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IGF1 DeficiencyNCT00903110

Global Patient Registry to Monitor Long-term Safety and Effectiveness of Increlex® in Children and Adolescents With Severe Primary Insulin-like Growth Factor-1 Deficiency (SPIGFD).

An observational study of IGF1 Deficiency, run by Esteve Pharmaceuticals, S.A. at 58 sites in 11 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The Increlex® Global Registry is a descriptive, multicenter, observational, prospective, open-ended, non interventional, post-authorisation surveillance registry. The main purpose of this global registry is to collect, analyse and report safety data during and up to at least 5 years after the end of treatment in… Read more about this study

Who is it for?
Ages 2 to 18 years
Conditions the study is for
IGF1 Deficiency
What is being tested?
Increlex®
Type of treatment
Injection or infusion
How many people
500 participants
Where
58 sitesin 11 countries
Study dates
9 Dec 2008to 31 Dec 2027
How long will I take part?
5 Years
Phase
Observational
Are there results?
Not yet: the study is under way

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 2 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Study population: Children and adolescents with Growth Failure due to Severe Primary IGF-1 Deficiency

Who may be able to join

  • For US : patients starting or planning to start or currently receiving treatment with Increlex® therapy for severe primary IGF-1 deficiency as defined by the US Increlex® prescribing information or for growth hormone (GH) gene deletion who have developed neutralizing antibodies to GH.For EU : patients starting or planning to start or currently receiving treatment with Increlex® therapy according to the locally approved product information.
  • Parents or legally authorized representatives if applicable must give signed informed consent before any registry-related activities are conducted. Assent from the subject should also be obtained as appropriate

Who cannot join

  • Subject currently participating in an Increlex® clinical trial
  • Subject currently participating in any clinical trial for growth retardation
  • Patient with any contraindication to Increlex® or any condition subject to special warning as per the locally approved label
  • For US patients, these include patients with hypersensitivity to the active substance or any of the excipients, patients with active or suspected neoplasia and patients with closed epiphyses.
  • For EU patients: these include patients with hypersensitivity to the active substance or any of the excipients, patients with active or suspected neoplasia or any condition or medical history which increases the risk of benign or malignant neoplasia and patients with closed epiphyses

Trial locations and contacts

58 sites in 11 countries. Contact the study team or a site near you to ask about taking part.

Esteve Global Clinical Development contact

increlexregistry@esteve.com

58 sites in 11 countries

France13 sites, 10 recruiting
  • Hôpital Amiens-Picardie

    Amiens, 80080

    Terminated
  • Centre Hospitalier de Blois

    Blois, 41000

    Recruiting
  • Hôpital Jean Verdier

    Bondy, 93140

    Recruiting
  • Hôpital Femme Mère-Enfant

    Bron, 69500

    Recruiting
  • Hôpital Estaing

    Clermont-Ferrand, 63100

    Recruiting
  • Hôpital Timone Enfants

    Marseille, 13005

    Recruiting
  • Hôpital Arnaud de Villeneuve

    Montpellier, 34090

    Recruiting
  • GHR Mulhouse Sud-Alsace

    Mulhouse

    Terminated
  • Pole medical Bel'Air

    Mulhouse

    Recruiting
  • CHU Lenval

    Nice, 06200

    Withdrawn
  • Hôpital Necker Enfants Malades

    Paris, 75015

    Recruiting
  • Hôpital Kremlin Bicetre

    Paris, 97270

    Recruiting
  • Hôpital des Enfants

    Toulouse, 31300

    Recruiting

Other trials in France

Italy10 sites, 8 recruiting
  • Diabetologia Pediatrica Azienda Ospedaliero-Universitaria

    Ancona

    Not yet recruiting
  • Ospedale di Bolzano

    Bolzano, 39100

    Recruiting
  • Spedali Civili di Brescia

    Brescia, 25100

    Terminated
  • Azienda ospedaliera universitaria Meyer

    Florence, 50139

    Not yet recruiting
  • I.R.C.C.S. Giannina Gaslini

    Genova, 16147

    Recruiting
  • Azienda Ospedaliera Universitaria II

    Naples, 80138

    Not yet recruiting
  • Azienda Ospedaliera-Universitaria di Parma

    Parma

    Not yet recruiting
  • U.O. Pediatria e Neonatologia Ospedale di Macerata

    Province of Macerata

    Terminated
  • Azienda USL-IRCCS

    Reggio Emilia

    Recruiting
  • Ospedale Pediatrico Bambino Gesù

    Roma, 00165

    Recruiting

Other trials in Italy

United States7 sites, 5 recruiting
  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

