ClinicalTrials.gg
RecruitingNCT06103513Updated Oct 21, 2026

Randomized Clinical Trial of Two Different Initial Growth Hormone Doses in Children

A Phase 3 interventional study of Somatropin in Growth Disorders, Growth Failure and Growth Hormone Treatment, sponsored by Northwell Health. Recruiting at 1 site in United States. Open to participants aged 5 Years to 15 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Northwell Health · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2023; still recruiting 2 years 11 months later.
Updated Oct 13, 2026Primary completion movedStudy completion moved+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
5 Years to 15 Years
Sex
All
01

Study summary

A prospective, randomized, open-label single-blinded study of 50 subjects with growth hormone deficiency, ages 5 to 15 years in which 25 subjects will initiate rhGH therapy at 0.3mg/kg/week and the remaining 25 subjects will initiate their rhGH treatment at 0.2 mg/kg/week for the first 12 months of treatment. Safety parameters, height velocity, and adult height prediction by bone age determination will be assessed at 4-month intervals for 1 year following the initiation of rhGH therapy.

Read the detailed description

Investigators propose a prospective randomized, open-label single-blinded study of 50 subjects with growth hormone deficiency, ages 5 to 15 years. 25 subjects will be randomized to initiate a dose of 0.3 mg/kg/week (0.28-0.32 mg/kg/week) and the remaining 25 subjects will initiate their rhGH treatment at 0.2 mg/kg/week (0.18-0.22 mg/kg/week) for the first 12 months of treatment. Safety parameters, height velocity, and adult height prediction by bone age determination will be assessed at 4-month intervals for 1 year following the initiation of rhGH therapy.

02

Conditions studied

  • Growth Disorders
  • Growth Failure
  • Growth Hormone Treatment
  • Growth

Keywords

  • Growth Hormone
03

In context

Growth Disorders

227 studies on the registry are indexed under Growth Disorders; 25 are open to participants now.

This study's planned enrollment of 50 is below the median of 413 across 143 interventional studies indexed under Growth Disorders.

Browse Growth Disorders studies →

Lead sponsor

Northwell Health is the lead sponsor of 475 studies on the registry; 107 are open to participants now.

Of its 45 completed or terminated interventional studies of FDA-regulated products, 23 (51%) have results posted.

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

04

Who can participate

Ages eligible
5 Years to 15 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Provision of signed and dated form
  2. Stated willingness to comply with all study procedures and availability for the duration of the study
  3. Male or female, aged 5-15 years
  4. In good general health as evidenced by medical history or diagnosed with growth hormone deficiency
  5. Ability to take subcutaneous GH injections nightly

Exclusion criteria

Exclusion Criteria:

Subjects will be excluded if they have GH resistance, or syndromic short stature such as Prader Willi syndrome and Turner syndrome. Patients will also be excluded if they have active , or systemic illnesses such as heart failure, kidney failure, or liver failure.

Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    Arm 1: Growth hormone 0.2 mg/kg/week

    Twenty-five subjects will initiate rhGH therapy at 0.2 mg/kg/week for the first 12 months of treatment

    Drug: Somatropin

  • Active comparator
    Arm 2: Growth hormone 0.3 mg/kg/week

    Twenty-five subjects will initiate rhGH therapy at 0.3 mg/kg/week for the first 12 months of treatment

    Drug: Somatropin

Interventions

  • The treatment of children with subcutaneous recombinant human growth hormone (rhGH) is the current gold standard of care for children with diagnosed GHD. This study will serve only to investigate the optimal dose of treatment in the first year of treatment with rhGH.

    Also known as: Norditropin, Nutropin AQ, Genotropin, Zomacton, Humatrope, Omnitrope.

