A 4 Year Combination Therapy of Growth Hormone and (GnRH) Agonist in Children With a Short Predicted Height (ZomaTrip)
Efficacy and Safety of a 4 Year Combination Therapy of Growth Hormone and Gonadotropin- Releasing Hormone Agonist in Children With a Short Predicted Height.
Estrogens are responsible for the disappearance of growth cartilage in the long bones at the end of the pubertal growth spurt both in boys and in girls. It is therefore hypothesized that stopping pubertal development and hence estrogen production, will prolong and increase the pubertal growth spurt, especially when growth hormone is given concommitantly.
Boys in early puberty, with a bone age between 11 and 13 years and a predicted adult height below 163 cm or girls in early puberty with a bone age between 10 and 12 years and a predicted height under 151 cm will be treated with triptorelin 3.75 mg and Zomacton growth hormone for 4 years.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Brussel, Belgium, 1090
- Kinderziekenhuis UZ Brussel
-
Brussels, Belgium, 1050
- Hopital Universitaire Reine Fabiola (HUDERF)
-
Liege, Belgium, 4030
- CHU ND-des Bruyères
-
-
Antwerpen
-
Edegem, Antwerpen, Belgium, 2650
- Antwerp University Hospital
-
-
Limburg
-
Hasselt, Limburg, Belgium, 3000
- Jessah Ziekenhuis
-
-
Oost Vlaanderen
-
Gent, Oost Vlaanderen, Belgium, 9000
- Kinderziekenhuis UGent
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult height prediction below -2.5 SD : 151 cm for girls and 164 cm for boys based on the vlaamse groeicurve 2004 (vub.ac.be/groeicurven)
- Pubertal: breast development at least M2 for girls and at least 4 ml of testicular volume for boys
- Bone age >10 years but < 12 years for girls and > 11 but < 13 years for boys
- Signed informed consent
Exclusion Criteria:
- Adopted children ( different genetic background, lack of data on birth parameters and parents)
- Bone dysplasia or sitting height/ total height > 2 SDS on standards by Gerver et al (see appendix)
- Chronic use of glucocorticoids
- Previous growth promoting therapy such as GH, sex steroids, oxandrolone,
- Known GH deficiency
- Chronic infectious disease
- Active rheumatic disease
- Previously diagnosed or currently suspected malignancy
- Sex steroid therapy
- Diabetes mellitus
- Renal insufficiency (serum creatinine > 1.5 mg/dl)
- Hepatic disease ( liver test > 4 fold upper limit of normality)
- Current congestive heart failure
- Inability to follow the study protocol
- Treatment with a non registered drug during the last 30 days before the moment of inclusion.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ZOMATRIP
GnRH agonist triptorelin plus somatropin
|
somatropin 0.050 mg/kg/day
Other Names:
triptorelin 3.75 mg each month
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
height
Time Frame: 6 - 8 years
|
Difference between predicted height at start of treatment and adult height
|
6 - 8 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
bone density
Time Frame: 6 - 8 years
|
Bone density SDS measured by DEXA
|
6 - 8 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Hilde Dotremont, MD, BSGPE
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Endocrine System Diseases
- Genetic Diseases, Inborn
- Musculoskeletal Diseases
- Bone Diseases
- Bone Diseases, Developmental
- Dwarfism
- Physiological Effects of Drugs
- Antineoplastic Agents
- Antineoplastic Agents, Hormonal
- Contraceptive Agents, Hormonal
- Contraceptive Agents
- Reproductive Control Agents
- Contraceptive Agents, Female
- Luteolytic Agents
- Triptorelin Pamoate
Other Study ID Numbers
Other Study ID Numbers
- EUDRACT 2007-003247-70
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Idiopathic Short Stature
-
NCT07450053Not yet recruitingIdiopathic Short Stature
-
NCT06927310RecruitingIdiopathic Short Stature
-
NCT01786902CompletedIdiopathic Short Stature
-
NCT01746862Completed
-
NCT00396097CompletedIdiopathic Short Stature
-
NCT06382155RecruitingIdiopathic Short Stature
-
NCT05894876Terminated
-
NCT00488124Completed
-
NCT00458263Completed
Clinical Trials on somatropin
-
NCT04697381CompletedPrader-Willi Syndrome
-
NCT01927861CompletedNoonan Syndrome | Genetic Disorder
-
NCT01543880CompletedGrowth Hormone Disorder | Adult Growth Hormone Deficiency
-
NCT03255694Active, not recruiting
-
NCT00163189Completed
-
NCT01529944CompletedNoonan Syndrome | Genetic Disorder
-
NCT03435627CompletedNoonan Syndrome | Genetic Disorder
-
NCT04085224CompletedBioavailability, Safety and Tolerability Among Different Eutropin Formulations in Healthy Volunteers
-
NCT01110928CompletedFoetal Growth Problem | Small for Gestational Age