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TerminatedNCT00748969Updated Sep 5, 2018Results posted

Clinical Trial of Growth Hormone in MPS I, II, and VI

A Phase 2/3 interventional study of Somatropin (DNA origin) in Mucopolysaccharidosis I, Mucopolysaccharidosis II and Mucopolysaccharidosis VI, sponsored by Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center. Terminated at 1 site in United States. Open to participants aged 5 Years to 17 Years. Per ClinicalTrials.gov, last updated 2018-09-05.

Sponsored by Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center · Phase 2/3, Interventional, and Treatment

Why this study was terminated
Insufficient recruitment.
Phase
Phase 2/3
Study type
Interventional
Enrollment
2
Allocation
Randomized
Ages
5 Years to 17 Years
Sex
All
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Study summary

The purpose of this study is to determine whether growth hormone is a safe and effective treatment for short stature in children with Mucopolysaccharidosis type I, II, and VI.

Read the detailed description

Although children with MPS I, II, and VI who are treated with Hematopoietic Cell Transplantation (HCT) and/or enzyme replacement therapy (ERT) are living into adulthood with good cognitive development, their quality of life is significantly impacted by their skeletal abnormalities (i.e., kyphosis, scoliosis, and genu valgum), contractures, and severe short stature. Here at the University of Minnesota we have seen some promising clinical outcomes in children with MPS IH whom we have treated with human growth hormone (hGH). There are currently no reports in the literature of the impact of treating children with MPS and short stature, with hGH on their growth velocity or characteristic skeletal abnormalities. This study will advance the care of these children by providing data in this yet unexplored area of pediatric medicine with the goal of improving the quality of life for these children by improving height, mobility, and neuropsychological functioning.

This is a Phase II/III randomized, single-center, 12 month clinical trial of growth hormone in male and female participants with MPS I, II, or VI, followed by 12 months open label. Participants with height ≤ -2 SDS for age and gender will be randomized for the first 12 months 1:1 to treatment or no treatment. At the conclusion of the 12 months, all subjects will be offered an additional 12 months of treatment.

02

Conditions studied

  • Mucopolysaccharidosis I
  • Mucopolysaccharidosis II
  • Mucopolysaccharidosis VI

Keywords

  • MPS I
  • MPS II
  • MPS VI
  • growth hormone
  • short stature
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In context

Mucopolysaccharidosis II

71 studies on the registry are indexed under Mucopolysaccharidosis II; 8 are open to participants now.

This study's enrollment of 2 is below the median of 20 across 43 interventional studies indexed under Mucopolysaccharidosis II.

Browse Mucopolysaccharidosis II studies →

Lead sponsor

Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center is the lead sponsor of 67 studies on the registry; 1 is open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 5 (45%) have results posted.

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

04

Who can participate

Ages eligible
5 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • A parent or legally authorized representative must provide written informed consent and comply with study assessments for the full duration of the study.
  • Chronologic age ≥ 5 years and bone age ≤12 years
  • Diagnosis of MPS I, II, or VI
  • Height ≤ -2 SDS for age and gender
  • Ability to travel to study center for evaluations.
  • Ability of the participant to cooperate with study procedures, to notify a guardian of symptoms, and provide assent for participation in the study.

Exclusion criteria

Exclusion Criteria:

  • History of treatment with hGH
  • Untreated pituitary deficiency
  • Pregnancy (positive urine pregnancy test) prior to enrollment in the study
  • Participation in another simultaneous medical intervention trial
  • Patients with closed epiphysis
  • Active neoplasm
  • Orthopedic procedure of the femur within the last 6 months.
  • Known or suspected allergy to trial product or related products.
  • Structural lesion on brain MRI resulting in brain compression
  • Any other social or medical condition that the investigator believes would pose a significant hazard to the subject if the investigational therapy were initiated or be detrimental to the study.
  • Obstructive sleep apnea without BiPAP or tonsillectomy/adenoidectomy treatment.
  • CNS shunt.
  • Abnormal cardiac function based on echocardiogram within 6 months prior to enrollment :
  • Ejection fraction less than 50%
  • Left ventricular chamber size greater than or less than 2 standard deviations of normal for body surface area
  • Left ventricular wall thickness greater than or less than 2 standard deviations of normal for body surface area
  • More than mild to moderate aortic insufficiency with abdominal aortic run-off
  • More than mild to moderate mitral insufficiency with pulmonary hypertension
  • Abnormal pulmonary function based on pulmonary function tests within 6 months prior to enrollment:
  • abnormal FVC \< 80% of predicted for age, gender, and height
  • abnormal FEV1 \< 80% predicted for age, gender, and height
  • abnormal FEV1/FVC
  • abnormal oxygen saturation
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2 participants (actual)

