An observational study in Growth Disorders, sponsored by Genentech, Inc.. Completed. Per ClinicalTrials.gov, last updated 2017-02-15.
Sponsored by Genentech, Inc. · Observational
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.
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 →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.
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.
Exclusion Criteria:
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
Also known as: Protropin
Also known as: Nutropin®, Nutropin AQ®, Nutropin Depot™
Number of Participants Who Died
Time frame: From October 1985 to June 2010 (overall approximately 24 years and 9 months)
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
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
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
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)
| Milestone | Idiopathic Growth Hormone Deficiency (IGHD) | Organic Growth Hormone Deficiency (GHD) | Idiopathic Short Stature (ISS) | Turner Syndrome | Renal Disease | Other Etiology | Undefined Etiology |
|---|---|---|---|---|---|---|---|
| Started | 27286 | 9356 | 12519 | 5651 | 2144 | 8010 | 239 |
| Completed | 8220 | 2825 | 3411 | 2066 | 386 | 2118 | 68 |
| Not completed | 19066 | 6531 | 9108 | 3585 | 1758 | 5892 | 171 |
| Withdrew: Status unknown (or no final evaluation) | 11959 | 3948 | 5646 | 2170 | 1106 | 3546 | 108 |
| Withdrew: Withdrawal by subject | 925 | 323 | 346 | 217 | 68 | 229 | 3 |
| Withdrew: Participant non-compliant | 2140 | 567 | 1067 | 353 | 136 | 543 | 18 |
| Withdrew: Lack of efficacy | 249 | 122 | 202 | 105 | 45 | 228 | 5 |
| Withdrew: Adverse event | 78 | 133 | 37 | 27 | 30 | 59 | 1 |
| Withdrew: Death | 2 | 7 | 0 | 0 | 1 | 3 | 0 |
| Withdrew: Reasons other than above | 3602 | 1382 | 1757 | 692 | 361 | 1244 | 34 |
| Withdrew: Reason not specified | 111 | 49 | 53 | 21 | 11 | 40 | 2 |
| participants | Idiopathic Growth Hormone Deficiency (IGHD) | Organic GHD | Idiopathic Short Stature (ISS) | Turner Syndrome | Renal Disease | Other Etiology | Undefined Etiology |
|---|---|---|---|---|---|---|---|
| Number of Participants Who Died | 14 | 96 | 4 | 7 | 23 | 38 | 1 |
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.
| cm/yr | Idiopathic Growth Hormone Deficiency (IGHD) | Organic GHD | Idiopathic Short Stature (ISS) | Turner Syndrome | Renal Disease | Other Etiology | Undefined Etiology |
|---|---|---|---|---|---|---|---|
| Male | 9.5 ± 2.7 | 10.3 ± 4.1 | 8.6 ± 2.2 | — | 8.9 ± 3.6 | 9.5 ± 3.5 | 9.8 ± 4.3 |
| Female | 9.8 ± 3.2 | 11.0 ± 4.8 | 8.7 ± 2.5 | 8.0 ± 2.2 | 8.4 ± 3.4 | 9.4 ± 3.8 | 9.1 ± 2.5 |
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.
| cm/yr | Idiopathic Growth Hormone Deficiency (IGHD) | Organic GHD | Idiopathic Short Stature (ISS) | Turner Syndrome | Renal Disease | Other Etiology | Undefined Etiology |
|---|---|---|---|---|---|---|---|
| Male | 7.7 ± 1.8 | 8.0 ± 2.5 | 7.3 ± 1.6 | — | 7.2 ± 2.4 | 7.5 ± 2.2 | 7.7 ± 2.4 |
| Female | 8.0 ± 2.2 | 8.2 ± 2.8 | 7.3 ± 1.7 | 6.6 ± 1.5 | 7.2 ± 2.1 | 7.6 ± 2.4 | 8.0 ± 2.3 |
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.
| cm/yr | Idiopathic Growth Hormone Deficiency (IGHD) | Organic GHD | Idiopathic Short Stature (ISS) | Turner Syndrome | Renal Disease | Other Etiology | Undefined Etiology |
|---|---|---|---|---|---|---|---|
| Male | 7.0 ± 1.7 | 7.1 ± 2.2 | 6.6 ± 1.6 | — | 6.2 ± 2.4 | 6.8 ± 1.9 | 6.5 ± 1.7 |
| Female | 7.1 ± 1.7 | 7.2 ± 2.3 | 6.7 ± 1.7 | 5.9 ± 1.5 | 6.1 ± 2.2 | 6.8 ± 1.9 | 6.3 ± 2.6 |
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).
