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NCT01491854: SGA

Long-term Safety Follow-up After Growth Hormone Treatment of Short Children Born Small for Gestational Age

Terminated NA Results posted Last updated 14 August 2019
What this trial tests

NA trial testing Bloodsampling in Short Children Born Small for Gestational Age (SGA) in 130 participants. Terminated before completion.

Timeline
20 July 2009
Primary endpoint
31 October 2018
31 October 2018

Quick facts

Lead sponsorSandoz
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeother
Enrollment130
Start date20 July 2009
Primary completion31 October 2018
Estimated completion31 October 2018
Sites23 locations across Georgia, Germany, Poland, Hungary, Romania, Czechia

Drugs / interventions tested

Conditions studied

Sponsor

Sandoz — full company profile →

Who can join

4 and older, any sex, with Short Children Born Small for Gestational Age (SGA). Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Evaluate the Long-term Effect of Growth Hormone Treatment on the Development of Diabetes After End of Therapy. Primary · 5 years

Number of participants diagnosed with Diabetes mellitus type 2 during the study, defined as fullfilment of these 3 criteria: * FPG ≥ 126 mg/dl (7.0 mmol/L) during blood sampling and/or during Oral Glucose Tolerance Test (OGTT) * 2-h plasma glucose ≥ 200 mg/dl (11.1 mmol/L) during an OGTT * Investigator documenting diagnosis of diabetes mellitus type 2 during OGTT

GroupValue95% CI
Monitoring of Long-term Safety0
to Evaluate IGF-I and IGFBP-3 Levels After End of Growth Hormone Treatment Secondary · baseline, 6 months, 1 year , 5 years
IGF-1 baseline
GroupValue95% CI
Monitoring of Long-term Safety67.42± 31.137
IGF-1 6 months
GroupValue95% CI
Monitoring of Long-term Safety48.42± 20.002
IGF-1 1 year
GroupValue95% CI
Monitoring of Long-term Safety46.28± 21.555
IGF-1 5 years
GroupValue95% CI
Monitoring of Long-term Safety44.60± 16.035
IGFBP-3 baseline
GroupValue95% CI
Monitoring of Long-term Safety211.12± 49.523
IGFBP-3 6 months
GroupValue95% CI
Monitoring of Long-term Safety187.79± 42.999
IGFBP-3 1 year
GroupValue95% CI
Monitoring of Long-term Safety186.59± 47.246
IGFBP-3 5 years
GroupValue95% CI
Monitoring of Long-term Safety180.00± 26.470
To Evaluate the Incidence of Anti-rhGH Antibodies After Termination of Growth Hormone Treatment. Secondary · baseline, 6 months, 1 year, 5 years

number of participants with positive results for anti-drug antibody (ADA). Percentages indicated are calculated based on the total number of patients (118 participants).

baseline
GroupValue95% CI
Monitoring of Long-term Safety0
6 months
GroupValue95% CI
Monitoring of Long-term Safety1
1 year
GroupValue95% CI
Monitoring of Long-term Safety0
5 years
GroupValue95% CI
Monitoring of Long-term Safety0
To Evaluate the Long Term Effects of rhGH on Carbohydrate Metabolism Through Fasting Plasma Glucose (FPG) Levels Primary · baseline, 6 months, 1 year, 5 years

Supportive to Primary Endpoint

FPG baseline
GroupValue95% CI
Monitoring of Long-term Safety4.69± 0.492
FPG 6 months
GroupValue95% CI
Monitoring of Long-term Safety-0.13± 0.567
FPG 1 year
GroupValue95% CI
Monitoring of Long-term Safety-0.14± 0.457
FPG 5 years
GroupValue95% CI
Monitoring of Long-term Safety-0.37± 0.856
To Evaluate the Long Term Effects of rhGH on Carbohydrate Metabolism Through Fasting Insulin Levels Primary · baseline, 6 months, 1 year, 5 years

Supportive to Primary Endpoint

baseline
GroupValue95% CI
Monitoring of Long-term Safety70.87± 38.477
6 months
GroupValue95% CI
Monitoring of Long-term Safety-2.34± 38.267
1 year
GroupValue95% CI
Monitoring of Long-term Safety-7.48± 34.676
5 years
GroupValue95% CI
Monitoring of Long-term Safety3.40± 52.526
To Evaluate the Long Term Effects of rhGH on Carbohydrate Metabolism Through Glucose Glycolsylated Hemoglobin (HbA1c) Primary · baseline, 6 months, 1 year, 5 years

