A Trial Investigating the Safety, Tolerability, Availability and Distribution in the Body of Once-weekly Long-acting Growth Hormone (Somapacitan) Compared to Once Daily Norditropin NordiFlex® in Adults With Growth Hormone Deficiency
A Randomised, Open-labelled, Active-controlled, Multiple Dose, Dose Escalating, Sequential Dose Group Trial Investigating Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Once-weekly Long-acting Growth Hormone (NNC0195-0092, Somapacitan) Compared to Once-daily Norditropin NordiFlex® in Adults With Growth Hormone Deficiency
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adults with GHD as defined in the consensus guidelines for the diagnosis and treatment of adults with GHD
- Stable human growth hormone (hGH) replacement therapy for at least 3 months
Exclusion Criteria:
- Participation in another clinical trial within 3 months or receipt of any investigational medicinal product within 3 months prior to randomisation
- Active malignant disease or malignant disease within the last 5 years with exception of fully treated local basal cell carcinoma or carcinoma in situ of cervix
- Proliferative retinopathy judged by retina-photo within the last year - only with concomitant diabetes
- Heart insufficiency, New York Heart Association (NYHA) class above 2
- Adults with GHD with poorly controlled diabetes mellitus with a glycosylated haemoglobin (HbA1c) 64 mmol/mol (8.0%) and/or insulin treatment
- Stable pituitary replacement therapy for less than 3 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: NNC0195-0092 (somapacitan)
|
Subcutaneous (s.c., under the skin) administration once weekly (Days 1, 8, 15 and 22) of 4 different doses of NNC0195-0092 (somapacitan) in an escalating order
Other Names:
|
|
Active Comparator: Norditropin NordiFlex®
|
Subcutaneous (s.c., under the skin) administration daily for 28 days.
The daily dosing will be the same as the pre-trial daily dose of human growth hormone (hGH) taken by the adult with growth hormone deficiency
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Incidence of adverse events (AEs)
Time Frame: From first administration of trial product and up until Day 49
|
From first administration of trial product and up until Day 49
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
NNC0195-0092 (somapacitan) only: Area under the curve, AUC (0-168h)
Time Frame: From 0 to 168 hours
|
From 0 to 168 hours
|
|
Norditropin NordiFlex® only: AUC (0-24h)
Time Frame: From 0 to 24 hours
|
From 0 to 24 hours
|
|
NNC0195-0092 (somapacitan), first dose administration only: AUC (0-168h)
Time Frame: From 0 to 168 hours
|
From 0 to 168 hours
|
|
Norditropin NordiFlex®, first dose administration only: AUC (0-24h)
Time Frame: From 0 to 24 hours
|
From 0 to 24 hours
|
|
NNC0195-0092 (somapacitan): Maximum serum concentration (Cmax)
Time Frame: From 0 to 168 hours
|
From 0 to 168 hours
|
|
Norditropin NordiFlex®: Cmax
Time Frame: From 0 to 24 hours
|
From 0 to 24 hours
|
|
Insulin-like growth factor I (IGF-I): AUC (0-168h)
Time Frame: From 0 to 168 hours
|
From 0 to 168 hours
|
|
IGF-I: Cmax
Time Frame: From 0 to 168 hours
|
From 0 to 168 hours
|
|
Insulin-like growth factor binding protein-3 (IGFBP-3): AUC IGFBP-3(0-168h)
Time Frame: From 0 to 168 hours
|
From 0 to 168 hours
|
|
IGFBP-3: Cmax
Time Frame: From 0 to 168 hours
|
From 0 to 168 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Juul Kildemoes R, Hojby Rasmussen M, Agerso H, Overgaard RV. Optimal Monitoring of Weekly IGF-I Levels During Growth Hormone Therapy With Once-Weekly Somapacitan. J Clin Endocrinol Metab. 2021 Jan 23;106(2):567-576. doi: 10.1210/clinem/dgaa775.
- Juul RV, Rasmussen MH, Agerso H, Overgaard RV. Pharmacokinetics and Pharmacodynamics of Once-Weekly Somapacitan in Children and Adults: Supporting Dosing Rationales with a Model-Based Analysis of Three Phase I Trials. Clin Pharmacokinet. 2019 Jan;58(1):63-75. doi: 10.1007/s40262-018-0662-5.
- Papathanasiou T, Agerso H, Damholt BB, Hojby Rasmussen M, Kildemoes RJ. Population Pharmacokinetics and Pharmacodynamics of Once-Daily Growth Hormone Norditropin(R) in Children and Adults. Clin Pharmacokinet. 2021 Sep;60(9):1217-1226. doi: 10.1007/s40262-021-01011-3. Epub 2021 Apr 17.
- Rasmussen MH, Janukonyte J, Klose M, Marina D, Tanvig M, Nielsen LF, Hoybye C, Andersen M, Feldt-Rasmussen U, Christiansen JS. Reversible Albumin-Binding GH Possesses a Potential Once-Weekly Treatment Profile in Adult Growth Hormone Deficiency. J Clin Endocrinol Metab. 2016 Mar;101(3):988-98. doi: 10.1210/jc.2015-1991. Epub 2016 Jan 4.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
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
Other Study ID Numbers
Other Study ID Numbers
- NN8640-3947
- 2011-005484-24 (EudraCT Number)
- U1111-1125-7331 (Other Identifier: WHO)
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