CClinicalTrials.gg
CompletedNCT00097539Updated Feb 15, 2017Results posted

National Cooperative Growth Study (NCGS): A Post-marketing Surveillance Program for Nutropin, Nutropin AQ, Nutropin Depot, and Protropin

An observational study in Growth Disorders, sponsored by Genentech, Inc.. Completed. Per ClinicalTrials.gov, last updated 2017-02-15.

Sponsored by Genentech, Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
65,205
Sex
All
01

Study summary

The purpose of this multicenter, open-label, observational, post-marketing surveillance study is to collect long term safety and efficacy information on growth hormone (GH) products: Protropin (somatrem for injection), Nutropin (somatropin for injection), Nutropin AQ (somatropin for injection), and Nutropin Depot (somatropin for injectable suspension) in the treatment of pediatric growth disorders for which GH is prescribed.

02

Conditions studied

  • Growth Disorders

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Keywords

  • Pediatric growth disorders
03

In context

Growth Disorders

167 studies on the registry are indexed under Growth Disorders; 24 are open to participants now.

This study's enrollment of 65,205 is above the median of 205 across 67 observational studies indexed under Growth Disorders.

Browse Growth Disorders studies →

Lead sponsor

Genentech, Inc. is the lead sponsor of 507 studies on the registry; 23 are open to participants now.

Of its 90 completed or terminated interventional studies of FDA-regulated products, 50 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants initiating therapy with Genentech GH products for the treatment of pediatric growth disorders as determined by their physician and who have consented to participate in the NCGS will be enrolled in the study and will be followed throughout their course of treatment, or until withdrawal from the NCGS.

Inclusion criteria

  • Participants with open epiphyses
  • Children of either sex who are treated with Nutropin Depot, Nutropin AQ, Nutropin, or Protropin for the treatment of growth failure
  • Participants who are willing to keep follow up appointments throughout the study participation

Exclusion criteria

Exclusion Criteria:

  • Participants treated with a non-Genentech GH preparation
  • Participants with closed epiphyses
  • Participants with active neoplasia
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
65,205 participants (actual)

Groups and cohorts

  • Participants With Growth Disorders

    Participants initiating therapy with Genentech GH products: Protropin (somatrem for injection), Nutropin (somatropin for injection), Nutropin AQ (somatropin for injection), and Nutropin Depot (somatropin for injectable suspension) for the treatment of pediatric growth disorders as determined by their physician and who have consented to participate in the NCGS will be enrolled in the study and will be followed throughout their course of treatment, or until withdrawal from the NCGS.

    Biological: Somatrem · Biological: Somatropin

Interventions

  • BiologicalSomatrem

    Also known as: Protropin

  • BiologicalSomatropin

    Also known as: Nutropin®, Nutropin AQ®, Nutropin Depot™

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Died

    Time frame: From October 1985 to June 2010 (overall approximately 24 years and 9 months)

  2. First Year Annualized Growth Rate

    Annualized growth rates are expressed as centimeters per year (cm/yr), computed as the change in height (centimeters) divided by the change in age (years). Growth rates were calculated from the date of the first injection (baseline/ enrollment) to the visit closest to 365\*1 days after baseline. Visits within 90 days of 365\*1 days after baseline may be used. If multiple visits within 90 days were reported then the visit closest to 365\*1 days was used. Growth rates less than (\<) -1 or greater than (\>) 30 cm/yr were excluded. Growth rates from -1 to 0 were set to 0 cm/yr. Growth rates are summarized by etiology group and gender. Only those participants who had non-missing 1-year growth rate data were included in the analysis.

    Time frame: Year 1

  3. Second Year Annualized Growth Rate

    Annualized growth rates are expressed as cm/yr, computed as the change in height (centimeters) divided by the change in age (years). Growth rates were calculated from the date of the visit closest to 365 days after baseline to the visit closest to 730 days. Visits within 90 days of 365 and 730 days after baseline may be used. If multiple visits within 90 days were reported then the visit closest to 365 or 730 days was used. Growth rates \<-1 or \>30 cm/yr were excluded. Growth rates from -1 to 0 were set to 0 cm/yr. Growth rates are summarized by etiology group and gender. Only those participants who had non-missing second-year growth rate data were included in the analysis.