| SDS | Idiopathic Growth Hormone Deficiency (IGHD) | Organic GHD | Idiopathic Short Stature (ISS) | Turner Syndrome | Renal Disease | Other Etiology | Undefined 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 |
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.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 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%) |
| Event | Idiopathic Growth Hormone Deficiency (IGHD) | Organic GHD | Idiopathic Short Stature (ISS) | Turner Syndrome | Renal Disease | Other Etiology | Undefined Etiology |
|---|---|---|---|---|---|---|---|
| Kidney transplant rejectionImmune system disorders | 0/27286 | 0/9356 | 0/12519 | 0/5651 | 19/2144 | 0/8010 | 0/239 |
| CraniopharyngiomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/27286 | 75/9356 | 0/12519 | 0/5651 | 0/2144 | 0/8010 | 0/239 |
| SeizureNervous system disorders | 15/27286 | 45/9356 | 4/12519 | 1/5651 | 2/2144 | 11/8010 | 0/239 |
| Benign intracranial hypertensionNervous system disorders | 11/27286 | 4/9356 | 2/12519 | 4/5651 | 10/2144 | 8/8010 | 1/239 |
| EpiphysiolysisMusculoskeletal and connective tissue disorders | 17/27286 | 28/9356 | 2/12519 | 7/5651 | 9/2144 | 10/8010 | 0/239 |
| HypertensionVascular disorders | 2/27286 | 0/9356 | 1/12519 | 4/5651 | 9/2144 | 4/8010 | 0/239 |
| Immune thrombocytopenic purpuraBlood and lymphatic system disorders | 2/27286 | 0/9356 | 1/12519 | 0/5651 | 0/2144 | 1/8010 | 1/239 |
| ThrombocytopeniaBlood and lymphatic system disorders | 2/27286 | 1/9356 | 0/12519 | 0/5651 | 0/2144 | 0/8010 | 1/239 |
| Thrombocytopenic purpuraBlood and lymphatic system disorders | 0/27286 | 0/9356 | 0/12519 | 0/5651 | 0/2144 | 0/8010 | 1/239 |
| Feeling abnormalGeneral disorders | 0/27286 | 0/9356 | 0/12519 | 0/5651 | 0/2144 | 0/8010 | 1/239 |
| Event | Idiopathic Growth Hormone Deficiency (IGHD) | Organic GHD | Idiopathic Short Stature (ISS) | Turner Syndrome | Renal Disease | Other Etiology | Undefined Etiology |
|---|---|---|---|---|---|---|---|
| Injection site painGeneral disorders | 85/27286 | 28/9356 | 33/12519 | 9/5651 | 7/2144 | 21/8010 | 2/239 |
| HeadacheNervous system disorders | 128/27286 | 72/9356 | 38/12519 | 34/5651 | 8/2144 | 29/8010 | 0/239 |
| Failure to thriveMetabolism and nutrition disorders | 42/27286 | 41/9356 | 41/12519 | 32/5651 | 9/2144 | 40/8010 | 1/239 |
| Blood creatinine increasedInvestigations | 1/27286 | 0/9356 | 0/12519 | 0/5651 | 12/2144 | 0/8010 | 0/239 |
| ScoliosisMusculoskeletal and connective tissue disorders | 48/27286 | 32/9356 | 25/12519 | 30/5651 | 3/2144 | 30/8010 | 0/239 |
| LymphadenopathyBlood and lymphatic system disorders | 9/27286 | 1/9356 | 1/12519 | 0/5651 | 1/2144 | 0/8010 | 1/239 |
| DiarrhoeaGastrointestinal disorders | 9/27286 | 6/9356 | 3/12519 | 7/5651 | 2/2144 | 3/8010 | 1/239 |
| Drug ineffectiveGeneral disorders | 14/27286 | 10/9356 | 7/12519 | 15/5651 | 1/2144 | 18/8010 | 1/239 |
| Injection site erythemaGeneral disorders | 7/27286 | 2/9356 | 3/12519 | 3/5651 | 0/2144 | 1/8010 | 1/239 |
| PainGeneral disorders | 12/27286 | 4/9356 | 4/12519 | 2/5651 | 1/2144 | 6/8010 | 1/239 |
Safety evaluable population included all participants enrolled in the study.
| Age, Continuous(years) | Idiopathic Growth Hormone Deficiency (IGHD) | Organic GHD | Idiopathic Short Stature (ISS) | Turner Syndrome | Renal Disease | Other Etiology | Undefined Etiology | Total |
|---|---|---|---|---|---|---|---|---|
| Median | 11.6 (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(Participants) | Idiopathic Growth Hormone Deficiency (IGHD) | Organic GHD | Idiopathic Short Stature (ISS) | Turner Syndrome | Renal Disease | Other Etiology | Undefined Etiology | Total |
|---|---|---|---|---|---|---|---|---|
| Female | 6704 | 3426 | 3213 | 5651 | 630 | 3017 | 81 | 22722 |
| Male | 20582 | 5930 | 9306 | 0 | 1514 | 4993 | 158 | 42483 |
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Genentech, Inc.