Phase 2
N=19
Efficacy and Safety Evaluation of Recombinant Human Growth Hormone (r-hGH), Saizen®, on a Population of Children With Hypochondroplasia, Treated at Least 3 Years or Until Near Final Height, When Applicable, in Comparison With a Historic Cohort of Non-treated Children
Hypochondroplasia
Bottom Line
View on ClinicalTrials.gov: NCT01111019 ↗Enrolled (actual)
19
Serious AEs
5.3%
Results posted
Feb 2019
Primary outcome: Primary: Change From Baseline in Height-Standard Deviation Score (H-SDS) of Recombinant Human Growth Hormone (r-hGH) Treated Subjects at Year 3 — 1.39 Standard Deviation Score (SDS)
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Recombinant human growth hormone (r-hGH) (Drug)
- Age
- Pediatric, Adult, Older Adult · 3+ yrs
- Sex
- All
- Sponsor
- Merck KGaA, Darmstadt, Germany
- Primary completion
- Jan 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Height-Standard Deviation Score (H-SDS) of Recombinant Human Growth Hormone (r-hGH) Treated Subjects at Year 3 |
1.39 | — |
| PRIMARY Height-Standard Deviation Score (H-SDS) of Recombinant Human Growth Hormone (r-hGH) Treated Subjects at Year 4 |
25.6 | — |
| SECONDARY Height-Standard Deviation Score (H-SDS) of Recombinant Human Growth Hormone (r-hGH) Treated Subjects |
-1.82; -1.51; -1.30; -1.49; -1.51; -2.88 | — |
| SECONDARY Change From Baseline in Height of Recombinant Human Growth Hormone (r-hGH) Treated Subjects With Hypochondroplasia (HCH) up to 9.5 Years |
8.10; 14.59; 20.00; 23.74; 29.06; 31.35 | — |
| SECONDARY Change From Baseline in Upper Segment (Superior) of Recombinant Human Growth Hormone (r-hGH) Treated Subjects With Hypochondroplasia (HCH) up to 9.5 Years |
3.80; 7.96; 8.93; 16.50; 16.98; 17.05 | — |
| SECONDARY Change From Baseline in Weight of Recombinant Human Growth Hormone (r-hGH) Treated Subjects With Hypochondroplasia (HCH) up to 9.5 Years |
4.58; 9.95; 15.18; 14.25; 20.00; 25.00 | — |
| SECONDARY Change From Baseline in Body Mass Index (BMI) of Recombinant Human Growth Hormone (r-hGH) Treated Subjects With Hypochondroplasia (HCH) up to 9.5 Years |
0.43; 1.56; 2.71; 2.21; 3.60; 5.02 | — |
| SECONDARY Change From Baseline in Bone Mineral Density (BMD) of Recombinant Human Growth Hormone (r-hGH) Treated Subjects With Hypochondroplasia (HCH) up to 9 Years |
0.05; 0.11; 0.14; 0.11; 0.15; 0.18 | — |
| SECONDARY Change From Baseline in Percent Body Fat Mass of Recombinant Human Growth Hormone (r-hGH) Treated Subjects With Hypochondroplasia (HCH) up to 9 Years |
-4.54; -4.49; -2.80; -3.40; -2.33; -0.65 | — |
| SECONDARY Change From Baseline in Lean Body Mass (LBM) of Recombinant Human Growth Hormone (r-hGH) Treated Subjects With Hypochondroplasia (HCH) up to 9 Years |
4966.46; 9134.35; 11182.24; 11599.80; 15729.38; 20667.65 | — |
| SECONDARY Growth (Height) Velocity of Recombinant Human Growth Hormone (r-hGH) Treated Subjects With Hypochondroplasia (HCH) From Year 1 up to 9.5 Years |
8.21; 7.26; 6.55; 5.88; 5.77; 4.98 | — |
| SECONDARY Head Circumference Values of Recombinant Human Growth Hormone (r-hGH) Treated Subjects With Hypochondroplasia (HCH) From Year 1 up to 9.5 Years |
56.11; 56.53; 57.38; 57.33; 56.88; 55.50 | — |
| SECONDARY Osteocalcin Values of Recombinant Human Growth Hormone (r-hGH) Treated Subjects With Hypochondroplasia (HCH) From Year 1 up to 9.5 Years |
123.06; 145.00; 130.13; 101.00; 139.25; 75.50 | — |
| SECONDARY C-terminal Telopeptide (CTX) Values of Recombinant Human Growth Hormone (r-hGH) Treated Subjects With Hypochondroplasia (HCH) From Year 1 up to 9.5 Years |
15784.17; 16304.13; 15703.50; 15868.25; 17088.75; 12361.00 | — |
| SECONDARY Number of Subjects With Fibroblast Growth Factor Receptor (FGFR3) Mutation |
14 | — |
| SECONDARY Number of Subjects With Adverse Event (AE) and Serious Adverse Event (SAE) |
18; 1 | — |
Summary
This study is conducted to describe the efficacy and safety of recombinant human growth hormone (r-hGH) treatment Saizen® on children with hypochondroplasia.
