E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Small stature secondary to growth hormone insufficiency deficiency |
|
E.1.1.1 | Medical condition in easily understood language |
Small stature due to insufficient production of growth hormone in the body |
|
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 |
Evaluate the efficacy and tolerance of Omnitrope® 3,3 mg/ml solution fo injection, administered at a dose of 0,23 mg/kg/s on a clinical, biological and immunological level |
|
E.2.2 | Secondary objectives of the trial |
Tolerance and acceptability |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Small stature due to growth hormone deficiency
• Age: girls of under 10 years of age and boys of under 12
• Height ≤ -2 SD or < -1.5 SD with slow Growth Rate (GR < -1 SD or < 4 cm/year)
• Weight in line with statural age ± 2SD |
|
E.4 | Principal exclusion criteria |
• Prior or current treatment with GH
• Presence of an active tumour; a lapse of at least 12 months will be required since tumour treatment
• Current corticosteroid treatment other than substitution treatment or use of an inhaled corticosteroid
• Insulin-dependent diabetes (according to the WHO definition), or other chronic, severe disease
• Small stature for other reasons than growth hormone deficiency
• Peutz-Jeghers syndrome or a family history of colon cancer
|
|
E.5 End points |
E.5.1 | Primary end point(s) |
1. Increase in growth rate over 12 month
2. Increase in levels of IGF-1 levels and growth hormone dependent markers (Acid-Labile Subunit (ALS), IGFBP-3)
|
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
1. Over 12 months
2. Every 6 months
|
|
E.5.2 | Secondary end point(s) |
1. Local tolerance at injection site and in general
2. Acceptability of injection pen and tolerance of injections
3. Systemic tolerance by laboratory test results and adverse events
4. Immunologic tolerance by assessing the formation of anti-growth-hormone antibodies
|
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. At each visit
2. After 12 months
3. Every 6 months
4. At inclusion and after 6 and 12 months
|
|
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 | No |
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 | 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 |
|
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
|
Clinical trial phase: 12 months
Follow-up period: up until licensing of the product
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 9 |
E.8.9.2 | In all countries concerned by the trial days | 11 |