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Puberty, PrecociousNCT02790112

Long-term Outcome of GnRH Analogues Treatment of Children With Idiopathic Central Precocious Puberty

A study testing GnRHas in people with Puberty, Precocious and Adiposity, run by Cliniques universitaires Saint-Luc- Université Catholique de Louvain at 1 site in Belgium.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study evaluates the influence of early adiposity rebound, genetic polymorphisms and GnRHa treatment on long-term outcome of girls with idiopathic central precocious puberty. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Puberty, Precocious, Adiposity
What is being tested?
GnRHas
Could I receive a placebo?
No, everyone receives an active treatment
How many people
418 participants
Where
1 siteBelgium
Study dates
Apr 2016to Oct 2018
Phase
Interventional
Are there results?
None posted in the registry

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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • History of idiopathic CPP (ICPP) treated with GnRHas.
  • A diagnosis of CPP made according to the following criteria: 1) secondary pubertal signs (Tanner stage 2) before 8 years in girls and 9 years in boys; 2) accelerated growth velocity (GV); 3) BA advanced for CA ≥ 1 year; 4) GnRH-stimulated peak LH >5 IU/L.
  • A diagnosis of idiopathic CPP according the following criteria: 1) no hypothalamic-pituitary organic lesions at magnetic resonance imaging; 2) no known medical condition that might affect the onset of puberty.
  • To determine whether the supposed long-term effects of treatment are instead consequences of the disease itself, untreated ICPP girls aged of ≥ 18 years, will also be included. For comparative purposes, age-matched normal (menarche > 10 y) volunteers will be recruited as a control group.

Who cannot join

  • In the treated ICCP group if 1) treatment with GnRHas for < 2 years; 2) non-compliance; 3) no gonadotropin suppression observed.
  • For all patients: 4) small for gestational age; 5) chronic disease and/or treatment; 6) being < 4 years from menarche.

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • Cliniques Universitaires Saint-Luc

    Brussels, Brussels Capital, 1200

Other trials in Belgium

About this study

Official title: Influence of Early Adiposity Rebound, Genetic Polymorphisms and GnRHa Treatment on Long-term Outcome of Girls With Idiopathic Central Precocious Puberty.

This study evaluates the influence of early adiposity rebound, genetic polymorphisms and GnRHa treatment on long-term outcome of girls with idiopathic central precocious puberty.

Read the detailed description

Gonadotropin-releasing hormone (GnRH) analogs are the mainstay of treatment for central precocious puberty (CPP) since 1985. The relatively short time period elapsed since the introduction of this therapy has not allowed until now to carry out exhaustive studies on the long-term evolution of treated patients. This project will analyze the long-term outcomes of patients with CPP treated or not with GnRHas on adult height, body mass index, body composition, metabolic disorders, bone mineralization, gonadal function, and fertility in comparison to a control group. Overweight before puberty is associated to earlier menarche, and conversely, earlier menarche predispose to adult obesity and metabolic disorders. Nevertheless, it is unclear if adult adiposity is a direct consequence of early puberty or if early puberty is a marker of a predisposition to excess adiposity from prepuberty through adult life. Recent data in rodent models support the hypothesis that early nutritional status determines a risk for both childhood and adult obesity and influences pubertal timing. In girls, early weight gain in childhood has been associated with early menarche. Pattern of growth rather than absolute level of fatness seem to be of most importance. So the first aim of this study is to compare the outcomes of CCP patients with or without an early adiposity rebound and to demonstrate that adiposity rebound more than CPP per se or the GnRHas therapy affect the outcomes. Moreover, recent genome-wide association studies have identified obesity-related gene variants associated with earlier age at menarche. The investigators hypothesized that there might be a genetic basis underlying the early programming of both childhood and adulthood adiposity and puberty timing. The investigators thus aim to determine if those obesity-related gene variants associated with an early but not precocious menarche could also be found in CPP, especially in girls with an early adiposity rebound and if their presence may affect adult health.

Being tested
GnRHas
Keywords
Body Mass Index, Body Composition, Glucose Metabolism Disorders, Bone Development, Gonadal Disorders, Fertility, Overweight, Obesity, Menarche
Medical subject headings
Puberty, Precocious, Obesity, Glucose Metabolism Disorders, Gonadal Disorders, Overweight

What participants receive

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

  • GnRHasOther

    Influence of early adiposity rebound, genetic polymorphisms and GnRHa treatment on long-term outcome of treated and untreated girls with idiopathic central precocious compared to a control group.

    puberty.

