Efficacy and Safety of Leuprolide Acetate 45 mg in Subjects With Central Precocious Puberty
NEST
An Open Label, Single-group, Multicenter Study on the Efficacy and Safety of Leuprolide Acetate 45 mg for Injectable Suspension-controlled Release in Subjects With Central (Gonadotropin-dependent) Precocious Puberty
1 other identifier
interventional
50
1 country
9
Brief Summary
This study is a multicenter, open-label, single-group, and phase 4 study to evaluate the efficacy and safety of 45 mg of leuprolide acetate in CPP. Screening tests are performed after the subject agrees in writing to participate in the clinical trial, and subjects who meet the inclusion criteria and do not fall under the exclusion criteria are enrolled in the study. The target patients in this study are pediatric patients who have been diagnosed with CPP but have not yet received GnRH agonist treatment, and all subjects perform GnRH stimulation tests to confirm their CPP diagnosis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Dec 2024
Typical duration for phase_4
9 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
December 12, 2024
CompletedFirst Submitted
Initial submission to the registry
April 8, 2025
CompletedFirst Posted
Study publicly available on registry
April 15, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 20, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
October 30, 2027
ExpectedApril 15, 2025
April 1, 2025
1.4 years
April 8, 2025
April 8, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
The percentage (%) of subjects with serum LH concentrations < 4 IU/L following an GnRH stimulation test
Blood samples for serum LH concentrations (as appropriate) will be collected at the appropriate assessment times and analyzed by a central laboratory.
at week 24
Secondary Outcomes (5)
The percentage (%) of subjects with suppressed serum LH concentrations (< 4 IU/L) 30-minutes post GnRH stimulation test
at week 12, 48, 72, 96
The percentage (%) of subjects with suppressed serum FSH (< 2.5 mIU/mL), estradiol (< 20 pg/mL, for girl) or testosterone (< 30 ng/dL, for boy)
at week 12, 24, 48, 72, 96
The percentage of subject of Tanner stage (including menstruation)
at week 12, 24, 48, 72, 96
Height velocity (growth rate)
at week 12, 24, 48, 72, 96
The ratio of bone age and chronological age
at week 12, 24, 48, 72, 96
Study Arms (1)
Eligard® 45 mg
EXPERIMENTALSC injection of study drug (45 mg of leuprolide acetate for injectable suspensions)
Interventions
Eligibility Criteria
You may qualify if:
- Pubertal-type LH response following an abbreviated GnRH stimulation test before treatment initiation \> 5 IU/L
- A subject manifested with central precocious puberty according to the following criteria Age : Boy (4 years of age or older \~ under 9 years of age) Girl (4 years of age or older \~ under 8 years of age) Tanner Stage : Level 2 or higher
- Based on baseline visit (Day 0), those under the age of 10 for boys and those under the age of 9 for girls
- Confirmed diagnosis of CPP within 12 months of Baseline Visit (Day 0) but have not received prior GnRH agonist treatment for CPP
- Children with a body weight of more than 20 kg at screening
- Children have a bone age that is ≥1 year older than their chronological age at screening
- A signed written consent form by a legal representative who has been informed about this study
You may not qualify if:
- Gonadotropin-independent (peripheral) precocious puberty: extra pituitary secretion of gonadotropins or gonadotropin-independent gonadal or adrenal sex steroid secretion
- Prior or current GnRH treatment for CPP
- Non-progressing isolated premature thelarche
- Presence of an unstable intracranial tumor or an intracranial tumor requiring neurosurgery or cerebral irradiation. Subjects with hamartomas not requiring surgery are eligible.
- Prior (within 12 weeks of Screening) use of medications
- Hormonal agonists (Estrogen, Progesterone, FSH, LH, Testosterone etc.)
- Hormonal antagonists (Anti-Estrogen agents, Anti-Androgen agents)
- Steroid use (except for mild topical steroids, oral steroids are allowed within 30 days)
- Herbal Medicines
- Prior or current therapy with growth hormone
- Major medical or psychiatric illness that could interfere with study visits
- Diagnosis of short stature (i.e. 2 standard deviations (SD) below the mean height for age or 3rd percentile for age)
- Pregnant or likely pregnant women (Positive urine pregnancy test), nursing women
- Known hypersensitivity to GnRH or related compounds
- 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
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (9)
Korea University Ansan Hospital
Ansan, South Korea
Jeonbuk National University Hospital
Jeonju, South Korea
Chosun University Hospital
Kwangju, South Korea
Seoul National University Bundang Hospital
Seongnam, South Korea
Asan Medical Center
Seoul, South Korea
Gangnam Severance Hospital
Seoul, South Korea
Kangdong Sacred Heart Hospital
Seoul, South Korea
Kyung Hee University Hospital At Gangdong
Seoul, South Korea
Ajou University Medical Center
Suwon, South Korea
MeSH Terms
Interventions
Study Officials
- STUDY DIRECTOR
Eunhee Lee
Hanall Biopharma
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 8, 2025
First Posted
April 15, 2025
Study Start
December 12, 2024
Primary Completion
April 20, 2026
Study Completion (Estimated)
October 30, 2027
Last Updated
April 15, 2025
Record last verified: 2025-04