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Genetic DisorderNCT03435627

Post Marketing Surveillance on Long-term Use With Norditropin® (Short Stature Due to Noonan Syndrome)

An observational study of Genetic Disorder and Noonan Syndrome, run by Novo Nordisk A/S at 22 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to collect information about safety and effectiveness for long term use of Norditropin®. Participants will attend the medical institution according to usual practice and receive medical care, as agreed with the study doctor. Read more about this study

Who is it for?
Ages 3 years and older
Conditions the study is for
Genetic Disorder, Noonan Syndrome
What is being tested?
Somatropin
How many people
71 participants
Where
22 sitesJapan
Study dates
26 Feb 2018to 18 Jan 2022
Phase
Observational
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 3 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: A total of 60 patients (consisting of non-naïve patients who were previously enrolled in study: GHLIQUID-4020 and naïve patients enrolled after approval of the Noonan indication in Japan) are planned to be included in this study.

Who may be able to join

  • Signed informed consent obtained before any study-related activities (study-related activities are any procedure related to recording of data according to the protocol).
  • The decision to initiate treatment with commercially available Norditropin® has been made by the patient/Legally Acceptable Representative (LAR) and the treating physician before and independently from the decision to include the patient in this study.
  • For non-naïve patients; patients who were previously enrolled in study: GHLIQUID-4020.
  • For naïve patients; short stature due to Noonan syndrome diagnosed by the physician and a decision to initiate treatment with Norditropin® has been made by the patient/parent and the physician. At study sites, all patients will be registered consecutively from the first patient after approval date (consecutively registered system).
  • Male or female, 3 years old or over, bone age: less than 17 years old for male / less than 15 years old for female.

Who cannot join

  • Previous participation in this study. Participation is defined as having given informed consent in this study.
  • Known or suspected allergy to study products or related products.
  • In case of naïve patients, patients who have received growth hormone (GH) products for treatment of indication other than short stature due to Noonan syndrome before approval date of Noonan indication.

Trial locations and contacts

22 sites in 1 country.

22 sites in 1 country

Japan22 sites
  • Novo Nordisk Investigational Site

    Asahikawa, Hokkaido, 078-8510

  • Novo Nordisk Investigational Site

    Fukuoka, 830-0011

  • Novo Nordisk Investigational Site

    Kanagawa, 216-8511

  • Novo Nordisk Investigational Site

    Kanagawa, 232-8555

  • Novo Nordisk Investigational Site

    Kyoto, 602-8566

  • Novo Nordisk Investigational Site

    Kyoto, 629-2261

  • Novo Nordisk Investigational Site

    Maebashi-shi, Gunma, 371-8511

  • Novo Nordisk Investigational Site

    Miyazaki, 889-1692

  • Novo Nordisk Investigational Site

    Nagoya, Aichi, 467-8602

  • Novo Nordisk Investigational Site

    Niigata-shi, Niigata, 951 8520

  • Novo Nordisk Investigational Site

    Ōita, 879-5593

  • Novo Nordisk Investigational Site

    Osaka, 534-0021

  • Novo Nordisk Investigational Site

    Osaka, 594-1101

  • Novo Nordisk Investigational Site

    Saitama-shi, Saitama, 330-8777

  • Novo Nordisk Investigational Site

    Sapporo, Hokkaido, 065-8611

  • Novo Nordisk Investigational Site

    Sendai-shi, Miyagi, 980 8574

  • Novo Nordisk Investigational Site

    Shizuoka, 431-3192

  • Novo Nordisk Investigational Site

    Tochigi, 329-0498

  • Novo Nordisk Investigational Site

    Tokyo, 157 8535

  • Novo Nordisk Investigational Site

    Tokyo, 160-8582

  • Novo Nordisk Investigational Site

    Tokyo, 162-8666

  • Novo Nordisk Investigational Site

    Tokyo, 183-8561

Other trials in Japan

About this study

The purpose of this study is to collect information about safety and effectiveness for long term use of Norditropin®. Participants will attend the medical institution according to usual practice and receive medical care, as agreed with the study doctor.

Being tested
Somatropin
Medical subject headings
Genetic Diseases, Inborn, Noonan Syndrome

What participants receive

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

  • SomatropinDrug

    Participants will be treated with commercially available Norditropin® (somatropin) according to routine clinical practice at the discretion of the treating physician.

Study groups in NCT03435627
Study groupRoleWhat they receive
Norditropin® (naïve participants)The treatment period of Norditropin® for naïve participants will be up to 208 weeks.
Receives: Drug: Somatropin
Norditropin® (non-naïve participants)The treatment period of Norditropin® for non-naïve participants will be up to 442 weeks.
Receives: Drug: Somatropin

What is being measured

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

  1. Number of adverse drug reactions (ADR)

    Count of events

    Measured: Weeks 0-208

Secondary outcomes (43)
  1. Number of serious adverse drug reaction (SADR)

    Count of events

    Measured: Week 0-208

  2. Number of serious adverse event (SAE)

    Count of events

    Measured: Week 0-208

  3. Number of cardiac adverse event (AE)

    Count of events

    Measured: Week 0-208

  4. Change in insulin like growth factor I (IGF-I) for non-naïve patients

    Measured in ng/mL

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  5. Change in insulin like growth factor I (IGF-I) for naïve patients

    Measured in ng/mL

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  6. Change in insulin like growth factor I standard deviation score (IGF-I SDS) for non-naïve patients

