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CompletedNCT01778023Updated Jun 2, 2017Results posted

Efficacy and Safety of Recombinant Human Growth Hormone on Height Velocity in Subjects With Idiopathic Short Stature

A Phase 3 interventional study of somatropin in Growth Disorder and Idiopathic Short Stature, sponsored by Novo Nordisk A/S. Completed at 8 sites in Korea, Republic of. Open to participants aged 4 Years to 11 Years. Per ClinicalTrials.gov, last updated 2017-06-02.

Sponsored by Novo Nordisk A/S · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
4 Years to 11 Years
Sex
All
01

Study summary

This trial is conducted in Asia. The aim of this trial is to evaluate the efficacy and safety of recombinant human growth hormone (hGH) in subjects with idiopathic short stature in Korea.

02

Conditions studied

  • Growth Disorder
  • Idiopathic Short Stature
03

In context

Dwarfism

125 studies on the registry are indexed under Dwarfism; 19 are open to participants now.

This study's enrollment of 54 is below the median of 75 across 74 interventional studies indexed under Dwarfism.

Browse Dwarfism studies →

Lead sponsor

Novo Nordisk A/S is the lead sponsor of 1,370 studies on the registry; 102 are open to participants now.

Of its 198 completed or terminated interventional studies of FDA-regulated products, 94 (47%) have results posted.

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

04

Who can participate

Ages eligible
4 Years to 11 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Informed consent obtained from subject's parents or legally acceptable representative before any trial-related activities. (Trial-related activities are any procedure that would not have been performed during normal management of the subject.)
  • Pre-pubertal status (males aged from 4 to 11 [both inclusive], females aged from 4 to 9 [both inclusive]): an absence of breast development in females (Tanner 1 only) and testicular volume below 4 mL in males
  • Growth hormone level above 10 ng/mL following a stimulation test (test result within 6 months from screening can be used)
  • Height below 3 percentile
  • Bone age below or equal to 12 year
  • Epiphyses confirmed as open in patients at least 10 years or more of age

Exclusion criteria

Exclusion Criteria:

  • Known presence of one or more pituitary hormone deficiencies (ACTH (adrenocorticotropic hormone), ADH (antidiuretic hormone), FSH (follicle-stimulating hormone), LH (luteinising hormone), TSH (thyroid-stimulating hormone))
  • Known primary hypothyroidism, adrenal insufficiency or hypogonadism (treated or untreated)
  • Specific types of growth failure including, but not limited to, known chromosomal abnormalities associated with growth failure and altered sensitivity to growth hormone
  • Bone age is advanced over chronological age more than 3 years
  • Active malignancy, CNS (central nervous system) trauma, active chemotherapy or radiation therapy for neoplasia
  • Prior history of intracranial hypertension
  • Hypertrophic cardiomyopathy
05

Study design

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

Study arms

  • Experimental
    hGH:12months treatment

    Drug: somatropin

  • Active comparator
    hGH: 6 month un-treatment + 6 month treatment

    Drug: somatropin

Interventions

  • Drugsomatropin

    A weekly dosage of 0.469 mg of somatropin per kg of body weight per week will be injected subcutaneously (under the skin) in the evening in 7 days per week.

06

What researchers measure

Primary outcomes

  1. Height Velocity (Ht-V)

    Height velocity (Ht-V) (cm/year) is the change in height per year (after 6 months of treatment). Ht-V was calculated by Novo Nordisk.

    Time frame: After 6 months of treatment

Secondary outcomes

  1. Change in Ht-SDS (Height Standard Deviation Score)

    Height standard deviation scores (HSDS) were calculated using Korean growth data (reported by the Korea Centre for Disease Control and Prevention). The mean normal range for HSDS is from -2 to +2. Negative scores below -2 indicate a height below normal range, whereas positive scores above +2 indicate a height above normal.

    Time frame: After 6 months of treatment.

  2. Change in IGF Related Factors: IGF-I (Insulin-like Growth Factor-I)

    IGF-I (insulin-like growth factor-1) was measured at Visit 1 (screening),Visit 3 (3 months ± 7 days ),Visit 4 (6 months ± 7 days),Visit 5 (9 months ± 7 days ) and Visit 6 (12 months ± 7 days ). Change of IGF-I from baseline to 6 months treatment was calculated.

    Time frame: After 6 months of treatment.

  3. Change in IGF Related Factors: IGFBP-3 (Insulin-like Growth Factor Binding Protein-3)

    IGFBP-3 was measured at Visit 1(screening), Visit 3 (3 months ± 7 days ), Visit 4 (6 months ± 7 days), 5 (9 months ± 7 days ) and 6 ( 12 months ± 7 days). Change of IGFBP-3 from baseline to 6 months treatment were calculated.

