Studio clinico che indaga l'efficacia e la sicurezza del lonapegsomatropin settimanale rispetto al somatropin giornaliero in bambini e adolescenti con statura ridotta o deficit di crescita dovuti a disturbi con sufficiente ormone della crescita
Uno Studio Pivotal, a Bracci Paralleli, di Fase 3, in Aperto, Controllato Attivo, Globale, Multicentrico, Randomizzato a Cesto che Indaga l'Efficacia e la Sicurezza del Lonapegsomatropin Somministrato una Volta alla Settimana Rispetto al Somatropin Giornaliero in Bambini e Adolescenti Prepuberi con Insufficienza di Crescita o Bassa Statura Causata da Disturbi con Sufficiente Ormone della Crescita - Sindrome di Turner, Carenza di SHOX, Piccoli per l'Età Gestazionale e Bassa Statura Idiopatica
This basket trial will enroll prepubertal children and adolescents with clinically diagnosed and genetically confirmed (if applicable) TS, SHOX-D, SGA, or ISS between ages of ≥2 and <18 years with open growth plates. The purpose of the study is to see how well treatment with once-weekly lonapegsomatropin works compared to treatment with daily somatropin. Approximately 186 participants will be distributed equally (1:1), to receive either lonapegsomatropin for 2 years or somatropin for 1 year followed by lonapegsomatropin for 1 year. This trial will be conducted in the United States, France, Germany, Italy, Romania, Spain and South Korea.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 3
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Ascendis Registry Inquiries
- Numero di telefono: +4561161658
- Email: asnd_registryinquiries@ascendispharma.com
Luoghi di studio
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Sejong, Corea del Sud, 30099
- Reclutamento
- Ascendis Pharma Investigational Site
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Seongnam, Corea del Sud, 13620
- Reclutamento
- Ascendis Pharma Investigational Site
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Seoul, Corea del Sud, 06273
- Reclutamento
- Ascendis Pharma Investigational Site
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Seoul, Corea del Sud, 03722
- Reclutamento
- Ascendis Pharma Investigational Site
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Seoul, Corea del Sud, 05505
- Reclutamento
- Ascendis Pharma Investigational Site
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Seoul, Corea del Sud, 05278
- Reclutamento
- Ascendis Pharma Investigational Site
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Suwon, Corea del Sud, 16499
- Reclutamento
- Ascendis Pharma Investigational Site
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Angers, Francia, 49933
- Reclutamento
- Ascendis Pharma Investigational Site
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Le Kremlin-Bicêtre, Francia, 94270
- Reclutamento
- Ascendis PharmaInvestigational Site
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Montpellier, Francia, 34090
- Reclutamento
- Ascendis Pharma Investigational Site
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Paris, Francia, 75012
- Reclutamento
- Ascendis Pharma Investigational Site
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Toulouse, Francia, 31300
- Reclutamento
- Ascendis Pharma Investigational Site
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Cologne, Germania, 50931
- Reclutamento
- Ascendis Pharma Investigational Site
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Düsseldorf, Germania, 40225
- Reclutamento
- Ascendis Pharma Investigational Site
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Hanover, Germania, 30173
- Reclutamento
- Ascendis Pharma Investigational Site
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Tübingen, Germania, 72076
- Reclutamento
- Ascendis Pharma Investigational Site
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Florence, Italia, 50139
- Reclutamento
- Ascendis Pharma Investigational Site
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Genova, Italia, 16147
- Reclutamento
- Ascendis Pharma Investigational Site
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Naples, Italia, 80131
- Reclutamento
- Ascendis Pharma Investigational Site
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Naples, Italia, 80138
- Reclutamento
- Ascendis Pharma Investigational Site
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Trieste, Italia, 34123
- Reclutamento
- Ascendis Pharma Investigational Site
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Iași, Romania, 700106
- Reclutamento
- Ascendis Pharma Investigational Site
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Târgu Mureş, Romania, 540136
- Reclutamento
- Ascendis Pharma Investigational Site
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Barcelona, Spagna, 08035
- Reclutamento
- Ascendis Pharma Investigational Site
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Barcelona, Spagna, 8950
- Reclutamento
- Ascendis Pharma Investigational Site
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Madrid, Spagna, 28046
- Reclutamento
- Ascendis Pharma Investigational Site
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Málaga, Spagna, 29011
- Reclutamento
- Ascendis Pharma Investigational Site
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Santiago de Compostela, Spagna, 15706
- Reclutamento
- Ascendis Pharma Investigational Site
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Zaragoza, Spagna, 50009
- Reclutamento
- Ascendis Pharma Investigational Site
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Arizona
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Phoenix, Arizona, Stati Uniti, 85016
- Reclutamento
- Ascendis Pharma Investigational Site
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California