Study arms

  • Experimental
    Growth hormone treatmen

    Growth hormone treatment arm. Somatropin (DNA origin)

    Drug: Somatropin (DNA origin)

  • No intervention
    No growth hormone treatment in year 1

    No growth hormone treatment in year 1; option for treatment in year 2 open-label period.

Interventions

  • DrugSomatropin (DNA origin)

    The study starting dose of Nutropin AQ® will be 0.48 mg/kg/week divided into daily SC injections. Nutropin AQ® will be administered by either the subject or, if unable to demonstrate competency in this, then by the guardian. To decrease the risk of increased intracranial hypertension, the dose in the first month of treatment will be decreased by 50% (0.24 mg/kg/week), and then increased to 0.48 mg/kg/week if tolerated well after 1 month.

    Also known as: Nutropin AQ

06

What researchers measure

Primary outcomes

  1. Change in Growth Velocity From Baseline to End of Study Year 1.

    Time frame: 12 months

Secondary outcomes

  1. Safety: Number Drug Related SAEs

    Time frame: 1 months

07

Results

Posted Nov 24, 2014

Participant flow

Participant flow — Overall Study
MilestoneGrowth Hormone TreatmenNo Growth Hormone Treatment in Year 1
Started11
Completed00
Not completed11
Withdrew: Withdrawal by subject10
Withdrew: Withdrawal by subject01

Outcome measures

PrimaryChange in Growth Velocity From Baseline to End of Study Year 1.
Time frame:
12 months
Reported as:
Number · cm/yr
Change in Growth Velocity From Baseline to End of Study Year 1.
cm/yrGrowth Hormone TreatmentNo Growth Hormone Treatment
Change in Growth Velocity From Baseline to End of Study Year 1.NA—
SecondarySafety: Number Drug Related SAEs
Time frame:
1 months
Reported as:
Count of participants · Participants
Safety: Number Drug Related SAEs
ParticipantsGrowth Hormone TreatmentNo Growth Hormone Treatment
Safety: Number Drug Related SAEs00

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
GH Treatment—0/1 (0%)1/1 (100%)
No GH Treatment———
Most frequent other events
Most frequent other events
EventGH TreatmentNo GH Treatment
HeadacheNervous system disorders1/1—
worsening OSARespiratory, thoracic and mediastinal disorders1/1—

Baseline characteristics

Age, Continuous
Age, Continuous(years)Growth Hormone TreatmenNo Growth Hormone Treatment in Year 1Total
Mean10.9 (10.9 to 10.9)13.5 (13.5 to 13.5)12.2 (10.9 to 13.5)
Age, Categorical
Age, Categorical(Participants)Growth Hormone TreatmenNo Growth Hormone Treatment in Year 1Total
<=18 years112
Between 18 and 65 years000
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Growth Hormone TreatmenNo Growth Hormone Treatment in Year 1Total
Female000
Male112
Region of Enrollment
Region of Enrollment(participants)Growth Hormone TreatmenNo Growth Hormone Treatment in Year 1Total
United States112
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Study locations

1 site
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 5, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00748969
Lead sponsor
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Responsible party
Sponsor
First posted
Sep 9, 2008
Start date
Nov 2008
Primary completion
Sep 2013
Completion
Sep 2013
Results posted
Nov 24, 2014
Last update
Sep 5, 2018

Study contacts

Lynda E Polgreen, M.D.
principal investigator · University of Minnesota

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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