    Recruiting
  • UT Southwestern Medical Center

    Dallas, Texas, 75390

    Not yet recruiting
  • University of Miami Leonard M Miller

    Miami, Florida, 33136

    Recruiting
  • University Of Miami Leonard M. Miller

    Miami, Florida, 33136

    Recruiting
  • D&H National Research Centers

    Miami, Florida, 33155

    Withdrawn
  • Children's Hospital of Orange County

    Orange, California, 92868

    Recruiting
  • Children's Health Specialty Center West Plano

    Plano, Texas, 75093

    Withdrawn

Other trials in United States

Poland6 sites, 6 recruiting
  • Samodzielny Publiczny Dzieciecy Szpital Kliniczny

    Bialystok, 15-274

    Recruiting
  • Uniwersyteckie Centrum Kliniczne

    Gdansk, 80-294

    Recruiting
  • Uniwersytecki Szpital Dziecięcy w Lublinie

    Lublin, 20-093

    Recruiting
  • Szpital kliniczny im. Karola Jonschnera

    Poznan, 60-572

    Recruiting
  • Kliniczny Szpital Wojewódzki

    Rzeszów, 35-301

    Recruiting
  • Pomeranian Medical University

    Szczecin

    Recruiting

Other trials in Poland

Spain6 sites, 5 recruiting
  • Hospital Univ Vall d'Hebrón

    Barcelona, 08035

    Terminated
  • Hospital Parc Taulí de Sabadell

    Barcelona, 08208

    Recruiting
  • Hospital Sant Joan de Déu

    Barcelona, 08950

    Recruiting
  • Hospital Univ. de Cruces

    Bilbao, 48903

    Recruiting
  • Hospital Universitari Sant Joan de Reus

    Reus, 43204

    Recruiting
  • Hospital Universitario y Politécnico La Fe

    Valencia, 46026

    Recruiting

Other trials in Spain

United Kingdom6 sites, 4 recruiting
  • Royal Belfast Hospital for Sick Children

    Belfast, BT12 6BA

    Recruiting
  • Birmingham Children's Hospital

    Birmingham, B4 6NH

    Terminated
  • Leeds General Infirmary

    Leeds, LS1 3EX

    Recruiting
  • The Royal London Hospital

    London, E1 1FR

    Recruiting
  • Great Ormond Street Hospital

    London, WC1N 3JH

    Recruiting
  • Royal Manchester Children's Hospital

    Manchester, M13 0JH

    Terminated

Other trials in United Kingdom

Germany5 sites, 3 recruiting
  • Universitätsklinikum Erlangen Kinder- und Jugendklinik

    Erlangen, 91054

    Recruiting
  • Universitätsklinikum Heidelberg Kinderheilkunde

    Heidelberg, 69120

    Recruiting
  • Universitätskliniken des Saarlandes Kinderklinik

    Homburg, 66424

    Recruiting
  • Klinikum der Otto von Guericke Universität

    Magdeburg, 39120

    Terminated
  • Klinikum Oldenburg

    Oldenburg, 26133

    Terminated

Other trials in Germany

Sweden2 sites, 2 recruiting
  • Linköping University Hospital

    Linköping, 57850

    Recruiting
  • Karolinska Universitetssjukhuset

    Stockholm, 17176

    Recruiting

Other trials in Sweden

Austria1 site, 1 recruiting
  • Salzkammergut-Klinik Vöcklabruck

    Vöcklabruck, A-4840

    Recruiting

Other trials in Austria

French Guiana1 site
  • Hôpital de Cayenne

    Cayenne, 97306

    Withdrawn

Other trials in French Guiana

Martinique1 site, 1 recruiting
  • Hôpital Pierre Zobda Quitman

    Fort-de-France, 97200

    Z

    Recruiting

Other trials in Martinique

About this study

The Increlex® Global Registry is a descriptive, multicenter, observational, prospective, open-ended, non interventional, post-authorisation surveillance registry.

