Predictive Markers in Growth Hormone Deficiency (GHD) and Turner Syndrome (TS) Children Treated With SAIZEN®
A Phase IV Open-label Study of Predictive Markers in Growth Hormone Deficient and Turner Syndrome Pre-pubertal Children Treated With SAIZEN®
1 other identifier
interventional
318
12 countries
12
Brief Summary
The study aims at identifying the predictive markers after one month of Saizen therapy in Growth Hormone Deficiency (GHD) and Turner Syndrome children.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started May 2005
Typical duration for phase_4
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 31, 2005
CompletedFirst Submitted
Initial submission to the registry
November 18, 2005
CompletedFirst Posted
Study publicly available on registry
November 21, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2007
CompletedResults Posted
Study results publicly available
March 20, 2018
CompletedJune 26, 2018
March 1, 2018
2.3 years
November 18, 2005
August 24, 2017
March 23, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline in Insulin Like Growth Factor-1 Standard Deviation Score (IGF-1 SDS) at Month 1
IGF-1 SDS was calculated using the Elmlinger reference method. Change in within subject IGF-1 levels (standard deviation scores) at Month 1 from Baseline was assessed. Descriptive statistics were determined for the Baseline and Month 1 assessments, and also for the level of change between these two assessments. If either the Baseline or Month 1 IGF-1 level was missing, then the within-subject change in IGF-1 was assumed to be missing.
Baseline, Month 1
Secondary Outcomes (5)
Change From Baseline in Insulin-like Growth Factor Binding Protein - 3 (IGFBP-3) Level at Month 1
Baseline, Month 1
Change From Baseline in Fasting Glucose Levels at Month 1
Baseline, Month 1
Change From Baseline in Fasting Insulin Levels at Month 1
Baseline, Month 1
Change From Baseline in Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) at Month 1
Baseline, Month 1
Change From Baseline in Bone Alkaline Phosphatase Levels at Month 1
Baseline, Month 1
Study Arms (2)
Turner Syndrome (TS)
EXPERIMENTALGrowth Hormone Deficiency (GHD)
EXPERIMENTALInterventions
Subjects with TS will receive SAIZEN® as subcutaneous injection at a dose of 0.050 milligram per kilogram (mg/kg) of body weight per day (within the recommended dosage 0.045-0.050 mg/kg body weight) for a period of 1 month
Eligibility Criteria
You may qualify if:
- One of the following diagnoses and candidacy for SAIZEN® therapy:
- A) GHD: documented pre-established diagnosis of GHD with a growth hormone (GH) peak response of \<10 microgram per liter (mcg/L) with 2 GH stimulation tests, without priming with oestradiol.
- B) Turner syndrome: documented pre-established diagnosis by karyotype.
- Prepubertal status according to Tanner Pre-established history of normal thyroid function or adequate substitution for at least 3 months.
- Weight for stature within the population specific normal range (\>5th and \<95th percentiles) for gender Willingness and ability to comply with the protocol for the duration of the study.
- Parent's or guardian's written informed consent, given before any study related procedure that is not part of the subject's normal medical care, with the understanding that the subject or parent/guardian may withdraw consent at any time without prejudice to future medical care. If the child is old enough to read and write, a separate assent form will be given.
You may not qualify if:
- Acquired GHD due to central nervous system tumour, trauma, infection, infiltration (documented by imaging), and history of irradiation or cranial surgery
- Previous treatment with GH, growth hormone-releasing hormone (GHRH), anabolic steroids or any treatment affecting growth.
- Previous treatment with corticosteroids, except in case of topical or inhaled corticosteroid administration for atopic disease. Corticosteroids for hormonal substitution are also allowed if the condition and the treatment regimen have been stable for at least 3 months.
- Severe associated pathology affecting growth such as malnutrition, malabsorption, or bone dysplasia.
- Chronic severe kidney disease.
- Chronic severe liver disease.
