Phase 3
N=87
Patient Perception of Treatment Burden in Weekly Versus Daily Growth Hormone Injections in Children With GHD
Growth Hormone Deficiency
Bottom Line
View on ClinicalTrials.gov: NCT03831880 ↗Enrolled (actual)
87
Serious AEs
0.0%
Results posted
Oct 2021
Primary outcome: Primary: Total Score Related to Overall Life Interference Assessed at Baseline, Using Dyad Clinical Outcomes Assessment 1 (DCOA 1) Questionnaire — 29.5; 27.1 units on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Genotropin (Drug); somatrogon (Drug)
- Age
- Pediatric · 3+ yrs
- Sex
- All
- Sponsor
- Pfizer
- Primary completion
- Aug 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Total Score Related to Overall Life Interference Assessed at Baseline, Using Dyad Clinical Outcomes Assessment 1 (DCOA 1) Questionnaire |
29.5; 27.1 | — |
| PRIMARY Total Score Related to Overall Life Interference Assessed at Week 12, Using DCOA 1 Questionnaire |
25.2; 7.1 | — |
| PRIMARY Total Score Related to Overall Life Interference Assessed at Week 24, Using DCOA 1 Questionnaire |
9.5; 23.0 | — |
| PRIMARY Total Score Related to Overall Life Interference by Treatment in Overall Study, Using DCOA 1 Questionnaire |
24.13; 8.63 | <0.0001 sig |
| SECONDARY Total Score Related to Pen Ease of Use Assessed at Baseline, Week 12 and Week 24, Using DCOA 1 Questionnaire |
10.6; 11.6; 12.0; 5.1; 5.5; 9.4 | — |
| SECONDARY Total Score Related to Pen Ease of Use by Treatment in Overall Study, Using DCOA 1 Questionnaire |
10.71; 5.32 | 0.0017 sig |
| SECONDARY Total Score Related to Ease of the Injection Schedule Assessed at Baseline, Week 12 and Week 24, Using DCOA 1 Questionnaire |
18.5; 16.3; 23.3; 4.4; 9.5; 17.9 | — |
| SECONDARY Total Score Related to Ease of the Injection Schedule by Treatment in Overall Study, Using DCOA 1 Questionnaire |
20.56; 6.96 | <0.0001 sig |
| SECONDARY Total Score Related to Convenience of the Injection Schedule Assessed at Baseline, Week 12 and Week 24, Using DCOA 1 Questionnaire |
34.5; 32.5; 35.3; 7.9; 11.9; 33.3 | — |
| SECONDARY Total Score Related to Convenience of the Injection Schedule by Treatment in Overall Study, Using DCOA 1 Questionnaire |
34.30; 9.96 | <0.0001 sig |
| SECONDARY Total Score Related to Satisfaction With Overall Treatment Experience Assessed at Baseline, Week 12 and Week 24, Using DCOA 1 Questionnaire |
28.0; 29.4; 27.3; 20.0; 22.0; 30.4 | — |
| SECONDARY Total Score Related to Satisfaction With Overall Treatment Experience by Treatment in Overall Study, Using DCOA 1 Questionnaire |
28.95; 21.13 | 0.0739 |
| SECONDARY Total Scores Related to Willingness to Continue Injection Schedule Assessed at Baseline, Week 12 and Week 24, Using DCOA 1 Questionnaire |
18.5; 22.5; 28.5; 10.6; 13.1; 30.4 | — |
| SECONDARY Total Scores Related to Willingness to Continue Injection Schedule by Treatment in Overall Study, Using DCOA 1 Questionnaire |
29.54; 11.93 | <0.0001 sig |
| SECONDARY Total Scores Related to Injection Signs and Symptoms for Participants Aged 8 Years and Above Assessed at Baseline, Week 12 and Week 24, Using DCOA 1 Questionnaire |
15.0; 13.8; 16.2; 13.7; 13.6; 10.9 | — |
| SECONDARY Total Scores Related to Injection Signs and Symptoms for Participants Aged 8 Years and Above by Treatment in Overall Study, Using DCOA 1 Questionnaire |
13.56; 14.27 | 0.6137 |
| SECONDARY Total Scores Related to Assessment of Signs, Completed by Caregiver for Children Aged <8 Years Assessed at Baseline, Week 12 and Week 24, Using DCOA 1 Questionnaire |
14.2; 13.5; 9.3; 13.0; 5.6; 9.4 | — |
| SECONDARY Total Scores Related to Assessment of Signs, Completed by Caregiver for Children Aged <8 Years by Treatment in Overall Study, Using DCOA 1 Questionnaire |
8.75; 9.31 | 0.8404 |
| SECONDARY Total Scores Related to Caregiver Life Interference, Including Family Life Interference Assessed at Baseline, Week 12 and Week 24, Using DCOA 1 Questionnaire |
17.8; 20.0; 15.9; 3.1; 3.8; 18.1 | — |
| SECONDARY Total Scores Related to Caregiver Life Interference, Including Family Life Interference by Treatment in Overall Study, Using DCOA 1 Questionnaire |
17.01; 3.54 | <0.0001 sig |
| SECONDARY Total Scores Related to Missed Injections Assessed at Baseline, Week 12 and Week 24, Using DCOA 1 Questionnaire |
7.8; 7.3; 4.3; 0.0; 1.9; 3.1 | — |
| SECONDARY Total Scores Related to Missed Injections by Treatment in Overall Study, Using DCOA 1 Questionnaire |
3.71; 0.95 | 0.0245 sig |
| SECONDARY Number of Participants as Per Responses to Choice of Injection Pen Assessed at Week 24, Using DCOA 2 Questionnaire |
38; 36; 4; 6 | — |
| SECONDARY Number of Participants as Per Responses to Preferred Injection Schedule Assessed at Week 24, Using DCOA 2 Questionnaire |
40; 37; 2; 4; 0; 1 | — |
| SECONDARY Number of Participants as Per Responses to Convenience of the Injection Schedule Assessed at Week 24, Using DCOA 2 Questionnaire |
40; 40; 2; 2; 0; 0 | — |