    Time frame: After 6 months of treatment.

  4. Change in Bone Age

    Change in bone age from the baseline to 6 months.

    Time frame: After 6 months of treatment.

  5. Occurrence of Adverse Events

    AEs were collected throughout the trial in both groups.

    Time frame: Throughout the trial (12 months)

  6. Ht-V (Height Velocity)

    Height velocity (Ht-V) (cm/year) is the change in height per year (after 6 months of treatment). Three sort of Ht-V was calculated from height data at Visit 2 (day 0), 4 (6 months ± 7 days) and 6 (12 months ± 7 days), as follows: Between Visits 2 and 4, between Visit 4 and 6 and between Visit 2 and 6. Ht-V was calculated by Novo Nordisk. It is the difference between Ht-V for the last 6 months and Ht-V for the first 6 months of treatment. This endpoint was only evaluated for Group A as per the trial protocol.

    Time frame: At the first 6 months and the last 6 months in group A

07

Results

Posted Oct 5, 2016

Participant flow

The trial was conducted at 10 sites in Korea.

Participant flow — Overall Study
MilestoneGroup A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH Treatment
Started3618
Exposed3615
Completed3615
Not completed03
Withdrew: Withdrawal by subject03

Outcome measures

PrimaryHeight Velocity (Ht-V)

Height velocity (Ht-V) (cm/year) is the change in height per year (after 6 months of treatment). Ht-V was calculated by Novo Nordisk.

Time frame:
After 6 months of treatment
Reported as:
Least squares mean · cm/year
Height Velocity (Ht-V)
cm/yearGroup A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH Treatment
Height Velocity (Ht-V)12.02 ± 0.296.87 ± 0.43
Statistical analysis
  • Group A: 12-month GH Treatment vs Group B: 6-month Untreated + 6-month GH Treatment · ANOVA · p = <0.0001 · Treatment difference: 5.15 · 95% CI 4.09 to 6.21The HV after 6 months of treatment was analysed using an ANCOVA method with group and sex as fixed effects, and age as a covariate.
SecondaryChange in Ht-SDS (Height Standard Deviation Score)

Height standard deviation scores (HSDS) were calculated using Korean growth data (reported by the Korea Centre for Disease Control and Prevention). The mean normal range for HSDS is from -2 to +2. Negative scores below -2 indicate a height below normal range, whereas positive scores above +2 indicate a height above normal.

Time frame:
After 6 months of treatment.
Reported as:
Least squares mean · Standard Deviation Score (SDS)
Change in Ht-SDS (Height Standard Deviation Score)
Standard Deviation Score (SDS)Group A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH Treatment
Change in Ht-SDS (Height Standard Deviation Score)0.76 ± 0.040.19 ± 0.06
SecondaryChange in IGF Related Factors: IGF-I (Insulin-like Growth Factor-I)

IGF-I (insulin-like growth factor-1) was measured at Visit 1 (screening),Visit 3 (3 months ± 7 days ),Visit 4 (6 months ± 7 days),Visit 5 (9 months ± 7 days ) and Visit 6 (12 months ± 7 days ). Change of IGF-I from baseline to 6 months treatment was calculated.

Time frame:
After 6 months of treatment.
Reported as:
Least squares mean · ng/ml
Change in IGF Related Factors: IGF-I (Insulin-like Growth Factor-I)
ng/mlGroup A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH Treatment
Change in IGF Related Factors: IGF-I (Insulin-like Growth Factor-I)192.58 ± 14.0028.03 ± 21.81
SecondaryChange in IGF Related Factors: IGFBP-3 (Insulin-like Growth Factor Binding Protein-3)

IGFBP-3 was measured at Visit 1(screening), Visit 3 (3 months ± 7 days ), Visit 4 (6 months ± 7 days), 5 (9 months ± 7 days ) and 6 ( 12 months ± 7 days). Change of IGFBP-3 from baseline to 6 months treatment were calculated.

Time frame:
After 6 months of treatment.
Reported as:
Least squares mean · mcg/mL
Change in IGF Related Factors: IGFBP-3 (Insulin-like Growth Factor Binding Protein-3)
mcg/mLGroup A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH Treatment
Change in IGF Related Factors: IGFBP-3 (Insulin-like Growth Factor Binding Protein-3)0.89 ± 0.190.22 ± 0.30
SecondaryChange in Bone Age

Change in bone age from the baseline to 6 months.

Time frame:
After 6 months of treatment.
Reported as:
Mean · years
Change in Bone Age
yearsGroup A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH Treatment
Change in Bone Age0.5 ± 0.20.5 ± 0.2
SecondaryOccurrence of Adverse Events

AEs were collected throughout the trial in both groups.

