Phase 4
N=213
Predictive Markers in Chinese Growth Hormone Deficiency (GHD) Children Treated With Saizen®
Dwarfism, Pituitary
Bottom Line
View on ClinicalTrials.gov: NCT01187550 ↗Enrolled (actual)
213
Serious AEs
0.5%
Results posted
Aug 2012
Primary outcome: Primary: Change From Baseline in Serum Insulin Like Growth Factor-1 Standard Deviation Score (IGF-1 SDS) Levels at Week 4 — -2.04; -2.22; 1.38; 0.85 nanogram/millilter (ng/mL) — p=0.194
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- Recombinant human growth hormone (r-hGH) (Drug)
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- Merck KGaA, Darmstadt, Germany
- Primary completion
- Sep 2008
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Serum Insulin Like Growth Factor-1 Standard Deviation Score (IGF-1 SDS) Levels at Week 4 |
-2.04; -2.22; 1.38; 0.85 | 0.194 |
| SECONDARY Change From Baseline in Insulin Like Growth Factor Binding Protein-3 (IGFBP-3) Levels at Week 4 |
3.16; 2.57; 0.58; 0.51 | 0.752 |
| SECONDARY Change From Baseline in Fasting Glucose at Week 4 |
4.83; 4.46; 0.17; 0.22 | 0.710 |
| SECONDARY Change From Baseline in Fasting Insulin at Week 4 |
36.17; 23.58; 10.08; 12.04 | 0.265 |
| SECONDARY Change From Baseline in Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) Test at Week 4 |
7.91; 5.06; 2.96; 2.48 | 0.308 |
| SECONDARY Change From Baseline in Lipid Profile at Week 4 |
4.16; 4.22; 1.56; 1.59; 2.18; 2.19 | 0.078 |
Summary
This is an open-label, prospective, multicentric, non-comparative, non-randomized Phase IV interventional study in which subjects pre-diagnosed with Growth Hormone Deficiency (GHD) were treated for 4 weeks with Saizen to compare the response between GHD children born appropriate for gestational age (AGA) and those born small for gestation age (SGA) after 4 weeks of Saizen therapy.
Eligibility Criteria
Inclusion Criteria
- Male and female subjects with documented pre-established diagnosis of GHD with a GH peak response of 5th and <95th percentiles) for gender
- Subjects with willingness and ability to comply with the protocol for the duration of the study
- Subjects whose parents or guardians written informed consent given before any study-related procedure that was not part of the subjects normal medical care, with the understanding that the subject or parent/guardian might withdraw consent at any time without prejudice to future medical care. If the child was old enough to read and write, a separate assent form was given
Exclusion Criteria
- Subjects who acquired GHD due to central nervous system tumor, trauma, infection, infiltration (documented by imaging), and history of irradiation or cranial surgery
- Subjects with previous treatment with GH, growth hormone releasing hormone (GHRH), anabolic steroids or any treatment affecting growth
- Subjects who had previous treatment with corticosteroids, except in case of topical or inhaled corticosteroid administration for atopic disease. Corticosteroids for hormonal substitution were also allowed if the condition and the treatment regimen had been stable for at least 3 months
- Subjects with severe associated pathology affecting growth such as malnutrition, malabsorption, or bone dysplasia
- Subjects with chronic severe kidney disease
- Subjects with chronic severe liver disease
- Subjects with chronic infectious disease
- Subjects with acute or severe illness during the previous 6 months
- Subjects with significant concomitant illness that would interfere with participation or assessment in this study
- Subjects who had active malignancy (except non-melanomatous skin malignancies that had undergone surgical excision and/or biopsy, diagnosis and treatment to resolution)
- Subjects with history or active idiopathic intra-cranial hypertension (benign intracranial hypertension or pseudo-tumor cerebri)
- Subjects with diabetes mellitus type I & II
- Subjects with any autoimmune disease
- Subjects who had previous screening failure in this study
- Subjects who had used an investigational drug or participated in another clinical study within the last 3 months
Data sourced from ClinicalTrials.gov (NCT01187550). 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.