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    Clinical Trial Results:
    An Open Label Follow-up Study of Patients Who Participated in Clinical Study B9R-HL-GDDV

    Summary
    EudraCT number
    2007-000469-39
    Trial protocol
    FI  
    Global end of trial date
    21 Sep 2007

    Results information
    Results version number
    v1(current)
    This version publication date
    23 Aug 2019
    First version publication date
    23 Aug 2019
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    B9R-HL-GDGN
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    11890: Trial ID
    Sponsors
    Sponsor organisation name
    Eli Lilly and Company
    Sponsor organisation address
    Lilly Corporate Center, Indianapolis, IN, United States, 46285
    Public contact
    Available Mon - Fri 9 AM - 5 PM EST, Eli Lilly and Company, 1 877-CTLilly,
    Scientific contact
    Available Mon - Fri 9 AM - 5 PM EST, Eli Lilly and Company, 1 877-285-4559,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    21 Sep 2007
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    21 Sep 2007
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this study is to obtain adult height measurement on all 20 subjects with Prader Willi Syndrome (PWS) who participated in the one-year trial (B9R-HL-GDDV) of GH treatment in 1997 – 1999. In patients who have achieved their final height, the result will be compared to the predicted adult heights from the previous study (before starting GH and at one year).
    Protection of trial subjects
    This study was conducted in accordance with International Conference on Harmonization (ICH) Good Clinical Practice, and the principles of the Declaration of Helsinki, in addition to following the laws and regulations of the country or countries in which a study is conducted.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    04 May 2007
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Finland: 20
    Worldwide total number of subjects
    20
    EEA total number of subjects
    20
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    20
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    All participants who had received Growth Hormone (GH) therapy in study B9R-HL-GDDV and completed that study were eligible to participate in the B9R-HL-GDGN study.

    Pre-assignment
    Screening details
    No text entered.

    Period 1
    Period 1 title
    Overall (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    All Participants
    Arm description
    All participants who were diagnosed with Prader-Willi syndrome as a child and received recombinant human growth hormone (rhGH) treatment in study B9R-HL-GDDV. B9R-HL-GDGN is a non-drug, non-interventional study.
    Arm type
    Standard Care

    Investigational medicinal product name
    Recombinant Human Growth Hormone (rhGH)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    B9R-HL-GDGN was a non-drug interventional study. Recombinant growth hormone therapy was implemented according to normal clinical practice.

    Number of subjects in period 1
    All Participants
    Started
    20
    Completed
    19
    Not completed
    1
         Refused to participate in Follow-up
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall
    Reporting group description
    All participants who agreed to participate in the 10-year follow-up study B9R-HL-GDGN.

    Reporting group values
    Overall Total
    Number of subjects
    20 20
    Age categorical
    Units: Subjects
    Age continuous
    Age data here represent the ages of participants while participating in the original study ( B9R-HL-GDDV) in 1997-1999. B9R-HL-GDGN was conducted as a follow-up study 10 years later.
    Units: years
        arithmetic mean (standard deviation)
    6.6 ( 2.5 ) -
    Gender categorical
    Units: Subjects
        Female
    6 6
        Male
    14 14
    Height Standard Deviation Score (SDS)
    Height SDS reports the number of standard deviations from the mean for age and sex for an individual measurement (normal range is -2 to +2 SDS). Height SDS is derived by subtracting the population mean from individual's height value and then dividing that difference by the population standard deviation. Greater height SDS values indicate greater height.
    Units: Standard Deviations
        arithmetic mean (standard deviation)
    -0.85 ( 1.2 ) -

    End points

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    End points reporting groups
    Reporting group title
    All Participants
    Reporting group description
    All participants who were diagnosed with Prader-Willi syndrome as a child and received recombinant human growth hormone (rhGH) treatment in study B9R-HL-GDDV. B9R-HL-GDGN is a non-drug, non-interventional study.

    Subject analysis set title
    Male participants
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Male participants.

    Subject analysis set title
    Female Participants
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Female participants.

    Primary: Mean Adult Height Measurement

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    End point title
    Mean Adult Height Measurement [1]
    End point description
    Mean adult height measurement of participants who achieved their final height. Analysis Population Description: All participants who agreed to participate in this 10-year follow-up study and achieved final height.
    End point type
    Primary
    End point timeframe
    10 Year Follow-up Visit
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a single arm study, there are no comparison groups for statistical analysis.
    End point values
    Male participants Female Participants
    Number of subjects analysed
    9
    4
    Units: Centimetres
        arithmetic mean (standard deviation)
    176.1 ( 4.6 )
    156.4 ( 8.9 )
    No statistical analyses for this end point

    Secondary: Expected Adult Height Standard Deviation Score (SDS) Compared to Achieved Adult Height SDS

