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Endocrine System DiseasesPhase 3NCT00174187

Treatment With Recombinant Human Growth Hormone (GH) in Children With Short Stature Secondary to a Long Term Corticoid Therapy

A Phase 3 study testing Somatropin in people with Endocrine System Diseases, run by Pfizer at 2 sites in France.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

To assess the effect of a long-term treatment by Genotonorm on linear growth in children with short stature receiving steroid therapy To assess the effect of a long term treatment with Genotonorm on bone mineralisation To assess the effect of a long term treatment with Genotonorm on body composition Read more about this study

Who is it for?
Ages 11 to 17 years
Conditions the study is for
Endocrine System Diseases
What is being tested?
Somatropin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
2 sitesFrance
Study dates
Sep 2000to Sep 2011
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 11 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Children with juvenile arthritis or nephrotic syndrome
  • Before or during puberty

Who cannot join

  • Diabetes Type 1 and 2
  • Endocrine disease, except well substituted hypothyroidism

Trial locations and contacts

2 sites in 1 country.

France2 sites
  • Pfizer Investigational Site

    Paris, 75019

  • Pfizer Investigational Site

    Paris, 75743

Other trials in France

About this study

Official title: Treatment With Recombinant Human Growth Hormone Genotonorm (Registered) in Children With Short Stature Secondary to a Long Term Corticoid Therapy. A Study of Efficacy and Safety.

  • To assess the effect of a long-term treatment by Genotonorm on linear growth in children with short stature receiving steroid therapy
  • To assess the effect of a long term treatment with Genotonorm on bone mineralisation
  • To assess the effect of a long term treatment with Genotonorm on body composition
Read the detailed description

This trial terminated on 10-Jun-2011 due to prolonged issues with drug accountability and data collection discrepancies. The decision to terminate was not based on any safety concerns.

Being tested
Somatropin
Medical subject headings
Endocrine System Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SomatropinDrug

    liquid, daily, until final height Dosage: 0,46 mg/kg/week . The maximum dose should not exceed 50 µg/Kg/day

Study groups in NCT00174187
Study groupRoleWhat they receive
SomatropinExperimentalNot described
Receives: Drug: Somatropin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Height Standard Deviation Score According to Chronological Age (SDS/CA) at Year 3

    Height was measured using a wall mounted device (example, Harpenden stadiometer). Height SDS/CA was obtained by measuring the height, subtracting chronological age- and gender-appropriate mean height and dividing the result by standard deviation of that mean (as obtained from chronological age- and gender-specific population reference data). SDS indicated how many standard deviations higher (in case of positive SDS) or lower (in case of negative SDS) participant's value was relative to the mean of the reference population.

    Measured: Baseline, Year 3

  2. Change From Baseline in Height Standard Deviation Score According to Chronological Age (SDS/CA) at Final Height

    Height was measured using a wall mounted device (example, Harpenden stadiometer). Height SDS/CA was obtained by measuring the height, subtracting chronological age- and gender-appropriate mean height and dividing the result by standard deviation of that mean (as obtained from chronological age- and gender-specific population reference data). SDS indicated how many standard deviations higher (in case of positive SDS) or lower (in case of negative SDS) participant's value was relative to the mean of the reference population.

    Measured: Baseline, when final height was reached (assessed up to Year 11)

  3. Change From Baseline in Weight Standard Deviation Score (SDS) at Final Height

    Body weight was measured using a balance scale. Weight SDS was obtained by measuring the weight, subtracting age- and gender-appropriate mean weight and dividing the result by standard deviation of that mean (as obtained from age- and gender-specific population reference data). SDS indicated how many standard deviations higher (in case of positive SDS) or lower (in case of negative SDS) participant's value was relative to the mean of the reference population.

    Measured: Baseline, when final height was reached (assessed up to Year 11)

  4. Puberty Stage at Final Height

    Pubertal stage (graded from I to V for breast development and pubic hair development) according to the Tanner's method was collected. A low stage (Stage I) corresponds to a pre-pubertal stage and a high stage (Stage V) to an adult stage.