    Presented as standard deviation (SD) score

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  7. Change in insulin like growth factor I standard deviation score (IGF-I SDS) for naïve patients

    Presented as SD score

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  8. Change in haemoglobin A1c (HbA1c) for non-naïve patients

    Measured in %

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  9. Change in haemoglobin A1c (HbA1c) for naïve patients

    Measured in %

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  10. Change in aspartate aminotransferase (AST) for non-naïve patients

    Measured in IU/L

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  11. Change in aspartate aminotransferase (AST) for naïve patients

    Measured in IU/L

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  12. Change in alanine aminotransferase (ALT) for non-naïve patients

    Measured in IU/L

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  13. Change in alanine aminotransferase (ALT) for naïve patients

    Measured in IU/L

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  14. Change in total cholesterol (T-CHO) for non-naïve patients

    Measured in mg/dL

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  15. Change in total cholesterol (T-CHO) for naïve patients

    Measured in mg/dL

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  16. Change in high-density lipoprotein cholesterol (HDL-C) for non-naïve patients

    Measured in mg/dL

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  17. Change in high-density lipoprotein cholesterol (HDL-C) for naïve patients

    Measured in mg/dL

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  18. Change in Low-density lipoprotein cholesterol (LDL-C) for non-naïve patients

    Measured in mg/dL

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  19. Change in Low-density lipoprotein cholesterol (LDL-C) for naïve patients

    Measured in mg/dL

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  20. Change in triglyceride (TG) for non-naïve patients

    Measured in mg/dL

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  21. Change in triglyceride (TG) for naïve patients

    Measured in mg/dL

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  22. Change in thyroid stimulation hormone(TSH) for non-naïve patients

    Measured in μU/mL

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  23. Change in thyroid stimulation hormone(TSH) for naïve patients

    Measured in μU/mL

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  24. Change in free triiodothyronine (FT-3) for non-naïve patients

    Measured in pg/mL

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  25. Change in free triiodothyronine (FT-3) for naïve patients

    Measured in pg/mL

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  26. Change in free thyroxine (FT-4) for non-naïve patients

    Measured in ng/mL

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  27. Change in free thyroxine (FT-4) for naïve patients

    Measured in ng/mL

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  28. Change in white blood cell (WBC) for non-naïve patients

    Measured in μ/L

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  29. Change in white blood cell (WBC) for naïve patients

    Measured in μ/L

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  30. Change in platelet (PLT) for non-naïve patients

    Measured in 10^4/μL

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  31. Change in platelet (PLT) for naïve patients

    Measured in 10^4/μL

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  32. Change in bone age (BA) for non-naïve patients

    Measured in year

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  33. Change in bone age (BA) for naïve patients

    Measured in year

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  34. Change in bone age/chronological age (BA/CA) for non-naïve patients

    Presented as ratio

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  35. Change in bone age/chronological age (BA/CA) for naïve patients

    Presented as ratio

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  36. Change in electrocardiogram (ECG) for non-naïve patients

    Assessment of change in ECG is measured by categories recorded in case report forms (CRFs): normal, abnormal not clinically significant and abnormal clinically significant.

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  37. Change in electrocardiogram (ECG) for naïve patients

    Assessment of change in ECG is measured by categories recorded in CRFs: normal, abnormal not clinically significant and abnormal clinically significant.

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  38. Change in height standard deviation score (HSDS) for non-naïve patients

    Presented as SD score

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  39. Change in height standard deviation score (HSDS) for naïve patients

    Presented as SD score

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  40. Height velocity standard deviation score (HVSDS) for non-naïve patients

    Presented as SD score

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  41. Height velocity standard deviation score (HVSDS) for naïve patients

    Presented as SD score

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

  42. Height velocity (HV) for non-naïve patients

    Measured in cm/year

    Measured: Weeks 0, 52, 104, 156, 208, 260, 312, 364, 416, and 442 weeks

  43. Height velocity (HV) for naïve patients

    Measured in cm/year

    Measured: Weeks 0, 52, 104, 156, and 208 weeks

Timeline

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

  1. First posted19 Feb 2018
  2. Study start26 Feb 2018
  3. Primary completion18 Jan 2022
  4. Study completion18 Jan 2022

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
Cohort
Time perspective
Prospective
Enrolment
71 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03435627
Sponsor's protocol ID
GHLIQUID-4358
Other IDs
U1111-1191-3084
Status last verified
Nov 2022
First submitted
31 Jan 2018
Last updated
14 Nov 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

Publications

  • Muroya K, Kawai M, Yamagishi H, Endo T, Pietropoli A, Ferran JM, Horikawa R. Long-term effectiveness and safety of daily growth hormone therapy in Japanese children with Noonan syndrome: a post-marketing surveillance study. Endocr J. 2026 Feb 2;73(2):229-241. doi: 10.1507/endocrj.EJ25-0116. Epub 2025 Nov 22.

    PubMed 41285480

Questions about this trial

What is this clinical trial studying?

An observational study of Genetic Disorder and Noonan Syndrome, run by Novo Nordisk A/S at 22 sites in Japan.

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 5 inclusion and 3 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: finished, as of the sponsor's last update on 14 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in Japan. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Number of adverse drug reactions (ADR) (time frame: Weeks 0-208). 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 NCT03435627, 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 14 Nov 2022.

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