Supportive to Primary Endpoint

baseline
GroupValue95% CI
Monitoring of Long-term Safety5.280± 0.3569
6 months
GroupValue95% CI
Monitoring of Long-term Safety-0.057± 0.3621
1 year
GroupValue95% CI
Monitoring of Long-term Safety-0.108± 0.2931
5 years
GroupValue95% CI
Monitoring of Long-term Safety-0.308± 0.6036
to Evaluate Final Height Secondary · baseline, 6 months, 1 year, 5 years
baseline
GroupValue95% CI
Monitoring of Long-term Safety152.63± 16.362
6 months
GroupValue95% CI
Monitoring of Long-term Safety152.41± 16.894
1 year
GroupValue95% CI
Monitoring of Long-term Safety152.43± 16.698
5 years
GroupValue95% CI
Monitoring of Long-term Safety150.42± 12.938
To Evaluate the Long Term Effects of rhGH on Carbohydrate Metabolism Through HOMA and QUICKI Scores Primary · baseline, 6 months, 1 year, 5 years

Supportive to Primary Endpoint. HOMA = homeostasis model assessment for Insulin resistance: Healthy Range: 1.0 (0.5-1.4). \< 1.0 means you are insulin-sensitive which is optimal. \>1.9 indicates early insulin resistance. \> 2.9 indicates significant insulin resistance. The quantitative insulin sensitivity check index (QUICKI) measures insulin sensitivity, which is the inverse of insulin resistance. The QUICKI calculation for insulin resistance in humans fall broadly within a range between 0.45 for unusually healthy individuals and 0.30 in diabetics. Lower numbers reflect greater insulin resis

HOMA score baseline
GroupValue95% CI
Monitoring of Long-term Safety2.082± 1.0336
HOMA score 6 months
GroupValue95% CI
Monitoring of Long-term Safety-0.073± 1.1447
HOMA score 1 year
GroupValue95% CI
Monitoring of Long-term Safety-0.206± 1.0170
HOMA score 5 years
GroupValue95% CI
Monitoring of Long-term Safety0.094± 1.8835
QUICKI score baseline
GroupValue95% CI
Monitoring of Long-term Safety0.354± 0.0459
QUICKI score 6 months
GroupValue95% CI
Monitoring of Long-term Safety0.004± 0.0350
QUICKI score 1 year
GroupValue95% CI
Monitoring of Long-term Safety0.012± 0.0413
QUICKI score 5 years
GroupValue95% CI
Monitoring of Long-term Safety0.022± 0.0703

Adverse events — posted to ClinicalTrials.gov

Time frame: approximately 9 years. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Total
Serious: 8/118 (7%)
Deaths: 1/118

Serious adverse events (16 terms)

ReactionSystemTotal
SyncopeNervous system disorders
AnaemiaBlood and lymphatic system disorders
ArrhythmiaCardiac disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Hiatus herniaGastrointestinal disorders
Chronic tonsillitisInfections and infestations
NasopharyngitisInfections and infestations
PneumoniaInfections and infestations
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
Head injuryInjury, poisoning and procedural complications
SpondylolisthesisMusculoskeletal and connective tissue disorders
EpilepsyNervous system disorders
VIth nerve paralysisNervous system disorders
MenorrhagiaReproductive system and breast disorders
OligomenorrhoeaReproductive system and breast disorders
Other adverse events (7 terms — click to expand)

ReactionSystemTotal
NasopharyngitisInfections and infestations
PharyngitisInfections and infestations
HypothyroidismEndocrine disorders
Respiratory tract infectionInfections and infestations
Upper respiratory tract infectionInfections and infestations
AcneSkin and subcutaneous tissue disorders
HeadacheNervous system disorders

Most-reported serious reactions: Syncope, Anaemia, Arrhythmia, Gastrooesophageal reflux disease, Hiatus hernia, Chronic tonsillitis, Nasopharyngitis, Pneumonia.

Data from ClinicalTrials.gov NCT01491854 adverse events section.

Sponsor's own description

This study is performed as part of the Marketing Authorisation Holder's post-marketing pharmacovigilance plan to investigate the long-term safety, in particular the diabetogenic potential and immunogenicity of rhGH therapy in short children born small for gestational age (SGA).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. One-Year Data from a Long-Term Phase IV Study of Recombinant Human Growth Hormone in Short Children Born Small for Gestational Age.
    Schwarz HP, Birkholz-Walerzak D, Szalecki M, Walczak M, et al · · 2014 · cited 12× · PMID 24676989 · DOI 10.1007/s13554-014-0014-4

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