    Measured: When final height was reached (assessed up to Year 11)

Secondary outcomes (21)
  1. Bone Age

    Bone age was determined by the Greulich and Pyle method using left wrist and hand X-ray.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  2. Lean Body Mass

    Lean body mass, a measurement of body composition, was assessed by Dual Energy X-ray Absorptiometry (DEXA) scan.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  3. Annual Percent Change in Lean Body Mass at Year 1, 2 and 3

    Lean body mass, a measurement of body composition, was assessed by DEXA scan. Annual percent change: (Lean body mass at current year minus lean body mass at previous year) divided by lean body mass at previous year, multiplied by 100.

    Measured: Baseline, Year 1, 2, 3

  4. Percent Change From Baseline in Lean Body Mass at Year 3

    Lean body mass, a measurement of body composition, was assessed by DEXA scan. Percent change: (Lean body mass at Year 3 minus lean body mass at baseline) divided by lean body mass at baseline, multiplied by 100.

    Measured: Baseline, Year 3

  5. Lean Body Mass as Percentage of Total Weight

    Lean body mass, a measurement of body composition, was assessed by DEXA scan.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  6. Lean Body Mass Standard Deviation Score According to Chronological Age (SDS/CA)

    Lean body mass was assessed by DEXA scan. Lean body mass SDS/CA was obtained by measuring lean body mass, subtracting the chronological age- and gender-appropriate mean lean body mass and dividing the result by standard deviation of that mean (as obtained from chronological age- and gender-specific population reference data). SDS indicated how many standard deviations higher (in case of positive SDS) or lower (in case of negative SDS) participant's value was relative to the mean of the reference population.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  7. Fat Mass

    Fat mass, a measurement of body composition, was assessed by DEXA scan.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  8. Annual Percent Change in Fat Mass at Year 1, 2 and 3

    Fat mass, a measurement of body composition, was assessed by DEXA scan. Annual percent change: (Fat mass at current year minus fat mass at previous year) divided by fat mass at previous year, multiplied by 100.

    Measured: Baseline, Year 1, 2, 3

  9. Percent Change From Baseline in Fat Mass at Year 3

    Fat mass, a measurement of body composition, was assessed by DEXA scan. Percent change: (Fat mass at Year 3 minus fat mass at baseline) divided by fat mass at baseline, multiplied by 100.

    Measured: Baseline, Year 3

  10. Fat Mass as Percentage of Total Weight

    Fat mass, a measurement of body composition, was assessed by DEXA scan.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  11. Fat Mass Standard Deviation Score According to Chronological Age (SDS/CA)

    Fat mass was assessed by DEXA scan. Fat mass SDS/CA was obtained by measuring fat mass, subtracting chronological age- and gender-appropriate mean fat mass and dividing the result by standard deviation of that mean (as obtained from chronological age- and gender-specific population reference data). SDS indicated how many standard deviations higher (in case of positive SDS) or lower (in case of negative SDS) participant's value was relative to the mean of the reference population.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  12. Apparent Bone Mineral Density of Lumbar Spine (BMAD [LS])

    BMAD (LS) was assessed by DEXA scan.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  13. Apparent Bone Mineral Density Standard Deviation Score of Lumbar Spine According to Chronological Age (BMAD [LS] [SDS/CA])

    BMAD (LS) was assessed by DEXA scan. BMAD (LS) (SDS/CA) was obtained by measuring the BMAD (LS), subtracting chronological age- and gender-appropriate mean BMAD (LS) and dividing the result by standard deviation of that mean (as obtained from chronological age- and gender-specific population reference data). SDS indicated how many standard deviations higher (in case of positive SDS) or lower (in case of negative SDS) participant's value was relative to the mean of the reference population.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  14. Apparent Bone Mineral Density Standard Deviation Score of Lumber Spine According to Tanner Puberty Stage (BMAD [LS] [SDS/Tanner Puberty Stage])

