E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Growth Disorders, Intrauterine Growth Retardation |
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E.1.1.1 | Medical condition in easily understood language |
Growth Disorders, Intrauterine Growth Retardation |
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E.1.1.2 | Therapeutic area | Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16] |
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 evaluate the effect of continuous and intermittent administration of Genotonorm 16 international unit (IU) on stature in prepubertal short children with intra-uterine growth retardation (IUGR) as measured by height velocity (centimetre [cm]/year) at 24 months. |
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E.2.2 | Secondary objectives of the trial |
Evaluation of the effect of 3 treatment regimens on height at 3 years (using height standard deviation score [SDS]). Evaluate the safety of 3 treatment regimens as measured by clinical and laboratory parameters. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Chronological age (CA) between 3 and 10 years for girls.
2. Chronological age between 3 and 12 years for boys.
3. Height for CA below - 2 standard deviation (SD).
4. Height velocity for chronological age below 0 SD based on 9 to 15 months observation period before inclusion.
5. Birth weight known.
6. Birth length for gestational age below - 2 SD.
7. Gestational age known.
8. Prepubertal stage (Boys): Testosterone less than or equal to (<=) 0.30 nanogram per milliliter (ng/mL), Testis volume <=2 mL; Prepubertal stage (Girls): Pelvis echography : no sign of puberty, Uterus length =<30 millimeter (mm), Breast development <B2 (Tanner Scale).
9. Bone age done within 3 months prior to study entry.
10. A provocation test giving a growth hormone (GH) level >=10 ng/mL.
11. Known parental height.
12. Signed written informed consent obtained from the patient's parent/guardian. |
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E.4 | Principal exclusion criteria |
1. Endocrine disease except well-substituted hypothyroidism.
2. Sever chronic disease(example [e.g.] diabetes mellitus, renal or liver disease).
3. Skeletal dysplasia.
4. Known chromosomal aberration.
5. Previous irradiation therapy
6. Ongoing pharmacological treatment with steroids.
7. Known intrauterine infection.
8. Microcephaly, defined as head circumference below -2 SD.
9. Previous treatment with GH or GH-releasing hormone [RH]
10. Subjects who have known or suspected allergy to the preservative m-cresol. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Change From Baseline in Annual Growth Rate Measured at 2 Years Following Treatment With Genotonorm |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
1) Annual Growth Rate Standard Deviation Score (SDS)
2) Change From Baseline in Annual Growth Rate SDS
3) Height (cm)
4) Change From Baseline in Height (cm)
5) Height (SDS)
6) Change From Baseline in Height (SDS)
7) Body Mass Index (BMI)
8) Weight
9) Change From Baseline in Bone Age
10) Change From Baseline in Bone Age/Change From Baseline in Chronological Age Ratio
11) Chronological Age at Onset of Puberty
12) Number of Subjects Reaching Puberty |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1) Baseline, 1 to 6 years
2) Baseline, 1 to 3 years
3) Baseline, 1 to 6 years, final height
4) Baseline, 1 to 6 years, final height
5) Baseline, 1 to 6 years, final height
6) Baseline, 1 to 6 years, final height
7) Baseline, 1 to 6 years
8) Baseline, 1 to 6 years
9) Baseline, 1 to 3 years
10) 1 to 3 years
11) Onset of puberty
12) Baseline, 1 to 6 years
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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 | No |
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 | Yes |
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 | Information not present in EudraCT |
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 | 3 |
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 |
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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 | 15 |
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 | 7 |