The main purpose of this global registry is to collect, analyse and report safety data during and up to at least 5 years after the end of treatment in children and adolescents receiving Increlex® therapy for SPIGFD according to the locally approved product information.

Read the detailed description

This registry is a Post-Authorisation Safety Study called the Increlex® Global Registry which is intended primarily to monitor the safety of Increlex® therapy in children and adolescents with Severe Primary IGF-1 Deficiency and secondly to follow the effectiveness of this treatment. Patients who have already started Increlex® therapy before entering this registry may be included and data will be collected retrospectively.

The countries participating in this registry are Austria, France, Germany, Italy, Poland, Spain, Sweden, United Kingdom and the USA

Conditions
IGF1 Deficiency
Being tested
Increlex®
Medical subject headings
Insulin-Like Growth Factor I Deficiency

What participants receive

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

  • Increlex®Drug

    Increlex® (mecasermin [rDNA origin] injection), 10 mg/ml solution for injection, 40-120mcg/kg BID or 0,04 to 0,12 mg/kg BID, as prescribed by physician

What is being measured

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

  1. Incidence of SAEs (including AESI of neoplasia) and all AEs, targeted AEs, deaths and withdrawals due to AEs.

    Targeted AE includes hypersensitivity; scoliosis; immunogenicity (presence of antibodies if available); slipped capital femoral epiphysis, headache, otitis media, papilloedema, hypoglycaemia (suspected or documented - documented means blood level glucose < 50 mg/dL or 2.78 mmol/L), acromegalic facial changes, gynaecomastia, hearing loss, intracranial hypertension, lipohypertrophy at injection sites, sleep apnoea, tonsillar hypertrophy, cardiomegaly, oedema and myalgia.

    Measured: During the treatment period up to 30 days after the last dose.

Secondary outcomes (21)
  1. Incidence of SAEs (including AESI of neoplasia), targeted AEs, all AEs, deaths, withdrawals due to AEs, special situations and concomitant medications

    In the overall population, and in the subset of children and adolescents exposed to Increlex® for at least 3 cumulative years excluding interruptions.

    Measured: Within 5 years post-treatment

  2. Incidence of special situations and concomitant medications

    Measured: During the treatment period an average of 5 years and within 5 years post-treatment

  3. Changes in height Standard Deviation Score (SDS)

    Measured: From baseline at least up to 5 years or until the final adult height is achieved.

  4. Height velocity

    Measured: From baseline at least up to 5 years or until the final adult height is achieved.

  5. Bone age development

    Measured: From baseline at least up to 5 years or until the final adult height is achieved

  6. Body mass index (BMI)

    Measured: From baseline at least up to 5 years or until the final adult height is achieved.

  7. Pubertal stage

    Measured: From baseline at least up to 5 years or until the final adult height is achieved.

  8. Estimation of differences between predicted adult height (PAH) and final adult height (FAH)

    Measured: From baseline at least up to 5 years or until the final adult height is achieved.

  9. Modelisation to identify predictive factors of height SDS change

    Measured: From baseline at least up to 5 years or until the final adult height is achieved.

  10. Modelisation to identify predictive factors of Height velocity

    Measured: From baseline at least up to 5 years or until the final adult height is achieved

  11. Modelisation to identify predictive factors of FAH

    Measured: From baseline at least up to 5 years or until the final adult height is achieved

  12. Modelisation to identify predictive factors of pubertal (Tanner) stage

    Measured: From baseline at least up to 5 years or until the final adult height is achieved

  13. Modelisation to identify predictive factors of bone age development

    Measured: From baseline at least up to 5 years or until the final adult height is achieved

  14. Dose of Increlex® administrated

    Measured: Periodically assessed during the study until treatment stop at least up to 5 years.

  15. Duration of Increlex exposure

    Measured: Periodically assessed during the study until treatment stop at least up to 5 years.

  16. Description of effectiveness parameters height SDS according to average dose received and according to dose ranges (e.g. 4 dose ranges (≤50, ]50-80], ]80-110], > 110 μg/kg BID)).

