E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Growth Hormone Deficiency |
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E.1.1.1 | Medical condition in easily understood language |
Children presenting growth failure associated with Growth Hormone Deficiency (GHD), Tuner Syndrome (TS) or Chronic Renal Insufficiency (CRI). |
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E.1.1.2 | Therapeutic area | Diseases [C] - Hormonal diseases [C19] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To establish an optimal monitoring regimen for IGF-I in NutropinAq treated children, using a newly developed capillary blood spot IGF-I measurements technology. |
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E.2.2 | Secondary objectives of the trial |
(1) To assess under clinical practice conditions, the biological variability of IGF-I (if any) in children treated with NutropinAq (physiological intra-individual variations, timing, dose of NutropinAq) and in different diseases conditions. (2) Assuming a significant biological variability was observed, to identify parameters contributing to or related to this variability, e.g., patient demographic characteristics, disease conditions, timing of last GH injection. (3) To further validate the filter paper versus serum method for IGF-I assay in the study setting. (4) To assess auxological parameters during treatment (5) To assess the acceptability of the NutropinAq Pen |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Children under 18 with growth failure associated with inadequate growth hormone secretion, or Turner syndrome or chronic renal insufficiency. |
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E.4 | Principal exclusion criteria |
Children with closed epiphyses Children with active neoplasm Children with acute critical illness |
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E.5 End points |
E.5.1 | Primary end point(s) |
(1) Timed Capillary Blood Spot IGF-I Measurements |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
(1) At week 21, 22 and 23 |
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E.5.2 | Secondary end point(s) |
2. Factors Affecting the Variability of Timed Capillary Blood Spots: Influence of week and daily timing (evening and morning) 3. Factors Affecting the Variability of Timed Capillary Blood Spots: Influence of sex, age and prepubertal status 4. Factors Affecting the Variability of Timed Capillary Blood Spots: Influence of individual factors/Multivariate linear regression analysis. 5. Factors Affecting the Variability of Timed Capillary Blood Spots: Influence of time of year and calculated age at enrolment and Disease condition. 6. Precision Profile of Capillary Blood Random Spot versus Serum IGF-I 7. IGFBP3 Measurements 8. Auxological Parameter - Height 9. Auxological Parameter - Weight 10. Auxological Parameter - Annualised GV 11. Acceptability and Tolerance of NutropinAq and its Administration Device: NutropinAq Pen 12. Safety Evaluation - Posology 13. Safety Evaluation - Extent of Exposure 14. Auxological Parameter - Calculated Height SDS 15. Auxological Parameter - Calculated Weight SDS 16. Auxological Parameter - Calculated annualised GV SDS
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
2. At week 21, 22 and 23 3. At week 21, 22, and 23 4. Up to week 24 5. Up to week 24 6. Up to week 24 7. At Visit 1 (Day 0), Visit 2 (Month 3) and Visit 3 (Month 6) 8. At visit 3 (month 6) 9. At visit 3 (month 6) 10. At visit 3 (month 6) 11. Up to week 22 12. Up to week 24 13. Up to week 24 14. At visit 3 (month 6) 15. At visit 3 (month 6) 16. At visit 3 (month 6)
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Acceptability of delivery device |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
Ukraine |
Russian Federation |
United Kingdom |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 10 |
E.8.9.2 | In all countries concerned by the trial days | 21 |