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Optimization of the Dosage Regimen of Growth Hormone Therapy in Children Born Small for Gestational Age
This study is ongoing, but not recruiting participants.
First Received: November 4, 2005   Last Updated: March 21, 2009   History of Changes
Sponsor: EMD Serono
Information provided by: EMD Serono
ClinicalTrials.gov Identifier: NCT00249821
  Purpose

Multicentric pilot comparative study, open-label, randomised, in parallel groups comparing one group of patients receiving 0.057mg/kg/day (0.40mg/kg/week) of Saizen® during 1 year to one group receiving 0.035mg/kg/day (0.24mg/kg/week) of Saizen® during 1 year after a 3-year treatment of r-hGH therapy with 0.057mg/kg/day in both groups


Condition Intervention Phase
Small for Gestational Age
Drug: Saizen
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Dose Comparison, Parallel Assignment, Efficacy Study
Official Title: Optimization of the Dosage Regimen With Growth Hormone Therapy in Children Born Small for Gestational Age. An Open Label, Randomized, Pilot Study, Comparing in Children Treated for 3 Years, the Efficacy of a Saizen® Treatment at the Same Dose Versus a Lower Maintenance Dose Prolonged During 1 Additional Year.

Resource links provided by NLM:


Further study details as provided by EMD Serono:

Primary Outcome Measures:
  • The efficacy will be assessed by the height gain expressed in cm/year and SDS/year during the fourth year. [ Time Frame: 4th year ]

Secondary Outcome Measures:
  • Height velocity-Standard deviation Score, height and Height-S standard deviation Score. Local tolerance at the injection site, clinical tolerance and biological tolerance by assessing fasting glycemia, insulinemia, and Ultrasensitive TSH [ Time Frame: Clinical Tolerance every 6 mos., biological tolerance after 1 yr. treatment ]

Estimated Enrollment: 100
Study Start Date: February 2005
Estimated Study Completion Date: September 2007
  Eligibility

Ages Eligible for Study:   6 Years to 11 Years
Genders Eligible for Study:   Both
Criteria

Inclusion Criteria:

To be eligible for inclusion / randomisation into this study, the subjects must fulfil all of the following criteria (if there is no inclusion phase, the inclusion criteria will be considered as inclusion criteria for randomisation).

  • Written consent form signed by the parents / legal guardian, and child if possible.
  • Patient born SGA and receiving a r-hGH therapy for this pathology.
  • r-hGH started at the maximal chronological age of 7 years for girls and 8 years for boys.
  • Treatment with r-hGH started for at least 30 months and less than 36 months at 0.057mg/kg/d
  • Height gain during the first 2 years of GH treatment >1SD compared with the initial value.

Exclusion Criteria:

To be eligible for inclusion in this study the subjects must not meet any of the following criteria:

  • Known hypersensitivity to Somatropin or any of the excipients.
  • Active neoplasia (either newly diagnosed or recurrent).
  • Intracranial hypertension
  • Known diabetes mellitus
  • Proliferative or preproliferative diabetic retinopathy
  • Evidence of any progression or recurrence of an underlying intra-cranial space occupying lesion
  • Obesity defined as degree 1 on the corpulence curves
  • Precocious puberty
  • Pubertal status: Tanner breast development stage >2 for girls, and testicular volume >4ml or testicular length >3cm and/or testosterone value >1nmol/l (0.29g/ml) for boys.

For girls >9 years and Tanner breast development stage 1: uterine size > 35mm

  • Severe chronic concomitant illness such as chronic renal failure, cystic fibrosis
  • Concomitant corticoid treatment or levothyroxine treatment other than substitutive treatment, topical or inhaled treatment
  • Participation to any clinical study within the 30 days preceding study entry.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00249821

Locations
France
Local Medical Information Office
Paris, France
Sponsors and Collaborators
EMD Serono
Investigators
Study Director: Dominique ROGER, M.D. Sponsor GmbH
  More Information

Additional Information:
No publications provided

Study ID Numbers: 25735, SGA OPTIMIS
Study First Received: November 4, 2005
Last Updated: March 21, 2009
ClinicalTrials.gov Identifier: NCT00249821     History of Changes
Health Authority: France: Afssaps - French Health Products Safety Agency;   France: French Data Protection Authority;   France: Institutional Ethical Committee

ClinicalTrials.gov processed this record on February 04, 2010