- Chronic infectious disease.
- Acute or severe illness during the previous 6 months.
- Significant concomitant illness that would interfere with participation or assessment in this study.
- Active malignancy (except non-melanomatous skin malignancies that have undergone surgical excision and/or biopsy, diagnosis and treatment to resolution)
- History or active Idiopathic intra-cranial hypertension (benign intracranial hypertension or pseudo-tumor cerebri).
- Diabetes Mellitus type I \& II.
- Any autoimmune disease.
- Previous screening failure in this study.
- Use of an investigational drug or participation in another clinical study within the last three months.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (13)
Local Medical Information Office
Buenos Aires, Argentina
Local Medical Information Office
Sydney, Australia
Local Medical Information Office
Vienna, Austria
Local Medical Information Office
Mississauga, Canada
Local Medical InformationOffice
Paris, France
Local Medical Information Office
Munich, Germany
Local Medical Information Office
Rome, Italy
Local Medical Information Office
Oslo, Norway
Local Medical Information Office
Russia, Russia
Local Medical Information Office
Singapore, Singapore
Local Medical Information Office
Madrid, Spain
Local Medical Information Office
Stockholm, Sweden
Local Medical Information Office
Feltham, United Kingdom
Related Publications (4)
Stevens A, Clayton P, Tato L, Yoo HW, Rodriguez-Arnao MD, Skorodok J, Ambler GR, Zignani M, Zieschang J, Della Corte G, Destenaves B, Champigneulle A, Raelson J, Chatelain P. Pharmacogenomics of insulin-like growth factor-I generation during GH treatment in children with GH deficiency or Turner syndrome. Pharmacogenomics J. 2014 Feb;14(1):54-62. doi: 10.1038/tpj.2013.14. Epub 2013 Apr 9.
PMID: 23567489RESULTStevens A, Murray P, De Leonibus C, Garner T, Koledova E, Ambler G, Kapelari K, Binder G, Maghnie M, Zucchini S, Bashnina E, Skorodok J, Yeste D, Belgorosky A, Siguero JL, Coutant R, Vangsoy-Hansen E, Hagenas L, Dahlgren J, Deal C, Chatelain P, Clayton P. Gene expression signatures predict response to therapy with growth hormone. Pharmacogenomics J. 2021 Oct;21(5):594-607. doi: 10.1038/s41397-021-00237-5. Epub 2021 May 27.
PMID: 34045667DERIVEDMurray PG, Stevens A, De Leonibus C, Koledova E, Chatelain P, Clayton PE. Transcriptomics and machine learning predict diagnosis and severity of growth hormone deficiency. JCI Insight. 2018 Apr 5;3(7):e93247. doi: 10.1172/jci.insight.93247. eCollection 2018 Apr 5.
PMID: 29618660DERIVEDValsesia A, Chatelain P, Stevens A, Peterkova VA, Belgorosky A, Maghnie M, Antoniazzi F, Koledova E, Wojcik J, Farmer P, Destenaves B, Clayton P; PREDICT Investigator group. GH deficiency status combined with GH receptor polymorphism affects response to GH in children. Eur J Endocrinol. 2015 Dec;173(6):777-89. doi: 10.1530/EJE-15-0474. Epub 2015 Sep 4.
PMID: 26340968DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
Limitations of the trial were short duration of the study treatment, and relatively small sample size
Results Point of Contact
- Title
- Merck KGaA Communication Center
- Organization
- Merck Healthcare, a business of Merck KGaA, Darmstadt, Germany
Study Officials
- STUDY DIRECTOR
Medical Responsible
Merck KGaA, Darmstadt, Germany
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 18, 2005
First Posted
November 21, 2005
Study Start
May 31, 2005
Primary Completion
September 30, 2007
Study Completion
September 30, 2007
Last Updated
June 26, 2018
Results First Posted
March 20, 2018
Record last verified: 2018-03