ISS: Growth Response in Short Children Suffering From a Disease With Growth Retardation and Treated With Somatropin

Sponsor
University of Erlangen-Nürnberg Medical School (Other)
Overall Status
Completed
CT.gov ID
NCT00488124
Collaborator
(none)
120
13
63.9
9.2
0.1

Study Details

Study Description

Brief Summary

Growth hormone therapy will improve the height of short statured children with pathological conditions that lead to growth retardation. Growth hormone therapy will show an increase in height velocity >1 SD compared to pretreatment height velocity. and the therapy will be safe.

Condition or Disease Intervention/Treatment Phase
  • Drug: somatropin (Genotropin® treatment)
Phase 2

Detailed Description

Growth hormone (GH, Somatropin, e.g. Genotropin®) is approved in the treatment of children in specific indications. However, besides the benefit in approved indications, a benefit can also be achieved in other pathological conditions that lead to growth retardation. However, because of their relative low frequency and the long duration of GH studies in children, few data or only case reports on GH treatment are available in these conditions. Nevertheless, published data have suggested a benefit of GH treatment in children suffering from some of those diseases and pediatric endocrinologists sometimes request GH treatment for those children to improve growth rate. This protocol is designed to allow such children with severe growth retardation to be treated with GH and will allow those children to be carefully followed-up and finally evaluated at the end of the GH treatment period.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
120 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Evaluation of Growth Response in Short Children Suffering From a Disease With Growth Retardation and Treated With Somatropin: A Prospective, Longitudinal Non-randomised, Open, Phase II Study
Study Start Date :
Nov 1, 2005
Actual Primary Completion Date :
Feb 1, 2011
Actual Study Completion Date :
Mar 1, 2011

Outcome Measures

Primary Outcome Measures

  1. To show an improvement of height, change in height (SDS) under GH treatment one year after visit 2 (start of GH therapy). [one and two years of observation]

Secondary Outcome Measures

  1. To show an increase in height velocity >1 SD compared to pretreatment height velocity, to confirm good clinical and biological safety of GH treatment in these patients (e.g. adverse events, serum IGF-I, fasting blood glucose and insulin) [one and two years of observation period]

Eligibility Criteria

Criteria

Ages Eligible for Study:
4 Years to 10 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Severe growth retardation (< -2,5 height SDS and annual growth velocity (HV SDS) < 0 SD according to Reinken (1992) and parental adjusted target height < -1 SD according to Tanner (1986)

  • Chronological age > 4 and < 10 years, prepubertal children; for girls: Tanner breast stage B = 1, for boys: testis volume ≤ 3 ml

  • Any disease which is NOT part of the registered indications for GH treatment in Germany

  • Written informed consent from both parents and from the patients if she/he is able to receive and understand the information

  • GH treatment requested by an expert in pediatric endocrinology

Exclusion Criteria:
  • Participation in any other clinical study

  • Unable to follow the and/or comprehend the protocol ( e.g. severe mental retardation)

  • Previous history of intolerance or hypersensitivity to the study drug

  • History of malignancy

  • Chromosomal anomalies with increased risk for malignancy

Contacts and Locations

Locations

Site City State Country Postal Code
1 Kinderklinik, Universitätsklinikum der RWTH Aachen, Pauwelsstraße 30 Aachen Germany 52074
2 Klinik und Poliklinik für Kinder und Jugendliche der Technischen Universität Dresden, Fetscherstr. 74 Dresden Germany 01307
3 Klinik für Kinder und Jugendliche, Schwerpunkt Kinder-Endokrinologie und - Diabetologie, Loschgestr. 15 Erlangen Germany 91054
4 Klinik für Päd. Hämatologie, Onkologie und Endokrinologie, Zentrum für Kinderheilkunde, der Universität Duisburg-Essen, Hufelandstrasse 55 Essen Germany 45122
5 Kinder- und Jugendärztin, Pippinplatz 4 Gauting Germany 82131
6 Endokrinologikum Hamburg, Lornsenstrasse 4 - 6 Hamburg Germany 22767
7 Kinderarztpraxis, Brabeckstrasse 153 Hannover Germany 30539
8 Universitätsklinik für Kinder- und Jugendliche, Abt. Kinderheilkunde, Im Neuenheimer Feld 430 Heidelberg Germany 69120
9 Universitätsklinik für Kinder- und Jugendmedizin, Kirrberger Strasse Homburg/Saar Germany 66421
10 Klinik u. Poliklinik für Kinder und Jugendliche, Med. Einrichtungen der Universität Köln, Joseph-Stelzmann-Strasse 9 Köln Germany 50931
11 Zentrum für Frauen und Kindermedizin, Liebigstrasse 20 a Leipzig Germany 04103
12 Klinik für Allgemeine Pädiatrie und Neonatologie, Otto-von-Guericke-Universität Magdeburg, Leipziger Straße 44 Magdeburg Germany 39112
13 Klinik für Kinderheilkunde und Jugendmedizin, Sektion Pädiatrische Endokrinologie, Hoppe-Seyler-Straße 1 Tübingen Germany 72076

Sponsors and Collaborators

  • University of Erlangen-Nürnberg Medical School

Investigators

  • Study Chair: Helmuth-Günther Doerr, Prof. Dr., Friedrich-Alexander-Universität Erlangen-Nürnberg

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT00488124
Other Study ID Numbers:
  • NRA6280030
First Posted:
Jun 19, 2007
Last Update Posted:
Dec 14, 2020
Last Verified:
Dec 1, 2020
Keywords provided by , ,
Additional relevant MeSH terms:

Study Results

No Results Posted as of Dec 14, 2020