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Palo Alto, California, Stati Uniti, 94304
- Reclutamento
- Ascendis Pharma Investigational Site
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Sacramento, California, Stati Uniti, 95821
- Reclutamento
- Ascendis Pharma Investigational Site
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Colorado
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Aurora, Colorado, Stati Uniti, 80045
- Reclutamento
- Ascendis Pharma Investigational Site
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Centennial, Colorado, Stati Uniti, 80112
- Reclutamento
- Ascendis Pharma Investigational Site
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Delaware
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Wilmington, Delaware, Stati Uniti, 19803
- Reclutamento
- Ascendis Pharma Investigational Site
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District of Columbia
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Washington D.C., District of Columbia, Stati Uniti, 20010
- Reclutamento
- Ascendis Pharma Investigational Site
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Florida
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Orlando, Florida, Stati Uniti, 32806
- Reclutamento
- Ascendis Pharma Investigational Site
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St. Petersburg, Florida, Stati Uniti, 33701
- Reclutamento
- Ascendis Pharma Investigational Site
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Georgia
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Atlanta, Georgia, Stati Uniti, 30329
- Reclutamento
- Ascendis Pharma Investigational Site
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Idaho
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Idaho Falls, Idaho, Stati Uniti, 83404
- Reclutamento
- Ascendis Pharma Investigational Site
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Louisiana
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New Orleans, Louisiana, Stati Uniti, 70118
- Reclutamento
- Ascendis Pharma Investigational Site
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Massachusetts
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Boston, Massachusetts, Stati Uniti, 02115
- Reclutamento
- Ascendis Pharma Investigational Site
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Minnesota
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Minneapolis, Minnesota, Stati Uniti, 55454
- Reclutamento
- Ascendis Pharma Investigational Site
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Saint Paul, Minnesota, Stati Uniti, 55102
- Reclutamento
- Ascendis Pharma Investigational Site
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New York
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Lake Success, New York, Stati Uniti, 11042
- Reclutamento
- Ascendis Pharma Investigational Site
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North Carolina
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Chapel Hill, North Carolina, Stati Uniti, 27599
- Reclutamento
- Ascendis Pharma Investigational Site
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Ohio
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Cincinnati, Ohio, Stati Uniti, 45229
- Reclutamento
- Ascendis Pharma Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, Stati Uniti, 73104
- Reclutamento
- Ascendis Pharma Investigational Site
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South Carolina
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Columbia, South Carolina, Stati Uniti, 29203
- Reclutamento
- Ascendis Pharma Investigational Site
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Texas
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Edinburg, Texas, Stati Uniti, 78539
- Reclutamento
- Ascendis Pharma Investigational Site
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Fort Worth, Texas, Stati Uniti, 76104
- Reclutamento
- Ascendis Pharma Investigational Site
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San Antonio, Texas, Stati Uniti, 78229
- Reclutamento
- Ascendis Pharma Investigational Site
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San Antonio, Texas, Stati Uniti, 78232
- Reclutamento
- Ascendis Pharma Investigational Site
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Utah
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Salt Lake City, Utah, Stati Uniti, 84112
- Reclutamento
- Ascendis Pharma Investigational Site
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Virginia
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Charlottesville, Virginia, Stati Uniti, 22908
- Reclutamento
- Ascendis Pharma Investigational Site
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Washington
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Seattle, Washington, Stati Uniti, 98105
- Reclutamento
- Ascendis Pharma Investigational Site
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
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Chronological age between ≥2 and <18 years, at start of screening.
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Naïve to growth hormone and growth hormone promoting therapies.
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Prepubertal.
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Able to stand without assistance.
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Diagnosis of TS, SHOX-D, SGA, or ISS with impaired growth or short stature, according to the following disease-specific criteria:
TS or SHOX-D (Léri-Weill dyschondrosteosis):
- Diagnosis confirmed by a genetic test. NOTE: Historical test results are acceptable for proof of diagnosis. For karyotypes, a minimum of 20 cells must be counted.
