Individualizing Dose of Growth Hormone to Maintain Normal Growth Velocity After Fulfilled Catch up Growth in Children

NCT ID: NCT02879747

Last Updated: 2019-04-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

99 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-12-31

Study Completion Date

2017-12-31

Brief Summary

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The objective was to study whether normal growth velocity can be maintained with adapted GH dosage in GH treated prepubertal children who have responded to GH treatment with fulfilled catch up growth (=difference to target height reached, less than - 0.6 SDS).

Detailed Description

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The aim of the trial is to study the effect of adapted GH treatment in order to find an individualized GH dose maintaining normal growth velocity close to target height SDS and normal metabolism after fulfilled catch up growth in prepubertal children treated with individual doses of GH within the trial 98-0198-003 (1). The overall aim is to find for the individual the lowest effective GH dose during maintenance period, maintaining normal growth velocity and metabolism, i.e. a satisfactory biological active dose.

Conditions

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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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Interventional

Unchanged dose Genotropin

Group Type ACTIVE_COMPARATOR

Genotropin

Intervention Type DRUG

Children were randomized to either decreased dose by 50% or unchanged dose after 2-3 years of Catch-up growth

Interventional 2

reduced dose 50% Genotropin

Group Type ACTIVE_COMPARATOR

Genotropin

Intervention Type DRUG

Children were randomized to either decreased dose by 50% or unchanged dose after 2-3 years of Catch-up growth

Interventions

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Genotropin

Children were randomized to either decreased dose by 50% or unchanged dose after 2-3 years of Catch-up growth

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participated in the 'GH-dose catch-up study' 98- 0198-003.
* Midparental height reached (difference less than 0.6 SDS)
* Prepubertal at start of the study (girls =B 1, boys: testes :\<; 3ml).
* Signed written informed consent from the patient's parents (and the child if old enough)

Exclusion Criteria

* Disease affecting growth other than correctly treated hypothyroidism.
* Incapable of following the study protocol (i.e. bad compliance in the previous study).
* Puberty (\> breast stage 2, or testes \> 4ml).
* Poor compliance.
Minimum Eligible Age

4 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role collaborator

Göteborg University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Berit Kriström, MD

Role: PRINCIPAL_INVESTIGATOR

Umeå University Hospital

Nils-Östen Nilsson, MD

Role: PRINCIPAL_INVESTIGATOR

Halmstad Department of Pediatrics

Maria Halldin, MD

Role: PRINCIPAL_INVESTIGATOR

Uppsala University Hospital

Sten Ivarsson, MD, Prof

Role: PRINCIPAL_INVESTIGATOR

Malmö Academic Hospital

Kerstin Albertsson-Wikland, MD, prof

Role: PRINCIPAL_INVESTIGATOR

Gothenburg University, Departments of pediatrics

References

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Wikland KA, Kristrom B, Rosberg S, Svensson B, Nierop AF. Validated multivariate models predicting the growth response to GH treatment in individual short children with a broad range in GH secretion capacities. Pediatr Res. 2000 Oct;48(4):475-84. doi: 10.1203/00006450-200010000-00010.

Reference Type BACKGROUND
PMID: 11004238 (View on PubMed)

Kristrom B, Aronson AS, Dahlgren J, Gustafsson J, Halldin M, Ivarsson SA, Nilsson NO, Svensson J, Tuvemo T, Albertsson-Wikland K. Growth hormone (GH) dosing during catch-up growth guided by individual responsiveness decreases growth response variability in prepubertal children with GH deficiency or idiopathic short stature. J Clin Endocrinol Metab. 2009 Feb;94(2):483-90. doi: 10.1210/jc.2008-1503. Epub 2008 Nov 11.

Reference Type RESULT
PMID: 19001519 (View on PubMed)

Decker R, Albertsson-Wikland K, Kristrom B, Halldin M, Gustafsson J, Nilsson NO, Dahlgren J. GH Dose Reduction Maintains Normal Prepubertal Height Velocity After Initial Catch-Up Growth in Short Children. J Clin Endocrinol Metab. 2019 Mar 1;104(3):835-844. doi: 10.1210/jc.2018-01006.

Reference Type DERIVED
PMID: 30339244 (View on PubMed)

Study Documents

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Document Type: Study Protocol

The document will be found under "Trials" and then "GH-dose/Maintenance study"

View Document

Document Type: Statistical Analysis Plan

The document will be found under "Trials" and then "GH-dose/Maintenance study"

View Document

Other Identifiers

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NRA 6280003

Identifier Type: -

Identifier Source: org_study_id

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