Study of the Efficacy and Safety of Somatropin in Japanese Participants With PWS
A PHASE 3 MULTICENTER, OPEN LABEL, MULTI COHORT STUDY TO EVALUATE THE EFFICACY AND SAFETY OF SOMATROPIN IN JAPANESE PARTICIPANTS WITH PRADER-WILLI SYNDROME (PWS)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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-
Kanagawa
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Yokohama, Kanagawa, Japan, 232-8555
- Kanagawa Children's Medical Center
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Osaka
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Izumi, Osaka, Japan, 594-1101
- Osaka Women's and Children's Hospital
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Saitama
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Koshigaya, Saitama, Japan, 343-8555
- Dokkyo Medical University Saitama Medical Center
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Shizuoka
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Hamamatsu, Shizuoka, Japan, 431-3192
- Hamamatsu University Hospital
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Tokyo
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Setagaya-ku, Tokyo, Japan, 157-8535
- National Center for Child Health and Development
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female participants with documentation of genetically confirmed diagnosis of PWS.
- No plan to initiate a new treatment that may affect the body composition, such as gonadal hormone replacement therapy.
- Currently on appropriate diet and exercise programs and willing to continue throughout the study period at the discretion of the investigator.
- Participants, and if required by local/site regulations their parent(s)/legal guardian(s) must be willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
Evidence of a personally signed and dated ICD (and written assent where applicable based on age and country regulation) indicating that the participant or a legally acceptable representative/parent(s)/legal guardian has been informed of all pertinent aspects of the study. Refer to Appendix 1 for the detailed process of obtaining consent.
For inclusion of GH naïve pediatric cohort, participants must meet criteria 6 to 8:
- 18 years or younger.
- Naïve to GH treatment.
Tanner stage 1 (for testes in males, for breasts in females).
For inclusion of GH treated pediatric cohort, participants must meet criteria 9 and 10:
- Continued GH treatment for at least 2 years with stable dose for the last 6 months and being on GH at time of inclusion. The recent dose should be higher than 0.084 mg/kg/week.
Participants who are about to complete GH treatment for his/her short stature (eg, due to meeting the treatment stopping criteria defined as a height SDS more than -2.5 for Japanese adult standards).
For inclusion of adult cohort, participants must meet criteria 11 to 13:
- 18 years of chronological age or older at Day 1 visit.
- Off from GH treatment for at least 1 year.
- Serum IGF-I level within +2 SDS, adjusted for age and sex.
Exclusion Criteria:
- Participants with uncontrolled diabetes at the discretion of the investigator.
- Participants with malignant tumors.
- Participants with severe obesity or serious respiratory impairment.
- Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
- Previous administration with an investigational drug within 30 days (or as determined by the local requirement) or 5 half- lives preceding the first dose of study intervention used in this study (whichever is longer).
- Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: somatropin - GH naïve pediatric cohort
All participants will receive somatropin.
|
somatropin 0.245 mg/kg/week
|
|
Experimental: somatropin - GH treated pediatric cohort
All participants will receive somatropin
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somatropin 0.084 mg/kg/week
|
|
Experimental: somatropin - adult cohort
All participants will receive somatropin
|
somatropin 0.084 mg/kg/week
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline to Month 12 in Lean Body Mass Measured by DEXA: GH Naive Pediatric and GH Treated Pediatric Cohort
Time Frame: Baseline, Month 12
|
Lean body mass, a measurement of body composition, was assessed by DEXA scan, and calculated as lean body mass (%) = lean body mass (kg) / (lean body mass [kg] + fat mass [kg])*100.
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Baseline, Month 12
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|
Change From Baseline to Month 12 in Lean Body Mass Measured by Dual-Energy X-ray Absorptiometry (DEXA): Adult Cohort
Time Frame: Baseline, Month 12
|
Lean body mass, a measurement of body composition, was assessed by DEXA scan, and calculated as lean body mass (%) = lean body mass kilogram (kg) / (lean body mass [kg] + fat mass [kg]) *100.
|
Baseline, Month 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline to Month 12 in Lean Body Mass Measured by Bioelectrical Impedance Analysis (BIA)-Adult Cohort
Time Frame: Baseline, Month 12
|
Lean body mass, a measurement of body composition, was assessed by DEXA scan, and calculated as lean body mass (%) = lean body mass (kg) / (lean body mass [kg] + fat mass [kg])*100.
