm D.

Group Type EXPERIMENTAL

Leuprolide acetate 30 mg

Intervention Type DRUG

Two intramuscular injections of leuprolide acetate for depot suspension 30 mg administered 3 mo apart.

Interventions

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Leuprolide acetate 11.25 mg

Two intramuscular injections of leuprolide acetate for depot suspension 11.25 mg administered 3 mo apart.

Intervention Type DRUG

Leuprolide acetate 30 mg

Two intramuscular injections of leuprolide acetate for depot suspension 30 mg administered 3 mo apart.

Intervention Type DRUG

Other Intervention Names

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ABT-818 leuprolide acetate Lupron ABT-818 leuprolide acetate Lupron

Eligibility Criteria

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Inclusion Criteria

* Subject has a clinical diagnosis of CPP.
* Eligible to receive at least 6 mo of therapy to treat CPP after study entry.
* Bone age advanced at least 1 year beyond the chronological age at time of diagnosis or first treatment.
* In general good health with no uncontrolled, clinically significant disease which would interfere with bone maturation or mask the objectives of this protocol as assessed by the investigator.

Additional criteria for subjects who have not had previous treatment:

* Girls 2-8 years inclusive or Boys 2-9 years inclusive at Day 1.
* Has pretreatment pubertal response to leuprolide acetate stimulation (luteinizing hormone ≥8 mIU/mL) at Screening.
* Breast pubertal staging of at least 2 in girls; testicular volume of at least 4 cc or testicular length greater than 2.5 cm in boys at Screening.

Additional criteria for subjects previously treated:

* Girls 2-10 years inclusive or boys 2-11 years inclusive at Day 1.
* Must have been on standard gonadotropin releasing hormone analog therapy for at least the 6 mo prior to Day 1.
* Has documented maintenance of luteinizing hormone suppression as evidenced by peak stimulated level \<4 mIU/mL at Screening.

Exclusion Criteria

* Incomplete precocious puberty (premature thelarche, premature adrenarche).
* Peripheral precocious puberty: gonadal or adrenal tumors, congenital adrenal hyperplasia, testotoxicosis in boys, human chorionic gonadotropin secreting tumor or McCune-Albright syndrome in girls.
* Evidence of any abnormal pituitary, hypothalamic, adrenal, thyroid and gonadal function other than premature secretion of gonadotropins not adequately controlled.
* Unstable intracranial tumors (unresponsive to treatment/expanding) except hamartoma.
* Previous treatment with GnRHa therapy requiring leuprolide acetate for depot suspension \>15 mg monthly.
* Bone age \>13 years for girls and \>14 years for boys.
* Any other condition interfering with growth, ie, skeletal dysplasia, cerebral palsy.
* Chronic illness requiring treatment that may interfere with growth, ie, chronic steroid use, renal failure, moderate to severe scoliosis.
* Diagnosis of short stature, ie more than 2.25 standard deviations below the mean height for age (growth chart measurement).
* Prior or current therapy with medroxyprogesterone acetate or growth hormone.
* Has an abnormal laboratory value suggesting a clinically significant underlying disease .
* Creatinine \>1.5 mg/dL, alanine aminotransferase and/or aspartate aminotransferase \>2.0 x upper limit of normal, or total bilirubin \>2.0 mg/dL with aspartate aminotransferase/alanine aminotransferase elevated above normal limits.
* Positive pregnancy test.
* Known hypersensitivity to study medication or its excipients.
* Participation in another drug research within 3 mo of enrollment into this study.
* Prior or current therapy with insulin-like growth factor-1.
* Use of an estrogen preparation within 2 mo prior to Day 1.
Minimum Eligible Age

2 Years

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Bacher, MD,

Role: STUDY_DIRECTOR

Abbott

Locations

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Site Reference ID/Investigator# 8765

Birmingham, Alabama, United States

Site Status

Site Reference ID/Investigator# 11522

Long Beach, California, United States

Site Status

Site Reference ID/Investigator# 8756

Los Angeles, California, United States

Site Status

Site Reference ID/Investigator# 8755

San Diego, California, United States

Site Status

Site Reference ID/Investigator# 8761

San Diego, California, United States

Site Status

Site Reference ID/Investigator# 8772

Stanford, California, United States

Site Status

Site Reference ID/Investigator# 8749

Greenwood Village, Colorado, United States

Site Status

Site Reference ID/Investigator# 8771

Gainesville, Florida, United States

Site Status

Site Reference ID/Investigator# 8764

Jacksonville, Florida, United States

Site Status

Site Reference ID/Investigator# 17621

Pensacola, Florida, United States

Site Status

Site Reference ID/Investigator# 8752

Indianapolis, Indiana, United States

Site Status

Site Reference ID/Investigator# 8766

Shreveport, Louisiana, United States

Site Status

Site Reference ID/Investigator# 8768

Minneapolis, Minnesota, United States

Site Status

Site Reference ID/Investigator# 17341

Saint Paul, Minnesota, United States

Site Status

Site Reference ID/Investigator# 8759

Kansas City, Missouri, United States

Site Status

Site Reference ID/Investigator# 8750

Oklahoma City, Oklahoma, United States

Site Status

Site Reference ID/Investigator# 8760

Tulsa, Oklahoma, United States

Site Status

Site Reference ID/Investigator# 8763

Hershey, Pennsylvania, United States

Site Status

Site Reference ID/Investigator# 8754

Salt Lake City, Utah, United States

Site Status

Site Reference ID/Investigator# 8762

Seattle, Washington, United States

Site Status

Site Reference ID/Investigator# 8753

Seattle, Washington, United States

Site Status

Site Reference ID/Investigator# 17922

Bayamón, , Puerto Rico

Site Status

Site Reference ID/Investigator# 17923

Ponce, , Puerto Rico

Site Status

Site Reference ID/Investigator# 18242

San Juan, , Puerto Rico

Site Status

Site Reference ID/Investigator# 19661

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Lee PA, Klein K, Mauras N, Neely EK, Bloch CA, Larsen L, Mattia-Goldberg C, Chwalisz K. Efficacy and safety of leuprolide acetate 3-month depot 11.25 milligrams or 30 milligrams for the treatment of central precocious puberty. J Clin Endocrinol Metab. 2012 May;97(5):1572-80. doi: 10.1210/jc.2011-2704. Epub 2012 Feb 16.

Reference Type DERIVED
PMID: 22344198 (View on PubMed)

Other Identifiers

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L-CP07-167

Identifier Type: -

Identifier Source: org_study_id