- Impaired growth or short stature defined as:
(i.) AHV <25th percentile over a time span of 6-16 months prior to screening utilizing a historical height properly documented in a health care setting (self-measurement record is not accepted) OR (ii.) Height <5th percentile for sex and age according to the Centers for Disease Control Growth Charts for the United States
SGA without catch-up growth:
c. Birth weight and/or birth length < -2.0 SDS for gestational age according to the 2006 World Health Organization Child Growth Standards. For infants born premature, the Fenton Preterm Infant Growth Chart (Fenton 2013) should be used.
d. Impaired growth or short stature defined as: (i.) AHV <25th percentile over a time span of 6-16 months prior to screening properly documented in a health care setting (self-measurement record is not accepted) OR (ii.) Height < -2.0 SDS for age and sex according to the 2000 Centers for Disease Control Growth Charts for the United States for children ≥ 3 years or height < -2.5 SDS for age and sex according to the for children ≥ 2 years and < 3 years
ISS:
e. Height < -2.25 SDS for sex and age according to the Centers for Disease Control Growth Charts for the United States with no identifiable cause for short stature.
f. Documented normal GH-IGF-1 axis, defined as either: (i.)IGF-1 SDS >0 at screening based on central laboratory OR (ii.)Historical documentation of normal peak GH upon stimulation test (as defined by local institution) g. 46,XX chromosome as determined by karyotype or microarray if female. For karyotypes, a minimum of 30 cells must be counted.
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If on hormone replacement therapies for any hormone deficiencies other than growth hormone (e.g., adrenal, thyroid), must be on adequate and stable doses for ≥4 weeks prior to and throughout screening.
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Written, signed informed consent provided by parent(s) or legal guardian(s) of the participant. Assent should be signed by participant as required by IRB/HREC/IEC.
Exclusion Criteria:
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Advanced bone age X-ray by central reading defined as >20% above chronological age in months (Greulich 1959).
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Closed epiphyses as defined as bone age of ≥14.0 years in females or ≥16.0 years in males.
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Current clinical diagnosis of diabetic retinopathy
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Any diagnosis or presence at screening of the following:
- Untreated moderate or severe sleep apnea as determined by formal (local) read of an inpatient or at-home sleep study.
- Prader Willi syndrome with severe obesity, history of severe upper airway obstruction, or severe respiratory impairment.
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Signs/symptoms of intracranial hypertension, active proliferative retinopathy.
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Uncontrolled hypo- or hyperthyroidism.
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Uncontrolled diabetes mellitus (defined as: HbA1c >7.5% from central laboratory at screening).
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Known history or diagnosis of any gastrointestinal inflammatory condition, HIV, radiation exposure, other skeletal dysplasias, growth hormone deficiency, and/or cardio-thoracic surgery due to their independent effects on growth.
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Any significant hepatic or renal abnormality, such as abnormal renal function (defined as eGFR <60 mL/min/1.73m2).
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Undiagnosed or uncontrolled hypertension.
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Receiving treatment with any agent that might influence growth or interfere with GH secretion or action including any sex steroids and stimulants for attention-deficit/hyperactivity disorder (ADHD).
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High dose inhaled glucocorticoid for more than 28 consecutive days total over the course of 12 months.
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Female who is pregnant, plans to be pregnant, or breastfeeding.
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Participation in another interventional clinical trial involving an investigational compound within 90 days prior to screening or in parallel to this trial.
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Any disease or condition that, in the judgement of the investigator, may make the participant unlikely to comply with the requirements of the protocol or any condition that presents undue risk from the investigational product or trial procedures.
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Exclusion Criteria only applicable to TS:
- Presence of Y chromosome material on genetic testing without history of gonadectomy.
- Less than 10% of 45,X mosaicism.
- Any known, clinically significant, congenital or acquired cardiovascular dysfunction that might interfere with growth.
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Exclusion Criteria only applicable to SGA:
a. Any known clinically significant abnormality likely to affect growth or the ability to evaluate growth with standing height measurements: (i.)Chromosomal aneuploidy, significant gene mutations, or medical syndromes with short stature, including but not limited to Turner syndrome, Laron syndrome, Noonan syndrome, Prader-Willi syndrome, abnormal SHOX-1 gene analysis or absence of GH receptors.
(ii.)Congenital abnormalities (causing skeletal abnormalities), including but not limited to skeletal dysplasias.
