Study of Leuprolide Acetate Injectable Suspension in the Treatment of Central Precocious Puberty
An Open-label, Single Arm, Multicenter Study on the Efficacy, Safety, and Pharmacokinetics of Leuprolide Acetate 45 mg for Injectable Suspension Controlled Release in Subjects With Central (Gonadotropin-Dependent) Precocious Puberty
1 other identifier
interventional
64
6 countries
20
Brief Summary
This study determines the effectiveness of leuprolide acetate 45 mg for injectable suspension for treatment of children with Central Precocious Puberty.
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 2015
Typical duration for phase_3
20 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
First Submitted
Initial submission to the registry
May 5, 2015
CompletedFirst Posted
Study publicly available on registry
May 25, 2015
CompletedStudy Start
First participant enrolled
August 31, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 5, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
September 5, 2018
CompletedResults Posted
Study results publicly available
May 20, 2020
CompletedJune 2, 2020
May 1, 2020
3 years
May 5, 2015
April 8, 2020
May 19, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With Suppression of Peak-Stimulated Luteinizing Hormone at 6 Months.
Luteinizing Hormone (LH) suppression is defined as peak-stimulated LH \<4 IU/L. Peak stimulated LH refers to the maximum LH concentration measured 30 minutes after a gonadotropin-releasing hormone agonst (GnRHa) stimulation test.
6 months
Secondary Outcomes (10)
Percentage of Subjects With Suppression of Luteinizing Hormone Measured by Blood Levels.
Week 12, Week 24, Week 36, and Week 48
Changes in Height Velocity (Growth Rate)
Week 4, Week 12, Week 20, Week 24, Week 36, Week 44, and Week 48
Bone Age Ratio to Chronological Age at Time of Measurement
Week 24 and Week 48
Percent Change From Baseline in Height
Week 4, Week 12, Week 20, Week 24, Week 36, Week 44, and Week 48
Tanner Scores: Boys - Development of External Genitalia
Baseline, Week 12, Week 24, Week 36, and Week 48
- +5 more secondary outcomes
Other Outcomes (9)
Height
Screening, Baseline, Week 4, Week 12, Week 20, Week 24, Week 36, Week 44, and Week 48
Bone Age
Baseline, Week 24, and Week 48
Bone Age Progression
Week 24 and Week 48
- +6 more other outcomes
Study Arms (1)
Assigned Intervention
EXPERIMENTALLeuprolide acetate 45 mg will be administered as a subcutaneous injection at 6-month intervals for the 12 month study period.
Interventions
Eligibility Criteria
You may qualify if:
- Females age 2 to 8 years (inclusive) or males age 2 to 9 years (inclusive)
- Confirmed diagnosis of CPP within 12 months of Baseline Visit (Day 0) but have not received prior GnRH agonist treatment for CPP
- Pubertal-type LH response following an abbreviated GnRHa stimulation test before treatment initiation
- Clinical evidence of puberty, defined as Tanner stage ≥ 2 for breast development in females or testicular volume ≥ 4 mL in males
- Difference between bone age (Greulich and Pyle method) and chronological age ≥ 1 year
You may not qualify if:
- Gonadotropin-independent (peripheral) precocious puberty
- Prior or current GnRH treatment for CPP
- Prior or current therapy with medroxyprogesterone acetate, growth hormone or insulin-like growth factor-1 (IGF-1)
- Diagnosis of short stature (ie, 2.25 standard deviations (SD) below the mean height for age)
- Known history of seizures, epilepsy, and/or central nervous system disorders that may be associated with seizures or convulsions
- Any other medical condition or serious intercurrent illness that, in the opinion of the Investigator, may make it undesirable for the subject to participate in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Tolmar Inc.lead
Study Sites (20)
University of California, San Diego
San Diego, California, 92123, United States
Joe DiMaggio Children's Hospital
Hollywood, Florida, 33021, United States
Nemours Children's Clinic
Jacksonville, Florida, 32207, United States
Nemours Children's Hospital
Orlando, Florida, 32827, United States
Riley Hospital for Children at Indiana University Health
Indianapolis, Indiana, 46202, United States
University of Minnesota
Minneapolis, Minnesota, 55414, United States
Cincinnati Children's Hospital Medical Center, Endocrine
Cincinnati, Ohio, 45229, United States
University of Oklahoma College of Medicine
Tulsa, Oklahoma, 74135, United States
Seattle Children's
Seattle, Washington, 98105, United States
MultiCare Institute for Research and Innovation
Tacoma, Washington, 98405, United States
Hospital de Ninos
Buenos Aires, C1425EFD, Argentina
University of Calgary, Alberta Children's Hospital
Calgary, Alberta, T3B 6A8, Canada
McGill University Health Centre
Montreal, Quebec, H4A 3J1, Canada
CHU de Quebec-Universite Laval
Québec, G1V 4G2, Canada
Pontificia Universidad Catolica de Chile
Santiago, Santiago Metropolitan, 8330074, Chile
Instituto de Investigaciones Materno Infantil (IDIMI)
Santiago, Santiago Metropolitan, 8360160, Chile
Hospital Regional de Antofagasta Leonardo Guzman
Antofagasta, Second Region, 1270001, Chile
Hospital Unversitario "Dr. Jose Eleuterio Gonzalez"
Monterrey, Nuevo León, 64460, Mexico
Instituto de Investigaciones Aplicadas a la Neurociencia, A.C.
Durango, 34000, Mexico
The Liggins Institute, University of Auckland
Auckland, 1023, New Zealand
Related Publications (1)
Klein KO, Freire A, Gryngarten MG, Kletter GB, Benson M, Miller BS, Dajani TS, Eugster EA, Mauras N. Phase 3 Trial of a Small-volume Subcutaneous 6-Month Duration Leuprolide Acetate Treatment for Central Precocious Puberty. J Clin Endocrinol Metab. 2020 Oct 1;105(10):e3660-71. doi: 10.1210/clinem/dgaa479.
PMID: 32738042DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Vice President of Clinical Development
- Organization
- Tolmar, Inc.
Study Officials
- STUDY DIRECTOR
Peggy Schorr
orphan reach USA, LLC
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 5, 2015
First Posted
May 25, 2015
Study Start
August 31, 2015
Primary Completion
September 5, 2018
Study Completion
September 5, 2018
Last Updated
June 2, 2020
Results First Posted
May 20, 2020
Record last verified: 2020-05