    BMAD (LS) was assessed by DEXA scan. BMAD (LS) (SDS/Tanner Puberty Stage) was obtained by measuring BMAD (LS), subtracting Tanner puberty stage- and gender-appropriate mean BMAD (LS) and dividing the result by standard deviation of that mean (as obtained from Tanner puberty stage- and gender-specific population reference data). SDS indicated how many standard deviations higher (in case of positive SDS) or lower (in case of negative SDS) participant's value was relative to the mean of the reference population.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  15. Bone Mineral Density of Total Body (BMD [TB])

    BMD (TB) was assessed by DEXA scan.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  16. Bone Mineral Density of Lumbar Spine (BMD [LS])

    BMD (LS) was assessed by DEXA scan.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  17. Bone Mineral Content of Total Body (BMC [TB])

    DEXA scan of BMC was used to evaluate potential bone effects of treatment. BMC is an estimate of the amount of mineral (such as calcium) in the bone.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  18. Annual Percent Change in Bone Mineral Content of Total Body (BMC [TB]) at Year 1, 2 and 3

    BMC is an estimate of the amount of mineral (such as calcium) in the bone. Annual percent change: (BMC [TB] at current year minus BMC [TB] at previous year) divided by BMC [TB] at previous year, multiplied by 100.

    Measured: Baseline, Year 1, 2, 3

  19. Percent Change From Baseline in Bone Mineral Content of Total Body (BMC [TB]) at Year 3

    BMC is an estimate of the amount of mineral (such as calcium) in the bone. Percent change: (BMC [TB] at Year 3 minus BMC [TB] at baseline) divided by BMC [TB] at baseline, multiplied by 100.

    Measured: Baseline, Year 3

  20. Bone Mineral Content Standard Deviation Score of Total Body According to Chronological Age (BMC [TB] [SDS/CA])

    BMC (TB) was measured by DEXA scan. BMC (TB) (SDS/CA) was obtained by measuring BMC (TB), subtracting the chronological age- and gender-appropriate mean BMC (TB) and dividing the result by standard deviation of that mean (as obtained from chronological age- and gender-specific population reference data). SDS indicated how many standard deviations higher (in case of positive SDS) or lower (in case of negative SDS) participant's value was relative to the mean of the reference population.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

  21. Bone Mineral Content Standard Deviation Score of Total Body According to Tanner Puberty Stage (BMC [TB] [SDS/Tanner Puberty Stage])

    BMC (TB) was measured by DEXA scan. BMC (TB) (SDS/Tanner Puberty Stage) was obtained by measuring BMC (TB), subtracting the Tanner puberty stage- and gender-appropriate mean BMC (TB) and dividing the result by standard deviation of that mean (as obtained from Tanner puberty stage- and gender-specific population reference data). SDS indicated how many standard deviations higher (in case of positive SDS) or lower (in case of negative SDS) participant's value was relative to the mean of the reference population.

    Measured: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Sep 2005 (estimated)
  2. Study startSep 2000
  3. Primary completionSep 2011
  4. Study completionSep 2011

Why it stopped: See termination reason in detailed description.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00174187
Sponsor's protocol ID
307-MET-9002-0009
Other IDs
A6281016
Status last verified
Nov 2012
First submitted
9 Sep 2005
Last updated
4 Dec 2012
Data monitoring committee
No

Publications

  • David H, Aupiais C, Louveau B, Quartier P, Jacqz-Aigrain E, Carel JC, Simon D. Growth Outcomes After GH Therapy of Patients Given Long-Term Corticosteroids for Juvenile Idiopathic Arthritis. J Clin Endocrinol Metab. 2017 Dec 1;102(12):4578-4587. doi: 10.1210/jc.2017-01455.

    PubMed 29029101

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Somatropin in people with Endocrine System Diseases, run by Pfizer at 2 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 4 Dec 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Dec 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Height Standard Deviation Score According to Chronological Age (SDS/CA) at Year 3 (time frame: Baseline, Year 3). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00174187, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Dec 2012.

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