French Registry of Children Treated With Norditropin® for Short Stature Associated With Noonan Syndrome
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Locations
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-
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Angers, France, 49033
- Centre Hospitalier Universitaire D'Angers-2
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Le Kremlin-Bicêtre, France, 94275
- Ap-Hp-Hopital de Bicetre-2
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Toulouse, France, 31059
- Hopital Des Enfants-2
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients with a clinical and/or genetic diagnosis of NS
- Patients who are treated with Norditropin® (already treated or initiating) and who are followed in a participating center
- The decision to initiate treatment with commercially available Norditropin® has been made by the patient/parents/Legally Acceptable Representative (LAR) and the treating physician before and independently from the decision to include the patient in this study
Exclusion Criteria:
- Patients/Parents/LAR opposed to the collection and processing of their children's medical data
- Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Other
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Incident patients
Children initiated Norditropin® upon their inclusion in the study but independently from the decision to participate in this study
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Patients will be treated with commercially available Norditropin® according to routine clinical practice at the discretion of the treating physician.
Other Names:
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Prevalent patients - finished growth upon inclusion
Children were already treated with Norditropin® before their inclusion in the study and finished their growth upon their inclusion.
Data collected retrospectively from medical records
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Patients will be treated with commercially available Norditropin® according to routine clinical practice at the discretion of the treating physician.
Other Names:
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Prevalent patients - not finished growth upon inclusion
Children were already treated with Norditropin® before their inclusion in the study and did not finish their growth upon inclusion.
Data collected both retrospectively and prospectively
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Patients will be treated with commercially available Norditropin® according to routine clinical practice at the discretion of the treating physician.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in height standard deviation score
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in standard deviation scores (SDS) ranging from -10 to +10
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of adverse drug reactions (ADR)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
Count of events
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
|
Number of serious adverse drug reactions (SADR)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Count of events
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Number of serious adverse events (SAE)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Count of events
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
|
Number of adverse events (AE)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Count of events
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Education
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Number of participants is measured under the categorical variables - standard education, education with assistance and educational measures
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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School level
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Number of participants is measured under the variables - preschool, elementary school, secondary school and high school
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Educational measures
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Number of participants is measured under the categorical variables - physiotherapy, psychomotricity, occupational therapy and speech therapy
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Tanner stage
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured as units on scale.
3 sub-scales used - Pubic hair scale, Female breast development scale and Male external genitalia scale.
Tanner stages range from Stage 1 to 5 with Tanner Stage 1 corresponding to the pre-pubertal form and Tanner Stage 5 corresponding to the final adult form
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
|
Change in pulse rate
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in beats per minute
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
|
Change in diastolic blood pressure
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in millimeters of Mercury (mm Hg)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in systolic blood pressure
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in mm Hg
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in corrected QT-interval (Electrocardiogram)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in millisecond (msec)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in echocardiogram parameters (mm)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in Left ventricular interventricular septal maximum thickness in diastole and Left ventricular end diastolic diameter is measured in millimeter (mm)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in echocardiogram parameters (%)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in Left Ventricular Fractional Shortening (LVFS) and Left Ventricular Ejection Fraction (LVEF) is measured in percentage (%)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in echocardiogram parameters (cm/s)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in Diastolic function (Ea and Aa) measured in centimeters per second (cm/s)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in complete blood count (CBC) (g/dL)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in Haemoglobin (Hb) measured in grams per deciLiter (g/dL)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in CBC (G/L)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in white blood cells, lymphocytes, monocytes and platelets measured in grams per liter (G/L)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in Insulin-like growth factor 1 (IGF-1) level (ng/ml)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in nanograms per milliliter (ng/ml)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in IGF-1 level (SDS)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in SDS
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in Haemoglobin A1c (HbA1c) level
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in %
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in fasting insulin level
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in milligrams per deciliter (mg/dL) or milli-international units per litre (mUI/L)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in fasting blood glucose level
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in mg/dL or g/L or millimoles per litre (mmol/L)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in fasting total cholesterol
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in mg/dl or g/L or mmol/L
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in fasting triglycerides
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in mg/dL or g/L or mmol/L
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in fasting high-density lipoproteins (HDL) cholesterol
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in mg/dL or g/L or mmol/L
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in fasting low-density lipoproteins (LDL) cholesterol
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in mg/dL or g/L or mmol/L
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in fasting total cholesterol/HDL ratio
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Ratio of fasting total cholesterol and HDL
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in inhibin B
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
Measured in picograms per milliliter (pg/mL)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in Anti-Müllerian Hormone (AMH)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in milligrams per milliliter (mg/mL)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in Luteinizing Hormone (LH) (female from 8 years old and male from 9 years old)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in mg/mL
|
From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in Follicle-Stimulating Hormone (FSH) (female from 8 years old and male from 9 years old)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
Measured in International units per litre (UI/L) or mUI/mL
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in oestradiol (female from 8 years old and male from 9 years old)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
Measured in pg/mL
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in testosterone (female from 8 years old and male from 9 years old)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
Measured in ng/mL
|
From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in dose of Norditropin® treatment
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
Measured in milligram per kilogram per day (mg/kg/day)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Frequency of injections of Norditropin® treatment per week
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Count of events
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
|
Number of modifications (change in dosage/ temporary stop)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Count of events
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Reasons for treatment modifications
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in number of participants under categorical variable - safety (occurrence of ARs or AEs), growth too fast, growth too slow, patient's or parents/LAR choice; and other
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Duration of temporary stop
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in months
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Total duration of Norditropin® treatment
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in years
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Total cumulative dose of Norditropin® treatment
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in mg/kg
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Type and number of concomitant treatments
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Count of events
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
|
Type and number of concomitant treatments linked to an adverse event
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Count of events
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
|
Change in weight
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in SDS
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in body mass index (BMI)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in kilogram per square metre (kg/m^2)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in bone age
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in year
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Change in height velocity (cm/year)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in cm/year
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in height velocity (SDS/year)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Measured in SDS/year
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
|
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Type and number of NS comorbidities
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Number of participants measured under categorical variables - Cardiac defects including pulmonary valve stenosis and hypertrophic cardiomyopathy, Orthopaedic issues (pectus, scoliosis) and Anorchia in males
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Change in Health-Related Quality of Life (HRQoL) score (PedsQL)
Time Frame: From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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PedsQL score used to assess the HRQoL, ranges from 1 to 100 (higher scores indicate better HRQoL)
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From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Clinical Transparency dept. 2834, Novo Nordisk A/S
Study record dates
Study Major Dates
Study Start (Actual)
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 (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
- Musculoskeletal Diseases
- Cardiovascular Diseases
- Heart Diseases
- Connective Tissue Diseases
- Craniofacial Abnormalities
- Musculoskeletal Abnormalities
- Congenital Abnormalities
- Cardiovascular Abnormalities
- Heart Defects, Congenital
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Skin and Connective Tissue Diseases
- Noonan Syndrome
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Peptide Hormones
- Peptides
- Amino Acids, Peptides, and Proteins
- Pituitary Hormones
- Growth Hormone
- Pituitary Hormones, Anterior
- Human Growth Hormone
Other Study ID Numbers
Other Study ID Numbers
- GH-4831
- U1111-1264-1805 (Other Identifier: World Health Organization (WHO))
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 device product
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