NCT01927861

Brief Summary

This trial is conducted in Asia. The aim of the trial is to investigate the long-term efficacy and safety of two doses of NN-220 (somatropin) in short stature due to Noonan syndrome.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
51

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Aug 2013

Longer than P75 for phase_3

Geographic Reach
1 country

27 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 19, 2013

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

August 20, 2013

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 23, 2013

Completed
4.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 12, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 12, 2018

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

October 14, 2019

Completed
Last Updated

August 10, 2020

Status Verified

July 1, 2020

Enrollment Period

4.9 years

First QC Date

August 20, 2013

Results QC Date

July 4, 2019

Last Update Submit

July 27, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in Height SDS (Japanese National Reference Data)

    Height SDS was calculated using the formula: SDS = (height - mean)/SD, where height was the height variable measured, mean and SD of height by sex and age for the reference population. The scores were centered around zero. Positive SDS indicated greater height and negative SDS indicated lesser height than the mean of the reference population. The change from baseline (week 0) in the height SDS after 104 weeks of treatment was analysed using an analysis of covariance (ANCOVA) model with treatment as a fixed effect and baseline height SDS as a covariate. Positive value in change from baseline indicated that SDS was better than baseline SDS. Missing values were imputed using the last observation carried forward (LOCF) method.

    Baseline, week 104

Secondary Outcomes (66)

  • Height Velocity SDS

    Baseline to week 52

  • Height Velocity SDS

    Week 52 to week 104

  • Height Velocity

    Baseline to week 52

  • Height Velocity

    Week 52 to week 104

  • Incidence of Treatment Emergent Adverse Events

    During 104 weeks of treatment

  • +61 more secondary outcomes

Study Arms (2)

0.033 mg/kg/day

EXPERIMENTAL
Drug: somatropin

0.066 mg/kg/day

EXPERIMENTAL
Drug: somatropin

Interventions

Administered subcutaneously (s.c., under the skin) in a daily regimen for at least 104 weeks. Subject will be offered to continue treatment for another 104 weeks.

0.033 mg/kg/day0.066 mg/kg/day

Eligibility Criteria

Age3 Years - 10 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Japanese children with Noonan syndrome clinically diagnosed in one of the following ways: 1. Clinically diagnosed by at least two medical experts using van der Burgt score list, 2. Clinically diagnosed by one medical expert using van der Burgt score list and diagnosed by result of genetic testing for Noonan syndrome, 3. Clinically diagnosed by one medical expert using van der Burgt score list and diagnosed by the same medical expert based on the results of centralised evaluation of facial change using van der Burgt score list
  • Height SDS (standard deviation score): -2 SDS or below (according to the Japanese reference data)
  • Age: boys 3 to below 11 years, girls 3 to below 10 years
  • Height records must be available within the period between 40 and 64 weeks prior to Visit 1 (screening)
  • Prepubertal children (definition for girls breast and pubes of Tanner stage is I, and none of menses, and for boys testicular volume below 4 mL, and pubes and penis of Tanner stage is I)

You may not qualify if:

  • Children with known or suspected hypersensitivity against human growth hormone (hGH) or related products (including any components of the trial products)
  • Children with diabetic type diagnosed with the Japanese Diabetes Society Classification
  • Children with history or presence of active malignancy
  • Children who have received GH (growth hormone) treatment
  • Children who have received systemic administration of the following medications within two years prior to Visit 1 (screening): Thyroid hormone (except replacement therapy), antithyroid hormone, androgen, oestrogen, progesterone, anabolic steroid, adrenocortical steroid treatment period for at least 13 weeks), derivative of gonadotropin releasing hormone and somatomedin C (IGF-I)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (27)