Study groups in NCT02790112
Study groupRoleWhat they receive
GnRHas - Not GnRHas patientsOtherCompared long term outcome of treated and untreated patients with idiopathic central precocious puberty : hormonal assessment; DNA for candidate single nucleotide polymorphisms (SNP) analyses; pelvic ultrasound; dual energy x-ray absorptiometry (DXA)
Receives: Other: GnRHas
GnRHas - controls patientsOtherCompared long term outcome of treated patients with idiopathic central precocious puberty and control patients for: hormonal assessment; DNA for candidate single nucleotide polymorphisms (SNP) analyses; pelvic ultrasound; dual energy x-ray absorptiometry (DXA)
Receives: Other: GnRHas
Not GnRHas - Controls patientsOtherCompared long term outcome of untreated patients with idiopathic central precocious puberty and control patients for: hormonal assessment; DNA for candidate single nucleotide polymorphisms (SNP) analyses; pelvic ultrasound; dual energy x-ray absorptiometry (DXA)
Receives: Other: GnRHas

What is being measured

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

  1. Single nucleotide polymorphisms (SNP) analyses

    DNA analyses

    Measured: 1 day

Secondary outcomes (32)
  1. Adult height in meters

    Measured at consultation

    Measured: 1 day

  2. Body mass index in kg/m2

    Calculated at consultation

    Measured: 1 day

  3. Body composition in %

    Dual energy x-ray absorptiometry (DXA): fat (visceral) and lean mass.

    Measured: 1 day

  4. Glucose in mg/dl

    Fasting blood sampling

    Measured: 1 day

  5. Total Cholesterol in mg/dl

    Fasting blood sampling

    Measured: 1 day

  6. LDL-Cholesterol in mg/dl

    Metabolic assessment (fasting blood sampling)

    Measured: 1 day

  7. HDL-Cholesterol in mg/dl

    Fasting blood sampling

    Measured: 1 day

  8. Insulin in microU/ml

    Fasting blood sampling

    Measured: 1 day

  9. Total bone mineralization in Tscore

    Dual energy x-ray absorptiometry (DXA):

    Measured: 1 day

  10. Lumbar bone mineralization in Tscore

    Dual energy x-ray absorptiometry (DXA):

    Measured: 1 day

  11. Femoral neck bone mineralization in Tscore

    Dual energy x-ray absorptiometry (DXA):

    Measured: 1 day

  12. Ovaries volume in ml

    Pelvic ultrasound (at 2nd-5th day of the menstrual cycle)

    Measured: 1 day

  13. Ovaries follicles diameter in mm

    Pelvic ultrasound (at 2nd-5th day of the menstrual cycle)

    Measured: 1 day

  14. Chronic anovulation in number

    Number of mentruals cycles in a year

    Measured: 1 day

  15. SHBG by nmol/l

    Metabolic assessment (blood sampling before 10 am at the 2nd-5th day of the menstrual cycle or after 2 months of amenorrhea)

    Measured: 1 day

  16. Total serum testosterone by ng/dl

    Metabolic assessment (blood sampling before 10 am at the 2nd-5th day of the menstrual cycle or after 2 months of amenorrhea)

    Measured: 1 day

  17. Ovaries follicles counting

    Pelvic ultrasound (at 2nd-5th day of the menstrual cycle)

    Measured: 1 day

  18. Abdominal perimeter in cm

    Measured at consultation

    Measured: 1 day

  19. Hip perimeter in cm

    Measured at consultation

    Measured: 1 day

  20. Blood pressure in mmHg

    Measured at consultation

    Measured: 1 day

  21. Testicular volume in ml

    Measured at consultation

    Measured: 1 day

  22. LH in IU/L

    Metabolic assessment (blood sampling before 10 am at the 2nd-5th day of the menstrual cycle or after 2 months of amenorrhea)

    Measured: 1 day

  23. FSH in IU/L

    Metabolic assessment (blood sampling before 10 am at the 2nd-5th day of the menstrual cycle or after 2 months of amenorrhea)

    Measured: 1 day

  24. Oestradiol in ng/dl

    Metabolic assessment (blood sampling before 10 am at the 2nd-5th day of the menstrual cycle or after 2 months of amenorrhea)

