InvestiGating the rOle of Growth Hormone in hepatic lipid metabolism in humans

2024-518214-11-01 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 1 Jan 2022 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 30
Countries 1
Sites 1

acromegaly

We aim to define the role of GH action in modifying HCL by regulating hepatic VLDL secretion, DNL and energy metabolism in healthy humans.

Key facts

Sponsor
Medical University Of Vienna
Participant type
Patients, Healthy volunteers
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Phenomena and Processes [G] - Physiological processes [G07]
Trial duration
1 Jan 2022 → ongoing
Decision date (initial)
2025-01-15
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No
Funding sources
Austrian Science Fund (FWF)

External identifiers

EU CT number
2024-518214-11-01
EudraCT number
2020-000831-34

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others

We aim to define the role of GH action in modifying HCL by regulating hepatic VLDL secretion, DNL and energy metabolism in healthy humans.

Secondary objectives 2

  1. We aim to trace D2 enrichments in lipids in liver and adipose tissue by high resolution magnetic resonance spectroscopy (MRS).
  2. In patients with acromegaly we aim to investigate the effects of GH excess on VLDL secretion and DNL. Of note, individual treatment is independent of all study related activities and is not examined in this study.

Conditions and MedDRA coding

acromegaly

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-518214-11-00 InvestiGating the rOle of Growth Hormone in hepatic lipid metabolism in humans Medical University Of Vienna

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Age between 18 – 70 years
  2. for healthy volunteers: Plasma trigylcerides: < 300 mg/dl
  3. for healthy volunteers: male sex

Exclusion criteria 13

  1. for healthy volunteers: HbA1c > 6%
  2. history of pancreatitis
  3. for healthy volunteers: serum TGs > 300 mg/dl
  4. for healthy volunteers: known liver or kidney disease (AST/ALT > ULN, GFR < 65 ml/min)
  5. for healthy volunteers: consummation of alcoholic beverages during the last 48 hours
  6. for healthy volunteers: Body-Mass-Index > 30 kg/m²
  7. for healthy volunteers: tendency towards claustrophobia
  8. simultaneous participation in another active clinical study
  9. allergies against soy products, eggs, peanuts
  10. for healthy volunteers: metal devices or other magnetic material in or on the subjects body which will be hazardous for NMR investigation [heart pacemaker, coronary stents and heart valves (in case these devices are not compatible with a 7T MT), brain (aneurysm) clip, nerve stimulators, electrodes, ear implants, penile implants, colored contact lenses, patch to deliver medications through the skin, vascular filter for blood clots, orthodontic braces, shunt-spinal or ventricular, any metal implants (rods, joints, plates, pins, screws, nails, or clips), embolization coil, or any metal fragments or shrapnel in the body.
  11. for patients with acromegaly: serum TGs > 500 mg/dl
  12. for patients with acromegaly: severe liver disease (LFTs 3x ULN)
  13. for patients with acromegaly: glomerular filtration rate < 45 mL/min

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. GH induced changes in metabolism of energy rich phosphates (ATP turnover)

Secondary endpoints 6

  1. GH induced changes in hepatic lipid content
  2. GH induced changes in VLDL secretion
  3. GH induced changes in de novo lipogenesis, i.e. the incorporation of D2 into VLDL-TG palmitate and lipid profiling using a DNL index
  4. GH induced changes in the accumulation of deuterium label in lipid stores, including liver and subcutaneous adipose tissue, as measure of depot specific de novo lipogenesis
  5. GH induced changes in resting energy expenditure
  6. GH induced changes in body composition

Investigational products

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

Test 1

SOMAVERT 20 mg powder and solvent for solution for injection

PRD3432998 · Product

Active substance
Pegvisomant
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
40 mg milligram(s)
Max total dose
160 mg milligram(s)
Max treatment duration
7 Day(s)
Authorisation status
Authorised
ATC code
H01AX01 — -
Marketing authorisation
EU/1/02/240/003
MA holder
PFIZER EUROPE MA EEIG
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

Genotropin® 12 mg/ml Pulver und Lösungsmittel zur Herstellung einer Injektionslösung

PRD4247915 · Product

Active substance
Somatropin
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
2 mg milligram(s)
Max total dose
14 mg milligram(s)
Max treatment duration
7 Day(s)
Authorisation status
Authorised
ATC code
H01AC01 — SOMATROPIN
Marketing authorisation
30032.02.00
MA holder
PFIZER PHARMA GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Medical University Of Vienna

Sponsor organisation
Medical University Of Vienna
Address
Spitalgasse 23, Alsergrund Alsergrund
City
Vienna
Postcode
1090
Country
Austria

Scientific contact point

Organisation
Medical University Of Vienna
Contact name
Department of Medicine III, Division of Endocrinology and Metabolism

Public contact point

Organisation
Medical University Of Vienna
Contact name
Department of Medicine III, Division of Endocrinology and Metabolism

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ongoing, recruiting 30 1
Rest of world 0

Investigational sites

Austria

1 site · Ongoing, recruiting
Medical University Of Vienna
Department of Medicine III, Division of Endocrinology and Metabolism, Waehringer Guertel 18-20, Alsergrund, Vienna

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 2022-01-01 2022-01-07

Results and documents

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

Documents 7 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-518214-11-00 blackened 3
Recruitment arrangements (for publication) Placeholder 2024-518214-11-00 1
Subject information and informed consent form (for publication) L1_SIS and ICF_WPA blackened 6
Subject information and informed consent form (for publication) L1_SIS and ICF_WPB blackened 6
Subject information and informed consent form (for publication) L1_SIS and ICF_WPC blackened 4
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Genotropin 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Somavert 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-12-06 Austria Acceptable
2025-01-10
2025-01-15