Novo Nordisk Investigational Site

Asahikawa, Hokkaido, 078-8510, Japan

Location

Novo Nordisk Investigational Site

Fukuoka, 812-8582, Japan

Location

Novo Nordisk Investigational Site

Fukuoka, 830-0011, Japan

Location

Novo Nordisk Investigational Site

Iruma-gun, Saitama, 350 0495, Japan

Location

Novo Nordisk Investigational Site

Kanagawa, 216-8511, Japan

Location

Novo Nordisk Investigational Site

Kanagawa, 232-8555, Japan

Location

Novo Nordisk Investigational Site

Kyoto, 602-8566, Japan

Location

Novo Nordisk Investigational Site

Maebashi-shi, Gunma, 371-8511, Japan

Location

Novo Nordisk Investigational Site

Miyazaki, 889-1692, Japan

Location

Novo Nordisk Investigational Site

Nagoya, Aichi, 467-8602, Japan

Location

Novo Nordisk Investigational Site

Niigata-shi, Niigata, 951 8520, Japan

Location

Novo Nordisk Investigational Site

Osaka, 534-0021, Japan

Location

Novo Nordisk Investigational Site

Osaka, 594-1101, Japan

Location

Novo Nordisk Investigational Site

Ōita, 879-5593, Japan

Location

Novo Nordisk Investigational Site

Saitama-city, Saitama, 336-8522, Japan

Location

Novo Nordisk Investigational Site

Saitama-shi, Saitama, 330-8777, Japan

Location

Novo Nordisk Investigational Site

Sapporo, Hokkaido, 065-8611, Japan

Location

Novo Nordisk Investigational Site

Sendai-shi, Miyagi, 980 8574, Japan

Location

Novo Nordisk Investigational Site

Shizuoka, 431-3192, Japan

Location

Novo Nordisk Investigational Site

Tochigi, 329-0498, Japan

Location

Novo Nordisk Investigational Site

Tokyo, 113-8519, Japan

Location

Novo Nordisk Investigational Site

Tokyo, 113-8655, Japan

Location

Novo Nordisk Investigational Site

Tokyo, 157 8535, Japan

Location

Novo Nordisk Investigational Site

Tokyo, 160-8582, Japan

Location

Novo Nordisk Investigational Site

Tokyo, 162-8666, Japan

Location

Novo Nordisk Investigational Site

Tokyo, 183-8561, Japan

Location

Novo Nordisk Investigational Site

Zentsuji, Kagawa, 765-8507, Japan

Location

Related Publications (3)

  • Horikawa R, Ogata T, Matsubara Y, Yokoya S, Ogawa Y, Nishijima K, Endo T, Ozono K. Long-term efficacy and safety of two doses of Norditropin(R) (somatropin) in Noonan syndrome: a 4-year randomized, double-blind, multicenter trial in Japanese patients. Endocr J. 2020 Aug 28;67(8):803-818. doi: 10.1507/endocrj.EJ19-0371. Epub 2020 May 9.

  • Ozono K, Ogata T, Horikawa R, Matsubara Y, Ogawa Y, Nishijima K, Yokoya S. Efficacy and safety of two doses of Norditropin(R) (somatropin) in short stature due to Noonan syndrome: a 2-year randomized, double-blind, multicenter trial in Japanese patients. Endocr J. 2018 Feb 26;65(2):159-174. doi: 10.1507/endocrj.EJ17-0313. Epub 2017 Nov 7.

  • 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. 2025 Nov 22. doi: 10.1507/endocrj.EJ25-0116. Online ahead of print.

Related Links

MeSH Terms

Conditions

Genetic Diseases, InbornNoonan Syndrome

Interventions

Human Growth Hormone

Condition Hierarchy (Ancestors)

Congenital, Hereditary, and Neonatal Diseases and AbnormalitiesCraniofacial AbnormalitiesMusculoskeletal AbnormalitiesMusculoskeletal DiseasesHeart Defects, CongenitalCardiovascular AbnormalitiesCardiovascular DiseasesHeart DiseasesCongenital AbnormalitiesConnective Tissue DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Growth HormonePituitary Hormones, AnteriorPituitary HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and Proteins

Results Point of Contact

Title
Clinical Reporting Anchor and Disclosure (1452)
Organization
Novo Nordisk A/S

Study Officials

  • Global Clinical Registry (GCR, 1452)

    Novo Nordisk A/S

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 20, 2013

First Posted

August 23, 2013

Study Start

August 19, 2013

Primary Completion

July 12, 2018

Study Completion

July 12, 2018

Last Updated

August 10, 2020

Results First Posted

October 14, 2019

Record last verified: 2020-07

Locations