06

What researchers measure

Primary outcomes

  1. Annualized Growth Velocity (GV) in the first year after treatment

    Height (cm) at 0- month visit; height (cm) at 12-month visit

    Time frame: I year

Secondary outcomes

  1. IGF1- 0,4,8,12 months

    IGF-1 will be collected at timepoints - 0,4,8,12 months

    Time frame: 12 Months

  2. IGFBP3 - 0,4,8,12 months

    IGFBP3 will be collected at timepoints - 0,4,8,12 months

    Time frame: 12 Months

  3. HbA1c - 4,8,12 months

    HbA1c will be collected at timepoints 4,8,12 months

    Time frame: 12 Months

  4. Total T4 or Free T4 - 0,12 months

    Total T4 or Free T4 will be collected at timepoints 0,12 months

    Time frame: 12 Months

  5. TSH - 0, 12 months

    TSH will be collected at timepoints 0, 12 months

    Time frame: 12 Months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Backelijaw P, Dattani M, Cohen P Rosenfeld R, (2014).Chapter 10: Disorders of Growth Hormone/ Insulin Like Growth Factor Secretion and Action. Shreiner, J (Ed.). Pediatric Endocrinology: Marc Sperling. (chapter 10, page 364, 366). Philadelphia, Saunders
  • Grumbach MM, Bin-Abbas BS, Kaplan SL. The growth hormone cascade: progress and long-term results of growth hormone treatment in growth hormone deficiency. Horm Res. 1998;49(# Suppl 2):41-57. No abstract available. PubMed 9716827 ↗
  • Blethen SL, MacGillivray MH. A risk-benefit assessment of growth hormone use in children. Drug Saf. 1997 Nov;17(5):303-16. doi: 10.2165/00002018-199717050-00003. PubMed 9391774 ↗
  • Christ ER, Cummings MH, Jackson N, Stolinski M, Lumb PJ, Wierzbicki AS, Sonksen PH, Russell-Jones DL, Umpleby AM. Effects of growth hormone (GH) replacement therapy on low-density lipoprotein apolipoprotein B100 kinetics in adult patients with GH deficiency: a stable isotope study. J Clin Endocrinol Metab. 2004 Apr;89(4):1801-7. doi: 10.1210/jc.2003-031474. PubMed 15070948 ↗
  • Locatelli V, Bianchi VE. Effect of GH/IGF-1 on Bone Metabolism and Osteoporsosis. Int J Endocrinol. 2014;2014:235060. doi: 10.1155/2014/235060. Epub 2014 Jul 23. PubMed 25147565 ↗
  • Boguszewski CL, Meister LH, Zaninelli DC, Radominski RB. One year of GH replacement therapy with a fixed low-dose regimen improves body composition, bone mineral density and lipid profile of GH-deficient adults. Eur J Endocrinol. 2005 Jan;152(1):67-75. doi: 10.1530/eje.1.01817. PubMed 15762189 ↗
  • Hardin DS. Treatment of short stature and growth hormone deficiency in children with somatotropin (rDNA origin). Biologics. 2008 Dec;2(4):655-61. doi: 10.2147/btt.s2252. PubMed 19707446 ↗
  • Straetemans S, Thomas M, Craen M, Rooman R, De Schepper J; BESPEED. Poor growth response during the first year of growth hormone treatment in short prepubertal children with growth hormone deficiency and born small for gestational age: a comparison of different criteria. Int J Pediatr Endocrinol. 2018;2018:9. doi: 10.1186/s13633-018-0064-3. Epub 2018 Oct 22. PubMed 30377433 ↗
  • Reiter EO, Price DA, Wilton P, Albertsson-Wikland K, Ranke MB. Effect of growth hormone (GH) treatment on the near-final height of 1258 patients with idiopathic GH deficiency: analysis of a large international database. J Clin Endocrinol Metab. 2006 Jun;91(6):2047-54. doi: 10.1210/jc.2005-2284. Epub 2006 Mar 14. PubMed 16537676 ↗
  • de Ridder MA, Stijnen T, Hokken-Koelega AC. Prediction of adult height in growth-hormone-treated children with growth hormone deficiency. J Clin Endocrinol Metab. 2007 Mar;92(3):925-31. doi: 10.1210/jc.2006-1259. Epub 2006 Dec 19. PubMed 17179199 ↗
  • Wit JM, Ranke MB, Albertsson-Wikland K, Carrascosa A, Rosenfeld RG, Van Buuren S, Kristrom B, Schoenau E, Audi L, Hokken-Koelega AC, Bang P, Jung H, Blum WF, Silverman LA, Cohen P, Cianfarani S, Deal C, Clayton PE, de Graaff L, Dahlgren J, Kleintjens J, Roelants M. Personalized approach to growth hormone treatment: clinical use of growth prediction models. Horm Res Paediatr. 2013;79(5):257-70. doi: 10.1159/000351025. Epub 2013 May 28. PubMed 23735882 ↗
  • Kristrom B, Dahlgren J, Niklasson A, Nierop AF, Albertsson-Wikland K. The first-year growth response to growth hormone treatment predicts the long-term prepubertal growth response in children. BMC Med Inform Decis Mak. 2009 Jan 12;9:1. doi: 10.1186/1472-6947-9-1. PubMed 19138407 ↗
  • MacGillivray MH, Baptista J, Johanson A. Outcome of a four-year randomized study of daily versus three times weekly somatropin treatment in prepubertal naive growth hormone-deficient children. Genentech Study Group. J Clin Endocrinol Metab. 1996 May;81(5):1806-9. doi: 10.1210/jcem.81.5.8626839. PubMed 8626839 ↗
  • Ranke MB, Schweizer R, Wollmann HA, Schwarze P. Dosing of growth hormone in growth hormone deficiency. Horm Res. 1999;51 Suppl 3:70-4. doi: 10.1159/000053165. PubMed 10592447 ↗
  • Ranke MB, Lindberg A, Chatelain P, Wilton P, Cutfield W, Albertsson-Wikland K, Price DA. Derivation and validation of a mathematical model for predicting the response to exogenous recombinant human growth hormone (GH) in prepubertal children with idiopathic GH deficiency. KIGS International Board. Kabi Pharmacia International Growth Study. J Clin Endocrinol Metab. 1999 Apr;84(4):1174-83. doi: 10.1210/jcem.84.4.5634. PubMed 10199749 ↗
  • Sudfeld H, Kiese K, Heinecke A, Bramswig JH. Prediction of growth response in prepubertal children treated with growth hormone for idiopathic growth hormone deficiency. Acta Paediatr. 2000 Jan;89(1):34-7. doi: 10.1080/080352500750029022. PubMed 10677054 ↗
  • Kristrom B, Aronson AS, Dahlgren J, Gustafsson J, Halldin M, Ivarsson SA, Nilsson NO, Svensson J, Tuvemo T, Albertsson-Wikland K. Growth hormone (GH) dosing during catch-up growth guided by individual responsiveness decreases growth response variability in prepubertal children with GH deficiency or idiopathic short stature. J Clin Endocrinol Metab. 2009 Feb;94(2):483-90. doi: 10.1210/jc.2008-1503. Epub 2008 Nov 11. PubMed 19001519 ↗
  • Radetti G, Buzi F, Paganini C, Pilotta A, Felappi B. Treatment of GH-deficient children with two different GH doses: effect on final height and cost-benefit implications. Eur J Endocrinol. 2003 May;148(5):515-8. doi: 10.1530/eje.0.1480515. PubMed 12720533 ↗
  • Cho WK, Ahn MB, Kim EY, Cho KS, Jung MH, Suh BK. Predicting First-Year Growth in Response to Growth Hormone Treatment in Prepubertal Korean Children with Idiopathic Growth Hormone Deficiency: Analysis of Data from the LG Growth Study Database. J Korean Med Sci. 2020 May 18;35(19):e151. doi: 10.3346/jkms.2020.35.e151. PubMed 32419399 ↗
09