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    End point title
    Expected Adult Height Standard Deviation Score (SDS) Compared to Achieved Adult Height SDS
    End point description
    Standard Deviation Score reports the number of standard deviations from the mean for age and sex for an individual measurement (normal range: -2 to +2 SDS). Height SDS is derived by subtracting the population mean from individual's height value and then dividing that difference by the population standard deviation. Greater height SDS values indicates greater height. Analysis Population Description: All participants who agreed to participate in the 10-year follow-up study and achieved adult height.
    End point type
    Secondary
    End point timeframe
    10 Year Follow-up Visit
    End point values
    All Participants
    Number of subjects analysed
    13
    Units: Standard Deviation Score
    arithmetic mean (standard deviation)
        Expected Adult Height SDS
    0.21 ( 0.4 )
        Achieved Adult Heights SDS
    -0.58 ( 1.1 )
    No statistical analyses for this end point

    Secondary: Body Composition (Fat vs. Lean Body Mass [LBM]) Assessed by Dual-energy X-ray Absorptiometry (DEXA)

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    End point title
    Body Composition (Fat vs. Lean Body Mass [LBM]) Assessed by Dual-energy X-ray Absorptiometry (DEXA)
    End point description
    Body composition (lean body mass and fat mass) was assessed using dual energy x-ray absorptiometry (DEXA). Analysis Population Description: All participants who a participated in this 10-year follow-up study.
    End point type
    Secondary
    End point timeframe
    10 Year Follow-up Visit
    End point values
    All Participants
    Number of subjects analysed
    19
    Units: grams
    arithmetic mean (standard deviation)
        Fat Mass Total Body
    58558.7 ( 26896.86 )
        Lean Mass Total Body
    49073.1 ( 13581.46 )
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQol) 16D

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    End point title
    Health Related Quality of Life (HRQol) 16D
    End point description
    The HRQoL 16D is a generic self-assessment measure of health-related dimensions: mobility, vision, hearing, breathing, sleeping, eating, elimination, speech, mental function, discomfort and symptoms, school and hobbies, friends, physical appearance, depression, distress, and vitality. Within each dimension are 5 ordinal levels (1-5) by which that attribute is distinguished. The participant selects the level within in each dimension that best describes his/her current health status. The higher number indicates better health. Calculation of the final score by algorithm has a maximum score of 1.0. The 16D score -representing overall health and quality of life with a range from 0 (worst possible) to 1 (best possible) -is calculated by combining previously determined dimension importance ratings and desirability values with the participants own assessment of each dimension. Population Analysis Description: All participants who agreed to participate in this 10-year follow-up study.
    End point type
    Secondary
    End point timeframe
    10 Year Follow-up Visit
    End point values
    All Participants
    Number of subjects analysed
    19
    Units: Unit on a Scale
    arithmetic mean (standard deviation)
        Vitality
    .8579 ( .21046 )
        Vision
    .9149 ( .11448 )
        Breathing
    .8445 ( .22024 )
        Distress
    .7886 ( .19677 )
        Hearing
    .9691 ( .09270 )
        Sleeping
    .9022 ( .21202 )
        Eating
    .9799 ( .08764 )
        Discomfort and Symptoms
    .8299 ( .18416 )
        Speech
    .7698 ( .24409 )
        Appearance
    .9345 ( .13026 )
        School and Hobbies
    .7564 ( .23118 )
        Mobility
    .9029 ( .16694 )
        Friends
    .7017 ( .33682 )
        Mental Function
    .7483 ( .25735 )
        Elimination
    .8982 ( .20681 )
        Depression
    .8614 ( .19097 )
        Total D16 Score
    .8514 ( .10314 )
    No statistical analyses for this end point

    Secondary: Total Weight

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    End point title
    Total Weight
    End point description
    Analysis Population Description: All participants who agreed to participate in this 10-year follow-up study.
    End point type
    Secondary
    End point timeframe
    10 Year Follow-up Visit
    End point values
    Male participants Female Participants
    Number of subjects analysed
    9
    5
    Units: kilograms
        arithmetic mean (standard deviation)
    114.2 ( 24.9 )
    96.4 ( 19.6 )
    No statistical analyses for this end point

    Secondary: Sleep Polygraphy

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    End point title
    Sleep Polygraphy
    End point description
    Sleep polygraphy was performed at the 1- year follow-up visit using a portable monitoring device (PM). Results of the sleep polygraphy were graded as normal, slightly abnormal, and markedly abnormal based on the rate of occurrence of apnea/hypopnea and other findings, including sleep position and reactions to apnea events. Analysis Population Description:All participants who agreed to participate in this 10-year follow-up study and had evaluable polygraphy.
    End point type
    Secondary
    End point timeframe
    10 Year Follow-up Visit
    End point values
    All Participants
    Number of subjects analysed
    18
    Units: Participants
        Normal
    7
        Slightly Abnormal
    9
        Markedly Abnormal
    2
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    Entire study.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    10.0
    Reporting groups
    Reporting group title
    Overall
    Reporting group description
    All participants who a participated in 10-year follow-up study.

    Serious adverse events
    Overall
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 20 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Overall
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 20 (0.00%)
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: There were no adverse events for this trial.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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