Aromatase Inhibitors, Alone And In Combination With Growth Hormone In Adolescent Boys With Idiopathic Short Stature

NCT ID: NCT01248416

Last Updated: 2018-08-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-30

Study Completion Date

2016-09-30

Brief Summary

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When treating very short children in puberty we are time-limited, as sex hormones cause the growth plates to fuse and growth to end. Growth Hormone (GH), plus drugs that stop puberty, increase height potential, but leave children sexually infantile at a critical time in development. Human and animal data show that estrogen, in females and males, is a principal regulator of the fusion of the growth plate in puberty. Using aromatase inhibitors (AIs), which block testosterone to estrogen conversion, in boys with different growth disorders, we have shown that AIs may have beneficial effects enhancing height potential in growth-retarded males, without affecting their puberty. However, no direct comparison of the effect of AIs alone vs. conventional GH treatment has been done to date. This study will assess the effect of AIs alone, GH alone and combination treatment in enhancing height potential in adolescent boys with idiopathic short stature.

Detailed Description

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Conditions

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Idiopathic Short Stature

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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Aromatase Inhibitor

Anastrozole 1mg or Letrozole 2.5mg daily orally for 2 to 3 years

Group Type ACTIVE_COMPARATOR

Aromatase Inhibitor

Intervention Type DRUG

Growth Hormone

Somatropin 0.3mg/kg/week divided daily subcutaneously for 2 to 3 years

Group Type ACTIVE_COMPARATOR

Growth Hormone

Intervention Type DRUG

Aromatase Inhibitor and Growth Hormone

Anastrozole 1mg or Letrozole 2.5mg orally daily for 2 to 3 years and Somatropin 0.3mg/kg/week divided daily subcutaneously for 2 to 3 years

Group Type ACTIVE_COMPARATOR

Aromatase Inhibitor

Intervention Type DRUG

Growth Hormone

Intervention Type DRUG

Aromatase Inhibitor and Growth Hormone

Intervention Type DRUG

Interventions

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Aromatase Inhibitor

Intervention Type DRUG

Growth Hormone

Intervention Type DRUG

Aromatase Inhibitor and Growth Hormone

Intervention Type DRUG

Other Intervention Names

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Arimidex (Anastrozole) Femara (Letrozole) Nutropin (Somatropin) Genotropin (Somatropin) Arimidex (Anastrozole) Femara (Letrozole) Nutropin (Somatropin) Genotropin (Somatropin)

Eligibility Criteria

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Inclusion Criteria

* Males: Ages: 12 - less than 18 years.
* Bone age less than 14 ½ years at study initiation.
* Presence of puberty.
* Idiopathic short stature will be defined as a short child equal or less than -2SD for height, with normal GH responses to stimuli (\> or = 5ng/ml to at least 2 secretagogues) or a normal IGF-I and BP-3, normal body proportions and no other identifiable growth pathology.
* Accurate growth data for at least 6 months at baseline is available.

Exclusion Criteria

* Chronic illnesses.
* Chronic use of glucocorticosteroids.
* Previous use of hormonal treatment with AIs, sex steroids or GH in the preceding 6 months.
* Birth weight small for gestational age (SGA).
Minimum Eligible Age

12 Years

Maximum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Thrasher Research Fund

OTHER

Sponsor Role collaborator

Genentech, Inc.

INDUSTRY

Sponsor Role collaborator

Novartis

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role collaborator

Pfizer

INDUSTRY

Sponsor Role collaborator

Nemours Children's Clinic

OTHER

Sponsor Role lead

Responsible Party

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Nelly Mauras

Chief, Division of Endocrinology, Diabetes & Metabolism

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nelly Mauras, MD

Role: PRINCIPAL_INVESTIGATOR

Nemours Children's Clinic Jacksonville

Locations

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Nemours Children's Clinic

Jacksonville, Florida, United States

Site Status

Nemours Children's Clinic

Orlando, Florida, United States

Site Status

Nemours Children's Clinic- Jefferson

Philadelphia, Pennsylvania, United States

Site Status

Veronica Mericq, MD

Santiago, , Chile

Site Status

Countries

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United States Chile

References

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Mauras N, Ross JL, Gagliardi P, Yu YM, Hossain J, Permuy J, Damaso L, Merinbaum D, Singh RJ, Gaete X, Mericq V. Randomized Trial of Aromatase Inhibitors, Growth Hormone, or Combination in Pubertal Boys with Idiopathic, Short Stature. J Clin Endocrinol Metab. 2016 Dec;101(12):4984-4993. doi: 10.1210/jc.2016-2891. Epub 2016 Oct 6.

Reference Type RESULT
PMID: 27710241 (View on PubMed)

Other Identifiers

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180984

Identifier Type: -

Identifier Source: org_study_id

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