    This analysis will support the description of the lowest effective dose

    Measured: Periodically assessed during the study until treatment stop at least up to 5 years.

  17. Description of effectiveness parameters height velocity according to average dose received and according to dose ranges (e.g. 4 dose ranges (≤50, ]50-80], ]80-110], > 110 μg/kg BID)).

    This analysis will support the description of the lowest effective dose

    Measured: Periodically assessed during the study until treatment stop at least up to 5 years.

  18. Biological assessment : baseline GH concentrations, IGF-1 levels, IGFBP-3 levels and binding proteins.

    Measured: Throughout study at least up to 5 years.

  19. Presence or absence of gene deletion/mutation

    including: GH gene, IGF-1 gene, FGF, PTPN11, GHR, D3-GHR, STAT5b, ALS, SHOX, PAPPA2 and any other genetic tests performed.

    Measured: Throughout study at least up to 5 years.

  20. Changes in QoL assessment using EQ-5D in participant aged 4 and over.

    The QoL will be assessed using the EQ-5D-Y paediatric questionnaire. The 5 domains and VAS will be described at each timepoint as well as the evolution from baseline.

    Measured: At baseline, at year one, at least up to 5 years, at Final Adult Height.

  21. Description of neoplasia (benign and malignant) and hypoglycaemia

    Measured: Within the first 3 years after treatment start, between 3 and 5 years and over 5 years.

Timeline

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

  1. First posted15 May 2009 (estimated)
  2. Study start9 Dec 2008
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Case only
Time perspective
Other
Enrolment
500 participants (estimated)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT00903110
Sponsor's protocol ID
2-79-52800-002
Other IDs
EUPAS7708
Status last verified
Feb 2026
First submitted
30 Apr 2009
Last updated
6 Feb 2026
Results posted
No
Data monitoring committee
Yes

Publications

  • Ramon-Krauel M, Polak M, Maghnie M, Woelfle J, Sert C, Perrot V, Bang P. Near-Adult Height Outcomes in Patients Treated With rhIGF-1 for Severe Growth Failure: Real-World IGFD Registry Data. J Clin Endocrinol Metab. 2026 Jan 21;111(2):e500-e511. doi: 10.1210/clinem/dgaf390.

    PubMed 40626687
  • Bang P, Polak M, Bossowski A, Maghnie M, Argente J, Ramon-Krauel M, Sert C, Perrot V, Mazain S, Woelfle J. Frequency and Predictive Factors of Hypoglycemia in Patients Treated With rhIGF-1: Data From the Eu-IGFD Registry. J Clin Endocrinol Metab. 2023 Dec 21;109(1):46-56. doi: 10.1210/clinem/dgad479.

    PubMed 37579214
  • Bang P, Polak M, Perrot V, Sert C, Shaikh H, Woelfle J. Pubertal Timing and Growth Dynamics in Children With Severe Primary IGF-1 Deficiency: Results From the European Increlex(R) Growth Forum Database Registry. Front Endocrinol (Lausanne). 2022 Feb 18;13:812568. doi: 10.3389/fendo.2022.812568. eCollection 2022.

    PubMed 35250870
  • Bang P, Woelfle J, Perrot V, Sert C, Polak M. Effectiveness and safety of rhIGF1 therapy in patients with or without Laron syndrome. Eur J Endocrinol. 2021 Feb;184(2):267-276. doi: 10.1530/EJE-20-0325.

    PubMed 33434161

Questions about this trial

What is this clinical trial studying?

An observational study of IGF1 Deficiency, run by Esteve Pharmaceuticals, S.A. at 58 sites in 11 countries.

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 5 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: looking for participants now, as of the sponsor's last update on 6 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 sites in France, Italy, United States, Poland, Spain and 6 more countries. 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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Esteve Global Clinical Development (increlexregistry@esteve.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of SAEs (including AESI of neoplasia) and all AEs, targeted AEs, deaths and withdrawals due to AEs. (time frame: During the treatment period up to 30 days after the last dose.). 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 NCT00903110, which also lists 4 linked publications.

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 6 Feb 2026.

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