Updates

1 registry update since Sep 25, 2026
Primary completion
Jun 10, 2025→Jan 5, 2028
Oct 13, 2026
Study completion
Dec 10, 2025→Jan 5, 2028
Oct 13, 2026
Contact
Study contact changed: j•••@northwell.edu · •••3750→N•••@northwell.edu · •••3750; r•••@northwell.edu · •••3631→I•••@northwell.edu · •••3692. See the current contact
Oct 13, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Northwell Health · New York, United StatesContact r•••@northwell.edu · •••3631→n•••@northwell.edu · •••3631Contact n•••@northwell.edu · •••3631→i•••@northwell.edu · •••3631Contact person changed (no phone or email listed)
Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    Primary completion Jun 10, 2025→Jan 5, 2028
    Study completion Dec 10, 2025→Jan 5, 2028
    Contact Study contact changed: j•••@northwell.edu · •••3750→N•••@northwell.edu · •••3750; r•••@northwell.edu · •••3631→I•••@northwell.edu · •••3692. See the current contact
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Northwell Health · New York, United StatesContact r•••@northwell.edu · •••3631→n•••@northwell.edu · •••3631Contact n•••@northwell.edu · •••3631→i•••@northwell.edu · •••3631Contact person changed (no phone or email listed)
    + 2 other changes: verification date and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06103513
Lead sponsor
Northwell Health
Responsible party
Sponsor
First posted
Oct 26, 2023
Start date
Dec 10, 2023
Primary completion
Jan 5, 2028 (estimated)
Completion
Jan 5, 2028 (estimated)
Last update
Oct 21, 2026

Study contacts

Namma Pollack-Schreiber, MD
Contact
NPollackschr@northwell.edu
516-472-3750
Ishrat Ghani
Contact
Ighani@northwell.edu
5164723692
Benjamin U. Nwosu, MD
principal investigator · NORTHWELL HEALTH, INC.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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