NIHR127468 - The GHD Reversal Trial

2022-502008-62-00 Protocol NIHR127468 Therapeutic confirmatory (Phase III) Ended

Start 17 May 2023 · End 4 Dec 2024 · Status Ended · 1 EU/EEA countries · 5 sites · Protocol NIHR127468

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 40
Countries 1
Sites 5

Growth Hormone Deficiency (GHD)

To compare near Final Height Standard Deviation Score (FH SDS) in the GH+ and GH- groups, Mid-parental Target Height (TH) (estimated from parental heights[1]), and TH-FH (in cm and SDS from FH reference data).

Key facts

Sponsor
University College London
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hormonal diseases [C19]
Trial duration
17 May 2023 → 4 Dec 2024
Decision date (initial)
2023-03-20
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2022-502008-62-00
ISRCTN
ISRCTN12552768

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Therapy

To compare near Final Height Standard Deviation Score (FH SDS) in the GH+ and GH- groups, Mid-parental Target Height (TH) (estimated from parental heights[1]), and TH-FH (in cm and SDS from FH reference data).

Secondary objectives 1

  1. To compare the lipid profiles (fasting lipids - serum triglyceride and serum total cholesterol) and bone health in the GH+ and GH- groups

Conditions and MedDRA coding

Growth Hormone Deficiency (GHD)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Children (8-15 years of age for girls, 9-17 years of age for boys) with reversed Isolated Growth Hormone Deficiency (I-GHD) in established puberty (Tanner stages B2/3 in girls & 6-12ml testes in boys) and normal brain Magnetic Resonance Imaging (MRI) scan result (incl. small anterior pituitary). Children will need to have completed a minimum 6-week period of discontinuation of GH medication prior to a GH re-test. Children demonstrating GHD reversal (defined as a peak stimulated GH equal to or greater than 6.7 μg/L using arginine or insulin tolerance test) will be eligible to participate in this trial. Written informed consent must be obtained.

Exclusion criteria 1

  1. Hypopituitarism with or without additional pituitary hormone supplementation, a known genetic cause for I-GHD, organic GHD, ectopic posterior pituitary, other indications for GH therapy, pregnancy or lactation, any malignancy, current participation in another CTIMP, receipt of prednisolone or dexamethasone during the (minimum) 6-week discontinuation period before GH re-test

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Final Height in Standard Deviation Score (FH SDS)

Secondary endpoints 1

  1. Growth Related: The proportion of children reaching normal adult height (- 2SD) The proportion reaching mid-parental Target Height (- 2SD) Difference in child's Target Height minus Final Height (in Standard Deviation Score and centimetres) Bone Related: Bone age delay at Final Height Bone age acceleration between enrolment and Final Height Bone health index at Final Height Biochemistry: Serum IGF-1 and lipid profiles (fasting lipids - serum triglyceride and total serum cholesterol) at Final Heig

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 6

Genotropin® MiniQuick 0,2 mg - Pulver und Lösungsmittel zur Herstellung einer Injektionslösung

PRD498332 · Product

Active substance
Somatropin
Substance synonyms
RECOMBINANT HUMAN GROWTH HORMONE, SOMATOTROPHIN, CB-311, LY-137998
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
CUTANEOUS USE
Max daily dose
1 mg/Kg milligram(s)/kilogram
Max total dose
1 mg/Kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
H01AC01 — SOMATROPIN
Marketing authorisation
1-22045
MA holder
PFIZER CORPORATION AUSTRIA GESELLSCHAFT M.B.H.
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

NutropinAq 10 mg/2 ml (30 IU) solution for injection.

PRD3424385 · Product

Active substance
Somatropin
Substance synonyms
RECOMBINANT HUMAN GROWTH HORMONE, SOMATOTROPHIN, CB-311, LY-137998
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
CUTANEOUS USE
Max daily dose
1 mg/Kg milligram(s)/kilogram
Max total dose
1 mg/Kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
H01AC01 — SOMATROPIN
Marketing authorisation
EU/1/00/164/003
MA holder
IPSEN PHARMA
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Omnitrope 5 mg/1.5 ml solution for injection in cartridge