|
Baseline, Month 12
|
|
Change From Baseline to Month 12 in Lean Body Mass Measured by BIA-GH Naive Pediatric and GH Treated Pediatric Cohort
Time Frame: Baseline, Month 12
|
Lean body mass, a measurement of body composition, was assessed by DEXA scan, and calculated as lean body mass (%) = lean body mass (kg) / (lean body mass [kg] + fat mass [kg])*100.
|
Baseline, Month 12
|
|
Change From Baseline to Month 12 in Body Fat (Percentage) Measured by DEXA: Adult Cohort
Time Frame: Baseline, Month 12
|
Body fat was assessed by DEXA scan.
and calculated as body fat (%) = body fat (kg) / [lean body mass (kg) + body fat (kg)]*100.
|
Baseline, Month 12
|
|
Change From Baseline to Month 12 in Body Fat (Percentage) Measured by DEXA: GH Naive Pediatric and GH Treated Pediatric Cohort
Time Frame: Baseline, Month 12
|
Body fat was assessed by DEXA scan.
and calculated as body fat (%) = body fat (kg) / [lean body mass (kg) + body fat (kg)]*100.
|
Baseline, Month 12
|
|
Change From Baseline to Month 12 in Adipose Tissue Distribution Measured by Abdominal Computed Tomography (CT)
Time Frame: Baseline, Month 12
|
Adipose tissue distribution was measured by abdominal CT.
Areas of subcutaneous adipose tissue (SAT) (centimeter square [cm^2]), visceral adipose tissue (VAT) (cm^2) were measured at the level of the umbilicus by abdominal CT.
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Baseline, Month 12
|
|
Change From Baseline to Month 6 in Lean Body Mass Measured by DEXA: Adult Cohort Only
Time Frame: Baseline, Month 6
|
Lean body mass, a measurement of body composition, was assessed by DEXA scan, and calculated as lean body mass (%) = lean body mass (kg) / (lean body mass [kg] + fat mass [kg])*100.
|
Baseline, Month 6
|
|
Bone Maturation
Time Frame: 12 months
|
Bone maturation is the process whereby the tissue undergoes changes from the embryonic rudiment of bone to the adult form.
Bone maturation was calculated as bone age divided by chronological age.
Participants with bone maturation value greater than 1 is presented in this outcome measure.
|
12 months
|
|
Number of Participants With Treatment Emergent Adverse Events and Serious Adverse Events
Time Frame: From day 1 up to 28 days after end of study treatment (maximum duration up to 38 months)
|
An adverse event was any untoward medical occurrence in administered medicinal product, event need not necessarily have a causal relationship with product treatment or usage.
A serious adverse event was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) at any dose that: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect.
Treatment emergent AEs were events emerged during treatment period and were absent before treatment or that worsened relative to pretreatment state.
TEAEs consist of SAEs and non-SAEs
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From day 1 up to 28 days after end of study treatment (maximum duration up to 38 months)
|
|
Number of Participants With Laboratory Test Abnormalities
Time Frame: From Day 1 up to 28 days after end of study treatment (maximum duration up to 38 months)
|
Criteria for abnormal laboratory values for chemistry parameters: alanine aminotransferase, alkaline phosphatase greater than (>) 3.0*upper limit of normal (ULN), albumin > 1.2*ULN, urea nitrogen millimoles per liter (mmol/L) > 1.3*ULN, HDL cholesterol mmol/L less than (<) 0.8* lower limit of normal (LLN), LDL cholesterol mmol/L >1.2*ULN, triglycerides mmol/L > 1.3*ULN, thyrotropin milliunits per liter (mU/L) <0.8*LLN and >1.2*ULN, glucose (mmol/L) >1.5*ULN, hemoglobin A1C liter of cells per liter of blood (L/L) >1.3*ULN.
|
From Day 1 up to 28 days after end of study treatment (maximum duration up to 38 months)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Publications and 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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
- Imprinting Disorders
- Neurologic Manifestations
- Nervous System Diseases
- Nutrition Disorders
- Genetic Diseases, Inborn
- Overnutrition
- Neurobehavioral Manifestations
- Congenital Abnormalities
- Abnormalities, Multiple
- Overweight
- Intellectual Disability
- Obesity
- Chromosome Disorders
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Nutritional and Metabolic Diseases
- Prader-Willi Syndrome
Other Study ID Numbers
Other Study ID Numbers
- A6281323
- 2024-000101-32 (Registry Identifier: EudraCT)
- NCT04697381 (Registry Identifier: ClinicalTrials.gov)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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