| SECONDARY Number of Participants as Per Responses to Ease of Following Injection Schedule Assessed at Week 24, Using DCOA 2 Questionnaire |
38; 34; 4; 4; 0; 4 | — |
| SECONDARY Number of Participants as Per Responses to Pen Ease of Use Assessed at Week 24, Using DCOA 2 Questionnaire |
29; 25; 3; 4; 10; 13 | — |
| SECONDARY Number of Participants as Per Responses to Participant Life Interference Assessed at Week 24, Using DCOA 2 Questionnaire |
35; 31; 2; 1; 5; 10 | — |
| SECONDARY Number of Participants as Per Responses to Caregiver Life Interference Assessed at Week 24, Using DCOA 2 Questionnaire |
36; 31; 2; 0; 4; 11 | — |
| SECONDARY Number of Participants as Per Responses to Family Life Interference Assessed at Week 24, Using DCOA 2 Questionnaire |
32; 29; 1; 0; 9; 13 | — |
| SECONDARY Number of Participants as Per Response to Benefit Relating to the Injection Schedule Assessed at Week 24, Using DCOA 2 Questionnaire |
28; 20; 11; 14; 1; 3 | — |
| SECONDARY Number of Participants as Per Responses to Intention to Comply Assessed at Week 24, Using DCOA 2 Questionnaire |
33; 31; 2; 2; 7; 9 | — |
| SECONDARY Patient Global Impression Severity-Impact on Daily Activities (PGIS-IDA) Score Assessed at Baseline, Week 12 and Week 24 |
15.0; 16.3; 19.0; 4.6; 7.1; 22.2 | — |
| SECONDARY Patient Global Impression Severity-Impact on Daily Activities (PGIS-IDA) Score by Treatment in Overall Study |
20.64; 6.06 | <0.0001 sig |
Summary
This is an open label randomized 24 week crossover trial assessing the treatment burden of a weekly growth hormone injection regimen (somatrogon) compared to a daily growth hormone injection regimen (Genotropin). Approximately 90 children with growth hormone deficiency who have been stable on treatment with daily Genotropin will be enrolled.
Eligibility Criteria
Inclusion Criteria
- Children aged 3 years old and <18 years with either isolated GHD, or GH insufficiency.
- Currently on treatment with either Genotropin Pen®, Genotropin GoQuick Pen®, HumatroPen® (United States of America [USA] only), or Omnitrope® Pen (USA only) ≥3 months and have been compliant on a stable dose (±10%) for at least 3 months prior to screening.
- IGF I SDS < 2.
- Subjects on hormonal replacement therapy for other hypothalamic pituitary axis (HPA) hormonal deficiencies and/or diabetes insipidus must be on an optimized and stable treatment regimen, as determined by the Investigator, for at least 3 months prior to screening.
Exclusion Criteria
- History of leukemia, lymphoma, sarcoma or any other cancer.
- History of radiation therapy or chemotherapy.
- Children with psychosocial dwarfism.
- Children born small for gestational age (SGA) - birth weight and/or birth length < 2 SDS for gestational age.
- Other causes of short stature such as uncontrolled primary hypothyroidism and rickets.
- Chromosomal abnormalities including Turner's syndrome, Laron syndrome, Noonan syndrome, Prader Willi syndrome, Russell Silver syndrome, short stature homeobox (SHOX) mutations/deletions or skeletal dysplasias.
- Treatment with regularly scheduled daily or weekly injectable medications other than Genotropin® Pen, Genotropin GoQuick®, HumatroPen® (USA only), or Omnitrope® Pen (USA only).
- Diabetes Mellitus.
- Current treatment with Genotropin MiniQuick.
- History of any exposure to a long acting hGH preparation.
- Known or suspected human immunodeficiency virus (HIV) positive patient, or patient with advanced diseases such as acquired immunodeficiency syndrome (AIDS) or tuberculosis.
- Drug, substance, or alcohol abuse.
- Known hypersensitivity to the components of the medication.
- Pregnant female subjects; breastfeeding female subjects; fertile male subjects and female subjects of childbearing potential who are unwilling or unable to use a highly effective method of contraception as outlined in this protocol for the duration of the study and for at least 28 days after the last dose of investigational product.
- Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.
- Investigator site staff members directly involved in the conduct of the study and their family members, site staff members otherwise supervised by the investigator, or subjects who are Pfizer employees, including their family members, directly involved in the conduct of the study.
- Participation in other studies involving investigational drug(s) within 30 days prior to study entry and/or during study participation.
- Patient and/or the parent/legal guardian are likely to be non-compliant with respect to study conduct.
- Subject and/or the parent/legal guardian are unable to understand written and/or verbal instructions on the proper use of growth hormone injection devices.
- Children with closed epiphyses (this determination can be based on available existing clinical data).
Data sourced from ClinicalTrials.gov (NCT03831880). 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.