    Time frame: Year 2

  4. Third Year Annualized Growth Rate

    Annualized growth rates are expressed as cm/yr, computed as the change in height (centimeters) divided by the change in age (years). Growth rates were calculated from the date of the visit closest to 730 days after baseline to the visit closest to 1095 days. Visits within 90 days of 730 and 1095 days after baseline may be used. If multiple visits within 90 days were reported then the visit closest to 730 or 1095 days was used. Growth rates \<-1 or \>30 cm/yr were excluded. Growth rates from -1 to 0 were set to 0 cm/yr. Growth rates are summarized by etiology group and gender. Only those participants who had non-missing third-year growth rate data were included in the analysis.

    Time frame: Year 3

  5. Near Adult Height (NAH)

    Heights were standardized with height standardized deviation scores (SDS) to enable height comparisons across ages and sexes using methods and height standards found at: http://www.cdc.gov/growthcharts/cdc_charts.htm. NAH were calculated overall and by etiology groups for participants who had both a non-missing value available height z-score and a non-missing enrollment height (EH) SDS, as well as for participants with 3 or more years of GH therapy (GHT ≥3y).

    Time frame: From October 1985 to June 2010 (overall approximately 24 years and 9 months)

07

Results

Posted Feb 15, 2017

Participant flow

Participant flow — Overall Study
MilestoneIdiopathic Growth Hormone Deficiency (IGHD)Organic Growth Hormone Deficiency (GHD)Idiopathic Short Stature (ISS)Turner SyndromeRenal DiseaseOther EtiologyUndefined Etiology
Started27286935612519565121448010239
Completed8220282534112066386211868
Not completed1906665319108358517585892171
Withdrew: Status unknown (or no final evaluation)1195939485646217011063546108
Withdrew: Withdrawal by subject925323346217682293
Withdrew: Participant non-compliant2140567106735313654318
Withdrew: Lack of efficacy249122202105452285
Withdrew: Adverse event78133372730591
Withdrew: Death2700130
Withdrew: Reasons other than above360213821757692361124434
Withdrew: Reason not specified11149532111402

Outcome measures

PrimaryNumber of Participants Who Died
Time frame:
From October 1985 to June 2010 (overall approximately 24 years and 9 months)
Reported as:
Number · participants
Number of Participants Who Died
participantsIdiopathic Growth Hormone Deficiency (IGHD)Organic GHDIdiopathic Short Stature (ISS)Turner SyndromeRenal DiseaseOther EtiologyUndefined Etiology
Number of Participants Who Died14964723381
PrimaryFirst Year Annualized Growth Rate

Annualized growth rates are expressed as centimeters per year (cm/yr), computed as the change in height (centimeters) divided by the change in age (years). Growth rates were calculated from the date of the first injection (baseline/ enrollment) to the visit closest to 365\*1 days after baseline. Visits within 90 days of 365\*1 days after baseline may be used. If multiple visits within 90 days were reported then the visit closest to 365\*1 days was used. Growth rates less than (\<) -1 or greater than (\>) 30 cm/yr were excluded. Growth rates from -1 to 0 were set to 0 cm/yr. Growth rates are summarized by etiology group and gender. Only those participants who had non-missing 1-year growth rate data were included in the analysis.

Time frame:
Year 1
Reported as:
Mean · cm/yr
First Year Annualized Growth Rate
cm/yrIdiopathic Growth Hormone Deficiency (IGHD)Organic GHDIdiopathic Short Stature (ISS)Turner SyndromeRenal DiseaseOther EtiologyUndefined Etiology
Male9.5 ± 2.710.3 ± 4.18.6 ± 2.2—8.9 ± 3.69.5 ± 3.59.8 ± 4.3
Female9.8 ± 3.211.0 ± 4.88.7 ± 2.58.0 ± 2.28.4 ± 3.49.4 ± 3.89.1 ± 2.5
PrimarySecond Year Annualized Growth Rate

Annualized growth rates are expressed as cm/yr, computed as the change in height (centimeters) divided by the change in age (years). Growth rates were calculated from the date of the visit closest to 365 days after baseline to the visit closest to 730 days. Visits within 90 days of 365 and 730 days after baseline may be used. If multiple visits within 90 days were reported then the visit closest to 365 or 730 days was used. Growth rates \<-1 or \>30 cm/yr were excluded. Growth rates from -1 to 0 were set to 0 cm/yr. Growth rates are summarized by etiology group and gender. Only those participants who had non-missing second-year growth rate data were included in the analysis.

