Investigating the Long-term Efficacy and Safety of Two Doses of NN-220 (Somatropin) in Short Stature Due to Noonan Syndrome
A 52-week, Multi-centre, Randomised, Double-blind, Parallel-group, no Treatment Controlled (Open-label) Trial Investigating the Efficacy and Safety of Two Doses of NN-220 in Short Stature With Noonan Syndrome
3 other identifiers
interventional
51
1 country
27
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Aug 2013
Longer than P75 for phase_3
27 active sites
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
CompletedFirst Submitted
Initial submission to the registry
August 20, 2013
CompletedFirst Posted
Study publicly available on registry
August 23, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 12, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
July 12, 2018
CompletedResults Posted
Study results publicly available
October 14, 2019
CompletedAugust 10, 2020
July 1, 2020
4.9 years
August 20, 2013
July 4, 2019
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
EXPERIMENTAL0.066 mg/kg/day
EXPERIMENTALInterventions
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.
Eligibility Criteria
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
- Novo Nordisk A/Slead
Study Sites (27)
Novo Nordisk Investigational Site
Asahikawa, Hokkaido, 078-8510, Japan
Novo Nordisk Investigational Site
Fukuoka, 812-8582, Japan
Novo Nordisk Investigational Site
Fukuoka, 830-0011, Japan
Novo Nordisk Investigational Site
Iruma-gun, Saitama, 350 0495, Japan
Novo Nordisk Investigational Site
Kanagawa, 216-8511, Japan
Novo Nordisk Investigational Site
Kanagawa, 232-8555, Japan
Novo Nordisk Investigational Site
Kyoto, 602-8566, Japan
Novo Nordisk Investigational Site
Maebashi-shi, Gunma, 371-8511, Japan
Novo Nordisk Investigational Site
Miyazaki, 889-1692, Japan
Novo Nordisk Investigational Site
Nagoya, Aichi, 467-8602, Japan
Novo Nordisk Investigational Site
Niigata-shi, Niigata, 951 8520, Japan
Novo Nordisk Investigational Site
Osaka, 534-0021, Japan
Novo Nordisk Investigational Site
Osaka, 594-1101, Japan
Novo Nordisk Investigational Site
Ōita, 879-5593, Japan
Novo Nordisk Investigational Site
Saitama-city, Saitama, 336-8522, Japan
Novo Nordisk Investigational Site
Saitama-shi, Saitama, 330-8777, Japan
Novo Nordisk Investigational Site
Sapporo, Hokkaido, 065-8611, Japan
Novo Nordisk Investigational Site
Sendai-shi, Miyagi, 980 8574, Japan
Novo Nordisk Investigational Site
Shizuoka, 431-3192, Japan
Novo Nordisk Investigational Site
Tochigi, 329-0498, Japan
Novo Nordisk Investigational Site
Tokyo, 113-8519, Japan
Novo Nordisk Investigational Site
Tokyo, 113-8655, Japan
Novo Nordisk Investigational Site
Tokyo, 157 8535, Japan
Novo Nordisk Investigational Site
Tokyo, 160-8582, Japan
Novo Nordisk Investigational Site
Tokyo, 162-8666, Japan
Novo Nordisk Investigational Site
Tokyo, 183-8561, Japan
Novo Nordisk Investigational Site
Zentsuji, Kagawa, 765-8507, Japan
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.
PMID: 32269181RESULTOzono 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.
PMID: 29109363RESULTMuroya 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.
PMID: 41285480DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Reporting Anchor and Disclosure (1452)
- Organization
- Novo Nordisk A/S
Study Officials
- STUDY DIRECTOR
Global Clinical Registry (GCR, 1452)
Novo Nordisk A/S
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