A Trial Investigating Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of a Single Dose of Long-acting Growth Hormone (Somapacitan) Compared to Daily Dosing of Norditropin® SimpleXx® in Children With Growth Hormone Deficiency
A Randomised, Open-labelled, Active-controlled, Multinational, Dose-escalation Trial Investigating Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of a Single Dose of Long-acting Growth Hormone (NNC0195-0092, Somapacitan) Compared to Daily Dosing of Norditropin® SimpleXx® in Children 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
Study Locations
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Graz, Austria, 8036
- Novo Nordisk Investigational Site
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Linz, Austria, 4020
- Novo Nordisk Investigational Site
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Wien, Austria, A 1090
- Novo Nordisk Investigational Site
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Brussel, Belgium, 1090
- Novo Nordisk Investigational Site
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Bruxelles, Belgium, 1200
- Novo Nordisk Investigational Site
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Paris, France, 75015
- Novo Nordisk Investigational Site
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Toulouse cedex 9, France, 31059
- Novo Nordisk Investigational Site
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Haifa, Israel, 31096
- Novo Nordisk Investigational Site
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Jerusalem, Israel, 91240
- Novo Nordisk Investigational Site
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Kfar Saba, Israel, 44281
- Novo Nordisk Investigational Site
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Petah Tikva, Israel, 49202
- Novo Nordisk Investigational Site
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Tel Hashomer, Israel, 52621
- Novo Nordisk Investigational Site
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Skopje, North Macedonia, 1000
- Novo Nordisk Investigational Site
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Bergen, Norway, 5021
- Novo Nordisk Investigational Site
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Ljubljana, Slovenia, 1525
- Novo Nordisk Investigational Site
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Barcelona, Spain, 08035
- Novo Nordisk Investigational Site
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Esplugues Llobregat(Barcelona), Spain, 08950
- Novo Nordisk Investigational Site
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Santiago de Compostela, Spain, 15706
- Novo Nordisk Investigational Site
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Vitoria, Spain, 01009
- Novo Nordisk Investigational Site
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Stockholm, Sweden, 141 86
- Novo Nordisk Investigational Site
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Basel, Switzerland, 4031
- Novo Nordisk Investigational Site
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Genève, Switzerland, 1211
- Novo Nordisk Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Confirmed diagnosis of GHD (growth hormone deficiency) as defined by two different GH (growth hormone) stimulation tests, peak GH level below or equal to 7.0 ng/ml. For children with three or more pituitary hormone deficiencies only one GH stimulation test will be needed. If in accordance with country specific practice, growth hormone deficiency can be defined by only one GH stimulation test, peak GH level below or equal to 7.0 ng/ml.
- Pre-pubertal children at screening. Boys: Tanner stage 1 and age above or equal to 6 years and below 13 years. Girls: Tanner stage 1 and age above or equal to 6 years and below 12 years
- Body weight above or equal to 16.0 kg and below or equal to 50.0 kg
- Stable GH replacement treatment for at least 3 months
Exclusion Criteria:
- History or presence of malignancy
- Overt diabetes mellitus (fasting blood glucose above or equal to 7.0 mmol/l)
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 |
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Experimental: NNC0195-0092 (somapacitan)
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A single dose administered subcutaneously (s.c., under the skin) of 4 different doses of NNC0195-0092 in an escalating order. Each subject will be allocated to one dose level only. After completion of each dose cohort, a safety evaluation will be conducted prior to dose escalation.
Other Names:
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Active Comparator: Norditropin®
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Administered subcutaneously (s.c., under the skin) once daily for 7 days.
The daily dose is 0.03 mg/kg/day.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Incidence of adverse events (AEs)
Time Frame: From first administration of trial product and up until day 35 (final visit)
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From first administration of trial product and up until day 35 (final visit)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
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The area under the insulin-like growth factor I (IGF-I) concentration-time curve
Time Frame: From 0 to 168 hours after dosing
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From 0 to 168 hours after dosing
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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.
- Papathanasiou T, Agersø H, Damholt BB, Højby Rasmussen M, Kildemoes RJ. Population Pharmacokinetics and Pharmacodynamics of Once-Daily Growth Hormone Norditropin(®) in Children and Adults. Clin Pharmacokinet. 2021 Sep;60(9):1217-1226. doi: 10.1007/s40262-021-01011-3. Epub 2021 Apr 17.
- 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.
- Battelino T, Rasmussen MH, De Schepper J, Zuckerman-Levin N, Gucev Z, Savendahl L; NN8640-4042 Study Group. Somapacitan, a once-weekly reversible albumin-binding GH derivative, in children with GH deficiency: A randomized dose-escalation trial. Clin Endocrinol (Oxf). 2017 Oct;87(4):350-358. doi: 10.1111/cen.13409. Epub 2017 Aug 8.
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
- NN8640-4042
- JapicCTI-142663 (Registry Identifier: JAPIC)
- 2013-000013-20 (EudraCT Number)
- U1111-1138-2206 (Other Identifier: WHO)
- REec-2014-0688 (Registry Identifier: Spanish Register of Clinical Studies (REec))
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.
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