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    Clinical Trial Results:
    A Multicenter, Open-Label, Single Arm Study Assessing Dyad (Subject And Caregiver) Perception Of Convenience And Preference Of The Newly Developed Mark VII Pen

    Summary
    EudraCT number
    2014-004173-16
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    29 Jan 2010

    Results information
    Results version number
    v1(current)
    This version publication date
    15 Mar 2016
    First version publication date
    31 May 2015
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    A6281291
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00965484
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Pfizer Inc.
    Sponsor organisation address
    235 E 42nd Street, New York, United States, NY 10017
    Public contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer, Inc., 001 800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com
    Scientific contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer, Inc., 001 800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com
    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
    20 May 2010
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    29 Jan 2010
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the ease of use/convenience as determined by a subject/caregiver dyad self-assessment of ease of use of the new Genotropin Mark VII pen compared to pre-study experience with the Genotropin Pen®
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Conference on Harmonization (ICH) Good Clinical Practice (GCP) Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    26 Oct 2009
    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
    United States: 136
    Worldwide total number of subjects
    136
    EEA total number of subjects
    0
    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)
    48
    Adolescents (12-17 years)
    86
    Adults (18-64 years)
    2
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Subjects who used the Genotropin® Pen for at least 3 months prior to enrollment were eligible to participate. Genotropin (somatropin) dose was not adjusted for the purposes of the study, but only based on clinical management requirements as determined by the treating physician.

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

    Arms
    Arm title
    Genotropin / Genotropin Mark VII Pen
    Arm description
    Genotropin (somatropin) injection administered using the Genotropin Mark VII Pen subcutaneously (sc) at a dose prescribed by the physician.
    Arm type
    Experimental

    Investigational medicinal product name
    Genotropin
    Investigational medicinal product code
    Other name
    Somatropin
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Genotropin (somatropin) injection administered using the Genotropin Mark VII Pen subcutaneously (sc) at a dose prescribed by the physician.

    Number of subjects in period 1
    Genotropin / Genotropin Mark VII Pen
    Started
    136
    Completed
    134
    Not completed
    2
         Consent withdrawn by subject
    1
         Protocol Violation
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Genotropin / Genotropin Mark VII Pen
    Reporting group description
    Genotropin (somatropin) injection administered using the Genotropin Mark VII Pen subcutaneously (sc) at a dose prescribed by the physician.

    Reporting group values
    Genotropin / Genotropin Mark VII Pen Total
    Number of subjects
    136 136
    Age categorical
    Units: Subjects
        ≤10 years of age
    37 37
        Between 11 and 12 years of age
    30 30
        Between 13 and 14 years of age
    40 40
        ≥15 years of age
    29 29
    Gender categorical
    Units: Subjects
        Female
    45 45
        Male
    91 91

    End points

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    End points reporting groups
    Reporting group title
    Genotropin / Genotropin Mark VII Pen
    Reporting group description
    Genotropin (somatropin) injection administered using the Genotropin Mark VII Pen subcutaneously (sc) at a dose prescribed by the physician.

    Primary: Percentage of Dyads (Subject and Caregiver or Parent) Reporting no Difference or Easier to Use for New Genotropin Mark VII Injection Pen Compared to Pre-study Experience With the Genotropin Pen®

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    End point title
    Percentage of Dyads (Subject and Caregiver or Parent) Reporting no Difference or Easier to Use for New Genotropin Mark VII Injection Pen Compared to Pre-study Experience With the Genotropin Pen® [1]
    End point description
    Ease of use measured using the Injection Pen Assessment Questionnaire (IPAQ) subject-reported outcome (PRO) tool (based on 13 unique characteristics of injection pens). Section I measures ease of use of Genotropin® (very easy, somewhat easy, neither easy nor difficult, somewhat difficult, or very difficult). Section II measures ease of use of new Genotropin Mark VII Pen in comparison to pre-study experience with Genotropin® Pen (Genotropin® pen easier to use, new injection pen easier to use, or no difference) and preference (prefer Genotropin® Pen, prefer new injection pen, or no preference). Full analysis set (FAS): all subjects who used the new pen at least once to administer Genotropin and who completed the 2-month follow-up questionnaire. Dyad defined as the subject (child being treated) and adult partner (parent or caregiver).
    End point type
    Primary
    End point timeframe
    2 months
    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: Only descriptive data was planned to be reported for this endpoint.
    End point values
    Genotropin / Genotropin Mark VII Pen
    Number of subjects analysed
    133
    Units: Percentage of dyads
        number (confidence interval 95%)
    73.68 (66.2 to 81.17)
    No statistical analyses for this end point

    Secondary: Percentage of Dyads Reporting no Preference or Preference for New Genotropin Mark VII Injection Pen Compared to Pre-study Experience With the Genotropin Pen®

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    End point title
    Percentage of Dyads Reporting no Preference or Preference for New Genotropin Mark VII Injection Pen Compared to Pre-study Experience With the Genotropin Pen®
    End point description
    Preference for use measured using the IPAQ PRO tool (ease of use and preference based on 13 unique characteristics of injection pens). Section I measures ease of use of Genotropin® (very easy, somewhat easy, neither easy nor difficult, somewhat difficult, or very difficult). Section II measures ease of use of new Genotropin Mark VII Pen in comparison to pre-study experience with Genotropin® Pen (Genotropin® Pen easier to use, new injection pen easier to use, or no difference) and preference (prefer Genotropin® Pen, prefer new injection pen, or no preference). FAS.
    End point type
    Secondary
    End point timeframe
    2 months
    End point values
    Genotropin / Genotropin Mark VII Pen
    Number of subjects analysed
    132 [2]
    Units: Percentage of dyads
        number (confidence interval 95%)
    65.15 (57.02 to 73.28)
    Notes
    [2] - N=number of subjects with measurement.
    No statistical analyses for this end point