Time frame:
Year 2
Reported as:
Mean · cm/yr
Second Year Annualized Growth Rate
cm/yrIdiopathic Growth Hormone Deficiency (IGHD)Organic GHDIdiopathic Short Stature (ISS)Turner SyndromeRenal DiseaseOther EtiologyUndefined Etiology
Male7.7 ± 1.88.0 ± 2.57.3 ± 1.6—7.2 ± 2.47.5 ± 2.27.7 ± 2.4
Female8.0 ± 2.28.2 ± 2.87.3 ± 1.76.6 ± 1.57.2 ± 2.17.6 ± 2.48.0 ± 2.3
PrimaryThird Year Annualized Growth Rate

Annualized growth rates are expressed as cm/yr, computed as the change in height (centimeters) divided by the change in age (years). Growth rates were calculated from the date of the visit closest to 730 days after baseline to the visit closest to 1095 days. Visits within 90 days of 730 and 1095 days after baseline may be used. If multiple visits within 90 days were reported then the visit closest to 730 or 1095 days was used. Growth rates \<-1 or \>30 cm/yr were excluded. Growth rates from -1 to 0 were set to 0 cm/yr. Growth rates are summarized by etiology group and gender. Only those participants who had non-missing third-year growth rate data were included in the analysis.

Time frame:
Year 3
Reported as:
Mean · cm/yr
Third Year Annualized Growth Rate
cm/yrIdiopathic Growth Hormone Deficiency (IGHD)Organic GHDIdiopathic Short Stature (ISS)Turner SyndromeRenal DiseaseOther EtiologyUndefined Etiology
Male7.0 ± 1.77.1 ± 2.26.6 ± 1.6—6.2 ± 2.46.8 ± 1.96.5 ± 1.7
Female7.1 ± 1.77.2 ± 2.36.7 ± 1.75.9 ± 1.56.1 ± 2.26.8 ± 1.96.3 ± 2.6
PrimaryNear Adult Height (NAH)

Heights were standardized with height standardized deviation scores (SDS) to enable height comparisons across ages and sexes using methods and height standards found at: http://www.cdc.gov/growthcharts/cdc_charts.htm. NAH were calculated overall and by etiology groups for participants who had both a non-missing value available height z-score and a non-missing enrollment height (EH) SDS, as well as for participants with 3 or more years of GH therapy (GHT ≥3y).

Time frame:
From October 1985 to June 2010 (overall approximately 24 years and 9 months)
Reported as:
Mean · SDS
Near Adult Height (NAH)
SDSIdiopathic Growth Hormone Deficiency (IGHD)Organic GHDIdiopathic Short Stature (ISS)Turner SyndromeRenal DiseaseOther EtiologyUndefined Etiology
NAH-0.9 ± 1.1-1.1 ± 1.4-1.2 ± 1.0-2.0 ± 1.0-2.0 ± 1.5-1.5 ± 1.3-1.3 ± 1.2
EH-2.5 ± 1.0-2.4 ± 1.4-2.7 ± 0.8-3.1 ± 0.9-3.1 ± 1.3-2.9 ± 1.4-3.0 ± 1.7
NAH GHT ≥3y-0.8 ± 1.0-1.0 ± 1.4-1.1 ± 1.0-1.9 ± 1.0-1.7 ± 1.4-1.5 ± 1.3-1.2 ± 1.2
EH GHT ≥3y-2.6 ± 1.0-2.5 ± 1.4-2.7 ± 0.8-3.2 ± 1.0-3.1 ± 1.2-3.0 ± 1.4-3.2 ± 1.8