    Measured: 1 day

  25. DHEAS in micromol/l

    Metabolic assessment (blood sampling before 10 am at the 2nd-5th day of the menstrual cycle or after 2 months of amenorrhea)

    Measured: 1 day

  26. 17 hydroxyprogesterone in ng/ml

    Metabolic assessment (blood sampling before 10 am at the 2nd-5th day of the menstrual cycle or after 2 months of amenorrhea)

    Measured: 1 day

  27. Anti-Müllerian Hormone in ng/ml

    Metabolic assessment (blood sampling before 10 am at the 2nd-5th day of the menstrual cycle or after 2 months of amenorrhea)

    Measured: 1 day

  28. Inhibine in pg/ml

    Metabolic assessment (blood sampling before 10 am at the 2nd-5th day of the menstrual cycle or after 2 months of amenorrhea)

    Measured: 1 day

  29. Prolactine in microgr/L

    Metabolic assessment (blood sampling before 10 am at the 2nd-5th day of the menstrual cycle or after 2 months of amenorrhea)

    Measured: 1 day

  30. Uterine diameter in mm

    Pelvic ultrasound (at 2nd-5th day of the menstrual cycle)

    Measured: 1 day

  31. Uterine volume in ml

    Pelvic ultrasound (at 2nd-5th day of the menstrual cycle)

    Measured: 1 day

  32. Endometrius thickness in mm

    Pelvic ultrasound (at 2nd-5th day of the menstrual cycle)

    Measured: 1 day

Timeline

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

  1. First posted3 Jun 2016 (estimated)
  2. Study startApr 2016
  3. Primary completionApr 2016
  4. Study completionOct 2018 (estimated)

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 N/A
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Factorial
Masking
None (open label)
Enrolment
418 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02790112
Sponsor's protocol ID
2015/14OCT/549
Other IDs
RESEARCH GRANT
Status last verified
May 2016
First submitted
25 Apr 2016
Last updated
3 Jun 2016
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Yes: De-identified individual participant data for some outcome measures will be made available within 6 months of study recruitment for the Belgian Study Group for Pediatric Endocrinology.

Publications

  • Lee JM, Appugliese D, Kaciroti N, Corwyn RF, Bradley RH, Lumeng JC. Weight status in young girls and the onset of puberty. Pediatrics. 2007 Mar;119(3):e624-30. doi: 10.1542/peds.2006-2188.

    PubMed 17332182
  • Lakshman R, Forouhi NG, Sharp SJ, Luben R, Bingham SA, Khaw KT, Wareham NJ, Ong KK. Early age at menarche associated with cardiovascular disease and mortality. J Clin Endocrinol Metab. 2009 Dec;94(12):4953-60. doi: 10.1210/jc.2009-1789. Epub 2009 Oct 30.

    PubMed 19880785
  • Parent AS, Franssen D, Fudvoye J, Pinson A, Bourguignon JP. Current Changes in Pubertal Timing: Revised Vision in Relation with Environmental Factors Including Endocrine Disruptors. Endocr Dev. 2016;29:174-84. doi: 10.1159/000438885. Epub 2015 Dec 17.

    PubMed 26680578
  • Sorensen K, Mouritsen A, Aksglaede L, Hagen CP, Mogensen SS, Juul A. Recent secular trends in pubertal timing: implications for evaluation and diagnosis of precocious puberty. Horm Res Paediatr. 2012;77(3):137-45. doi: 10.1159/000336325. Epub 2012 Apr 12.

    PubMed 22508036
  • Copeland W, Shanahan L, Miller S, Costello EJ, Angold A, Maughan B. Outcomes of early pubertal timing in young women: a prospective population-based study. Am J Psychiatry. 2010 Oct;167(10):1218-25. doi: 10.1176/appi.ajp.2010.09081190. Epub 2010 May 17.

    PubMed 20478880
  • Carel JC, Eugster EA, Rogol A, Ghizzoni L, Palmert MR; ESPE-LWPES GnRH Analogs Consensus Conference Group; Antoniazzi F, Berenbaum S, Bourguignon JP, Chrousos GP, Coste J, Deal S, de Vries L, Foster C, Heger S, Holland J, Jahnukainen K, Juul A, Kaplowitz P, Lahlou N, Lee MM, Lee P, Merke DP, Neely EK, Oostdijk W, Phillip M, Rosenfield RL, Shulman D, Styne D, Tauber M, Wit JM. Consensus statement on the use of gonadotropin-releasing hormone analogs in children. Pediatrics. 2009 Apr;123(4):e752-62. doi: 10.1542/peds.2008-1783. Epub 2009 Mar 30.