PRD6061048 · Product

Active substance
Somatropin
Substance synonyms
RECOMBINANT HUMAN GROWTH HORMONE, SOMATOTROPHIN, CB-311, LY-137998
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
CUTANEOUS USE
Max daily dose
1 mg/Kg milligram(s)/kilogram
Max total dose
1 mg/Kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
H01AC01 — SOMATROPIN
Marketing authorisation
EU/1/06/332/013
MA holder
SANDOZ GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Saizen 8 mg/ml Injektionslösung in einer Patrone

PRD360624 · Product

Active substance
Somatropin
Substance synonyms
RECOMBINANT HUMAN GROWTH HORMONE, SOMATOTROPHIN, CB-311, LY-137998
Pharmaceutical form
SOLUTION FOR INJECTION IN CARTRIDGE
Route of administration
CUTANEOUS USE
Max daily dose
1 mg/Kg milligram(s)/kilogram
Max total dose
1 mg/Kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
H01AC01 — SOMATROPIN
Marketing authorisation
2-00389
MA holder
MERCK GESELLSCHAFT MBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

HUMATROPE 6 mg - Pulver und Lösungsmittel zur Herstellung einer Injektionslösung

PRD328195 · Product

Active substance
Somatropin
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
CUTANEOUS USE
Max daily dose
1 mg/Kg milligram(s)/kilogram
Max total dose
1 mg/Kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
H01AC01 — SOMATROPIN
Marketing authorisation
1-21767
MA holder
ELI LILLY GES. M.B.H
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Norditropin FlexPro 15 mg/1,5 ml Injektionslösung in einem Fertigpen

PRD322236 · Product

Active substance
Somatropin
Substance synonyms
RECOMBINANT HUMAN GROWTH HORMONE, SOMATOTROPHIN, CB-311, LY-137998
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
CUTANEOUS USE
Max daily dose
1 mg/Kg milligram(s)/kilogram
Max total dose
1 mg/Kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
H01AC01 — SOMATROPIN
Marketing authorisation
2-00369
MA holder
NOVO NORDISK PHARMA GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

University College London

Sponsor organisation
University College London
Address
250 Euston Road
City
London
Postcode
NW1 2PG
Country
United Kingdom

Scientific contact point

Organisation
University College London
Contact name
Mehul Tulsidas Dattani

Public contact point

Organisation
University College London
Contact name
Mehul Tulsidas Dattani

Third parties 1

OrganisationCity, countryDuties
Johannes Kepler University
ORG-100038960
Linz, Austria On site monitoring, Code 13, Code 2, Code 5, Code 8

Locations

1 EU/EEA country · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ended 40 5
Rest of world 0

Investigational sites

Austria

5 sites · Ended
Johannes Kepler University
University Clinic for Pediatrics and Adolescent Medicine, Altenberger Strasse 69, 4040, Linz
Medical University Of Graz
Department of paediatrics, Neue Stiftingtalstrasse 6, 8010, Graz
Medizinische Universitaet Innsbruck
Department of paediatrics, Anichstraße 35, 6020, Innsbruck
Eb-Haus Austria Gemeinnuetzige Salzburger Landeskliniken Betriebsgesellschaft mbH
Department of paediatrics, Müllner Hauptstraße 48, 5020, Salzburg
Klinikum Wels-Grieskirchen GmbH
Department of paediatrics, Grieskirchner Straße 42, 4600, Wels

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2023-05-17

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 1 · Art. 38 CTR

Temporary halt TH-30644

Halt date
2024-05-09
Member states concerned
Austria
Publication date
2024-06-20
Reason
Feasibility (recruitment issues etc.)
Explanation
Clinical trial has enrolled but is currently on hold. Following the conclusion of the trial’s pilot phase the Funder have requested that the trial is closed as feasibility targets were not met (the trial was not put on hold for safety reasons). The GHD Reversal Trial team are preparing the costs of closing down the trial, as well as continuing the trial with an observational arm, for the Funder’s review.
Benefit-risk balance changed
No
Treatment stopped
No

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Final Analysis Summary Report
SUM-112917
2025-12-23T15:21:20 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Lay Summary Report 2025-12-23T15:22:58 Submitted Laypersons Summary of Results

Documents 2 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) Lay Summary Report 041125 1
Summary of results (for publication) Final Analysis Summary Report 2.0

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-11-15 Austria Acceptable
2023-03-20
2023-03-20