Time frame:
Throughout the trial (12 months)
Reported as:
Number · events
Occurrence of Adverse Events
eventsGroup A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH Treatment
Occurrence of Adverse Events7025
SecondaryHt-V (Height Velocity)

Height velocity (Ht-V) (cm/year) is the change in height per year (after 6 months of treatment). Three sort of Ht-V was calculated from height data at Visit 2 (day 0), 4 (6 months ± 7 days) and 6 (12 months ± 7 days), as follows: Between Visits 2 and 4, between Visit 4 and 6 and between Visit 2 and 6. Ht-V was calculated by Novo Nordisk. It is the difference between Ht-V for the last 6 months and Ht-V for the first 6 months of treatment. This endpoint was only evaluated for Group A as per the trial protocol.

Time frame:
At the first 6 months and the last 6 months in group A
Reported as:
Least squares mean · cm/year
Ht-V (Height Velocity)
cm/yearGroup A: 12-month GH Treatment
Ht-V (Height Velocity)2.80 (1.55 to 4.04)

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Group A: 12-month GH Treatment—4/36 (11.1%)20/36 (55.6%)
Group B: 6-month Untreated + 6-month GH Treatment—2/15 (13.3%)10/15 (66.7%)
Most frequent serious events
Most frequent serious events
EventGroup A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH Treatment
PneumoniaInfections and infestations0/361/15
Tonsillar hypertrophyRespiratory, thoracic and mediastinal disorders1/361/15
HydroceleCongenital, familial and genetic disorders1/360/15
PharyngotonsillitisInfections and infestations1/360/15
Kawasaki's diseaseVascular disorders1/360/15
Most frequent other events
Showing 10 of 11
Most frequent other events
EventGroup A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH Treatment
NasopharyngitisInfections and infestations15/367/15
RhinitisInfections and infestations0/362/15
InfluenzaInfections and infestations3/360/15
Upper respiratory tractInfections and infestations3/361/15
UrticariaSkin and subcutaneous tissue disorders3/360/15
Eye disorderEar and labyrinth disorders0/361/15
Chest painGeneral disorders0/361/15
ConjunctivitisInfections and infestations1/361/15
Rhinitis allergicRespiratory, thoracic and mediastinal disorders0/361/15
DermatitisSkin and subcutaneous tissue disorders0/361/15

Baseline characteristics

Age, Continuous
Age, Continuous(years)Group A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH TreatmentTotal
Mean6.3 ± 1.55.9 ± 1.26.2 ± 1.5
Sex: Female, Male
Sex: Female, Male(Participants)Group A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH TreatmentTotal
Female17623
Male19928
Height
Height(cm)Group A: 12-month GH TreatmentGroup B: 6-month Untreated + 6-month GH TreatmentTotal
Mean107.7 ± 8.7105.8 ± 7.5107.1 ± 8.3
08

Study locations

8 sites
  • Novo Nordisk Investigational Site
    Busan, 614-735, Korea, Republic of
  • Novo Nordisk Investigational Site
    Daegu, 700-721, Korea, Republic of
  • Novo Nordisk Investigational Site
    Seoul, 02841, Korea, Republic of
  • Novo Nordisk Investigational Site
    Seoul, 03722, Korea, Republic of
  • Novo Nordisk Investigational Site
    Seoul, 137-701, Korea, Republic of
  • Novo Nordisk Investigational Site
    Seoul, 138-736, Korea, Republic of
  • Novo Nordisk Investigational Site
    Seoul, 150-713, Korea, Republic of
  • Novo Nordisk Investigational Site
    Suwon, 443-721, Korea, Republic of
09

References and documents

Publications

  • Safety and Efficacy Evaluation of Human Growth Hormone (GH) Therapy in Patients with Idiopathic Short Stature (ISS) in Korea - a Randomized Controlled Trial; Min Ho Jung, Byung-Kyu Suh, Cheol Woo Ko et al.; 028-042-GH-Pediatrics (posters) ENDO meeting 2016, Boston Massachusetts
  • Jung MH, Suh BK, Ko CW, Lee KH, Jin DK, Yoo HW, Hwang JS, Chung WY, Han HS, Prusty V, Kim HS. Efficacy and Safety Evaluation of Human Growth Hormone Therapy in Patients with Idiopathic Short Stature in Korea - A Randomised Controlled Trial. Eur Endocrinol. 2020 Apr;16(1):54-59. doi: 10.17925/EE.2020.16.1.54. Epub 2019 Oct 15. PubMed 32595770 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 2, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01778023
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Jan 29, 2013
Start date
Jan 17, 2013
Primary completion
Dec 17, 2014
Completion
Dec 17, 2014
Results posted
Oct 5, 2016
Last update
Jun 2, 2017

Study contacts

Global Clinical Registry (GCR, 1452)
study director · Novo Nordisk A/S

Oversight

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

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