Adverse events

Collected over From October 1985 to June 2010 (overall approximately 24 years and 9 months). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Idiopathic Growth Hormone Deficiency (IGHD)—322/27,286 (1.2%)949/27,286 (3.5%)
Organic GHD—595/9,356 (6.4%)523/9,356 (5.6%)
Idiopathic Short Stature (ISS)—100/12,519 (0.8%)385/12,519 (3.1%)
Turner Syndrome—119/5,651 (2.1%)328/5,651 (5.8%)
Renal Disease—141/2,144 (6.6%)101/2,144 (4.7%)
Other Etiology—255/8,010 (3.2%)357/8,010 (4.5%)
Undefined Etiology—4/239 (1.7%)7/239 (2.9%)
Most frequent serious events
Showing 10 of 913
Most frequent serious events
EventIdiopathic Growth Hormone Deficiency (IGHD)Organic GHDIdiopathic Short Stature (ISS)Turner SyndromeRenal DiseaseOther EtiologyUndefined Etiology
Kidney transplant rejectionImmune system disorders0/272860/93560/125190/565119/21440/80100/239
CraniopharyngiomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/2728675/93560/125190/56510/21440/80100/239
SeizureNervous system disorders15/2728645/93564/125191/56512/214411/80100/239
Benign intracranial hypertensionNervous system disorders11/272864/93562/125194/565110/21448/80101/239
EpiphysiolysisMusculoskeletal and connective tissue disorders17/2728628/93562/125197/56519/214410/80100/239
HypertensionVascular disorders2/272860/93561/125194/56519/21444/80100/239
Immune thrombocytopenic purpuraBlood and lymphatic system disorders2/272860/93561/125190/56510/21441/80101/239
ThrombocytopeniaBlood and lymphatic system disorders2/272861/93560/125190/56510/21440/80101/239
Thrombocytopenic purpuraBlood and lymphatic system disorders0/272860/93560/125190/56510/21440/80101/239
Feeling abnormalGeneral disorders0/272860/93560/125190/56510/21440/80101/239
Most frequent other events
Showing 10 of 914
Most frequent other events
EventIdiopathic Growth Hormone Deficiency (IGHD)Organic GHDIdiopathic Short Stature (ISS)Turner SyndromeRenal DiseaseOther EtiologyUndefined Etiology
Injection site painGeneral disorders85/2728628/935633/125199/56517/214421/80102/239
HeadacheNervous system disorders128/2728672/935638/1251934/56518/214429/80100/239
Failure to thriveMetabolism and nutrition disorders42/2728641/935641/1251932/56519/214440/80101/239
Blood creatinine increasedInvestigations1/272860/93560/125190/565112/21440/80100/239
ScoliosisMusculoskeletal and connective tissue disorders48/2728632/935625/1251930/56513/214430/80100/239
LymphadenopathyBlood and lymphatic system disorders9/272861/93561/125190/56511/21440/80101/239
DiarrhoeaGastrointestinal disorders9/272866/93563/125197/56512/21443/80101/239
Drug ineffectiveGeneral disorders14/2728610/93567/1251915/56511/214418/80101/239
Injection site erythemaGeneral disorders7/272862/93563/125193/56510/21441/80101/239
PainGeneral disorders12/272864/93564/125192/56511/21446/80101/239

Baseline characteristics

Safety evaluable population included all participants enrolled in the study.

Age, Continuous
Age, Continuous(years)Idiopathic Growth Hormone Deficiency (IGHD)Organic GHDIdiopathic Short Stature (ISS)Turner SyndromeRenal DiseaseOther EtiologyUndefined EtiologyTotal
Median11.6 (0.0 to 41.9)10.0 (0.0 to 38.6)11.8 (0.0 to 24.2)10.2 (0.1 to 21.2)10.2 (0.0 to 28.8)10.1 (0.0 to 37.8)10.7 (0.0 to 17.9)11.1 (0.0 to 41.9)
Gender
Gender(Participants)Idiopathic Growth Hormone Deficiency (IGHD)Organic GHDIdiopathic Short Stature (ISS)Turner SyndromeRenal DiseaseOther EtiologyUndefined EtiologyTotal
Female670434263213565163030178122722
Male205825930930601514499315842483
08

Study locations

No study locations are listed for this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 15, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00097539
Lead sponsor
Genentech, Inc.
Responsible party
Sponsor
First posted
Nov 25, 2004
Start date
Oct 1985
Primary completion
Jun 2010
Completion
Jun 2010
Results posted
Feb 15, 2017
Last update
Feb 15, 2017

Study contacts

Clinical Trials
study director · Genentech, Inc.
View the source record on ClinicalTrials.gov ↗

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