    Secondary: Percentage of Dyads Reporting New Genotropin Mark VII Injection Pen Easier to Use Compared to Pre-study Experience With the Genotropin Pen®

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    End point title
    Percentage of Dyads Reporting New Genotropin Mark VII Injection Pen Easier to Use Compared to Pre-study Experience With the Genotropin Pen®
    End point description
    Ease of use measured using IPAQ PRO tool (ease of use and preference based on 13 unique characteristics of injection pens). Section I measures ease of use of Genotropin® Pen (very easy, somewhat easy, neither easy nor difficult, somewhat difficult, or very difficult). Section II measures ease of use of new Genotropin Mark VII Pen in comparison to pre-study experience with Genotropin® Pen (Genotropin® Pen easier to use, new injection pen easier to use, or no difference) and preference (prefer Genotropin® Pen, prefer new injection pen, or no preference). FAS.
    End point type
    Secondary
    End point timeframe
    2 Months
    End point values
    Genotropin / Genotropin Mark VII Pen
    Number of subjects analysed
    133
    Units: Percentage of dyads
        number (confidence interval 95%)
    63.16 (54.96 to 71.36)
    No statistical analyses for this end point

    Secondary: Percentage of Dyads Reporting New Genotropin Mark VII Injection Pen Preferable Compared to Pre-study Experience With the Genotropin Pen®

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    End point title
    Percentage of Dyads Reporting New Genotropin Mark VII Injection Pen Preferable Compared to Pre-study Experience With the Genotropin Pen®
    End point description
    Preference for use measured using IPAQ PRO tool (ease of use and preference based on 13 unique characteristics of injection pens). Section I measures ease of use of Genotropin® (very easy, somewhat easy, neither easy nor difficult, somewhat difficult, or very difficult). Section II measures ease of use of new Genotropin Mark VII Pen in comparison to pre-study experience with Genotropin® Pen (Genotropin® Pen easier to use, new injection pen easier to use, or no difference) and preference (prefer Genotropin® Pen, prefer new injection pen, or no preference). FAS.
    End point type
    Secondary
    End point timeframe
    2 Months
    End point values
    Genotropin / Genotropin Mark VII Pen
    Number of subjects analysed
    132 [3]
    Units: Percentage of dyads
        number (confidence interval 95%)
    59.85 (51.49 to 68.21)
    Notes
    [3] - N=number of subjects with measurement.
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Baseline to 7 days after last dose of study drug. For SAE: events were collected 28 days after the last dose.
    Adverse event reporting additional description
    The same event may appear as AE and SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 subject and nonserious in another, or 1 subject may have experienced both serious and nonserious event during study. EU BR specific AE tables were generated separately as per EU format using latest coding dictionary.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.1
    Reporting groups
    Reporting group title
    Genotropin / Genotropin Mark VII Pen
    Reporting group description
    Genotropin (somatropin) injection administered using the Genotropin Mark VII Pen subcutaneously (sc) at a dose prescribed by the physician.

    Serious adverse events
    Genotropin / Genotropin Mark VII Pen
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 136 (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
    Genotropin / Genotropin Mark VII Pen
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    28 / 136 (20.59%)
    Injury, poisoning and procedural complications
    Animal scratch
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    2
    Contusion
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Fall
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Ligament sprain
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Limb injury
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Laceration
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Nervous system disorders
    Headache
         subjects affected / exposed
    7 / 136 (5.15%)
         occurrences all number
    14
    Migraine
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    General disorders and administration site conditions
    Chills
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    2
    Influenza like illness
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Injection-site bruising
         subjects affected / exposed
    3 / 136 (2.21%)
         occurrences all number
    3
    Injection-site pain
         subjects affected / exposed
    5 / 136 (3.68%)
         occurrences all number
    7
    Pyrexia
         subjects affected / exposed
    4 / 136 (2.94%)
         occurrences all number
    5
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Abdominal pain upper
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Flatulence
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Toothache
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Respiratory, thoracic and mediastinal disorders
    Allergic sinusitis
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Cough
         subjects affected / exposed
    2 / 136 (1.47%)
         occurrences all number
    3
    Nasal congestion
         subjects affected / exposed
    2 / 136 (1.47%)
         occurrences all number
    3
    Oropharyngeal pain
         subjects affected / exposed
    2 / 136 (1.47%)
         occurrences all number
    2
    Pulmonary congestion
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Rhinorrhoea
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Psychiatric disorders
    Depression
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Insomnia
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Musculoskeletal pain
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Infections and infestations
    Gastroenteritis viral
         subjects affected / exposed
    2 / 136 (1.47%)
         occurrences all number
    2
    Gastrointestinal viral infection
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Influenza
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Nasopharyngitis
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Pharyngitis streptococcal
         subjects affected / exposed
    3 / 136 (2.21%)
         occurrences all number
    3
    Sinusitis
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Staphylococcal infection
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1
    Upper respiratory tract infection
         subjects affected / exposed
    4 / 136 (2.94%)
         occurrences all number
    5
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    1 / 136 (0.74%)
         occurrences all number
    1

    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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