A Trial Investigating Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of a Single Dose of Long-acting Growth Hormone (Somapacitan) Compared to Daily Dosing of Norditropin® SimpleXx® in Children With Growth Hormone Deficiency
A Randomised, Open-labelled, Active-controlled, Multinational, Dose-escalation Trial Investigating Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of a Single Dose of Long-acting Growth Hormone (NNC0195-0092, Somapacitan) Compared to Daily Dosing of Norditropin® SimpleXx® in Children With Growth Hormone Deficiency
5 other identifiers
interventional
32
9 countries
21
Brief Summary
This trial is conducted in Europe and Asia. The aim of the trial is to investigate safety, tolerability, pharmacokinetics (the exposure of the trial drug in the body) and pharmacodynamics (the effect of the investigated drug on the body) of a single dose of long-acting growth hormone (NNC0195-0092, somapacitan) compared to daily dosing of Norditropin® SimpleXx® (somatropin) in children with growth hormone deficiency.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Dec 2013
21 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
First Submitted
Initial submission to the registry
October 22, 2013
CompletedFirst Posted
Study publicly available on registry
October 31, 2013
CompletedStudy Start
First participant enrolled
December 16, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 4, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
November 4, 2014
CompletedDecember 24, 2020
December 1, 2020
11 months
October 22, 2013
December 22, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Incidence of adverse events (AEs)
From first administration of trial product and up until day 35 (final visit)
Secondary Outcomes (1)
The area under the insulin-like growth factor I (IGF-I) concentration-time curve
From 0 to 168 hours after dosing
Study Arms (2)
NNC0195-0092 (somapacitan)
EXPERIMENTALNorditropin®
ACTIVE COMPARATORInterventions
A single dose administered subcutaneously (s.c., under the skin) of 4 different doses of NNC0195-0092 in an escalating order. Each subject will be allocated to one dose level only. After completion of each dose cohort, a safety evaluation will be conducted prior to dose escalation.
Administered subcutaneously (s.c., under the skin) once daily for 7 days. The daily dose is 0.03 mg/kg/day.
Eligibility Criteria
You may qualify if:
- Confirmed diagnosis of GHD (growth hormone deficiency) as defined by two different GH (growth hormone) stimulation tests, peak GH level below or equal to 7.0 ng/ml. For children with three or more pituitary hormone deficiencies only one GH stimulation test will be needed. If in accordance with country specific practice, growth hormone deficiency can be defined by only one GH stimulation test, peak GH level below or equal to 7.0 ng/ml.
- Pre-pubertal children at screening. Boys: Tanner stage 1 and age above or equal to 6 years and below 13 years. Girls: Tanner stage 1 and age above or equal to 6 years and below 12 years
- Body weight above or equal to 16.0 kg and below or equal to 50.0 kg
- Stable GH replacement treatment for at least 3 months
You may not qualify if:
- History or presence of malignancy
- Overt diabetes mellitus (fasting blood glucose above or equal to 7.0 mmol/l)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (22)
Novo Nordisk Investigational Site
Graz, 8036, Austria
Novo Nordisk Investigational Site
Linz, 4020, Austria
Novo Nordisk Investigational Site
Vienna, A 1090, Austria
Novo Nordisk Investigational Site
Brussels, 1090, Belgium
Novo Nordisk Investigational Site
Brussels, 1200, Belgium
Novo Nordisk Investigational Site
Paris, 75015, France
Novo Nordisk Investigational Site
Toulouse, 31059, France
Novo Nordisk Investigational Site
Haifa, 31096, Israel
Novo Nordisk Investigational Site
Jerusalem, 91240, Israel
Novo Nordisk Investigational Site
Kfar Saba, 44281, Israel
Novo Nordisk Investigational Site
Petah Tikva, 49202, Israel
Novo Nordisk Investigational Site
Tel Litwinsky, 52621, Israel
Novo Nordisk Investigational Site
Skopje, 1000, North Macedonia
Novo Nordisk Investigational Site
Bergen, 5021, Norway
Novo Nordisk Investigational Site
Ljubljana, 1525, Slovenia
Novo Nordisk Investigational Site
Barcelona, 08035, Spain
Novo Nordisk Investigational Site
Esplugues Llobregat(Barcelona), 08950, Spain
Novo Nordisk Investigational Site
Santiago de Compostela, 15706, Spain
Novo Nordisk Investigational Site
Vitoria-Gasteiz, 01009, Spain
Novo Nordisk Investigational Site
Stockholm, 141 86, Sweden
Novo Nordisk Investigational Site
Basel, 4031, Switzerland
Novo Nordisk Investigational Site
Geneva, 1211, Switzerland
Related Publications (4)
Juul Kildemoes R, Hojby Rasmussen M, Agerso H, Overgaard RV. Optimal Monitoring of Weekly IGF-I Levels During Growth Hormone Therapy With Once-Weekly Somapacitan. J Clin Endocrinol Metab. 2021 Jan 23;106(2):567-576. doi: 10.1210/clinem/dgaa775.
PMID: 33313798BACKGROUNDPapathanasiou T, Agerso H, Damholt BB, Hojby Rasmussen M, Kildemoes RJ. Population Pharmacokinetics and Pharmacodynamics of Once-Daily Growth Hormone Norditropin(R) in Children and Adults. Clin Pharmacokinet. 2021 Sep;60(9):1217-1226. doi: 10.1007/s40262-021-01011-3. Epub 2021 Apr 17.
PMID: 33864240DERIVEDJuul RV, Rasmussen MH, Agerso H, Overgaard RV. Pharmacokinetics and Pharmacodynamics of Once-Weekly Somapacitan in Children and Adults: Supporting Dosing Rationales with a Model-Based Analysis of Three Phase I Trials. Clin Pharmacokinet. 2019 Jan;58(1):63-75. doi: 10.1007/s40262-018-0662-5.
PMID: 29671202DERIVEDBattelino T, Rasmussen MH, De Schepper J, Zuckerman-Levin N, Gucev Z, Savendahl L; NN8640-4042 Study Group. Somapacitan, a once-weekly reversible albumin-binding GH derivative, in children with GH deficiency: A randomized dose-escalation trial. Clin Endocrinol (Oxf). 2017 Oct;87(4):350-358. doi: 10.1111/cen.13409. Epub 2017 Aug 8.
PMID: 28656605DERIVED
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Global Clinical Registry (GCR, 1452)
Novo Nordisk A/S
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 22, 2013
First Posted
October 31, 2013
Study Start
December 16, 2013
Primary Completion
November 4, 2014
Study Completion
November 4, 2014
Last Updated
December 24, 2020
Record last verified: 2020-12