Eligibility Criteria
Inclusion Criteria
- Male or female children with hypochondroplasia defined by a disproportional short limb height and a X-ray evidence of shortening of the long bones and failure of increase in the interpedicular distance between lumbar vertebrae L1 and L5
- Result of genetic analysis for mutation of gene FGFR3 already known or ongoing analysis at the beginning of the study
- Chronological age greater than or equal to 3 years
- Height for chronological age less than or equal to - 2 SDS
- Bone age less than or equal to 11 years for girls and 13 years for boys
- A written informed consent at the beginning of the pre-treatment period must be obtained from the parent(s)/legal guardian(s). Children able to understand the trial should personally sign and date the written informed consent
Additional inclusion criteria for each study prolongation:
- Bone age at Month 36 or Month 60 is compatible with treatment prolongation according to investigator opinion
- Subject is still under r-hGH treatment with Saizen® at Month 36 or Month 60
- Height gain greater than or equal to + 1 SDS after the 2 first years of treatment for treatment prolongation at Month 36 and growth velocity greater than or equal to 5 centimeter (cm) per year, with bone age less than 14 years for females or less than 16 years for males for treatment prolongation at Month 60
- According to investigator opinion, gene mutations of the subjects are not in connection with observed side effects during the 3 or 5 first years of treatment
- An updated written informed consent must be obtained from the parent(s)/legal guardian(s) before the start of each study prolongation. Children able to understand the trial should personally sign and date the written informed consent
Exclusion Criteria
- Turner's Syndrome in girls
- Active malignant neoplastic disease
- Severe congenital malformations
- Proliferative or preproliferative diabetic retinopathy
- Evidence of any progression or recurrence of an underlying intra-cranial space occupying lesion
- Severe psychomotor retardation
- Diabetes mellitus or history of significant glucose intolerance as defined by a fasting blood glucose greater than 6.4 millimole per liter (mmol/L)
- Known renal insufficiency as defined by serum creatinine level 1.0 milligram per deciliter (mg/dL) (88 micromole per liter [mcmol/L])
- Known hepatic disease as defined by elevated liver enzymes or total bilirubin (* 2 Normal)
- Current congestive heart failure, untreated hypertension, serious chronic edema of any cause
- Chronic infectious disease
- History of intracranial hypertension with papilledema
- Previous or ongoing treatment with sex steroid therapy such as estrogens or testosterone
- Previous or ongoing treatment with any therapy that may directly influence growth, including Growth Hormone (GH), Growth Hormone Releasing Hormone (GHRH) and long duration corticosteroids therapy
- Known hypersensitivity to somatropin or any of the excipients
- Epiphyseal fusion
- Participation to any clinical study within the 30 days preceding study entry
- Pregnant females
Data sourced from ClinicalTrials.gov (NCT01111019). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.