| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
Kvinder med Turner syndrom er især karakteriserede ved vækstretardering med reduceret sluthøjde samt ved at være hypogonade og infertile. Der udover ses en øget comorbiditet for en række andre sygdomme herunder hjertesygdom, hypertension, aorta aneurisme og diabetes. Behandling af Turner piger med GH præpubertalt kan øge sluthøjden, og ved tilstrækkelig høj (suprafysiologisk) dosis kan højden normaliseres. Dette, samt den karakteristiske bodycomposition, tyder på en relativ GH deficiens.
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| MedDRA Classification |
| E.1.3 | Condition being studied is a rare disease | Yes |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
At afdække om der ved behandling af voksne Turner kvinder med GH, kan ses effekter der kan være med til at sænke den øgede morbiditet, der især ses for de kardiovasculære lidelser. Piger med Turner syndrom behandles med GH præpubertalt. Undersøgelser af denne behandling har vist at der som side-effekt til den øgede sluthøjde også opnåes andre gunstige ændringer ved denne behandling, som muligvis også voksne Turner kvinder kunne have gavn af. |
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| E.2.2 | Secondary objectives of the trial | |
| E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
| E.3 | Principal inclusion criteria |
- Turner syndrom, verificeret ved kromosomundersøgelse. - Alder: 20-40 år. - Negativ graviditets test (på de to undersøgelsesdage m. PET)
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| E.4 | Principal exclusion criteria |
- Ekstrem adipositas (BMI>35). - Ubehandlet manifest hypothyreose eller hyperthyreose. - Anden svær akut eller kronisk sygdom, med kendt eller formodet betydning for de undersøgte parametre fx. diabetes. - Tidligere eller nuværende malign sygdom. - Symptomgivende hjertesygdom, behandlingskrævende hypertension. - Glucocorticoid behandling - Allergi overfor et af Norditropins® indholdsstoffer - Graviditet - Amning
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| E.5 End points |
| E.5.1 | Primary end point(s) |
1)kardiovaskulære parametre målt ved PET-scanning af hjertet, med måling af gennemblødning og glukoseoptagelse 2) ændring i bodycomposition som følge af GH behandlingen. Denne bestemmes ved DEXA-scanning og bioimpedans
Sekundære end points:
• EKKO (inkl.vævs Doppler ekko) • døgn blodtryk • lipid-profil
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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 | No |
| E.6.5 | Efficacy | No |
| 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 | Information not present in EudraCT |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | Information not present in EudraCT |
| E.7.1.1 | First administration to humans | Information not present in EudraCT |
| E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
| E.7.1.3 | Other | Information not present in EudraCT |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | Information not present in EudraCT |
| E.7.3 | Therapeutic confirmatory (Phase III) | Information not present in EudraCT |
| E.7.4 | Therapeutic use (Phase IV) | Yes |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | Information not present in EudraCT |
| E.8.1.3 | Single blind | Information not present in EudraCT |
| E.8.1.4 | Double blind | Yes |
| E.8.1.5 | Parallel group | Yes |
| E.8.1.6 | Cross over | Information not present in EudraCT |
| E.8.1.7 | Other | Yes |
| E.8.1.7.1 | Other trial design description |
| Eftefølgende "open label" |
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| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | Yes |
| E.8.2.3 | Other | No |
| E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
| E.8.4 | The trial involves multiple sites in the Member State concerned | No |
| E.8.5 | The trial involves multiple Member States | No |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | No |
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
| E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
| 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.8.9.1 | In the Member State concerned years | 2 |
| E.8.9.1 | In the Member State concerned months | 6 |
| E.8.9.1 | In the Member State concerned days | |