    PubMed 19332438
  • Klein KO, Barnes KM, Jones JV, Feuillan PP, Cutler GB Jr. Increased final height in precocious puberty after long-term treatment with LHRH agonists: the National Institutes of Health experience. J Clin Endocrinol Metab. 2001 Oct;86(10):4711-6. doi: 10.1210/jcem.86.10.7915.

    PubMed 11600530
  • Brito VN, Latronico AC, Cukier P, Teles MG, Silveira LF, Arnhold IJ, Mendonca BB. Factors determining normal adult height in girls with gonadotropin-dependent precocious puberty treated with depot gonadotropin-releasing hormone analogs. J Clin Endocrinol Metab. 2008 Jul;93(7):2662-9. doi: 10.1210/jc.2007-2183. Epub 2008 May 6.

    PubMed 18460564
  • Lazar L, Lebenthal Y, Yackobovitch-Gavan M, Shalitin S, de Vries L, Phillip M, Meyerovitch J. Treated and untreated women with idiopathic precocious puberty: BMI evolution, metabolic outcome, and general health between third and fifth decades. J Clin Endocrinol Metab. 2015 Apr;100(4):1445-51. doi: 10.1210/jc.2014-3748. Epub 2015 Feb 4.

    PubMed 25650898
  • Magiakou MA, Manousaki D, Papadaki M, Hadjidakis D, Levidou G, Vakaki M, Papaefstathiou A, Lalioti N, Kanaka-Gantenbein C, Piaditis G, Chrousos GP, Dacou-Voutetakis C. The efficacy and safety of gonadotropin-releasing hormone analog treatment in childhood and adolescence: a single center, long-term follow-up study. J Clin Endocrinol Metab. 2010 Jan;95(1):109-17. doi: 10.1210/jc.2009-0793. Epub 2009 Nov 6.

    PubMed 19897682
  • Franceschi R, Gaudino R, Marcolongo A, Gallo MC, Rossi L, Antoniazzi F, Tato L. Prevalence of polycystic ovary syndrome in young women who had idiopathic central precocious puberty. Fertil Steril. 2010 Mar 1;93(4):1185-91. doi: 10.1016/j.fertnstert.2008.11.016. Epub 2009 Jan 9.

    PubMed 19135667
  • Barker DJ, Osmond C, Forsen TJ, Kajantie E, Eriksson JG. Trajectories of growth among children who have coronary events as adults. N Engl J Med. 2005 Oct 27;353(17):1802-9. doi: 10.1056/NEJMoa044160.

    PubMed 16251536
  • Brockenbrough JS, Meyer SA, Li CX, Jirtle RL. Reversible and phorbol ester-specific defect of protein kinase C translocation in hepatocytes isolated from phenobarbital-treated rats. Cancer Res. 1991 Jan 1;51(1):130-6.

    PubMed 1988078
  • Canoy D, Beral V, Balkwill A, Wright FL, Kroll ME, Reeves GK, Green J, Cairns BJ; Million Women Study Collaborators*. Age at menarche and risks of coronary heart and other vascular diseases in a large UK cohort. Circulation. 2015 Jan 20;131(3):237-44. doi: 10.1161/CIRCULATIONAHA.114.010070. Epub 2014 Dec 15.

    PubMed 25512444
  • Colmenares A, Gunczler P, Lanes R. Higher prevalence of obesity and overweight without an adverse metabolic profile in girls with central precocious puberty compared to girls with early puberty, regardless of GnRH analogue treatment. Int J Pediatr Endocrinol. 2014;2014(1):5. doi: 10.1186/1687-9856-2014-5. Epub 2014 Apr 17.

    PubMed 24742263

Questions about this trial

What is this clinical trial studying?

A study testing GnRHas in people with Puberty, Precocious and Adiposity, run by Cliniques universitaires Saint-Luc- Université Catholique de Louvain at 1 site in Belgium.

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 4 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: status not confirmed, as of the sponsor's last update on 3 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Belgium. 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?

Results are not available in the source record.

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?

Single nucleotide polymorphisms (SNP) analyses (time frame: 1 day). 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 NCT02790112, which also lists 23 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 3 Jun 2016.

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