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Exclusion Criteria only applicable to ISS:
- Known history of any condition that causes disproportionate short stature (i.e. skeletal dysplasias), chromosomal aneuploidy, significant gene mutations, or medical syndromes with short stature, including but not limited to Turner syndrome, Laron syndrome, Noonan syndrome, Prader-Willi syndrome, abnormal SHOX-1 gene analysis or absence of gH receptors.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: Lonapegsomatropin, once daily
Participants will receive Lonapegsomatropin by subcutaneous injection for 2 years (104 weeks) |
Subcutaneous injection once weekly |
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Comparatore attivo: somatropin, once daily
Participants will receive somatropin by subcutaneous injection for 1 year (52 weeks) followed by lonapegsomatropin for 1 year (52 weeks) |
Subcutaneous injection once daily |
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Annualized Height Velocity (AHV) (cm/year)
Lasso di tempo: 52 Weeks
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To evaluate the efficacy of lonapegsomatropin as compared to somatropin in children and adolescents with TS, SHOX-D, SGA, or ISS |
52 Weeks
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Annualized Height Velocity (AHV) (cm/year)
Lasso di tempo: 104 Weeks
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To evaluate lonapegsomatropin as compared to somatropin on additional measures of efficacy in children and adolescents with TS, SHOX-D, SGA, or ISS |
104 Weeks
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Change from baseline in height standard deviation score (SDS)
Lasso di tempo: 52 Weeks and 104 Weeks
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To evaluate lonapegsomatropin as compared to somatropin on additional measures of efficacy in children and adolescents with TS, SHOX-D, SGA, or ISS |
52 Weeks and 104 Weeks
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Change from baseline in Bone Age (years)
Lasso di tempo: 52 Weeks and 104 Weeks
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To evaluate the safety and tolerability of lonapegsomatropin in children and adolescents with TS, SHOX-D, SGA, or ISS via Central Reader |
52 Weeks and 104 Weeks
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Change from baseline in ratio of Bone Age/chronological age
Lasso di tempo: 52 Weeks and 104 Weeks
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To evaluate the safety and tolerability of lonapegsomatropin in children and adolescents with TS, SHOX-D, SGA, or ISS via Central Reader |
52 Weeks and 104 Weeks
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Number of participants with treatment-related adverse events (AEs)
Lasso di tempo: 52 Weeks and 104 Weeks
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To evaluate the safety and tolerability of lonapegsomatropin in children and adolescents with TS, SHOX-D, SGA, or ISS |
52 Weeks and 104 Weeks
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Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Direttore dello studio: Medical Director, MD, Ascendis Pharma A/S
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
- somatropina
- Ormone della crescita
- Sindrome di Turner
- Malattie del sistema endocrino
- Ormoni
- Ormone della crescita umano
- Fallimento della crescita
- Bassa statura
- Disturbi cromosomici
- Sindrome di Noonan
- Sostituti ormonali
- Lonapegsomatropina
- Disturbi dei Cromosomi Sessuali
- Ormoni ipofisari anteriori
- Ormoni Ipofisari
- Disturbi dello Sviluppo Sessuale dei Cromosomi Sessuali
- Crescita Compromessa
- Sufficienza dell'Ormone della Crescita
- Mutazione del Gene Homeobox della Bassa Statura
- Bambini con Bassa Statura Nati Piccoli per l'Età Gestazionale
- Statura Bassa Idiopatica
Termini MeSH pertinenti aggiuntivi
- Malattie urogenitali
- Malattie ossee
- Malattie muscoloscheletriche
- Malattia cardiovascolare
- Malattie urogenitali maschili
- Malattie urogenitali femminili
- Malattie urogenitali femminili e complicanze della gravidanza
- Malattie cardiache
- Malattie genetiche, congenite
- Malattie del tessuto connettivo
- Disturbi gonadici
- Anomalie craniofacciali
- Anomalie muscoloscheletriche
- Anomalie congenite
- Anomalie cardiovascolari
- Difetti cardiaci, congeniti
- Disturbi dello sviluppo sessuale
- Anomalie urogenitali
- Malattie ossee, dello sviluppo
- Disgenesia gonadica
- Malattie e anomalie congenite, ereditarie e neonatali
- Condizioni patologiche, segni e sintomi
- Malattie della pelle e del tessuto connettivo
- Segni e sintomi
- Malattie del sistema endocrino
- Nanismo
- Sindrome di Noonan
- Disturbi cromosomici
- Sindrome di Turner
- Fallimento per prosperare
- Disturbi cromosomici sessuali dello sviluppo sessuale
- Disturbi del cromosoma sessuale
- lonapegsomatropina
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- ASND0047
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .